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Critical: What We Can Do About the Health-Care Crisis
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Categories Textbooks Trade-In   General   Health Policy   Social Policy   Paperback   Printed Books  

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Description

A much-necessary and hard-hitting plan, from one of the excellent 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 not including medical care for the reason that they can’t manage to pay for it, and many others are mired in debt for the reason that they can’t pay their medical bills. It’s hard to believe of another public policy problem this has lingered unaddressed for so long. Why have we failed to solve a problem this 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—this have a direct stake in it. Rather than just pointing out the key flaws and placing blame, Daschle proposes key answers and creates a blueprint for solving the crisis.

      Daschle’s answer lies in the Federal Reserve Board, which has overseen the equally complicated financial system together with excellent success.  A Fed-like health board would propose a public framework inside which a private health-care system can operate extra effectively and efficiently—insulated from political pressure yet accountable to elected officials and the American people. Daschle argues this this independent board would make a single standard of care and exert tremendous influence on each other provider and payer, even those in the private sector.

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

Customer Reviews
Customer rating is 3 of 5  Not bad for a politician, but we need a doctor's point of view.   2009-11-27
By Eric v.d. Luft (North Syracuse, NY United States)
Daschle is a politician, not a health care professional. His book is therefore naturally self-serving and not authoritative. For the views of a real physician in the trenches of private practice, fighting against the insurance companies on behalf of his patients every step of the way, see Losing My Patience: Why I Quit the Medical Game by Mickey Lebowitz, M.D.
Customer rating is 5 of 5  Perspective on Critical-What Can We Do About the Health-Care Crisis   2009-10-23
By Daniel Wolf (Traverse City, MI)
Senator Daschle and his policy friends are advocates for a healthcare reform agenda that is based on a Federal Healthcare Board. This board would help address the political deadlock on serious reform, along with cost/value, quality and access issues that continue to haunt the U.S. healthcare system.

Perspective... to Prescription

The author covers a 60-year history of healthcare reform efforts, reflecting on the challenges that stem from the technical, social, political, market and economic factors that are part of a fragmented system. He proposes a mixed public-private model for healthcare, shaped by a central Federal Healthcare Board that will guide policy on many important fronts:

1. National Quality Standards...
2. Universal Coverage and Access...
3. Evidence-Based Practices, with Resolve...
4. Emphasis on High-Value Services...
5. Effective EMR-Driven Communication...

Daschle and his co-authors provide a fair definition of the problems along with context that is often missing in reform conversations. While he does not promise specific results or progress measures, his FHB agenda points to relative improvements and enhancements. Daschle maintains the importance of the centralized power of government as the only change engine that can move the reform agenda in the United States.

This is a well-documented book, with references that range from Mechanic, Davis, Emanuel, Fuchs, Enthoven and his policy bench leader and co-author, Jeanne Lambrew. There could be better coverage of the market-based reform alternatives, but the author's perspective is one that steers away from political confrontation; that is the main trust of his prescription, after all.

Critical is a practical book for open conversation on healthcare reform.
Customer rating is 1 of 5  Superficial analysis of a subject that deserves better   2009-10-08
By John Schwab
Lots of good reviews here. My synopsis:

1) A lot of folks aren't covered, with tragic consequences [well written and convincing].
2) Congress can't pass a detailed reform bill because any proposal will die by a thousand cuts in the political meat grinder [also convincing].
3) An insulated bureaucracy should be given broad reform power [not convincingly argued].

It disturbs me that if this proposal were accepted, we would have very poor visibility into what the system would look like. That's a big leap of faith considering what's at stake. Eventually this subject becomes intensely personal for us all.

There is vastly more thoughtful work out there. Most of the core problems of the system widely debated elsewhere are not acknowledged in Daschle's work. If he's not aware of those debates, he's not worth taking seriously. If he is aware, and I imagine he is to a degree, this book becomes a polemic and not really worth reading.

Plagiarizing David Goldhill: "We will need to reduce, rather than expand, the role of insurance; focus the government's role exclusively on things that only government can do (protect the poor, cover us against true catastrophe, enforce safety standards, and ensure provider competition); overcome our addiction to Ponzi-scheme financing, hidden subsidies, manipulated prices, and undisclosed results; and rely more on ourselves, the consumers, as the ultimate guarantors of good service, reasonable prices, and sensible trade-offs between health-care spending and spending on all the other good things money can buy."
Customer rating is 4 of 5  Critical: What We Can Do about the Health-Care Crisis   2009-09-07
By Barney Considine (Missoula, Montana USA)
Senator Tom Daschle, this book's author, twice lost the chance of being the architect of a massive reformation of the United States' health care system. A tax problem kept him from being President Obama's Secretary of Health and Human Services. Had he not lost his reelection bid in 2004, he would be leading the Senate effort for health care reform. Still, he and Senator Edward Kennedy laid the foundation upon which a reform could be built. This book describes that foundation as viewed by Daschle and will be influential in whatever health care reform comes from the Obama presidency. Admittedly, the reform proposals that Daschle would have crafted from a position in either the Administration or the Senate would likely have differed somewhat from those offered by the Congress in 2009. Understanding those differences is important as we evaluate whatever reform happens during the Obama years and the politicians responsible for either supporting or blocking those reforms.

Concerns about America's health care system and efforts to reform it certainly are not new. Almost all of the Presidents since World War II have proposed changes. There have been minor successes and large failures. Daschle covers the history and gives his opinion as to what went wrong. He discusses some of the strengths and weaknesses found in the health care systems functioning in other industrial countries, as well as America's experience with Medicare, Veterans health care, and various approaches to health insurance.

The book indicates the directions Daschle might have taken health care reform had he a formal position in government today. His book endorses a Federal Health Board structured somewhat like the Federal Reserve Board. It would be responsive to Congress and the President but would buffer them from setting guidelines and rules to curb costs and improve the quality delivered to consumers.

Daschle ends his book on an optimistic note as to the likelihood of health care reform during the current administration. It is important to remember that Daschle is an unofficial advisor to the Obama administration and that he still has substantial influence with members of Congress. I write this review at a time when considerable rancor is swirling around the health care debate. Even so, I remain optimistic that there will be reform legislation passed and signed before the end of 2009 or very early in 2010. In a recent speech, the President said that there was general agreement as to at least eighty percent of the needed reform. Undoubtedly, most of that eighty percent is included in the concepts Daschle has set forth in his book.
Customer rating is 1 of 5  Blah blah blah   2009-08-23
By J. Pellitteri (Albany, NY USA)
Mostly platitudes about how broke the system is. Thinking that the government can run it better is crazy talk. This the entity that took my money for social security for 40 years and is now telling me they're not going to have enough. If I gave that money to a private company it would be there or I'd have a lawsuit. Plus I'd be able to leave that asset to my children. They took advantage of the baby boomer bulge to spend the money and now there won't be enough current workers to fund it.
With health care tell me how the private industry can change to fix it, not the government. How about ideas like tort reform, buying policies across state lines, transparency and plain talk in policies? If these things aren't addressed can we be serious? At least with private insurers I can choose companies and sue. What is my recourse with the government? They'll take my money and in 15 years tell me they can't find enough doctors or MRI's or surgery rooms. Too bad, so sad!


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