Deaths from preventable disease have decreased life expectancy in the United States for the first time in a century. This book argues that we must deal with the crisis by embracing prevention as our nation's top health sector priority. In Prevention First, Dr. Anand K. Parekh, chief medical advisor of the Bipartisan Policy Center, argues that disease prevention must be our nation's top health policy priority. Building a personal culture of prevention, he writes, is not enough; elected officials and policymakers must play a greater role in reducing preventable deaths. Drawing on his experiences as a clinician, public servant, and policy advisor, Dr. Parekh provides examples of prevention in action from across the country, giving readers a view into why prevention-first policies are important and how they can be accomplished. Throughout the book, he demonstrates that, in order to optimize health in America, we must leverage health insurance programs to promote disease prevention, expand primary care, attend to the social determinants of health, support making the healthier choice the easy choice for individuals, and increase public health investments. Describing the areas of common ground to be found in public health and prevention, even between the entrenched sides in the healthcare policy debate, Dr. Parekh establishes a foundation on which healthcare policy makers and advocates can build. Providing concrete steps that federal policymakers should take to promote prevention both within and outside our healthcare sector, Prevention First not only sounds the alarm about the terrible consequences of preventable disease but serves as a rallying cry that we can and must do better in this country to reduce preventable deaths.

"Senator Tom Daschle's narrative of what went on behind the scenes in the making of the new health care legislation delivers a powerful lesson in the workings of American politics."

The evolution of health care reform was drawn-out, frustrating, and complicated, but Senator Tom Daschle is the ideal person to recount the process. His account will guide you through the entire story, from the earliest presidential campaign debates -- and his firsthand experiences in the Obama team -- through the battles on Capitol Hill to solve our most serious health care problems. Not simply a book about policy, Daschle's narrative describes in vivid detail how fragile the support in Congress was at every step of the way, as well as the frantic efforts to design a rescue strategy before time ran out.

Combining his insights as a health care expert and his political expertise, this is the inside story about how the new legislation came together: from the persistence of President Obama to the subsequent efforts--and counter efforts--within the Senate and the House. In Daschle's hands, this becomes a dramatic personal story and a remarkable lesson in politics at the highest level.

A much-needed and hard-hitting plan, from one of the great Democratic minds of our time, to reform America's broken health-care system.

Undoubtedly, the biggest domestic policy issue in the coming years will be America's health-care system. Millions of Americans go without medical care because they can't afford it, and many others are mired in debt because they can't pay their medical bills. It's hard to think of another public policy problem that has lingered unaddressed for so long. Why have we failed to solve a problem that is such a high priority for so many citizens?

Former Senate Majority Leader Tom Daschle believes the problem is rooted in the complexity of the health-care issue and the power of the interest groups--doctors, hospitals, insurers, drug companies, researchers, patient advocates--that have a direct stake in it. Rather than simply pointing out the major flaws and placing blame, Daschle offers key solutions and creates a blueprint for solving the crisis.

Daschle's solution lies in the Federal Reserve Board, which has overseen the equally complicated financial system with great success. A Fed-like health board would offer a public framework within which a private health-care system can operate more effectively and efficiently--insulated from political pressure yet accountable to elected officials and the American people. Daschle argues that this independent board would create a single standard of care and exert tremendous influence on every other provider and payer, even those in the private sector.

After decades of failed incremental measures, the American health-care system remains fundamentally broken and requires a comprehensive fix. With his bold and forward-looking plan, Daschle points us to the solution.