By Robert M. Kaplan
Disease, Diagnoses, and funds
Facing the Ever-Expanding marketplace for scientific Care
Robert M. Kaplan, UCLA tuition of Public wellbeing and fitness, la, CA
Close to 50 Million Uninsured,
Steeply emerging assurance rates,
Employers slicing Healthcare advantages . . .
There’s lots unsuitable with this photograph. In Disease, Diagnoses, and Dollars, public overall healthiness professional Robert Kaplan takes America’s healthcare to activity and demanding situations readers to ascertain their very own roles in it.
Provocative, well timed, and comprehensively researched, this publication analyzes the present healthcare situation when it comes to clinical tradition, economics, and advertisements. The findings exhibit a method fraught with conflicts—contradictory healthcare rules, prone who over-test and over-prescribe, sufferers with unrealistic calls for fueled via the media—and all through, a scarcity of responsibility. a lot of preventive drugs, Kaplan persuasively argues, comes all the way down to the promoting of high-priced capsules and approaches that force up charges whereas subjecting the inhabitants to unneeded hazards and problems. And the result, he argues, is extra deal with many of us, and a dearth of deal with many extra.
Kaplan’s proficient, useful, and optimistic strategy makes Disease, Diagnoses, and Dollars a "must-read" quantity for policymakers and execs in public well-being and healthcare, and for enterprise proprietors in addition to usual voters and shoppers involved in the viability of healthcare in the United States.
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Extra resources for Disease, Diagnoses, and Dollars: Facing the Ever-Expanding Market for Medical Care
For many years, urologists have reported a strong correlation between age and positive biopsy for prostate cancer, and it has even been suggested that all men will develop prostate cancer if they live long enough. A study of accidental deaths in Detroit men shows a systematic relationship between prostate cancer and age. Of those routinely autopsied, only about 1 in 12 men have prostate cancer if they died in their 20 s, but the proportion increases to 8 of 10 men by age 80, as shown in Fig. 3.
Two pathways to prevention. Apr 2000;55(4):382–396. 16. Kaplan RM. Decisions about prostate cancer screening in managed care. 1997;9(5):480–486. 17. MacMahon S. Blood pressure and the risk of cardiovascular disease. Jan 6 2000;342(1):50–52. 18. Black WC. Should this patient be screened for cancer? Mar–Apr 1999;2(2):86–95. 19. Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? 1999;281(5):446–453. 20. Fye WB. Cardiology workforce: a shortage, not a surplus.
Many people think their disease started the day of their heart attack. However, Fig. 4 summarizes anatomical evidence that the process takes decades. Foam cells may become abnormal in the first decade of life. By the mid-20 s, fatty streaks begin to develop within the artery. From the third decade of life many people develop intermediate lesions, and the narrowing of the artery continues. By the fourth decade, many people have fibrous plaque and damage to smooth muscle and collagen. Ultimately, the heart attack is a result of a gradual process that has been evolving over the course of at least four decades .