Download A Call to Be Whole: The Fundamentals of Health Care Reform by Barbara J. Sowada PDF

By Barbara J. Sowada

Examines the advanced interrelationships that tell the overall healthiness care approach. wellbeing and fitness care, like every social structures, is a fabricated from proposal. in the past, our collective considering has been in line with attempting to deal with components, now not the entire. This booklet inquires into 4 age-old questions that form all future health care platforms: what's health and wellbeing? what's care? who's dependable? How a lot is enough?

Americans have the wealthiest wellbeing and fitness care approach on the planet, but the health and wellbeing prestige of american citizens ranks within the lowest quartile one of the world's 25 industrialized international locations and forty five million americans are with out medical health insurance. contemporary rate, caliber, and entry difficulties are inter-related and will be traced to taken-for-granted assumptions and healthiness care's superseded organizing techniques: reductionism and materialism. larger fragmentation of care, an over-dependence on expertise, inattention to social and environmental determinants of wellbeing and fitness, and critical monetary and ethical dilemmas are a few of the result of the final forty years of piecemeal political and monetary reform.

This e-book has 3 reasons. the 1st is to aid the reader see healthcare as a posh system—a half in a bigger whole—and to teach how solutions to the questions, what's overall healthiness? what's care? who's dependable? How a lot is adequate? implicitly outline the aim, effectiveness, potency, and equity of a future health care process. the second one is to teach that present day entry, fee, and caliber difficulties are interrelated, and come up from outdated innovations, unquestioned assumptions, and an extended path of inconsistent and contradictory solutions to the 4 questions. The 3rd goal is to acquaint readers with either the private and societal demanding situations of discovering coherent solutions to the 4 questions raised above and to explain a number of the budding experimental options that problem conventional conventions and assumptions.

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Extra resources for A Call to Be Whole: The Fundamentals of Health Care Reform

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Besides widespread concerns over costs and inefficiencies, critics also cited growing issues about patients’ rights and uneven access to care. And, for the first time, health care was criticized for its ineffectiveness at keeping people healthy. There was again talk of national health insurance. Instead, policy analysts proposed that costs could be contained by making health care responsive to the forces of the marketplace. The solution, to make health care “function like a business,” and health maintenance organizations (HMOs) were proposed as the corporate solution.

Tinkering is acting with incomplete data. Tinkering is the cliché garbage in, garbage out. ” It’s a significant, overarching question, and one that can eventually lead us to an economic shut-off valve, as the next four chapters will show. Because health is something health care produces, asking what is best for the nation’s health forces us (1) to define health care’s product, or identify the attributes of health, and (2) to decide whose health actually concerns us. Right now, Americans do not have one clear and consistent understanding of health and disagree whether the purpose of health care is to maintain the health of single individuals, covered populations, or Americans as a whole.

Together, they determine the types and distribution of resources among the stakeholders. The two types of feedback loops—reinforcing and balancing—function together much like a series of on and off switches. Reinforcing loops accelerate the processes they turn on; for instance, a snowball rolling downhill or thread emptying off a spool. True to their names, reinforcing loops reinforce growth or decay. In contrast, balancing loops maintain system stability by counteracting, or balancing, the effects of reinforcing loops.

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