Code Red : An Economist Explains How to Revive the Healthcare System Without Destroying It

The U.S. healthcare system is in critical condition--but this should come as a surprise to no one. Yet until now the solutions proposed have been unworkable, pie-in-the-sky plans that have had little chance of becoming law and even less of succeeding. In Code Red , David Dranove, one of the nation's leading experts on the economics of healthcare, proposes a set of feasible solutions that address access, efficiency, and quality. Dranove offers pragmatic remedies, some of them controversial, all of them crucially needed to restore the system to vitality. He pays special attention to the plight of the uninsured, and proposes a new direction that promises to make premier healthcare for all Americans a national reality. Setting his story against the backdrop of healthcare in the United States from the early twentieth century to the present day, he reveals why a century of private and public sector efforts to reform the ailing system have largely failed. He draws on insights from economics to diagnose the root causes of rising costs and diminishing access to quality care, such as inadequate information, perverse incentives, and malfunctioning insurance markets. Dranove describes the ongoing efforts to revive the system--including the rise of consumerism, the quality movement, and initiatives to expand access--and argues that these efforts are doomed to fail without more fundamental, systemic, market-based reforms. Code Red lays the foundation for a thriving healthcare system and is indispensable for anyone trying to make sense of the thorny issues of healthcare reform.

Just what the doctor ordered. In Code Red, David Dranove explains how the United States came to finance healthcare; critically examines proposals that are often touted as solutions to what ails the healthcare system, like quality report cards and consumer-directed healthcare; and provides his own sensible prescription for reform.--Jill Quadagno, author of One Nation, Uninsured

This is an excellent book and a truly valuable contribution to the discussion of healthcare in the United States. It frames the debate by providing a concise yet impressive history of healthcare in the United States and then follows it with an analysis of the available solutions. Policymakers, professionals, and students need to hear this message.--Lawton Robert Burns, editor of The Business of Healthcare Innovation

This is a well-written and thought-provoking book. Few would dispute the current U.S. health system is in crisis. The question is what to do? In this book, David Dranove offers a pragmatic assessment of possible alternatives. The reader comes away with a solid understanding of how basic economic concepts and improved information systems could be combined to improve performance and expand coverage.--William D. White, Cornell University

Choice

Many books and articles address improvements to the US health care system and the provision of health insurance to all citizens . . . [Dranove's] goal . . . is to review public sector efforts to deal with access, costs, and quality. . . . [I]t is well written . . . and does a good job of providing insights into the national debate. . . . In the end, having a quality system requires an efficient public-private partnership.

"The U.S. healthcare system is in critical condition - but this should come as a surprise to no one. Yet until now the solutions proposed have been unworkable, pie-in-the-sky plans that have had little chance of becoming law and even less of succeeding. In Code Red, David Dranove proposes a set of feasible solutions that address access, efficiency, and quality." "Dranove pays special attention to the plight of the uninsured, and proposes a new direction that promises to make premier healthcare for all Americans a national reality. Setting his story against the backdrop of healthcare in the United States from the early twentieth century to the present day, he reveals why a century of private and public sector efforts to reform the ailing system have largely failed. He draws on insights from economics to diagnose the root causes of rising costs and diminishing access to quality care, such as inadequate information, perverse incentives, and malfunctioning insurance markets. Dranove describes the ongoing efforts to revive the system - including the rise of consumerism, the quality movement, and initiatives to expand access - and argues that these efforts are doomed to fail without more fundamental, systemic, market-based reforms. Code Red lays the foundation for a thriving healthcare system and is indispensable for anyone trying to make sense of the thorny issues of healthcare reform."--Jacket Contents......Page 6 Acknowledgments......Page 8 PART 1: DIAGNOSING THE CONDITION......Page 10 Introduction......Page 12 CHAPTER ONE An Accidental Healthcare System......Page 17 CHAPTER TWO Paging Doctor Welby......Page 39 CHAPTER THREE Therapy for an Ailing Health Economy......Page 67 CHAPTER FOUR The Managed Care Prescription......Page 92 PART 2: SEARCHING FOR CURES......Page 128 CHAPTER FIVE Self-Help......Page 130 CHAPTER SIX The Quality Revolution......Page 156 CHAPTER SEVEN Mending the Safety Net......Page 185 CHAPTER EIGHT Reviving the American Healthcare System......Page 214 APPENDIX An Alphabet Soup of Healthcare Acronyms......Page 244 Notes......Page 248 Bibliography......Page 264 B......Page 278 C......Page 279 E......Page 280 H......Page 281 I......Page 283 M......Page 284 O......Page 286 P......Page 287 R......Page 288 T......Page 289 Y......Page 290