Unaffordable: American Healthcare from Johnson to Trump
Written for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen.

Unaffordable covers, in a conversational style punctuated by apt examples, topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Along the way, Engel introduces approaches that other nations have taken in organizing and paying for healthcare and offers insights on ethical quandaries around end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, government agencies, and private companies.
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Unaffordable: American Healthcare from Johnson to Trump
Written for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen.

Unaffordable covers, in a conversational style punctuated by apt examples, topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Along the way, Engel introduces approaches that other nations have taken in organizing and paying for healthcare and offers insights on ethical quandaries around end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, government agencies, and private companies.
34.95 In Stock
Unaffordable: American Healthcare from Johnson to Trump

Unaffordable: American Healthcare from Johnson to Trump

by Jonathan Engel
Unaffordable: American Healthcare from Johnson to Trump

Unaffordable: American Healthcare from Johnson to Trump

by Jonathan Engel

Hardcover

$34.95 
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Overview

Written for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen.

Unaffordable covers, in a conversational style punctuated by apt examples, topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Along the way, Engel introduces approaches that other nations have taken in organizing and paying for healthcare and offers insights on ethical quandaries around end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, government agencies, and private companies.

Product Details

ISBN-13: 9780299314101
Publisher: University of Wisconsin Press
Publication date: 02/20/2018
Pages: 296
Product dimensions: 6.00(w) x 9.20(h) x 0.90(d)

About the Author

Jonathan Engel is the author of American Therapy; Poor People's Medicine; Doctors and Reformers; and The Epidemic: A History of AIDS. He is a professor in the School of Public Affairs at Baruch College and an adjunct professor of health policy and management at the Mailman School of Public Health, Columbia University.

Table of Contents

Timeline of Major Federal Legislation                       
 
Introduction               
1 A System Run Amok                      
2 Medical Free Markets                     
3 Reining in the Excess                      
4 The Lure of Profits             
5 Efforts to Rationalize                     
6 HillaryCare              
7 Managing Care                    
8 Quantity and Quality                      
9 Ethical Wrangling               
10 Medicare and Medicaid: Evolving Government Programs                      
11 (Un)Affordable Care                    
12 Afterword             
 
Acknowledgments                 
Notes              
Index
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