Ebook Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It, by David Goldhill
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Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It, by David Goldhill
Ebook Catastrophic Care: How American Health Care Killed My Father--and How We Can Fix It, by David Goldhill
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A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system.
In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result.
Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues.
Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future.
If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.
- Sales Rank: #201829 in eBooks
- Published on: 2013-01-08
- Released on: 2013-01-08
- Format: Kindle eBook
From Booklist
Dysfunctional and undisciplined. That is Goldhill’s assessment of the current U.S. health-care system. President and CEO of the Game Show Network, Goldhill believes the trouble stems from “a culture lacking customer accountability: high prices, excess, errors, underinvestment in information technology, lack of follow-up.” Spurred by the death of his father from a hospital-acquired infection, Goldhill has devoted considerable time and thought to repairing health care. His book sprouted from a 2009 article he penned for the Atlantic. Encounters with the health-care system usually involve gargantuan intermediaries—Medicare, Medicaid, and private insurance companies, entities Goldhill cites for inefficiency. They also generate increased demand for services. His alternative to the status quo combines national health insurance (for everyone but not everything) with a market-based system that gets rid of intermediaries and allows individuals to deal directly with providers. Individual health accounts, catastrophic insurance with a high deductible, and health loans are key components. The health-care system is gashed. Goldhill thinks it’s time to rip off the colossal Band-Aid and apply a different kind of balm. --Tony Miksanek
Review
Praise for David Goldhill's Catastrophic Care
“A devastating and utterly original analysis of what has gone wrong with the American health care system. Read it, and take a deep breath. . . . [Goldhill] will convince you that our ‘solutions’ are not solving our problems. They are making our problems worse.”
—Malcolm Gladwell
“Thought provoking. . . . A for-profit business executive who actually states that better than adequate health care should be available to all people in the country. . . . Mr. Goldhill observes and explains the issues in an understandable manner for the layperson.”
—New York Journal of Books
“The best popular health care book . . . a crystal clear account of what has gone wrong and how to fix it.”
—Tyler Cowen, Holbert L. Harris Professor of Economics, George Mason University
“Powerful—edge-of-the-seat riveting—because it is not, in any sense, a policy book. Rather, this is a story about saving ourselves. . . . It steps outside of the established political debate and lexicon—one of the rare books addressing a major national policy issue that is able to do so in language not already debased by the problem itself. . . . Alas, healthcare civilians can't actually read most books about healthcare (and if you can, then you are part of the problem). But you can read this one.”
—Michael Wolff, The Guardian
“David Goldhill is a genius observer of a broken system in need of fresh ideas. His testimony and common-sense ideas are devastatingly important in light of out-of-control medical prices. A must-read for doctors, policy-makers and patients alike. Catastrophic Care is a defining book of our era, and a roadmap for fixing our country's leading debt driver. You will never see medical care the same way.”
—Marty Makary, MD, author of Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Healthcare
“For those who are troubled by both the failures of our healthcare system and the misdirected diagnoses and prescriptions offered by pundits, policy experts, and politicians from across the political spectrum, David Goldhill offers a brilliant and much needed antidote. By calling out with remarkable clarity the numerous, but now almost invisible incentives and regulations that drive the dysfunction of our current system, Catastrophic Care provides an illuminating framework for understanding the crisis, and then a path to the kinds of reforms that will surely be necessary.”
—Jeffrey S. Flier, Dean of the Faculty, Harvard Medical School
“[A] fascinating and infuriating expose of the American health care system . . . Goldhill persuasively argues that a consumer-driven system—which will require greater vigilance and commitment on the part of citizens in actively managing their health—is the first step toward sustainability and lower individual and government costs. . . . Goldhill's reasoned, logical alternative to the current system goes beyond political finger-pointing, and while his take is sobering, it’s one that offers sound solutions.”
—Publishers Weekly
“Highly readable presentation of one businessman’s solution, likely to provoke discussion if not agreement.”
—Kirkus Reviews
About the Author
David Goldhill is president and chief executive officer of GSN, which operates a U. S. cable television network seen in more than 75 million homes and is one of the world's largest digital games companies. He is a member of the board of directors of The Leapfrog Group, an employer-sponsored organization dedicated to hospital safety and transparency. Goldhill graduated from Harvard University with a BA in history and holds an MA in history from New York University.
Most helpful customer reviews
36 of 38 people found the following review helpful.
The word is out - 'the Emperor (health care debate) has no clothes'
By Ilya Valkovsky
Written for a general (but thinking) audience, this book could really turn around all public discourse on health care and become a seminal work on the subject.
The divisive health care debate of recent years is centered over WHO should shoulder astronomic medical costs. The issue of taming the exorbitant prices and costs is relegated to the side issue of waste and abuse. David Goldhill takes a new and different approach. He puts aside the standard assumption that health care is somehow exempt from the normal rules of economic activity. He focuses on WHY the costs became so exorbitant in the first place. Goldhill shows persuasively that the costs are the result of the very design of our current medical system, and the only way to bring the costs down to earth is to REPLACE entirely the current economic arrangements of our medicine - both the private insurance system and Medicare/Medicaid.
That's a book of new ideas. These ideas are breakthrough innovative, brilliant, deeply thought through; analysis superb. As with all things new and complex, it requires an effort to understand. If you have any background or interest in economics, even the economics of everyday life, give it more consideration.
29 of 34 people found the following review helpful.
An author that really knows and understands the complexities of the healthcare (sickcare) industry
By Dwight Clark
I was a practicing cardiologist in the US for over 30 years. I, as most other practicing cardiologist, was trained and fully believed the prevailing methods of diagnosis and treatment were not only correct but absoluely necessary. Several decades of experience taught me this is not close to being accurate. The majority of medical tests, and much of the treatment,is not only unnecessary, but harmful and/or dangerous. The goal of the majority of providers is to increase total "sales" by ordering many procedures and or drugs that are not needed. Much of this is done from ignorance and is not necessarily indicative of a purely capitalistic motive.
David Goldhill is one of the few authors that have experienced this travesty and is educated and intelligent enough to understand the consequences of this nationwide epidemic and the needless, wasteful, and dangerous care. His ability to sort through all of the "noise" prevalent in the governmental and media diatribe and isolate the real problem as full insurance for everyone is unique. This system is doomed for failure. There will never be enough resources to fund medical care as long as the consumer is not the payer. They will always demand more and the providers are happy to accomodate them.
I have left the US and am presently living in Beijing, China, attempting to establish purely preventive heartcare clinics. This is more general education regarding diet, smoking, sedentary lifestyle, and alcohol abuse. than traditional western medicine. Less income, but certainly more satisfying.
21 of 25 people found the following review helpful.
Excellent primer on the unintended consequence of our health care system
By Muness Alrubaie
Who could be against health care for all?! The problem is that the system we have and pushed further in ACA, decouples decisions from individuals and instead gives them to surrogates with strong political pressures to approve any and all procedures. And many other consequences that lead to an ineffective, even harmful health care system and an incredibly expensive one with lots of opportunity for abuse.
This book is an excellent primer and should be required reading for all those in the legislature who make health care decisions. I have no idea if the prescription offered in the book as an alternative is a reasonable one, but I do know it opened up my eyes to some of the devastating problems with the status quo.
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