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The Present Illness - American Health Care and Its Afflictions (Paperback)
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The Present Illness - American Health Care and Its Afflictions (Paperback)
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Donate to Against Period Poverty
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Beyond political posturing and industry quick-fixes, why is the
American health care system so difficult to reform? Health care
reform efforts are difficult to achieve and have been historically
undermined by their narrow scope. In The Present Illness, Martin F.
Shapiro, MD, PhD, MPH, weaves together history, sociology,
extensive research, and his own experiences as a physician to
explore the broad range of afflictions impairing US health care and
explains why we won't be able to fix the system without making
significant changes across society. With a sharp eye and ready
humor, Shapiro dissects the ways all groups
participating--clinicians and their organizations, medical schools
and their faculty, hospitals and clinical corporations, scientists
and the National Institutes of Health, insurers and manufacturers,
governments and their policies, and also patients and the
public--shape and reinforce a dysfunctional system. Shapiro
identifies three major problems stymieing reform: commodification
of care; values, expectations, unmet needs, attitudes, and personal
limitations of participants; and toxic relationships and
communication among these groups. Shapiro lays out a sweeping
agenda of concrete actions to address the many factors contributing
to the system's failings. Highlighting the interconnectedness of
both the problems and potential solutions, he warns that piecemeal
reform efforts will continue to be undermined by those who believe
they have something to gain from the status quo. Although
overhauling our health care system is daunting, Shapiro nonetheless
concludes that we must push forward with a far more comprehensive
effort in all sectors of health care and throughout society to
create a system that is humane, effective, and just.
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