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Old and Sick in America

The Journey through the Health Care System

Muriel R. Gillick

ca. 21,99
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The University of North Carolina Press img Link Publisher

Naturwissenschaften, Medizin, Informatik, Technik / Medizin


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.

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history of medicine, medical device industry, health care for the elderly, pharmaceutical industry, end-of-life care, geriatric assessment, commodification of health care, medical care of the elderly, physicians, quality of medical care, government regulation of health care, office practice of medicine, Aging, palliative care, complex adaptive system, social determinants of health care, hospitals, geriatrics, medical-industrial complex, patient experience of illness, medical ecosystem, nursing homes, over-treatment, Medicare, quality of life