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Title: Healthcare.com: Rx for Reform by David B., MD Friend ISBN: 1-57444-274-0 Publisher: Saint Lucie Press Pub. Date: 29 November, 1999 Format: Paperback Volumes: 1 List Price(USD): $32.95

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Average Customer Rating: 5 (1 review)

Rating: 5
Summary: A Roadmap to Healthcare in the 21st Century
Comment: Healthcare in the United States has become schizophrenic: there is a disconnect between consumers (who want the best possible care, right away) and those paying for insurance coverage (faced with staggering increases in cost). Because of his background in both medicine and business (he has both MD and MBA degrees), Doctor David Friend understands healthcare from both of these perspectives. "Healthcare.com" describes, in nontechnical terms, how we've gotten into the current untenable situation, why it must change, and how technology and the internet may "save the day."

In the 1960's, when costs were relatively low and insurance paid for everything, the laws of supply and demand resulted in what Doctor Friend terms "Wastecare," using a "sledgehammer when a flyswatter would do." In the late 80's and early 90's, as costs began to skyrocket, payers began to cut back. Insisting on getting more for their money, they pressured hospitals and doctors to provide "Hollowcare" which was the "driving force that sent patients home from hospitals before they were ready." Ultimately, Doctor Friend believes we need to achieve "Efficientcare" where costs are minimized not by reducing services but rather by increasing productivity. This can be achieved, by streamlining the processes of data acquisition, and implementation of treatments, giving physicians more time to synthesize information and deal with patients. It is here that the internet plays a key role by decreasing the constraints of time and space: Rather than being constrained to a paper chart, patient data become readily available from any computer on the planet, while X-rays taken in Atlanta can now be interpreted instantaneously in Anchorage or Antwerp.

This book is an excellent roadmap and should be required reading for corporate benefits officers and public officials who are involved in making health care policy decisions (for their companies or for recipients of medicare / medicaid). It is also a must-read for health care consumers and providers who will ultimately be affected by the inevitable changes in healthcare delivery.

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