By Barbara J. Sowada
Examines the complicated interrelationships that tell the health and wellbeing care process. wellbeing and fitness care, like any social structures, is a manufactured from suggestion. in past times, our collective pondering has been in keeping with attempting to deal with elements, no longer the complete. This publication inquires into 4 age-old questions that form all future health care structures: what's overall healthiness? what's care? who's liable? How a lot is enough?
Americans have the wealthiest healthiness care method on the earth, but the healthiness prestige of usa citizens ranks within the lowest quartile one of the world's 25 industrialized countries and forty five million american citizens are with out medical insurance. modern price, caliber, and entry difficulties are inter-related and will be traced to taken-for-granted assumptions and healthiness care's outdated organizing thoughts: reductionism and materialism. larger fragmentation of care, an over-dependence on know-how, inattention to social and environmental determinants of healthiness, and critical fiscal and ethical dilemmas are the various result of the final forty years of piecemeal political and monetary reform.
This e-book has 3 reasons. the 1st is to assist the reader see healthcare as a fancy system—a half in a bigger whole—and to teach how solutions to the questions, what's overall healthiness? what's care? who's accountable? How a lot is adequate? implicitly outline the aim, effectiveness, potency, and equity of a overall healthiness care method. the second one is to teach that brand new entry, price, and caliber difficulties are interrelated, and come up from outdated options, unquestioned assumptions, and an extended path of inconsistent and contradictory solutions to the 4 questions. The 3rd objective is to acquaint readers with either the non-public and societal demanding situations of discovering coherent solutions to the 4 questions raised above and to explain a number of the budding experimental strategies that problem conventional conventions and assumptions.
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Extra resources for A Call to Be Whole: The Fundamentals of Health Care Reform
Instead, the starting point is to ask publicly, “What is the purpose of health care? ” Once the answers are in place, we can derive methods that truly make the most efﬁcient use of scarce resources. CHAPTER 2 Review of Systems The problems of today can’t be solved with the same thinking that created them. Albert Einstein Why are health care’s problems so intractable? For decades, policy makers and power brokers have tampered with the structure of health care— changing access here, modifying reimbursement schemes there, applying new layers of bureaucracy everywhere.
16 Rather than containing costs, economic growth was reinforced by the market incentives championed by the Nixon and Reagan-Bush administrations and is further reinforced by the pro-corporation economic policies—deregulation, privatization, tax cuts, and tort reform—of George W. Bush. Pursuing efﬁciency rather than effectiveness, everyone raises prices and the fallout is harmful to people and to health care itself. More and more businesses can’t afford to purchase health insurance for their employees; tax cuts make it more difﬁcult for the poor to qualify for Medicaid; fewer providers are willing to care for Medicare, Medicaid, and charity patients; competing for insurance dollars, doctors and hospitals duplicate services; and payers invent new ways to avoid unproﬁtable people and services.
S. health care system is ﬁrmly grounded in the modern worldview, in which reality is reduced to the laws of nature, and the body is perceived as a mechanical entity with interchangeable parts. Basically, health care is medical care, which is proﬁt-driven, individually focused, reduced to drugs and surgery, physician authorized, and fragmented by medical specialty. Health is the absence of disease; disease is caused by a single biological variable—germs, genes, or trauma; and the physician is responsible for producing health.
A Call to Be Whole: The Fundamentals of Health Care Reform by Barbara J. Sowada