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How Covid Crashed the System

A Guide to Fixing American Health Care

ebook
1 of 1 copy available
1 of 1 copy available

Why America's health care system failed so tragically during the Covid pandemic, and how the forces unleashed by the crisis could be just the medicine for its long-term cure.

Covid patients overwhelmed American hospitals. The world's most advanced and expensive health care system crumbled, short of supplies and personnel. The U.S. lost more patients than any other nation during the pandemic. How could this happen? And how could this disaster lead to a more resilient, rational and equitable health care system in the future?

How Covid Crashed the System answers these questions with compelling stories and wide-angle analysis. Dr. David Nash, a founder of the discipline of population health, and Charles Wohlforth, an award-winning science writer, pick up the pieces of the Covid disaster like investigators of a crashed airliner, finding the root causes of America's failure to cope, and delivering surprising answers that may reorient how you think about your own health.

From the broadest, cultural flaws that disabled our health system to particular, institutional issues, America's defenses fell due to racism and poverty, combined with a culture of misguided individualism that tore communities apart. We suffered from failed leadership and crippled public health agencies, and hospitals built to make money from services, not deliver health.

But How Covid Crashed the System goes beyond analyzing those problems, providing hope for change and fundamental improvement in ways that will transform Americans' health. Covid's market disruption encouraged new technology that allows for remote health care. Integrated health organizations gained ground, working to manage clients' total wellness from cradle to grave. Covid also accelerated changes in medical education, to make doctor training more equitable and better aligned to the skills we need. And Covid forced employers to accept responsibility for their workers' health in a new way, making them partners in this new movement.

Using systemic analysis of the Covid crash, the authors find reasons to hope. America's health care establishment resisted reform for decades, mired in waste and avoidable errors. Now, the pandemic crisis has exposed its flaws for all to see, creating the opportunities for systemic changes. Even without new laws or government policies, America is moving toward a transformed health system responsible for our wellness. How Covid Crashed the System tells that story.

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    • Kirkus

      September 1, 2022
      An expert overview of America's dysfunctional health care system and good ideas for fixing it. Since the Covid-19 pandemic started, the U.S. has suffered the most deaths of any nation, with a far higher percentage among the elderly, racial minorities, and the poor. In passionate but lucid, fact-based polemic, Nash, a professor of health policy, and journalist Wohlforth point out the primary cause of this dire situation: a wildly expensive, technology-obsessed, fee-for-service system that emphasizes treating disease over prevention, public health, and addressing the socio-economic determinants of health. In the first half of the book, the authors recount the failures that accompanied a pandemic in which "America performed "uniquely badly." It turns out that not all the failures were Donald Trump's fault. Vital institutions, especially the Centers for Disease Control and Prevention and the Food and Drug Administration, performed poorly, and America's fiercely entrepreneurial medical culture continues to veto lifesaving decisions on cost-effective grounds--even though nearly everyone agrees that these are sometimes wrong. Studies prove that giving the poor enough income, housing, and nutritious food to lift them out of poverty is cheaper than treating the medical and social consequences of that poverty. The pandemic was a gold mine for insurance companies because patients stayed away from doctors in droves but continued to pay premiums. Many rewarded their stockholders, but some purchased hospitals to become "payviders." This is simply a single-payer system on a local scale, where the providers become responsible for a patient's overall health rather than delivering episodic care and then sending a bill. Readers will squirm as they learn how American doctors are educated but feel some relief as they read about how medical schools are increasingly teaching compassion and communication and a willingness "to tackle issues not traditionally thought of as a role of a health care provider." In the second half of the book, Nash and Wohlforth deliver an intelligent prescription for reform; thankfully, many of its features are already in progress. Convincing advice for reform that should persuade the persuadable.

      COPYRIGHT(2022) Kirkus Reviews, ALL RIGHTS RESERVED.

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