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A Second Opinion: Rescuing America's Health Care
by Dr. Arnold Relman
from PublicAffairs
Customer Reviews:
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Avg. Customer Rating: 5.0 / 5.0 
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A Second Opinion, Arnold Relman MD
Superb "tough love" analysis of the way commercialization of healthcare has driven behavior predictably towards financial rewards while perpetuating disparities in access and quality of care and severely eroding the primary care workforce necessary for rational care for our next generation. Dr. Relman candidly acknowledges that correction of these patterns will cause some financial hurt to entrepreneurial physicians and physicians in highly remunerative procedural niches, as well as the familiar bogeymen of... more info
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Worthy concerns, weak arguments 
Dr. Relman calls for health care reform based on prepaid group practices, regulated and paid by the federal government. His objective, gradually developed in Chapters 1 through 4, is high quality health care for everyone at reasonable cost. In Chapter 5, he offers ideas on how prepaid group practices might best work. Nowhere, however, does he provide an organized case for this approach to reform, comparing it point-by-point with pertinent alternatives, citing evidence to show who benefits and who suffers... more info
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Excellent and Authoritative Information
Dr. Relman begins by asserting that America's health care system is much too expensive and its costs are rising at an unsustainable rate. Further, care is not available to many who need it most, and it is provided inefficiently and with highly variable quality.
By most measures of national health we rank well below many other advanced countries that spend less. Why is this? Dr. Relman believes it is due to the extent that private enterprise governs insurance and the provision of care, rather than... more info
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A very important issue in the U.S.
This topic is very much needed in the U.S. at this time. Each of the Presidential candidates should read it.
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