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Life without Disease - The Pursuit of Medical Utopia (Hardcover)
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Life without Disease - The Pursuit of Medical Utopia (Hardcover)
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The chaotic state of today's health care is the result of an
explosion of effective medical technologies. Rising costs will
continue to trouble U.S. health care in the coming decades, but new
molecular strategies may eventually contain costs. As life
expectancy is dramatically extended by molecular medicine, a
growing population of the aged will bring new problems. In the next
fifty years genetic intervention will shift the focus of medicine
in the United States from repairing the ravages of disease to
preventing the onset of disease. Understanding the role of genes in
human health, says Dr. William B. Schwartz, is the driving force
that will change the direction of medical care, and the age-old
dream of life without disease may come close to realization by the
middle of the next century. Medical care in 2050 will be vastly
more effective, Schwartz maintains, and it may also be less
expensive than the resource-intensive procedures such as coronary
bypass surgery that medicine relies on today. Schwartz's alluring
prospect of a medical utopia raises urgent questions, however. What
are the scientific and public policy obstacles that must be
overcome if such a goal is to become a reality? Restrictions on
access imposed by managed care plans, the corporatization of
charitable health care institutions, the increasing numbers of
citizens without health insurance, the problems with malpractice
insurance, and the threatened Medicare bankruptcy-all are the
legacy of medicine's great progress in mastering the human body and
society's inability to assimilate that mastery into existing
economic, ethical, and legal structures. And if the average
American life span is 130 years, a genuine possibility by 2050,
what social and economic problems will result? Schwartz examines
the forces that have brought us to the current health care state
and shows how those same forces will exert themselves in the
decades ahead. Focusing on the inextricable link between scientific
progress and health policy, he encourages a careful examination of
these two forces in order to determine the kind of medical utopia
that awaits us. The decisions we make will affect not only our own
care, but also the system of care we bequeath to our children. This
title is part of UC Press's Voices Revived program, which
commemorates University of California Press's mission to seek out
and cultivate the brightest minds and give them voice, reach, and
impact. Drawing on a backlist dating to 1893, Voices Revived makes
high-quality, peer-reviewed scholarship accessible once again using
print-on-demand technology. This title was originally published in
1998.
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