Reinventing American Health Care: How the Affordable Care Act will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System Hardcover Author: Ezekiel Emanuel | Language: English | ISBN:
1610393457 | Format: PDF, EPUB
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Review
“For Americans poisoned by nefarious medical insurance companies and a G.O.P. dying to gut Obamacare, I prescribe Ezekiel Emanuel’s Reinventing American Health Care (PublicAffairs) to clarify how the Affordable Care Act can rehabilitate our nauseatingly unjust, grossly expensive, and senselessly complicated health-care system. My personal recommendation? Lay off the toxic propaganda.”—Vanity Fair
“Infused with diagrams, charts, and tables, this book is informative, thought-provoking, and immensely important. Given his role in the program, and as is reflected in the subtitle of the book, Emanuel clearly wants to persuade, but he also wants to explain. And because he was an insider — and proves himself a gifted writer — he makes an able guide to the complexities of the landmark legislation… Clearly, if Obamacare is to fulfill its promise there will need to be significant changes and that will require collaboration among citizens, health care professionals, scholars, and lawmakers from across the political spectrum. And the only way this can happen is if people understand what exactly is at stake. ‘Reinventing American Health Care’ spells this out clearly, and by doing so, lays the foundation for this kind of collaboration to occur.”—Dennis Rosen, Boston Globe
About the Author
Ezekiel J. Emanuel is vice provost for global initiatives and chair of the department of medical ethics and health policy at the University of Pennsylvania. From January 2009 to January 2011, he was a special adviser on health care reform to the White House. He is the author or editor of ten books and over 250 scientific articles. He is currently a senior fellow at the Center for American Progress, a columnist for the New York Times, a regular contributor to the Wall Street Journal, contributing editor at The New Republic, and appears regularly on television, including Morning Joe, Real Time with Bill Maher, Hardball with Chris Matthews, and the Rachel Maddow Show.
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- Hardcover: 400 pages
- Publisher: PublicAffairs; 1 edition (March 4, 2014)
- Language: English
- ISBN-10: 1610393457
- ISBN-13: 978-1610393454
- Product Dimensions: 9.3 x 6.2 x 1.4 inches
- Shipping Weight: 1.4 pounds (View shipping rates and policies)
Ezekiel Emanuel just published an important book with a great title, "Reinventing American Health Care: How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System." In it, he describes the history of health care reform in the US, gives an overview of the Affordable Care Act (ACA), and speculates about future trends in American health care.
The concluding chapter of Emanuel's book is entitled, "Six Megatrends in Health Care: The Long-Term Impact of the ACA." I will devote this review to discussing his six "megatrends."
Megatrend 1) The End of Insurance Companies as We Know Them
Emanuel argues that health insurance companies will "shift their business to focus on offering services they have expertise in, particularly analytics, actuarial modeling, risk management, and other management services...." or "transform themselves into integrated delivery systems," or they will go out of business. This seems quite plausible. However, I think it will depend on how the ACA implementation goes over the next several years. If insurance companies raise their rates, there could be major political fallout.
Megatrend 2) VIP Care for the Chronically and Mentally Ill
Emanuel argues that "tertiary prevention" for chronically ill people with diabetes, heart disease, cancer, etc, and mental health care for people with depression/anxiety, will become an increasing focus of our health care system. I agree. I've taken care of many patients with chronic diseases and mental illness who cycle in and out of the hospital. The question is if our fragmented health system can provide coordinated, community-based care for these vulnerable people.
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