1 option
The present illness : American health care and its afflictions / Martin F. Shapiro, MD, PhD, MPH.
Holman Biotech Commons RA395.A3 S454 2023
Available
- Format:
- Book
- Author/Creator:
- Shapiro, Martin F. (Martin Frederick), 1948- author.
- Language:
- English
- Subjects (All):
- Medical care--United States.
- Medical care.
- Health services administration--United States.
- Health services administration.
- Delivery of Health Care--economics.
- Delivery of Health Care--ethics.
- Health Care Reform.
- Attitude of Health Personnel.
- Commodification.
- Health Policy.
- United States.
- Medical Subjects:
- Delivery of Health Care--economics.
- Delivery of Health Care--ethics.
- Health Care Reform.
- Attitude of Health Personnel.
- Commodification.
- Health Policy.
- United States.
- Physical Description:
- viii, 488 pages ; 23 cm
- Place of Publication:
- Baltimore : Johns Hopkins University Press, 2023.
- Summary:
- "Beyond political posturing and industry quick-fixes, why is the American health care system so difficult to reform?Health care reform efforts are difficult to achieve and have been historically undermined by their narrow scope. In The Present Illness, Martin F. Shapiro, MD, PhD, MPH, weaves together history, sociology, extensive research, and his own experiences as a physician to explore the broad range of afflictions impairing US health care and explains why we won't be able to fix the system without making significant changes across society. With a sharp eye and ready humor, Shapiro dissects the ways all groups participating-clinicians and their organizations, medical schools and their faculty, hospitals and clinical corporations, scientists and the National Institutes of Health, insurers and manufacturers, governments and their policies, and also patients and the public-shape and reinforce a dysfunctional system. Shapiro identifies three major problems stymieing reform: commodification of care; values, expectations, unmet needs, attitudes, and personal limitations of participants; and toxic relationships and communication among these groups.Shapiro lays out a sweeping agenda of concrete actions to address the many factors contributing to the system's failings. Highlighting the interconnectedness of both the problems and potential solutions, he warns that piecemeal reform efforts will continue to be undermined by those who believe they have something to gain from the status quo. Although overhauling our health care system is daunting, Shapiro nonetheless concludes that we must push forward with a far more comprehensive effort in all sectors of health care and throughout society to create a system that is humane, effective, and just"-- Provided by publisher.
- Contents:
- Machine generated contents note: 1. The Best of Times? A Tale of Two Health Care Narratives
- Dialogue #1
- 2. A Heart in a Heartless World: What Patients Want and Need
- Dialogue #2
- 3. Doctors and Dollars: Antecedents, Actions, and Consequences
- Dialogue #3
- 4. Procedural Proficiency or Human Connection? Attitudes, Aptitudes, and Opportunities
- Dialogue #4
- 5. Idealism on Life Support: Missed Opportunities in Medical Student Education
- 6. Errors of (com)Mission: Misdirected Priorities in Education, Practice, and Research
- Dialogue #5
- 7. Making a Killing: Corporate Providers of Medical Care
- Dialogue #6
- 8. Biomedical Scientists and Their Truths: Disinterested Investigation or Prioritized Self-interest?
- Dialogue #7
- 9. "Doing Everything for Money": The Producers of Health Care Products
- Dialogue #8
- 10. Human Rights and Wrong Turns: Some Problems with Health Care Financing, American Style
- 11. Protagonists, Pitfalls, and Lessons from Abroad: The Tortuous Path to Health Care for All
- Dialogue #9
- 12. Rectitude or Revenue? American Health Care in the Marketplace
- Dialogue #10
- 13. Atomization and Its Discontents: The Consciousness and Connectedness of Participants in Health Care
- Dialogue #11
- 14. Malevolent Messaging: Toxic Interactions in Health Care
- Dialogue #12
- 15. Healing American Health Care: To Palliate, to Cure, or Both?.
- Notes:
- Includes bibliographical references and index.
- Local Notes:
- Acquired for the Penn Libraries with assistance from the William Pepper Medical Library Fund.
- Other Format:
- ebook version :
- ISBN:
- 9781421445656
- 1421445654
- OCLC:
- 1337525345
- Publisher Number:
- 99993287812
The Penn Libraries is committed to describing library materials using current, accurate, and responsible language. If you discover outdated or inaccurate language, please fill out this feedback form to report it and suggest alternative language.