Fresh Medicine How to Fix Reform and Build a Sustainable Health Care System

Edition: 1st
Format: Hardcover
Pub. Date: 2010-10-05
Publisher(s): Atlantic Monthly Press
List Price: $23.00

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Customer Reviews

A powerful survey highly recommended  March 29, 2011
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In this textbook Governor Bredesen explains why the recently enacted healthcare reform won't work and offers an alternative framework for reformation of our troubled healthcare system that makes sense. Bredesen's experience as an entrepreneur, healthcare industry executive and a governor who inherited and managed a troubled state Medicaid system brings credibility to his analysis.

Fresh Medicine How to Fix Reform and Build a Sustainable Health Care System: 5 out of 5 stars based on 1 user reviews.


"American health care, which has come so far in the last century, seems now to have lost its way. Its productivity has stagnated, with its growth in cost far outstripping its gain in effectiveness. Its blueprint is obsolete: a design for acute illness when chronic illness increasingly absorbs our resources and shortens our lives. Entrenched interests paralyze it just when it most needs to change and adapt."

Tennessee Governor Phil Bredesen carefully explains why our present system of health care, including "Obama care", cannot be sustained, and he offers his well thought out ideas regarding a complete overhaul. Since his career has been heavily involved with the current health care system, he brings first-hand expert knowledge to the issue.

Bredesen begins by exploring the problems with the new reform. Congress and the Obama Administration have added over 30 million more people into an obsolete broken system and done little to address the underlying problems, he argues. Bredesen then looks back and explains how the system evolved over the past century from the local doctor making house calls to today’s sprawling insurance model. Although health insurance started out as real insurance to cover hospitalization, Bredesen argues that what it pays for today is vastly different: drugs, doctor visits, and the treatment of chronic disease that extends over many years.

Table of Contents

Introductionp. 1
A Contrarian Viewp. 10
What's Wrong with Reformp. 24
The Roots of America's Health Care Systemp. 45
Health "Insurance"p. 61
Moving Forwardp. 69
Dignified, Fair, and Universalp. 77
Why Health Care is so Expensivep. 97
Managing Hypercomplexityp. 121
Qualityp. 140
Systems of Carep. 162
Paying for Health Carep. 181
Putting it All Togetherp. 207
Twenty Years Laterp. 225
Epiloguep. 245
Acknowledgmentsp. 249
Table of Contents provided by Ingram. All Rights Reserved.

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