"This is health policy for grown-ups . . . Mechanic brings to bear
his magisterial knowledge of some of the less-traveled pathways in
the health care wilderness."-Health Affairs "A comprehensive and
thoughtful discussion of the myriad reasons why substantial health
care reform continues to be elusive . . . will be much appreciated
by readers interested in increasing their understanding of the
future of health care reform."-Journal of the American Medical
Association "Mechanic, one of the longest abiding and most
insightful observers of American health care, has diagnosed many of
the system's ills."-Inquiry Drawing on decades of experience as an
active health policy participant, researcher, teacher, and
consultant to the public and private sectors, David Mechanic
examines the strengths and weaknesses of health care in the United
States. He explains how it has evolved in ways that favor economic,
professional, and political interests over those of patients. Yet,
he also acknowledges that railing against these influences can
achieve only so much. Instead, Mechanic suggests changes that may
make it possible to convert what is best about health care in
America into a well-functioning system that better serves the
entire population. David Mechanic is director of the Institute for
Health, Health Care Policy, and Aging Research at Rutgers
University and the national program director of the Robert Wood
Johnson Foundation Investigator Awards in Health Policy Research.
He has been elected to the National Academy of Sciences and to the
Institute of Medicine.
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