AMERICAS BITTER PILL MONEY POLITICS BACKROOM DEALS AND THE FIGHT TO FIX OUR BROKEN HEALTHCARE SYSTEM

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America S Bitter Pill

Author : Steven Brill
ISBN : 9780812996968
Genre : History
File Size : 41.56 MB
Format : PDF, ePub
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NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK • America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation. But by chance America’s Bitter Pill ends up being much more—because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare “policy” rethinks it from a hospital gurney—and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury. Praise for America’s Bitter Pill “A tour de force . . . a comprehensive and suitably furious guide to the political landscape of American healthcare . . . persuasive, shocking.”—The New York Times “An energetic, picaresque, narrative explanation of much of what has happened in the last seven years of health policy . . . [Brill] has pulled off something extraordinary.”—The New York Times Book Review “A thunderous indictment of what Brill refers to as the ‘toxicity of our profiteer-dominated healthcare system.’ ”—Los Angeles Times “A sweeping and spirited new book [that] chronicles the surprisingly juicy tale of reform.”—The Daily Beast “One of the most important books of our time.”—Walter Isaacson “Superb . . . Brill has achieved the seemingly impossible—written an exciting book about the American health system.”—The New York Review of Books From the Hardcover edition.
Category: History

America S Bitter Pill

Author : Steven Brill
ISBN : 0812986687
Genre : History
File Size : 53.95 MB
Format : PDF, ePub, Docs
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NEW YORK TIMES BESTSELLER America's Bitter Pill is Steven Brill's much-anticipated, sweeping narrative of how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. Brill probed the depths of our nation's healthcare crisis in his trailblazingTime magazine Special Report, which won the 2014 National Magazine Award for Public Interest. Now he broadens his lens and delves deeper, pulling no punches and taking no prisoners. It's a fly-on-the-wall account of the fight, amid an onslaught of lobbying, to pass a 961-page law aimed at fixing America's largest, most dysfunctional industry—an industry larger than the entire economy of France. It's a penetrating chronicle of how the profiteering that Brill first identified in hisTime cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation. Brill questions all the participants in the drama, including the president, to find out what happened and why. He asks the head of the agency in charge of the Obamacare website how and why it crashed. And he tells the cliffhanger story of the tech wizards who swooped in to rebuild it. Brill gets drug lobbyists to open up on the deals they struck to protect their profits in return for supporting the law. And he buttresses all these accounts with meticulous research and access to internal memos, emails, notes, and journals written by the key players during all the pivotal moments. Brill is there with patients when they are denied cancer care at a hospital, or charged $77 for a box of gauze pads. Then he asks the multimillion-dollar executives who run the hospitals to explain why. He even confronts the chief executive of America's largest health insurance company and asks him to explain an incomprehensible Explanation of Benefits his company sent to Brill. And he's there as a group of young entrepreneurs gamble millions to use Obamacare to start a hip insurance company in New York's Silicon Alley. Vividly capturing what he calls the “milestone” achievement of Obamacare, Brill introduces us to patients whose bank accounts or lives have been saved by the new law—although, as he explains, that is only because Obamacare provides government subsidies for “tens of millions of new customers” to pay the same exorbitant prices that were the problem in the first place. All that is weaved together in an elegantly crafted, fast-paced narrative. But by chance America's Bitter Pill ends up being much more—because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare “policy” rethinks it from a hospital gurney—and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury. From the Hardcover edition.
Category: History

America S Bitter Pill

Author : Steven Brill
ISBN :
Genre :
File Size : 88.74 MB
Format : PDF, ePub
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Read : 906

America's Bitter Pill is Steven Brill's much-anticipated, sweeping narrative of how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing--and failing to change--the rampant abuses in the healthcare industry. Brill probed the depths of our nation's healthcare crisis in his trailblazing Time magazine Special Report, which won the 2014 National Magazine Award for Public Interest. Now he broadens his lens and delves deeper, pulling no punches and taking no prisoners. It's a fly-on-the-wall account of the fight, amid an onslaught of lobbying, to pass a 961-page law aimed at fixing America's largest, most dysfunctional industry--an industry larger than the entire economy of France. It's a penetrating chronicle of how the profiteering that Brill first identified in his Time cover story continues, despite Obamacare. And it is the first complete, inside account of how...
Category:

Class Warfare

Author : Steven Brill
ISBN : 9781451612011
Genre : Education
File Size : 61.88 MB
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In a reporting tour de force, award-winning journalist Steven Brill takes an uncompromising look at the adults who are fighting over America’s failure to educate its children—and points the way to reversing that failure. IN a reporting tour de force, award-winning journalist Steven Brill takes an uncompromising look at the adults who are fighting over America’s failure to educate its children—and points the way to reversing that failure. Brill’s vivid narrative—filled with unexpected twists and turns—takes us from the Oval Office, where President Obama signs off on an unprecedented plan that will infuriate the teachers’ unions because it offers billions to states that win an education reform “contest”; to boisterous assemblies, where parents join the fight over their children’s schools; to a Fifth Avenue apartment, where billionaires plan a secret fund to promote school reform; to a Colorado high school, where students who seemed destined to fail are instead propelled to college; to state capitols across the country, where school reformers hoping to win Obama’s “contest” push bills that would have been unimaginable a few years ago. It’s the story of an unlikely army—fed-up public school parents, Ivy League idealists, hedge-funders, civil rights activists, conservative Republicans, insurgent Democrats—squaring off against unions that the reformers claim are protecting a system that works for the adults but victimizes the children. Class Warfare is filled with extraordinary people taking extraordinary paths: a young woman who goes into teaching almost by accident, then becomes so talented and driven that fighting burnout becomes her biggest challenge; an antitrust lawyer who almost brought down Bill Gates’s Microsoft and now forms a partnership with Bill and Melinda Gates to overhaul New York’s schools; a naïve Princeton student who launches an army of school reformers with her senior thesis; a California teachers’ union lobbyist who becomes the mayor of Los Angeles and then the union’s prime antagonist; a stubborn young teacher who, as a child growing up on Park Avenue, had been assumed to be learning disabled but ends up co-founding the nation’s most successful charter schools; and an anguished national union leader who walks a tightrope between compromising enough to save her union and giving in so much that her members will throw her out. Brill not only takes us inside their roller-coaster battles, he also concludes with a surprising prescription for what it will take from both sides to put the American dream back in America’s schools.
Category: Education

Tailspin

Author : Steven Brill
ISBN : 9781524731649
Genre : Political Science
File Size : 87.5 MB
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From the award-winning journalist and best-selling author of America's Bitter Pill: a tour de force examination of 1) how and why major American institutions no longer serve us as they should, causing a deep rift between the vulnerable majority and the protected few, and 2) how some individuals and organizations are laying the foundation for real, lasting change. In this revelatory narrative covering the years 1967 to 2017, Steven Brill gives us a stunningly cogent picture of the broken system at the heart of our society. He shows us how, over the last half-century, America's core values--meritocracy, innovation, due process, free speech, and even democracy itself--have somehow managed to power its decline into dysfunction. They have isolated our best and brightest, whose positions at the top have never been more secure or more remote. The result has been an erosion of responsibility and accountability, an epidemic of shortsightedness, an increasingly hollow economic and political center, and millions of Americans gripped by apathy and hopelessness. By examining the people and forces behind the rise of big-money lobbying, legal and financial engineering, the demise of private-sector unions, and a hamstrung bureaucracy, Brill answers the question on everyone's mind: How did we end up this way? Finally, he introduces us to those working quietly and effectively to repair the damages. At once a diagnosis of our national ills, a history of their development, and a prescription for a brighter future, Tailspin is a work of riveting journalism--and a welcome antidote to political despair.
Category: Political Science

Casino Healthcare

Author : Dan Munro
ISBN : 9781483565545
Genre : Business & Economics
File Size : 24.5 MB
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Author Michael Lewis was recently interviewed by Steve Kroft on 60 Minutes and a quote from that interview was the inspiration and influence for Casino Healthcare. “If it wasn’t complicated, it wouldn’t be allowed to happen. The complexity disguises what’s happening. If it’s so complicated that you can’t understand it - then you can’t question it.” What he was referencing, of course, was high-speed trading on Wall Street, but the quote could just as easily be applied to healthcare. In fact, it's tailor-made. The statistics prove just how much of a casino the U.S. healthcare system has become. • As a country, we now spend over $10,000 per year - for each person - just on healthcare. • Measured as an economic unit, U.S. Healthcare is now the size of Germany. • Preventable medical errors are now the 3rd leading cause of death in the U.S. (behind cancer and heart disease). • Medical debt is the leading cause of personal bankruptcies in the U.S. • Hospital pricing is determined by a cabal – in secret – and beyond legal challenge. • The Pharmaceutical industry – with profit margins that often eclipse tech giants like Apple and Google – paid out a whopping $15 billion in fines over the last six years – just for off-label drug marketing. • American healthcare was recently ranked dead last when compared to 10 other countries. The system has become so complex and opaque that most Americans have simply given up on understanding how it works. Whole families are crushed in this casino trying to pay for unanticipated medical expenses, many of which are immediate, unavoidable and life threatening. The huge expense might be defensible if the system delivered exceptional quality, but it doesn't. When the World Health Organization last ranked health systems, the U.S. came in at #37 – just ahead of #38 (Slovenia) and behind #36 (Costa Rica). Casino Healthcare is not a theoretical policy book for the elite, but a book that penetrates the blanket of fog surrounding a major – and growing – household expense. With the research and style of an investigative journalist, the book is easy to understand and accessible by every American. The U.S. healthcare system was never designed from whole cloth with a strategic vision or intent, but instead it has evolved through the decades with a host of legislative "patches" and temporary fixes. The reason for this is simple. When a casino is generating profits of this magnitude it's critical to keep the casino humming and almost impossible to close it. Rick Scott – now the Governor of Florida – captured the enormous scale of this challenge with this simple two-sentence quote: “How many businesses do you know that want to cut their revenue in half? That's why the healthcare system won't change the healthcare system.” Americans have a right to be angry with how the U.S. healthcare system has been hijacked for revenue and profits. One analyst recently categorized it as “legalized extortion on a national scale.” In the same way that Michael Lewis exposed the complexity of high-speed trading on Wall Street, Casino Healthcare will expose the U.S. healthcare system for what it really is – a giant casino of epic proportions where the risks are both personal and nothing less than the health of an entire nation.
Category: Business & Economics

The American Health Care Paradox

Author : Elizabeth H. Bradley
ISBN : 9781610392105
Genre : Political Science
File Size : 81.46 MB
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Foreword by Harvey V. Fineberg, President of the Institute of Medicine For decades, experts have puzzled over why the US spends more on health care but suffers poorer outcomes than other industrialized nations. Now Elizabeth H. Bradley and Lauren A. Taylor marshal extensive research, including a comparative study of health care data from thirty countries, and get to the root of this paradox: We've left out of our tally the most impactful expenditures countries make to improve the health of their populations-investments in social services. In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of "health care," archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They show us how and why the US health care "system" developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world. Offering a unique and clarifying perspective on the problems the Affordable Care Act won't solve, this book also points a new way forward.
Category: Political Science

Reinventing American Health Care

Author : Ezekiel Emanuel
ISBN : 9781610393454
Genre : Health & Fitness
File Size : 88.52 MB
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The definitive story of American health care today—its causes, consequences, and confusions In March 2010, the Affordable Care Act was signed into law. It was the most extensive reform of America’s health care system since at least the creation of Medicare in 1965, and maybe ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown. It was a signature piece of legislation for President Obama’s first term, and also a ball and chain for his second. Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own—quite distinct—American story, and why reform has bedeviled presidents of the left and right for more than one hundred years. Emanuel also explains exactly how the ACA reforms are reshaping the health care system now. He forecasts the future, identifying six mega trends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well-informed. Health care—one of America’s largest employment sectors, with an economy the size of the GDP of France—has never had a more comprehensive or authoritative interpreter.
Category: Health & Fitness

An American Sickness

Author : Elisabeth Rosenthal
ISBN : 9780143110859
Genre : Business & Economics
File Size : 27.4 MB
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A New York Times bestseller A Washington Post Notable Book of the Year At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries--the hospitals, doctors, insurance companies, and drug manufacturers--that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.
Category: Business & Economics

Prescription For The Future

Author : Ezekiel J. Emanuel
ISBN : 9781610397261
Genre : Medical
File Size : 36.58 MB
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How can America's healthcare system be transformed to provide consistently higher-quality and lower-cost care? Nothing else in healthcare matters more. Prescription for the Future identifies some standout medical organizations that have achieved higher-quality, more patient-focused, and lower-cost care, and from their examples distills twelve transformational practices that could transform the entire healthcare sector. Ezekiel J. Emanuel looks at individual physician practices and organizations who are already successfully driving change, and the specific practices they have instituted. They are not the titans everyone seems to know and assume to be the "best"; instead, Emanuel has chosen a select group--from small physician offices to large multi-specialty group practices, accountable care organizations, and even for-profit companies--that are genuinely transforming care. Prescription for the Future shines a bright diagnostic light on the state of American healthcare and provides invaluable insights for healthcare workers, investors, and patients. The book gives all of us the tools to recognize the places that will deliver high-quality, effective care when we need it.
Category: Medical