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Helping vulnerable children develop their full potential is an attractive idea with broad common-sense appeal. However, child well-being is a broad concept, and the legislative mandate for addressing well-being in the context of the current child welfare system is not particularly clear. This volume asserts that finding a place for well-being on the list of outcomes established to manage the child welfare system is not as easy as it first appears. The overall thrust of this argument is that policy should be evidence-based, and the available evidence is a primary focus of the book. Because policymakers have to make decisions that allocate resources, a basic understanding of incidence in the public health tradition is important, as is evidence that speaks to the question of what works clinically. The rest of the book addresses the evidence. Chapter 2 integrates bio-ecological and public health perspectives to give the evidence base coherence. Chapters 3 and 4 combine evidence from the National Child Abuse and Neglect Data System, the Multistate Foster Care Data Archive, and the National Survey of Child and Adolescent Well-Being to offer an unprecedented profile of children as they enter the child welfare system. Chapters 5 and 6 address the broad question of what works. A concluding chapter focuses on policy and future directions, suggesting that children starting out, children starting school, and children starting adolescence are high-risk populations for which explicit strategies have to be formed. This timely volume offers useful insights into the child welfare system and will be of particular interest to policymakers, academics with an interest in Child Welfare Policy, Social Work educators, and Child Advocates.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Surprisingly, America ranks 54 worldwide in access to health care. Solving the American Health Care Crisis lays open the issues, challenges Americans to think for themselves, and reveals how learning from other countries can help to create, truly, the best health care system in the world. In the span of his career as an international businessman and entrepreneur, Umang Malhotra has voyaged through nearly eighty countries and he shares his vast knowledge of health care in other nations. In a commonsense book aimed at the public and policymakers alike, he provides a fresh, unbiased view of the flaws inherent in the American health care system while examining how other affluent nations manage to provide quality universal health care coverage for half the cost per person. After the death of his best friend, who did not have American health insurance when he fell ill while visiting the United States, Malhotra wondered why the richest country in the world treats health care as a privilege, rather than as a basic right, unlike other industrialized nations. He reveals how other countries approach health care while examining the critical economic, social, and political issues that America must resolve, in the belief that we can only make progress when the average person understands, fully, the real issues behind the crisis. The book presents compelling solutions for an affordable, high quality, and accessible, universal system while answering key questions and asking some very pointed ones in return. The reader is left well armed to think the issue through.
As Americans grow increasingly worried about access to quality healthcare, lawmakers from both parties are working to find solutions. But not all of their ideas would help patients -- and many could leave them worse off. For over a decade, Peter Pitts has offered incisive commentary on this pressing issue. The essays in this book represent a career's worth of wisdom on subjects ranging from drug development and health insurance to Medicare, drug importation and CBD. Common Sense Healthcare Policy for Common Sense Americans is essential reading for anyone interested in practical solutions to medicine, economics, and the health of our nation.
The problems of U.S. health care are of intense public interest today. The debate over where to go next to rein in costs and improve access to quality health care has become bitterly partisan, with distorted rhetoric largely uninformed by history, evidence, or health policy science. Based on present trends, our expensive dysfunctional system threatens patients, families, the government, and taxpayers with future bankruptcy. This book takes a 60-year view of our health care system, from 1956 to 2016, from the perspective of a family physician who has lived through these years as a practitioner in two rural communities, a professor and administrator of family medicine in medical schools, a journal editor for 30 years, and a researcher and writer on health care for more than four decades. There has been a complete transformation of health care and medical practice over that time from physicians in solo or small group practice and community hospitals to an enormous, largely corporatized industry that has left behind many of the traditions of personalized health care. This is an objective, non-partisan look at the major trends changing U.S. health care over these years, and points out some of the highs--and lows--of these changes, which may surprise some readers. It also compares the three basic alternatives for health care reform currently being debated.
The Common Sense Guide to Dementia for Clinicians and Caregivers provides an easy-to-read, practical, and thoughtful approach to dementia care. Written by two specialists who have cared for thousands of patients with dementia and their families, this ground-breaking title unifies the perspectives of neurology and psychiatry to meet a variety of caregiver needs. It spotlights many real-world concerns not typically covered in standard textbooks, while simultaneously presenting a more detailed medical perspective than typical caregiver manuals. This handy title offers expert guidance for the clinical management of dementia and compassionate support of patients and families. Designed to enhance the physician-caregiver interaction and liberally illustrated with case examples, The Common Sense Guide espouses general principles of dementia care that apply across the stages and spectrum of this illness, including non-Alzheimer's types of dementia, in addition to Alzheimer's disease. Clinicians, family members, and other caregivers will find this volume useful from the moment that symptoms of dementia emerge. The authors place an emphasis on caring for the caregiver as well as the patient. Essential topics include how to find the right clinician, make the most of a doctor's visit, and avert a crisis - or manage one that can't be avoided. Sometimes difficult considerations, such as driving, financial management, legal matters, long-term placement, and end-of-life care, are faced head-on. Tried, true, and time-saving tips are explained in terms of what works - and what doesn't - with regard to clinical evaluation, medications, behavioral measures, and alternate therapies. Medical, nursing, and allied health care professionals will undoubtedly turn to this unique overview as a vital resource and mainstay of clinical dementia care, as well as a valuable recommendation for family caregivers.
There is a secret inside healthcare, and it’s this: We can do healthcare for a lot less money. The only way to do that is to do it a lot better. We know it’s possible because it is happening now. In pockets and branches across healthcare, people are receiving better healthcare for a lot less. Some employers, states, tribes, and health systems are doing healthcare a little differently. Healthcare Beyond Reform: Doing It Right for Half the Cost explains how this new kind of healthcare is not about rationing and cutbacks. It’s not about getting less, it’s about getting more. Getting better and friendlier healthcare, where you need it, when you need it. How? The answer is mostly not in Washington, it’s not conservative or liberal. The answer is mostly not about who pays for healthcare. The answer is mostly about who gets paid, and what we pay them for. Healthcare Beyond Reform: Doing It Right For Half The Cost shows you how the system works. It explains how we got here, why we pay so much more than anyone else, and why we don’t get what we pay for. You’ll learn the five things healthcare can do to turn this around. You will see what some employers are already doing to make that happen, and what patients, families, doctors, and anyone else who cares about healthcare can do to help make it happen. There are only five and we need all five. All of them can be done right now, with the current healthcare system as it is. Joe Flower shows you how. In 1980, healthcare took no more of a bite out of the U.S. economy than it did in other developed countries. By 2000, healthcare cost twice as much in the U.S. as in most other developed countries. We can change that. —Joe Flower Joe Flower explains how we can make healthcare better for a lot less. http://www.youtube.com/watch?v=nKvvf5SIS4Y&feature=youtu.be
In the same way that Thomas Paine made a strong argument in his pamphlet, Common Sense, for people in the Thirteen Colonies to gain independence from England in 1775-1776, this pamphlet takes a similar approach, also based on simple facts, plain arguments, and common sense. Here, 241 years later, the subject is different but parallel to his goal is to have the American people gain freedom from the corporate masters in our medical-industrial complex that take their exorbitant profits on the backs of sick Americans, their families, and taxpayers. We detail markers of today's health care crisis, summarize lessons we can learn from previous reform failures, and compare three financing alternatives: (1) the Affordable Care Act, (2) the GOP's American Health Care Act, and (3) national health insurance under Medicare for All. The latter is described as the only way to achieve sustainable universal coverage to comprehensive health care. This will be