Saturday, January 24, 2009

Atul Gawande and Health Care Reform

I am happy to share my Saturday morning reading with the readers of EverythingHealth. The New Yorker featured Dr. Atul Gawande, one of the most astute and interesting physician writers of our time.

Dr. Gawande makes the case that health care reform and changes in the system are never successful with a "complete overhaul". He says a master plan for change will not work because there are so many entrenched systems that are working for "some" people. We have Medicare, Medicaid, Veterans Administration, private insurance, government insurance for government workers, employer sponsored insurance and prescription drug plans.

He says we should build upon what we have got but keep striving for better and better. The first ambition, of course, is universal coverage so everyone can receive health care and no-one goes bankrupt because they get cancer.

So go get yourself a cup of tea and read this article!


Anonymous said...

When there is Universal Health Care do you get to select your own Internist or Family Practice Physician?

Toni Brayer MD said...

Anon: yes, Universal Care just means everyone has coverage and access. It does not mean HMO or other restriction.
France,Switzerland,Netherlands,Germany,Canada and and UK all have universal coverage and freedom to choose.

tracy said...

i l o v e "my" Dr. Gawande! :)

tracy said...

He needs to write another book soon...i'm sure he has plenty of time on his hands...hee.

Anonymous said...

This was a really long article but knew with you recommending it, knew it would be valuable. I liked the examples of explaining the history of how the other countires came to have Universal Health Care. Some of the situations he used here were shockig and explained well about what happened with the whole confusing Medicare Drug Coverage afew years ago and how badly it affected so many people.

It is great that you find things from such a wide variety of sources.
Thannks for keeping me more informed snd educated on so many health aspects!!

tracy said...

Thank you for a most excellent article, Dr. w a s long, but very worth it. i made a copy to send to my cousin (she doesn't have internet(!) ), she is also a great fan of Dr. Gawande's writing. (Hope i didn't break any laws!).
Many thanks again!

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