The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes? In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, "big money" and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population. Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care. For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system's current and future dilemmas. Mechanic's thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America. About the Author:

This title drills deeply into the broken American health care industry--demonstrating how the medical industry's self-serving interests have run afoul of safe care. Written by passionate experts in multiple relevant fields, this book shows readers how the system works, why it works this way, how it harms and often kills people and how we can fix it.

In today’s world, there are many hot-button topics that generate equal parts debate and confusion. At the top of that list is healthcare. For most Americans, finding out “the truth” about current problems or possible fixes is virtually impossible amidst all the emotionally charged rhetoric. Dr. Tim Johnson has been reporting on health matters for ABC since the mid-seventies, but in recent years he has spent an increasing amount of time studying our system of healthcare—or lack thereof. Many Americans fall between the cracks and do not receive any care—or receive care that is either inferior or too costly or both. Over the years, he has learned some important lessons, and in The Truth About Getting Sick in America, he shares those lessons and looks to the future of American healthcare.

"Hey, Doc--Got a Minute?" No matter where Dr. Richard Besser goes, a day doesn't go by without someone stopping him to ask that question. Often, that person is one of the millions who have come to rely on the vital information he shares on Good Morning America, World News with Diane Sawyer, and Nightline. Now, in response to thousands of inquiries from viewers, Dr. Besser has written his first book -- a comprehensive health guide that will both inform and surprise as he deciphers fact from fiction for nearly seventy confusing medical questions, including: "Should I take a daily aspirin to prevent a heart attack, stroke, or cancer?" "If my doctors order a lot of tests, does that mean they're more thorough?" "Do I need thirty minutes of exercise a day to stay healthy?" Recognizing the astonishing amount of misinformation that many important health decisions are based upon, Dr. Besser's commitment to delivering the truth is critical. He isn't afraid to challenge the status quo -- or the interests within the health care industry -- to provide the knowledge you need to take control of your health. Eager to help you make the choices that are right for YOU, he organizes his easy-to-understand answers into six lifestyle categories, including diet and nutrition; exercise and fitness; vitamins, supplements, and medicines; beating illness and injury; and navigating the perplexing world of health care, as well as a chapter dedicated to the questions you wished you asked before your doctor walks out the door. Throughout the book, Dr. Besser smashes myths while translating invaluable information into problem-solving advice you can use, including a "Dr. B's Bottom Line" at the end of each topic. As accessible as it is empowering, Dr. Besser's Tell Me the Truth, Doctor is a necessary addition to every home, office, and dorm room. "Besser . . . ably analyzes popular myths (the "Freshman Fifteen"), considers pros and cons (HRT and statins), and mostly takes unequivocal stands on the issues. . . . Quite often, his comments and suggestions surprise . . . Particularly helpful are his guidelines for avoiding the harmful effects of health care and hospitalization." -- Publishers Weekly Richard Besser, MD, ABC News' Chief Health and Medical Editor, provides medical analysis and commentary for all ABC News broadcasts and platforms, including World News with Diane Sawyer, Good Morning America, and Nightline, as well as many other news/entertainment programs. Since joining ABC News in 2009, Dr. Besser has been at the forefront of news coverage for every major medical story, including the earthquake in Haiti and the Japanese radiation release. He was the leading correspondent on ABC's global health series, Be the Change, Save a Life, and received a 2011 Emmy nomination for Outstanding Investigative Journalism for his World News story on cord blood banking. Besser came to ABC News from the Centers for Disease Control and Prevention (CDC), where he worked for thirteen years, including as acting director from January to June 2009, during which time he led the CDC's response to the H1N1 influenza outbreak. He has taught and trained doctors at the University of California, San Diego and is a visiting fellow at the Harvard School of Public Health. Most important, for more than twenty-five years he has practiced medicine, giving his patients and their families straightforward, commonsense advice.

A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.