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Crisis In U.S. Health Care
The problems of U.S. health care are of intense public interest today. The debate over where to go next to rein in costs and improve access to quality health care has become bitterly partisan, with distorted rhetoric largely uninformed by history, evidence, or health policy science. Based on present trends, our expensive dysfunctional system threatens patients, families, the government, and taxpayers with future bankruptcy. This book takes a 60-year view of our health care system, from 1956 to 2016, from the perspective of a family physician who has lived through these years as a practitioner in two rural communities, a professor and administrator of family medicine in medical schools, a jou...
How Obamacare is Unsustainable
Confusion and controversy have plagued the Affordable Care Act (ACA or Obamacare) since its enactment in 2010. Republicans have generally opposed the legislation and attempted to obstruct it or repeal it altogether. Democrats have tended to support it, defending it against the opposition, but wary of some of its problems. Patients and families are caught in the middle. This is the first book to take an evidence-based approach to assessment of the good and bad about this signature domestic legislation of the Obama presidency after five years of experience. The three major aims of the ACAto provide near-universal access to health care, to contain costs and make health care affordable, and to improve the quality of U.S. health careare not being met, and the ACA's approach to health care reform will not work. As it fails, the big question is what next? The case is madeon economic, social and moral grounds that a single payer improved Medicare-for-All system will be best
Heirs of General Practice
Heirs of General Practice is a frieze of glimpses of young doctors with patients of every age—about a dozen physicians in all, who belong to the new medical specialty called family practice. They are people who have addressed themselves to a need for a unifying generalism in a world that has become greatly subdivided by specialization, physicians who work with the "unquantifiable idea that a doctor who treats your grandmother, your father, your niece, and your daughter will be more adroit in treating you." These young men and women are seen in their examining rooms in various rural communities in Maine, but Maine is only the example. Their medical objectives, their successes, the professional obstacles they do and do not overcome are representative of any place family practitioners are working. While essential medical background is provided, McPhee's masterful approach to a trend significant to all of us is replete with affecting, and often amusing, stories about both doctors and their charges.
Do Not Resuscitate
The bell tolls for a powerful industry--and will affect every American as it dies.
Textbook of Rural Medicine
This work provides a comprehensive review of rural medicine, including special clinical problems and approaches care, organization and management of rural health care, educational issues and lessons from abroad.
Health Care Revolt
The U.S. does not have a health system. Instead we have market for health-related goods and services, a market in which the few profit from the public’s ill-health. Health Care Revolt looks around the world for examples of health care systems that are effective and affordable, pictures such a system for the U.S., and creates a practical playbook for a political revolution in health care that will allow the nation to protect health while strengthening democracy. Dr. Fine writes with the wisdom of a clinician, the savvy of a state public health commissioner, the precision of a scholar, and the energy and commitment of a community organizer.
The Corporate Transformation of Health Care
Geyman (emeritus, family medicine, U. of Washington) spent 13 years in rural practice before turning to academia. Over 30 years he watched control of the US health-care system shift from medical professionals and not-for-profit interests to a relatively small number of large health-care corporations, to the detriment, he believes, of the public interest. His analysis of the extent of the corporate transformation looks at its impacts on costs and on access to health care. He also considers options for reform given current political and economic realities. The intended audience is physicians and other health professionals, policy makers, legislators, business and labor groups, and citizen reform groups as well as consumers.
Family Medicine
Here is an insightful review of the origins of family medicine as an AMA-approved specialty, including the difficulties in developing the role of family physician.
Family Medicine
Much is new in Family Medicine since the last edition of our textbook. For example, not only is the therapy of human immunodeficiency virus (HIV) disease and the acquired immunodeficiency syndrome (AIDS) much different than a few years ago; the epidemiol ogy of the disease has also changed and more than half of the family physicians in a rural state such as Oregon have already managed patients with HIV disease or AIDS. 1 There are new immunization recommendations for children and new antibiotics for the treatment of bacterial infections. Computers are bringing medical informatics and on-line consultation into office practice. Medicare physician payment reform is underway and the reality of r...
