This is perhaps one of the most well argued and well documented cases of the detioration of America's health care system under managed care. Dr. Makover makes a persuasive and eloquent arguement and opens the eyes of the reader while sifting through and laying out in an easy to read format the problems and solutions needed for America's health care system. This is an esential item, that is both fascinating and interesting and fun to read. I have read other books like False Hopes by Daniel Callahan, but this book makes the best and most persuasive case. I reccomend this to anyone, especially those interested in the state of America's health care system.
Tremendous summary
Published by Thriftbooks.com User , 23 years ago
How did we get from loving Dr. Marcus Welby ( as a country)yesterday, to mistrusting all docs today? Dr. Makeover tells you how. As a physician I have watched it happen, thinking it could never really happen....not in the US...but it has and it did. He puts into words the frustrations and fears of all citizens, both lay persons, and docs. He shows you exactly what has happened , and is continuing to happen, and yet we do nothing about it. He tells how we went from a doctor - patient relationship, to what is now a 3 or 4 person relationship with the insurance carriers in between the docs and our patients. He explains, and cites evidence of how doctor's fees are dropping in some areas by 20% per year, and yet the cost of "medical care" is going up drastically. He describes how HMO's in their non profit days spent about 5% of the premiums they received on administrative expenses ( salaries, etc. ) while now some companies spend 30-40% on administrative expenses, and about 60% on actual care. Who benefits? (insurance companies, exec's etc.) and who suffers?( our patients). A great book that clearly tells us how we got this way, and where we are going from here. Frightening!
What A Terrific Book!
Published by Thriftbooks.com User , 25 years ago
Remember the last time you went to your doctor? Was he/she rushed, overworked, and not as attentive as you'd like? Well, Dr. Makover's insightful book details how HMOs have turned medicine into a bottom-line business, with drastic results for patients and doctors alike. After reading "Mismanaged Care," you'll understand why so many good doctors are retiring early and why so many top students are likely to avoid becoming doctors in the first place. For anyone interested in their own health as well as the public's health, "Mismanaged Care" should act as a wake-up call. Buy this book!
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