000			06614cam a2200433 i 4500
001			on1352484842
003			OCoLC
005			20240726104858.0
008			221026s2022 nyua ob 001 0 eng
010			_a2022051688
040			_aDLC _beng _erda _cDLC _dEBLCP _dYDX _dUKAHL _dOCLCF _dOCLCQ _dNT _dYDX
020			_a9798886973822 _q((electronic)l(electronic)ctronic)
042			_apcc
043			_an-us---
050	0	4	_aRA395 _b.F888 2022
049			_aMAIN
100	1		_aGeyman, John P., _d1931- _e1
245	1	0	_aThe future of U.S. health care? : _bcorporate power vs. the common good / _cJohn Geyman, MD.
246	3		_aFuture of United States health care? : _bcorporate power versus the common good.
260			_aNew York : _bNova Science Publishers, Incorporated, _c(c)2022.
300			_a1 online resource (xiv, 67 pages) : _billustrations.
336			_atext _btxt _2rdacontent
337			_acomputer _bc _2rdamedia
338			_aonline resource _bcr _2rdacarrier
347			_adata file _2rda
490	1		_aHealth care in transition
504			_a2
520	0		_a"Despite spending more for health care than any other country in the world, the U. S. has a health care system that compares poorly with other advanced countries in terms of access, cost, and quality of care. With so many Americans being unable to afford essential care, this problem has reached crisis proportions for much of our population. As a result, health care will continue to be a front burner issue in the forthcoming 2022 and 2024 election cycles. Today we have a corporatized medical-industrial complex that has resisted recurrent reform attempts over the years. It has become too big and complex for responsible government to rein in its excesses. The COVID-19 pandemic has further exposed its fragmentation and barriers to care. The traditional service ethic of health care has been replaced by profiteering of Wall Street corporate interests and investors seeking maximal profits vs the common good. Still controversial in this country is whether health care is a human right or a privilege based on ability to pay. Other advanced countries around the world have long since built their health care systems on the basis of universal coverage ensured by government. The future of health care depends on fundamental reform. It will require winning the battle between Wall Street/corporate America and Main Street that we cannot afford to lose. This book has three goals: (1) to bring historical perspective to how the medical-industrial complex has evolved to its present strangle-hold over health care comprising one-sixth of the nation's economy; (2) to describe the shortfalls of our supposed system in terms of access, cost, inequities, and unacceptable quality, and how past reform attempts have failed; and (3) to consider two major scenarios for reform, together with political forces for and against each and their projected outcomes. Since present trends are unsustainable, we can only hope for positive moves toward reform, as will be described"-- _cProvided by publisher.
505	0	0	_aIntro -- _tContents -- _tList of Tables -- _tList of Figures -- _tPreface -- _tPart 1: Evolution of U.S. Health Care Since the 1960s -- _tChapter 1 -- _tCorporatization of Health Care Driving a Medical-Industrial Complex -- _t1. Rise of the Medical-Industrial Complex -- _t2. Today's Culture of Medical Practice and Health Care -- _t3. Adverse Impacts of the Medical-Industrial Complex on Patient Care -- _tConclusion -- _tReferences -- _tChapter 2 -- _tEvolution of the Private Health Insurance Industry -- _t1. Historical Perspective -- _t2. Growth of Private Health Insurance: Leaving Its Roots for Maximal Profits -- _t2.1. Shift from Not-for-Profit to for-Profit -- _t2.1.1. Growth of a Denial Industry -- _t2.1.2. Managed Care -- _t2.1.3. Privatization of Public Programs -- _t2.1.4. Consolidation with Growing Market Power -- _t2.1.5. Growing Reach of Health Insurers into Other Parts of the Medical-Industrial Complex -- _t3. Potential Approaches to Stabilize Health Care Financing -- _tConclusion -- _tReferences -- _tChapter 3 -- _tNew Medical Technologies: Impacts on the Costs of Health Care -- _t1. Pressures to Bring New Technologies to U.S. Health Care -- _t2. How New Technologies Inflate Health Care Costs -- _t3. Evaluation and Approval Process for New Technologies -- _t4. Are These New Technologies Worth It? -- _t5. What Lessons Can We Learn from Our Experience and Abroad? -- _tConclusion -- _tReferences -- _tChapter 4 -- _tIncreasing Privatization, Profiteering and Corruption -- _t1. Increasing Privatization -- _t1.1. Hospitals -- _t1.2. Ambulance Services -- _t1.3. Nursing Homes -- _t1.4. Pharmaceutical Industry -- _t1.5. Private Health Insurers -- _t1.6. Jails -- _t2. Profiteering across the Medical-Industrial Complex -- _t2.1. Hospitals -- _t2.2. Physician Owned Facilities -- _t2.3. Purchase of Physicians' Practices -- _t2.4. Private Health Insurance -- _t2.5. PhRMA -- _t3. Corruption, Even Fraud -- _tConclusion -- _tReferences -- _tChapter 5 -- _tChange of Values from a Service Ethic to a Business "Ethic" -- _t1. Traditional Service Ethic of Health Care -- _t2. The Dominant Business "Ethic" of Today's Health Care Marketplace -- _t3. Adverse Impacts on the Medical Profession and Health Professionals -- _tConclusion -- _tReferences -- _tPart 2: Today's Health Care in the U.S. -- _tChapter 6 -- _tHow Does U.S. Health Care Rank Internationally? -- _t1. Evidence-Based Comparisons of Health Care in Eleven Countries -- _t2. Why U.S. Rankings Are so Low -- _tConclusion -- _tReferences -- _tChapter 7 -- _tDisparities, Inequities and Systemic Racism -- _t1. Some Historical Perspective -- _t1.1. Income and Wealth Disparities -- _t1.2. Inequities Related to Race -- _t2. Disparities, Inequities and Racism in Today's Health Care -- _t3. What Can Be Done? -- _tConclusion -- _tReferences -- _tChapter 8 -- _tPoor System Performance during the COVID Pandemic -- _t1. How the U.S. Was Ill Prepared for the Pandemic -- _t2. Performance of U.S. during COVID Pandemic -- _t2.1. In the First Four Months -- _t2.2. One Year into the Pandemic
530			_a2 _ub
650		0	_aMedical care _zUnited States.
650		0	_aHealth care reform _zUnited States.
650		0	_aHealth insurance _zUnited States.
655		1	_aElectronic Books.
856	4	0	_zClick to access digital title | log in using your CIU ID number and my.ciu.edu password. _uhttpss://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&db=nlabk&AN=3403035&site=eds-live&custid=s3260518
942			_cOB _D _eEB _hRA. _m2022 _QOL _R _x _8NFIC _2LOC
994			_a92 _bNT
999			_c81454 _d81454
902			_a1 _bCynthia Snell _c1 _dCynthia Snell