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Overhauling America's Healthcare Machine: Stop the Bleeding and Save Trillions
- By Douglas A. Perednia
- Published Jan 25, 2011 by FT Press.
- Copyright 2011
- Dimensions: 6" x 9"
- Pages: 400
- Edition: 1st
- Book
- ISBN-10: 0-13-217325-5
- ISBN-13: 978-0-13-217325-4
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Product Author Bios
Dr. Doug Perednia has been a medical internist, dermatologist, medical informatics researcher, healthcare entrepreneur, and creator of several non-profits. In the 1990s, he was principal investigator on digital imaging and telecommunications research projects for the National Cancer Institute and National Library of Medicine, and founded the Telemedicine Research Center. Later, he founded Kietra Corporation to develop versatile, low-cost technologies to improve patient care and reduce overhead. In 2007, he created U.S. Healthcare Constitution.org, a non-profit dedicated to injecting non-partisan reason, dialogue, and the “big picture” into America’s healthcare debate.
Dr. Doug Peredniareveals how government and insurance company-created complexity is tearing apart the U.S. healthcare system and presents a new model for healthcare reform that will actually work. Leading physician, healthcare expert, and entrepreneur Perednia identifies specific inefficiencies and worthless administrative overhead that is making healthcare inaccessible or unaffordable for millions, driving providers from practice, and adding over half a trillion dollars annually to healthcare spending. Next, he shows how to design a far simpler system: one that delivers care to everyone by drawing on the best of both market efficiency and public "universality." Recent "health care reform" involved 2,000+ pages of complex, special interest-friendly legislation--including 168 new federal committees, program cuts, and higher taxpayer costs. Perednia offers a better way: a logical, comprehensive, and non-partisan and apolitical approach that gives providers and their patients more medical and financial security, enhances competition, would save some $570 billion annually--and still gives individual patients real freedom. This plan isn't wishful thinking: Overhauling America’s Healthcare Machine backs it up with detailed logic and objective calculations. Even after the recent endless debate about healthcare, the system is still broken--and unless it's fixed, it will break us all. Perednia shows how to finally fix it: once and for all.
Author's Site
Please visit the companion site at www.overhaulhealthcare.com.
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9 of 10 people found the following review helpful
Non-Political Proposals That Make Sense, By
This review is from: Overhauling America's Healthcare Machine: Stop the Bleeding and Save Trillions (Hardcover)
Customer review from the Amazon Vine™ Program (What's this?)
The need to reform our dysfunctional healthcare system is a subject dear to my heart. The 2010 heathcare reform bill did not satisfy me because it amounts to more of the same, with millions of Americans still unable to afford medical care. It also did not satisfy author Douglas Perednia, but what I like about his book is that it is not political, not partisan and his solutions are not based on an ideology, but on a rational look at what's broken and how to fix it.--- SIMPLIFY HEALTHCARE The major point this author makes is that our healthcare "machine," as he calls it, is too complex. There are too many parts, and too much friction and its very complexity leads to extra costs that do not contribute to anyone's good health. Just like a machine with too many parts will break down more often than one with a simpler design and fewer parts, so we need to reduce the complexity of healthcare in America. Dr. Perednia points out that nothing ever gets taken away in health... Read more
8 of 9 people found the following review helpful
Lots of good health care facts, By
Amazon Verified Purchase(What's this?)
This review is from: Overhauling America's Healthcare Machine: Stop the Bleeding and Save Trillions (Kindle Edition)
There is no shortage of facts and research in this book. The United States spends on average more per person on health care than any other country in the world, by a wide margin. For identical routine procedures, the cost in the US will almost always be 4-7 times more expensive. The author lays out all the gory details, with report after report.Some of this, I've seen in the news media, but for a clip lasting seconds, data is cherry-picked. Not much of that here. The tables and charts presented were comprehensive. Much of the book was *fascinatingly* tedious and boring. For example, in one section, he covers the 20+ codes that a doctor must use to cover one simple procedure for one patient -- and then all the paperwork that triggers, along with with all the different agencies and companies that much be contacted. If the doctor gets one of the many codes wrong, they are liable for a $10,000 fine. The author blames "friction" for most of the waste, which... Read more
8 of 10 people found the following review helpful
I'm a doc, & I agree wholeheartedly with Dr. Perednia, By
This review is from: Overhauling America's Healthcare Machine: Stop the Bleeding and Save Trillions (Hardcover)
Customer review from the Amazon Vine™ Program (What's this?)
I see that there's already been several excellent & quite detailed reviews posted, so I'll be brief. This book is the best one on the topic that is currently available. Dr. Perednia is an expert in the subject of health care reform. His ability to organize & relate this complex subject is remarkable.Here's a question I have: Why have we given these shysters (er, I mean politicians) so much authority when most of them are either lawyers (6 semesters of law school) or the very types (business criminals) who should not be making decisions in the best interests of the American people? Why not let the real experts prevail? We aren't living in 1776 anymore. Everything has gotten quite complex & we can't expect those w/6 semesters of law school to understand very much (most I've known barely understand the law). |
Online Sample Chapter
Introduction to Overhauling America's Healthcare Machine
Sample Pages
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Table of Contents
Part I: The Nature of the Beast
Chapter 1: An Introduction 3
Chapter 2: Are We Getting What We’re Paying For? 9
Chapter 3: Where Does All Our Money Go? 17
Chapter 4: Into Thin Air 39
Chapter 5: The Healthcare Machine 53
Chapter 6: How and Why They Spin: Inside Key Wheels 63
Part II: Why the Machine Is Breaking Down
Chapter 7: Too Many Parts 123
Chapter 8: Sand in the Gears 135
Chapter 9: Friction 183
Part III: How to Fix It
Chapter 10: Defining the Desired Outcome 219
Chapter 11: Overhauling Payment for Healthcare Goods and Services 227
Chapter 12: Dumping Redundancy 263
Chapter 13: Blowing Sand Out of the System 271
Chapter 14: Lubricating Points of Friction 301
Chapter 15: Where Does the Money Come From? 323
Chapter 16: The End of an Era 331
Appendix: "Brief Strategy B" from the Federal Guidelines Regarding Smokers Who Report That They Are Unwilling to Quit 337
References 341
Index 359
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