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In Flatlined, Guy L. Clifton examines the causes and consequences of the breakdown of American health care, the plight of millions of uninsured families, and the vicious cycle of high prices and low-quality treatment. Filled with first-hand accounts, the book shows how the fee-for-service method of paying doctors and hospitals, and the lack of standards of medical practice result in enough medical waste to cover the uninsured seven times.

Table of Contents

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  1. Frontmatter
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  1. Contents
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  1. List of Figures and Tables
  2. pp. ix-x
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  1. Preface
  2. pp. xi-xvi
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  1. Acknowledgments
  2. pp. xvii-xx
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  1. Part I: Why the Uninsured Should Be Covered
  1. Chapter 1. Not Business As Usual
  2. pp. 3-9
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  1. Chapter 2. Unreliable Emergency Services
  2. pp. 10-15
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  1. Chapter 3. An Eroding Infrastructure
  2. pp. 16-24
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  1. Chapter 4. Fifteen Years Lost
  2. pp. 25-34
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  1. Chapter 5. Handed Health Care’s Leftovers
  2. pp. 35-46
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  1. Part II: Why Health Care Is So Expensive
  1. Chapter 6. Where We Are Headed
  2. pp. 49-56
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  1. Chapter 7. 30 Percent Waste—or 50?
  2. pp. 57-66
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  1. Chapter 8. Poor-Quality Primary Care
  2. pp. 67-76
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  1. Chapter 9. Dangerous Hospitals
  2. pp. 77-93
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  1. Chapter 10. Violation of Dignity: The End of Life
  2. pp. 94-103
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  1. Chapter 11. Unnecessary Surgery
  2. pp. 103-119
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  1. Chapter 12. Perverse Payment Incentives
  2. pp. 120-138
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  1. Chapter 13. Three Pathways to Hospital Profitability
  2. pp. 139-156
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  1. Chapter 14. Pharmaceuticals: Remarkable Innovation, Shameless Puffery
  2. pp. 157-169
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  1. Chapter 15. Private Health Insurance: No Added Value
  2. pp. 170-176
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  1. Part III: Reforming American Health Care
  1. Chapter 16. Three Options for Covering the Uninsured
  2. pp. 179-200
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  1. Chapter 17. No Coverage Expansion without Cost Control
  2. pp. 201-211
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  1. Chapter 18. A Workable Plan for Reform
  2. pp. 212-223
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  1. Chapter 19. Establishing Standards
  2. pp. 224-231
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  1. Chapter 20. Prioritizing Primary Care
  2. pp. 232-242
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  1. Chapter 21. Reducing Spending on Hospitals and Specialists
  2. pp. 243-260
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  1. Chapter 22. Positioning of an American Medical Quality System
  2. pp. 261-274
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  1. Notes
  2. pp. 275-312
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  1. Index
  2. pp. 313-322
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