Getting What We Deserve : Health and Medical Care in America

One of America's leading public health experts finds a host of ills in this country's health care system: • The United States spends nearly twice as much on health care as the rest of the developed world, yet has higher infant mortality rates and shorter longevity than most nations.• We have access to many different drugs that accomplish the same end at varying costs, and nearly all are cheaper abroad.• Our life span had doubled over the past century before we developed effective drugs to treat most diseases or even considered altering the human genome.• The benefits of almost all newly developed treatments are marginal, while their costs are high. In his blunt assessment of the state of public health in America, Alfred Sommer argues that human behavior has a stronger effect on wellness than almost any other factor. Despite exciting advances in genomic research and cutting-edge medicine, Sommer explains, most illness can be avoided or managed with simple, low-tech habits such as proper hand washing, regular exercise, a balanced diet, and not smoking. But, as he also shows, this is easier said than done. Sommer finds that our fascination with medical advances sometimes keeps us from taking responsibility for our individual well-being. Instead of focusing on prevention, we wait for medical science to cure us once we become sick. Humorous, sometimes acerbic, and always well informed, Sommer’s thought-provoking book will change the way you look at health care in America.

One of America's leading public health experts finds a host of ills in this country's health care system:

• The United States spends nearly twice as much on health care as the rest of the developed world, yet has higher infant mortality rates and shorter longevity than most nations.
• We have access to many different drugs that accomplish the same end at varying costs, and nearly all are cheaper abroad.
• Our life span had doubled over the past century before we developed effective drugs to treat most diseases or even considered altering the human genome.
• The benefits of almost all newly developed treatments are marginal, while their costs are high.

In his blunt assessment of the state of public health in America, Alfred Sommer argues that human behavior has a stronger effect on wellness than almost any other factor.

Despite exciting advances in genomic research and cutting-edge medicine, Sommer explains, most illness can be avoided or managed with simple, low-tech habits such as proper hand washing, regular exercise, a balanced diet, and not smoking. But, as he also shows, this is easier said than done.

Sommer finds that our fascination with medical advances sometimes keeps us from taking responsibility for our individual well-being. Instead of focusing on prevention, we wait for medical science to cure us once we become sick.

Humorous, sometimes acerbic, and always well informed, Sommer's thought-provoking book will change the way you look at health care in America.

The rest of the developed world spends a great deal less on health care than we do but lives healthier and longer lives. This Paradox seems to complex to understand and too complicated to reverse because we have lost sight of the essentials-thanks in large part to the obfuscations of Pharmaceutical marketing, the entrenched interests of the medical insurance industry, the political timidity and rigid philosophies of our Politicians and business leaders, and sheer lack of imagination. This is all the more striking when other countries provide successful models that we could choose to emulate without fear of falling into an Unknown abyss. Genesis : from few to many-in fits and starts Disease is the sum of all evils Genes : sometimes "destiny," sometimes not The complex nature of causality The consequences of our own behavior Choosing the healthier lifestyle From science to policy : the path is anything but linear The U.S. health care system Who's healthy? Who's not? Why?. John Hopkins School of Medicine professor Alfred Sommer evaluates the health care system in the United States, discussing cost, the pharmaceutical industry, life span, newly developed treatments, how it compares to the systems of other countries, and related topics