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By Robert M. Kaplan

Disease, Diagnoses, and cash

Facing the Ever-Expanding marketplace for scientific Care

Robert M. Kaplan, UCLA tuition of Public health and wellbeing, la, CA

Close to 50 Million Uninsured,

Steeply emerging assurance rates,

Employers slicing Healthcare merits . . .

There’s lots incorrect with this photo. In Disease, Diagnoses, and Dollars, public healthiness professional Robert Kaplan takes America’s healthcare to activity and demanding situations readers to check their very own roles in it.

Provocative, well timed, and comprehensively researched, this booklet analyzes the present healthcare drawback when it comes to scientific tradition, economics, and advertisements. The findings demonstrate a approach fraught with conflicts—contradictory healthcare regulations, companies who over-test and over-prescribe, sufferers with unrealistic calls for fueled via the media—and all through, a scarcity of responsibility. a lot of preventive drugs, Kaplan persuasively argues, comes all the way down to the promoting of pricy drugs and methods that force up expenses whereas subjecting the inhabitants to unneeded dangers and issues. And the result, he argues, is extra take care of many folks, and a dearth of take care of many extra.

Kaplan’s expert, functional, and optimistic method makes Disease, Diagnoses, and Dollars a "must-read" quantity for policymakers and execs in public overall healthiness and healthcare, and for company proprietors in addition to usual voters and shoppers occupied with the viability of healthcare in the USA.

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Extra info for Disease, Diagnoses, and Dollars: Facing the Ever-Expanding Market for Medical Care

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2002; in press. 6. McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. Jun 26 2003;348(26):2635–2645. 7. Epstein AM, Lee TH, Hamel MB. Paying physicians for high-quality care. N Engl J Med. Jan 22 2004;350(4):406–410. 8. Strong JP, Malcom GT, McMahan CA, et al. Prevalence and extent of atherosclerosis in adolescents and young adults: implications for prevention from the Pathobiological Determinants of Atherosclerosis in Youth Study. 1999;281(8):727–735.

In many cases, the differences in mortality between treated and untreated patients are less than 1 percent. 9 percent in the Placebo group. These are hardly numbers that would motivate most of us to ask for a prescription. The numbers chosen to describe the benefits of treatment can make a big difference in what patients ask for and what doctors prescribe. How did so many people develop such high expectations of benefit? One reason is that they were led there by some highly credible sources. Websites from the American Heart Association, pharmaceutical companies and healthcare advocates present the risks of heart disease as binary: if you have an elevated risk factor, then you are more likely to have a heart attack.

31. Wennberg J, Gittelsohn A. Variations in medical care among small areas. Sci Am. 1982;246(4):120–134. 32. Fisher ES, Wennberg JE, Stukel TA, Sharp S. Hospital readmissions rates for cohorts of Medicare beneficiaries in Boston and New Haven. 1994;331(15):989–995. 33. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Feb 18 2003;138(4):273–287. 34. Smith C, Cowan C, Sensenig A, Catlin A.

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