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In this extended essay, Nortin M. Hadler and Stephen P. Carter
introduce a new approach to reforming the American health-care
system-a plan they call the Universal Workers' Compensation Model
(UWCM). Drawing on Hadler's expertise as a physician and Carter's
as an attorney, the two have conceived the UWCM as a state-level
alternative that would supersede current solutions debated at the
national level. They begin by summarizing the history and present
complexity and irrationality of America's health-insurance system.
They then lay out the key concepts underlying the UWCM regime and
the practical policy steps necessary to enact it. At the heart of
the UWCM is a broader understanding of what constitutes worker's
health, one grounded in scientific research and cognizant of the
wide range of physical and mental illnesses that can afflict
workers. The UWCM stipulates a single policy providing rational and
reasoned recourse for universal risks: illness, injury, disability,
and death. Presenting their ideas with precision in this 34-page
pamphlet, Hadler and Carter intend to spark discussion among
health-care providers, insurers, legislators, and everyday citizens
about how we might move beyond the limits of the current debate
toward new, truly effective solutions.
Nortin Hadler's clearly reasoned argument surmounts the cacophony
of the health care debate. Hadler urges everyone to ask health care
providers how likely it is that proposed treatments will afford
meaningful benefits and he teaches how to actively listen to the
answer. Each chapter of "Worried Sick" is an object lesson on the
uses and abuses of common offerings, from screening tests to
medical and surgical interventions. By learning to distinguish good
medical advice from persuasive medical marketing, consumers can
make better decisions about their personal health care and use that
wisdom to inform their perspectives on health-policy issues.
Conflicts of interest, misrepresentation of clinical trials,
hospital price-fixing, and massive expenditures for procedures of
dubious efficacy--these and other critical flaws leave little doubt
that the current U.S. health-care system is in need of an overhaul.
In this essential guide, preeminent physician Nortin Hadler urges
American health-care consumers to take time to understand the
existing system and to visualize what the outcome of successful
reform might look like. Central to this vision is a shared
understanding of the primacy of the relationship between doctor and
patient. Hadler shows us that a new approach is necessary if we
hope to improve the health of the populace. Rational health care,
he argues, is far less expensive than the irrationality of the
status quo. Taking a critical view of how medical treatment,
health-care finance, and attitudes about health, medicine, and
disease play out in broad social and political settings, Hadler
applies his wealth of experience and insight to these pressing
issues, answering important questions for Citizen Patients and
policy makers alike.
For those fortunate enough to reside in the developed world, death
before reaching a ripe old age is a tragedy, not a fact of life.
Although aging and dying are not diseases, older Americans are
subject to the most egregious marketing in the name of ""successful
aging"" and ""long life,"" as if both are commodities. In
Rethinking Aging, Nortin M. Hadler examines health-care choices
offered to aging Americans and argues that too often the choices
serve to profit the provider rather than benefit the recipient,
leading to the medicalization of everyday ailments and blatant
overtreatment. Rethinking Aging forewarns and arms readers with
evidence-based insights that facilitate health-promoting decision
making. Over the past decade, Hadler has established himself as a
leading voice among those who approach the menu of health-care
choices with informed skepticism. Only the rigorous demonstration
of efficacy is adequate reassurance of a treatment's value, he
argues; if it cannot be shown that a particular treatment will
benefit the patient, one should proceed with caution. In Rethinking
Aging, Hadler offers a doctor's perspective on the medical
literature as well as his long clinical experience to help readers
assess their health-care options and make informed medical choices
in the last decades of life. The challenges of aging and dying, he
eloquently assures us, can be faced with sophistication,
confidence, and grace.
Nortin Hadler knows backaches. For more than three decades as a
physician and medical researcher, he has studied the experience of
low back pain in people who are otherwise healthy. Hadler terms the
low back pain that everyone suffers at one time or another
""regional back pain."" In this book, he addresses the history and
treatment of the ailment with the healthy skepticism that has
become his trademark, taking the ""Hadlerian"" approach to
backaches and the backache treatment industry in order to separate
the helpful from the hype. Basing his critique on an analysis of
the most current medical literature as well as his clinical
experience, Hadler argues that regional back pain is overly
medicalized by doctors, surgeons, and alternative therapists who
purvey various treatment regimens. Furthermore, he observes, the
design of workers' compensation, disability insurance, and other
""health"" schemes actually thwarts getting well. For the past half
century, says Hadler, back pain and back pain-related disability
have exacted a huge toll, in terms of pain, suffering, and
financial cost. Stabbed in the Back addresses this issue at
multiple levels: as a human predicament, a profound social problem,
a medical question, and a vexing public-policy challenge.
Ultimately, Hadler's insights illustrate how the state of the
science can and should inform the art and practice of medicine as
well as public policy. Stabbed in the Back will arm any reader with
the insights necessary to make informed decisions when confronting
the next episode of low back pain.
Nortin Hadler's clearly reasoned argument surmounts the cacophony
of the health care debate. Hadler urges everyone to ask health care
providers how likely it is that proposed treatments will afford
meaningful benefits and he teaches how to actively listen to the
answer. Each chapter of Worried Sick is an object lesson on the
uses and abuses of common offerings, from screening tests to
medical and surgical interventions. By learning to distinguish good
medical advice from persuasive medical marketing, consumers can
make better decisions about their personal health care and use that
wisdom to inform their perspectives on health-policy issues.
Are we all disease time bombs? In this book, the author argues that
unfounded assertions, massaged data and flagrant marketing have led
to the medicalization of everday life, worrying us unduly and
reducing the quality of our lives.
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