Beginnings Count (Hardcover)

Sprache: Englisch

Verlag: Oxford University Press Inc, New York, 1997

0195111184 / 9780195111187

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  • Neu
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Hardcover. In the wake of the recent unsuccessful drive for health care reform, many people have been asking themselves what brought about the failure of this as well as past attempts to make health care accessible to all Americans. The author of this original exploration of U.S. health policy supplies an answer that is bound to raise some eyebrows. After a careful analysis of the history and issues of health care, David Rothman concludes that it is the average employed,insured "middle class"--the vaguely defined majority of American citizens--who deny health care to the poor.The author advances his argument through the examination of two distinctivecharacteristics of American health care and the intricate links between them: the ubiquitous presence of technology in medicine, and the fact that the U.S. lacks a national health insurance program. Technology bears the heaviest responsibility for the costliness of American medicine. Rothman traces the histories of the "iron lung" and kidney dialysis machines in order to provide vivid evidence for his claim that the American middle class is fascinated by technology and is willing to pay theprice to see the most recent advances in physics, biology, and biomedical engineering incorporated immediately in medical care. On the other hand, the lack of a universal health insurance program in theU.S. is rooted in the fact that, starting in the 1930s, government health policy has been a reflection of the needs and concerns of the middle class. Playing up to middle class sensibilities, the American presidents, Senate and Congress based their policy upon the private rather than the public sector, whenever possible. They encouraged the purchase of insurance based on the laws of the marketplace, not provided by the government. Private health insurance and high-tech medicine came with ahefty price, with the end result that about 40 million Americans could not afford medical care and were left to fend for themselves. The author investigates the moral values underpinning these decisions,and goes to the bottom of the problem of why the United States remain the only developed country which continually proves unable to provide adequate health care to all its citizens. This book argues that the devotion of middle-class Americans to medical technology helps explain the high cost and inadequate distribution of health care in the US. It gives an account of three machines - the iron lung, the dialysis machine, and the respirator - and of three turning points in health policy. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.

Bestandsnummer des Verkäufers 9780195111187

Titel
Beginnings Count (Hardcover)
Autor
David J. Rothman
Verlag
Oxford University Press Inc, New York
Veröffentlichungsjahr
1997
Zustand
new
Einband
Hardcover
Sprache
Englisch
ISBN-10
0195111184
ISBN-13
9780195111187
Ausgabe
1. Auflage

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