Amazon.com: the business enterprise of health (9780844742403): robert ohsfeldt, john e. schneider: b
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11 of 13 people found the following review helpful:
4. 0 out of 5 stars
An incredibly interesting discussion of methods competition and profit seeking (not rent seeking) can improve medical, October 31, 2006
Craig Matteson (Saline, MI) - See all my reviews
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This review originates from: The business enterprise of Health (Paperback)
The American Enterprise Institute is here out with a variety of worthwhile books on reforming health care in the united states. This fine book takes a look at all-around health care spending, the net income motive, and competition in our current system versus single payer systems including Canada. The current debate in today's world usually focus on two extremes: single payer versus a free of charge market (actually the latter is seldom advocated - but those promoting the former usually characterize anything with private choice as free market).
The book has five chapters along with a brief final chapter titled "Conclusions and Policy Implications". There are lots of pages of endnotes and references as well as an index order sildenafil no prescription
The first chapter examines the report that it of healthcare in the usa overpays for worse outcomes than other developed nations. The authors demonstrate that the contour in the regression line chosen could make the premium paid in america very great or not a great deal. Then they examine the outcome controlling for race. Frankly, I became shocked by how poorly African Americans fare in death rates and longevity. Then they controlled for deaths unrelated to healthcare such as intentional injury (including murder) and accident, and things normalized a great deal. Still not equal or perfect, but greater.
The the fact is that insured people do have generally better health insurance and longevity than uninsured individuals. So, have you thought to execute a single payer system and insure everyone It works out that the supposed universal access promised abroad, including Canada, is practice "equally limited access for all". You might personally still prefer that for the highly unequal access in the usa, but you should look at this book to actually comprehend the implications of the change. We have this fantasy regarding the Canadian system, for example, that your people that great system don't share. In different ways the Canadian product is frozen within the 1960s and there are rising complaints regarding the politics being tinkered with people's medical. Never mind the waits of the sufferers in single payer countries.
The authors then examine the impact of profit in medical care. It seems that it spurs efficiency, innovation, plus more take care of more people. When institutions get tax credits, by way of example, to tend the indigent how much care given extends simply to value of those credits and supplied with less efficiency. They also examine the idea of specialty hospitals in order to find generally results about the delivery of medical. They trace a history from the general hospital and after that demonstrate why it isn't really the main true type of patient care.
Getting lots more people insured must be one of many nation's healthcare objectives, however it isn't obvious that mandating a single size fits all insurance coverage is what you want. The authors show how managed care and regulation add costs and much less care as opposed to sorts of efficiencies and innovation that can come with sufficient competition, in spite of its "wastefulness". I would also recommend "Healthy, Wealthy, and Wise" also from your AEI on free markets and medical care.
Another of the things assumed true in our current debate is that Direct To Consumer Advertising contributes to wasteful spending through the drug companies well as over prescription by doctors. The evidence provided within this book show this to never be so. There may also be results when individuals who can be treated navigate to the doctor instead of experiencing the issue because they are unaware they can be helped.
Obviously, I can't present all of the authors' evidence and arguments. Since it is merely more than one hundred pages and healthcare is unquestionably an important issue, I'd personally encourage one to see this having an open mind. Is it so hard to think that reducing regulation, demanding greater transparency in evaluating health technologies and between insurers in addition to their enrollees, finding a little more price sensitivity into insurance pricing, and reforming government insurance to get more understanding of market forces would improve medical care for everyone It works in every single other part of our everyday life where it's tried. Why do we think medical care is really different
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3 of 4 people found the next review helpful:
4. 0 beyond 5 stars
Bood Buy, Easy Read, March 7, 2008
J. Kuck "RD, LD" (OH) - See all my reviews
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This review is from: The Business of Health (Paperback)
I selected this from the book list for required reading in graduate class on "Issues in Health Care". It turned out as much un-biased when you could probably obtain. A small percentage rambling as you will get in a number of other similar subject books. I did study a lot about how precisely politics and healthcare are uniquley intertwined though I will be very familiar with the care field. Summary pages following the Chapters are helpful to create every one of the points together. I was thinking essentially the most intersting section was ready specialized hospitals ans whether are unhealthy for general hosptials. 118 pages of easy to read text, the remainder pages are references. Help other clients get the most helpful reviews
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6 of 10 people found these review helpful:
2. 0 away from 5 stars
Basically Deceptive, October 8, 2009
M. Simon - See all of my reviews
This review comes from: The Business of Health (Paperback)
Be aware that just about the most surprising conclusions inside the book - how the U. S. healthcare system, whenever you remove injuries and accidents, actually has got the best endurance on the globe - will depend on an extremely clever twist from the underlying data.
Instead of taking a look at real-world life-span after which taking away deaths due to injury and accident (an approach that puts the U. S. at 17th) Mr. Ohsfeldt uses a formula that starts off with a quotation of life span Determined by GDP PER CAPITA (a measure of methods rich the country is), but not on actual real-world data. The real key adjusts for injuries and accidents. Of course the U. S. remains near the top of the list, as we are some of the richest countries in the world.
Here's his equation, in the book:
LifeExpit = 50. 78 + 3. 020 * log(GDPPCit) - 0. 077 * [mean(Trans)]
- 0. 137 * [mean(Falls)] - 0. 133 * [mean(Homicide)]
- 0. 0326 * [mean(Suicide)] + year-effectsit
The equation includes "log(GDPPCit)", that's GDP per capita in country i, year t, and yes it includes factors for transportation accidents, falls, homicide, and suicide. Mr. Ohsfeldt suggests in his writing how the equation and graph depend on down to earth life-span data, which figure into the equation nowhere whatsoever.
I believe it is deceptive. Help some other clients get the most helpful reviews
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