Monday 27 December 2010

The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care

Washington Post correspondent Reid (The United States of Europe) explores health-care systems around the world in an effort to understand why the U.S. remains the only first world nation to refuse its citizens universal health care. Neither financial prudence nor concern for the commonweal explains the American position, according to Reid, whose findings divulge that the U.S. not only spends more money on health care than any other nation but also leaves 45 million residents uninsured, allowing about 22,000 to die from easily treatable diseases. Seeking treatment for the flareup of an old shoulder injury, he visits doctors in the U.S., France, Germany, Japan and England—with a stint in an Ayurvedic clinic in India—in a quest for treatment that dovetails with his search for a cure for America's health-care crisis, a narrative device that sometimes feels contrived, but allows him valuable firsthand experience. For all the scope of his research and his ability to mint neat rebuttals to the common American misconception that universal health care is socialized medicine, Reid neglects to address the elephant in the room: just how are we to sell these changes to the mighty providers and insurers?

Customer Reviews

I bought this book after reading Jacob Weisberg's review in Newsweek. It is the best thing on the subject for the following reasons: 1. It is well written even funny in places. 2. It is very informative. 3. It presents comparative data both as to health outcomes and also ways of paying for health care 4. It is non-partisan, even though by the end one wonders why we Americans are paying so much for health outcomes that are actually worse than any comparable country. 5. It is revealing as to the complexity of the US; for example, I didn't know that as many as 80 million Americans are already covered by systems nearly identical to the British or Canadian, i.e. medicaid, medicare, military, veterans and Department of Indian Affairs - who would have thought that? But 45 million others are not covered at all. Everyone else is covered, more or less, by insurance and so are the Germans, French and Japanese etc. But what a difference in the insurance systems! In the other countries you get insurance just like here EXCEPT THAT 1. you cannot be denied 2. you cannot be cancelled 3. everyone is covered and 4. your premiums are regulated by government which of course is what the entire debate is about. Because here the insurance industry is for profit and the premiums reflect that fact, the amazing fact that US health is the USA's largest industry by far, larger that the State of California, four times larger that the military, in fact US health would be the world's 8th largest country. No wonder the debate is so fierce. This excellent books set it all out readably and comprehensively.

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