Showing titles in Policy & Administration

At a time when access to health care in the United States is being widely debated, Nortin Hadler argues that an even more important issue is being overlooked. Although necessary health care should be available to all who need it, he says, the current health-care debate assumes that everyone requires massive amounts of expensive care to stay healthy. Hadler urges that before we commit to paying for whatever pharmaceutical companies and the medical establishment tell us we need, American consumers need to adopt an attitude of skepticism and arm themselves with enough information to make some of their own decisions.

Our health care system is crippled by desperate efforts to prevent the inevitable. A third of the national Medicare budget - nearly $175 billion - is spent on the final year of life, and a third of that amount on the final month, often on expensive (and futile) treatments. Such efforts betray a fundamental flaw in how we think about healthcare: we squander resources on hopeless situations, instead of using them to actually improve health.

Now more than 133 million Americans live with chronic illness, accounting for nearly three-quarters of all health care dollars, and untold pain and disability. There has been an alarming rise in illnesses that defy diagnosis through clinical tests or have no known cure. Millions of people, especially women, with illnesses such as irritable bowel syndrome, chronic pain, and chronic fatigue syndrome face skepticism from physicians and the public alike.

Because of rapidly aging populations, the number of people worldwide experiencing dementia is increasing and the projections are grim. Despite hundreds of millions of dollars invested in medical research, no effective treatment has been discovered for Alzheimer's disease, the most common form of dementia. The Alzheimer Conundrum exposes the predicaments embedded in current efforts to slow down or halt Alzheimer's disease through early detection of presymptomatic biological changes in healthy individuals.

From the former editor of Slate and CEO of Atlas Obscura comes the unbelievable story of “the Nobel Prize sperm bank” and the children it produced—“a superb book about the quest for genius and, ultimately, family” (Malcolm Gladwell, author of The Tipping Point and Talking to...

At a time when many Americans may be seeking alternatives to current health care choices, Dr. Knope offers an option that allows patients to directly contract with healthcare providers for individualized care. Using first-hand accounts and plenty of examples of how concierge medicine works, Knope offers a plan for patients looking to make a change to a medical system that is negotiated between doctor and patient, rather than through insurance and pharmaceutical companies.

Conflicts of interest, misrepresentation of clinical trials, hospital price-fixing, and massive expenditures for procedures of dubious efficacy - these and other critical flaws leave little doubt that the current US health-care system is in need of an overhaul. In this essential guide, preeminent physician Nortin Hadler urges American health-care consumers to take time to understand the existing system and to visualize what the outcome of successful reform might look like.

The Patient Protection and Affordable Care Act has been a political football for years now, but as its provisions start going into effect, there’s still precious little information available on how it will impact you, your family, and your pocketbook. This 2,572 page document, nearly unreadable, will change your health care, your family budget, and innumerable aspects of your life.

The U.S. healthcare system is in critical condition--but this should come as a surprise to no one. Yet until now the solutions proposed have been unworkable, pie-in-the-sky plans that have had little chance of becoming law and even less of succeeding. In Code Red, David Dranove, one of the nation's leading experts on the economics of healthcare, proposes a set of feasible solutions that address access, efficiency, and quality.

The United States spends far more money on health care than any other country, and yet nearly 50 million Americans are uninsured at least part of the time each year. Health Care Reform Now! is written for anyone who cares enough about our health-care situation to consider serious alternatives to the current system.

In 1984 triplet girls born three months prematurely received life-saving blood transfusions. A year later their parents learned that their donor had the AIDS virus. After years of suffering, all three sisters died. It has been discovered that six more children have received infected blood from the same Red Cross donor. Bad Blood is the story of gross mismanagement and shocking neglect within the American Red Cross.

Amid a growing consensus that the staggering toll of gun violence in the United States is an urgent public health issue, the Johns Hopkins University’s Bloomberg School of Public Health has convened experts on gun policy and violence from the United States and selected other countries to summarize relevant research and its implications for policymakers and concerned citizens. Legal scholars weigh in on the constitutionality of recommended policies, and researchers present new data on public support for a wide array of policies designed to reduce gun violence.

There are disorders that defy treatment with prescribed pharmaceuticals: a man's hands shake so hard that he cannot hold anything; a woman is mired in severe inescapable depression. For these patients and others, an alternative is emerging: deep brain stimulation. In this fascinating and timely investigation, well-known science writer Jamie Talan explains a cutting-edge medical development that is surprising and impressing researchers around the world.

Today more than ever, your senior leaders must produce 'Straight' work. Quint Studer's new book is the study guide they need. Straight A Leadership, a book by Wall Street Journal best-selling author Quint Studer, can help your organization achieve the peak performance it needs to survive in the toughest environment. The book is based on Studer Group's work with hundreds of top healthcare organizations.

A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died...

""Help me, Dr. Dean! I want to be healthy, but I just don't know where to turn for advice."" No wonder. How often have you felt whipsawed by the experts, confused by conflicting advice, or torn with guilt over what you eat, drink, think? Prepare yourself for a shock: You can relax, enjoy life...

In my room I have an original piece of artwork by Sally Huss which says, "Around me I wear a coat of many colors, fabrics, and textures. It’s made of friends and family here and no longer here, far and not so far. They are all part of my coat which keeps me warm wherever I go." A few summers ago, I noticed a hole in that very coat. One of my best friends developed an eating disorder. As the disorder progressed I knew I needed to find help for her, and fast. I made the decision to approach her, express my concerns, and offer my support. The extraordinary thing is, despite her fears, she put her trust in me and leaned on my shoulder.

Congress passed it. President Obama signed it into law. The Supreme Court has ruled it constitutional. And Obama's re-election virtually ensures the Patient Protection and Affordable Care Act, also known as ObamaCare, will be implemented in full, with the prospects of wholesale repeal all but impossible. In fact, many provisions of the new law are already becoming a reality with major new regulations set to start soon.

Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish?

The media constantly bombard us with news of health hazards lurking in our everyday lives. But many of these hazards turn out to have been greatly overblown. According to author and epidemiologist Geoffrey C. Kabat, this hyping of low-level environmental hazards leads to needless anxiety and confusion on the part of the public as to which exposures have important effects on health and which are likely to have minimal or no effect.