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The American Healthcare system is at a crossroads. On the eve of
sweeping health reform, the United States is preparing to embark on
the largest expansion of health insurance in its history while
simultaneously trying to recover from the slowest period of
economic expansion. The economic and political stakes of health
policy could not be higher. As the baby boomer population continues
to enter the Medicare eligibility phase of their lives, scarcity of
physicians and hospital care could reverse the improvements in
quality of life enjoyed by Americans for over a century. How did
America get to this point? Was it a random set of events? Could the
current health care crisis that drove the first comprehensive
health reform initiative been avoided? Seeking answers to these
questions, Physician Larry N. Smith, M.D. and Professor of Health
Finance Stephen T. Parente, Ph.D. review the historic moments that
drove the field of medicine from ancient health art to the modern
industrial colossus it has become in "Medicine's Journey through
Ignorance, Bigotry, Poverty, and Politics to America's Uninsured:
Historically Based Solutions for Today's Healthcare Problems."
Representing the medical and economic professions Smith and Parente
offer a unique, research-backed view of the way health care has
changed over the centuries. Beginning with Hippocrates' foundations
of Western medicine in ancient Greece, the authors carry the reader
through the centuries to 20th century America, where a progressive
movement pushed government to play a central role in health care
delivery. The rich history of the battle for health reform spanning
over 100 years, reveals the political undercurrents that ultimately
made possible the social and political conditions that enabled the
passage of President Barack Obama's Affordable Care Act (ACA).
After the diagnosis is rendered on the limitations and risks of
ACA, Smith and Parente offer a set of health policy treatments to
improve the prognosis of the currently unaffordable and
unsustainable health insurance expansion. They outline alternatives
that would have accomplished the same goals at the ACA in a less
intrusive and more affordable manner. Few Americans may fully
understand the legal, financial and constitutional implications
that the ACA will have on the nation's future. All those who
support or oppose the ACA should take the time to understand the
historic origins of the most controversial public policy since the
end of the Cold War. Weaving economics, politics and health,
"Medicine's Journey through Ignorance, Bigotry, Poverty and
Politics to America's Uninsured" is a timely book with a series of
treatments designed to restore American health care to one of the
most dynamic, compassionate and effective industries on the world.
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