Health care turning point

Sample

Jeff Kane, MD

Not long ago, "bedside manner" was a physician's most potent medicine. Now that skill has dwindled to bland, generic amiability, and has been all but lost behind today's compelling healthcare technology. The bedside manner's shrinkage would be tolerable if medical high tech could cure everything, but these amazing tools are alarmingly cost-ineffective in treating most patients--those who suffer from chronic, incurable illnesses and the effects of detrimental lifestyles. Paying far too much for too little return, Americans are understandably demanding healthcare reform, which we're told lies in rearranging national finances. But beyond financial adjustment, authentic reform will have to come from reinstating ancient, intimate healing relationships between patient and doctor. Healing the Heart of Healthcare describes how we arrived at this sorry impasse and where we need to go with a system that is as damaging to its doctors as it is to patients. Dr. Jeff Kane pinpoints and examines America's love affair with medical technology, insistence on evading death at any cost, and practice of enabling unhealthy lifestyles. At its heart, Healing the Heart of Healthcare shows that healing can begin only once doctors see patients clearly as individuals, and that through intimate contact, suffering can be productively treated.

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John P. Geyman

"This pragmatic, objective approach to the complex issues surrounding the U.S. health care system successfully bridges the world of health economists/health analysts/policy makers with that of clinicians. Focusing on the main problems-escalating costs, limitations of access, and a wide variety of quallity care-this unique book helps you better understand the rapidly changing and complex world of health care"--Back cover.

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Rudo Gaidzanwa

"Most attempts at studying the effects of economic crisis and structural adjustment on the health sector in Africa have concentrated on the impact of cuts in the public health budget and the introduction of user charges/cost recovery measures on the capacity of the populace, especially the working poor, to maintain or improve access to modern medical services. Very useful insights have certainly been gained from those studies, especially with regard to the documentary evidence that has been marshalled to capture the declines in the health and nutritional status of the majority of the consumers of health services. However, there remains a major gap in the literature on the consequences of structural adjustment for the African health sector, and this has to do with the fact that the experiences of the medical professionals who work in the sector have remained unstudied. Yet, there is no doubt that the sharp cutbacks in the health sector with which these professionals have had to cope also affect their capacity to carry out their work effectively. This fact, together with the deterioration of their working and living conditions during the adjustment years, has compelled many of them to re-think their livelihood strategies. The ways in which these professionals have sought to respond to the changing environment of work and livelihood in Zimbabwe since the country adopted an IMF /World Bank structural adjustment programme constitute the essence of this research report. Of particular interest are those doctors and nurses who took a decision to migrate from Zimbabwe to Botswana and South Africa in Search of "greener" pastures."--BOOK JACKET.

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Warren E. Levinson, Ernest Jawetz

The most concise, comprehensive, and up-to-date medical microbiology & immunology review! Gives students the high-yield information they need to prepare for the USMLE Step 1 and course exams. Completely updated throughout, the new edition covers developments in HIV, hepatitis, smallpox, SARS, and more. Features case discussions, USMLE-style questions, and a USMLE-style practice exam.