In this Book
- Old and Sick in America: The Journey through the Health Care System
- Book
- 2017
- Published by: The University of North Carolina Press
- Series: Studies in Social Medicine
summary
Since the introduction of Medicare and Medicaid in 1965, the American health care system has steadily grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor's office to the hospital to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.
Table of Contents
Download Full Book
- Abbreviations in the Text
- pp. xxi-xxii
- Part I: The Office
- Chapter One: Going to the Doctor
- pp. 3-22
- Chapter Two: The Lay of the Land
- pp. 23-40
- Chapter Three: From the Outside In
- pp. 41-60
- Part II: The Hospital
- Part III: The Skilled Nursing Facility
- Chapter Nine: Going to Rehab
- pp. 153-168
- Chapter Ten: Different SNFs, Different Miffs
- pp. 169-183
- Chapter Eleven: Movers and Shapers
- pp. 184-201
- Chapter Twelve: Now and Then
- pp. 202-222
- Acknowledgments
- pp. 245-246
- Bibliography
- pp. 267-292
Additional Information
ISBN
9781469635262
Related ISBN(s)
9781469635231, 9781469635248, 9781469635255, 9798890850164
MARC Record
OCLC
1005843277
Pages
326
Launched on MUSE
2018-01-03
Language
English
Open Access
No