Fresh Medicine
How to Fix, Reform, and Build a Sustainable Health Care System
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- 10,99 €
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- 10,99 €
Description de l’éditeur
An authoritative, engaging, and nonpartisan look at what is wrong with American health care and how we can fix it—“told with skill and grace” (Jon Meacham, author of American Lion).
Former Governor of Tennessee and CEO of HealthAmerica Corporation, Phil Bredesen “knows the American health care system inside and out. He knows both the theory and, more importantly, how things really work.” In Fresh Medicine, he analyses the current state of American Health Care, beginning with a clear-eyed critique of the Affordable Care Act (Bill Frist, M.D., former Senate majority leader).
According to Bresden, the Obama Administration ushered million more people into a broken system while doing little to address the underlying problems. Looking back over the past century, Bresden explains how that system developed from local doctors making house calls to today’s sprawling insurance model. What began as an insurance system to cover hospitalization has expanded to cover drugs, doctor visits, and the treatment of chronic disease. American health care, Bredesen asserts, needs to be reset on a new foundation. In Fresh Medicine, he harnesses thirty years of experience to offer a new solution.
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Beginning with the words "Health care in America is broken," and the claim that its underlying structure (insurance; uncoordinated providers) is obsolete, Tennessee governor Bredeson lays out a "new set of principles" to guide reform. While he supported President Obama's health care reform package, he now calls it "a stunning disappointment" and flags an inadequate funding mechanism and the act's failure to establish fiscal and quality control, which will lead to sky-rocketing costs. He proposes many improvement measures, including six well-considered "stepping stones," like the establishment of a trust account modeled on Social Security and financed by new taxes, and an independent audit of healthcare organizations, and would replace the recently-challenged mandate with a national voucher system. Prior to public service Bredesen founded and ran a managed-care company and, as governor, has been faced with overseeing TennCare, the State's controversial experimental program which, he writes, is an example of how a well-intentioned medical reform can spin "wildly out of control." Bredesen's belief in the value of direct experience led him to undertake this endeavor and he crystallizes that experience into a concise yet comprehensive effort.
