Description
The unique composition and configuration of doctors and hospitals in the US is leading to a crisis in primary care provision. There are significantly more specialists than generalists, and many community hospitals and outpatient facilities are concentrated in affluent areas with high rates of comprehensive insurance coverage. These particular features present difficult challenges to policymakers seeking to increase access to care. Carl F. Ameringer shows why the road to universal healthcare is not built on universal finance alone. Policymakers in other countries successfully align finance with delivery to achieve better access, lower costs, and improved population health. This book explains how the US healthcare system developed, and why efforts to expand insurance coverage in the absence of significant changes to delivery will fuel higher costs without achieving the desired results.
Ameringer explains the development and current state of America's overspecialized, uncoordinated, and fragmented healthcare industry.
About the Author
Carl F. Ameringer is retired Professor of Health Policy and Politics at Virginia Commonwealth University.
Reviews
'Anyone curious about why health care is so daunting in the United States will appreciate this well-researched, eminently readable summary of how it is delivered and financed.' Humayun J. Chaudhry, DO, MACP, President and CEO of Federation of State Medical Boards
'In clear broad strokes, Ameringer offers a cogent analysis of how and why the US health care system came to be so different from the more effective and less costly systems that exist in every other economically advanced nation. Tracing the evolution of health care from the late nineteenth century through 2015, he identifies the kaleidoscopic combination of medical developments, socio-political policies, and uncoordinated financial programs that collectively produced the bloated and irrational arrangements now in place. This book should be read by all concerned citizens, by college classes, and especially by policymakers.' James C. Mohr, University of Oregon
'In US Health Policy and Health Care Delivery: Doctors, Reformers, and Entrepreneurs, Carl F. Ameringer uses his combined expertise in health policy and law to bring to the fore an alternative explanation of why universal health care in the US remains elusive. He deftly weaves together a compelling argument that the ills of our current system are less the result of failures in insurance coverage than they are the historical evolution of how we deliver health care, focusing on high cost hospital and specialty care. His account deserves equal billing with the more pervasive account of health care financing and the book deserves a prominent place on the bookshelf of all serious health law and policy scholars and health care reformers.' Diane Hoffmann, University of Maryland
'In this well-argued, thorough, and convincing analysis of inherited and invented problems in American health policy, Carl F. Ameringer presents this nation's health services as a hydra-headed monster of competing interests. Given the abundant historical evidence that partial solutions create new problems, effective policy proposals today must include broad support. A must-read for policy makers and the general public.' Rosemary Stevens, author of A Time of Scandal: Charles R. Forbes, Warren G. Harding and the Making of the Veterans Bureau
'Ameringer takes on the timely topics of health care policy and delivery and examines them from a well-researched historical perspective to interrogate how and why the US health care system is different from systems of economically similar nations. Through this historical perspective, Ameringer argues that present-day policy changes will prove ineffective in lowering costs unless significant structural changes are made to how health care is delivered and organized. The book is generally organized chronologically and takes readers through the history of American health care, starting in the late 1800s. Ameringer writes in an approachable, engaging style that would be appropriate for an undergraduate audience. A brief index is included, but to fully understand the context of indexed subjects, readers will be better off reading the entire book, which is quite short. This text is an excellent source for anyone studying US health care systems and policy. Recommended.' C. A. Tomlinson, Choice
'A clear, concise, and informative history of the failure of the United States to establish a system of universal health care ... well suited for graduate or undergraduate courses in the history of medicine and health or in public policy. It also deserves attention from scholars, policy makers, and anyone concerned with the future of health care in America.' Margaret Marsh, Journal of American History
'The book nicely incorporates stories of specific individuals and organizations in local or state contexts whose experiments or actions took on larger significance. This is a compact, highly readable story of the jostling of interests, and Ameringer's book wrangles the unruly history of the U.S. healthcare system into a neater and more linear story.' Miriam J. Laugesen, Bulletin of the History of Medicine
'This is a compact, highly readable story of the jostling of interests, and Ameringer's book wrangles the unruly history of the U.S. healthcare system into a neater and more linear story.' Miriam J. Laugesen, Bulletin of the History of Medicine
Book Information
ISBN 9781107539846
Author Carl F. Ameringer
Format Paperback
Page Count 188
Imprint Cambridge University Press
Publisher Cambridge University Press
Weight(grams) 300g
Dimensions(mm) 228mm * 152mm * 11mm
Ameringer explains the development and current state of America's overspecialized, uncoordinated, and fragmented healthcare industry.
About the Author
Carl F. Ameringer is retired Professor of Health Policy and Politics at Virginia Commonwealth University.
Reviews
'Anyone curious about why health care is so daunting in the United States will appreciate this well-researched, eminently readable summary of how it is delivered and financed.' Humayun J. Chaudhry, DO, MACP, President and CEO of Federation of State Medical Boards
'In clear broad strokes, Ameringer offers a cogent analysis of how and why the US health care system came to be so different from the more effective and less costly systems that exist in every other economically advanced nation. Tracing the evolution of health care from the late nineteenth century through 2015, he identifies the kaleidoscopic combination of medical developments, socio-political policies, and uncoordinated financial programs that collectively produced the bloated and irrational arrangements now in place. This book should be read by all concerned citizens, by college classes, and especially by policymakers.' James C. Mohr, University of Oregon
'In US Health Policy and Health Care Delivery: Doctors, Reformers, and Entrepreneurs, Carl F. Ameringer uses his combined expertise in health policy and law to bring to the fore an alternative explanation of why universal health care in the US remains elusive. He deftly weaves together a compelling argument that the ills of our current system are less the result of failures in insurance coverage than they are the historical evolution of how we deliver health care, focusing on high cost hospital and specialty care. His account deserves equal billing with the more pervasive account of health care financing and the book deserves a prominent place on the bookshelf of all serious health law and policy scholars and health care reformers.' Diane Hoffmann, University of Maryland
'In this well-argued, thorough, and convincing analysis of inherited and invented problems in American health policy, Carl F. Ameringer presents this nation's health services as a hydra-headed monster of competing interests. Given the abundant historical evidence that partial solutions create new problems, effective policy proposals today must include broad support. A must-read for policy makers and the general public.' Rosemary Stevens, author of A Time of Scandal: Charles R. Forbes, Warren G. Harding and the Making of the Veterans Bureau
'Ameringer takes on the timely topics of health care policy and delivery and examines them from a well-researched historical perspective to interrogate how and why the US health care system is different from systems of economically similar nations. Through this historical perspective, Ameringer argues that present-day policy changes will prove ineffective in lowering costs unless significant structural changes are made to how health care is delivered and organized. The book is generally organized chronologically and takes readers through the history of American health care, starting in the late 1800s. Ameringer writes in an approachable, engaging style that would be appropriate for an undergraduate audience. A brief index is included, but to fully understand the context of indexed subjects, readers will be better off reading the entire book, which is quite short. This text is an excellent source for anyone studying US health care systems and policy. Recommended.' C. A. Tomlinson, Choice
'A clear, concise, and informative history of the failure of the United States to establish a system of universal health care ... well suited for graduate or undergraduate courses in the history of medicine and health or in public policy. It also deserves attention from scholars, policy makers, and anyone concerned with the future of health care in America.' Margaret Marsh, Journal of American History
'The book nicely incorporates stories of specific individuals and organizations in local or state contexts whose experiments or actions took on larger significance. This is a compact, highly readable story of the jostling of interests, and Ameringer's book wrangles the unruly history of the U.S. healthcare system into a neater and more linear story.' Miriam J. Laugesen, Bulletin of the History of Medicine
'This is a compact, highly readable story of the jostling of interests, and Ameringer's book wrangles the unruly history of the U.S. healthcare system into a neater and more linear story.' Miriam J. Laugesen, Bulletin of the History of Medicine
Book Information
ISBN 9781107539846
Author Carl F. Ameringer
Format Paperback
Page Count 188
Imprint Cambridge University Press
Publisher Cambridge University Press
Weight(grams) 300g
Dimensions(mm) 228mm * 152mm * 11mm
