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The Human Face of Obamacare: Promises vs. Reality and What Comes Next, by M.D., John Geyman
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This book shows the human face of the Affordable Care Act (ACA or ObamaCare) as the stories of real patients and their families best illustrate continuing problems of our health care system. It also shows how many of the promises made by the Obama administration have not been kept. The big question now is: “What next?” The ACA has helped many millions of people since its enactment in 2010, but has fallen far short of what is needed to improve access, affordability, and quality of U. S. health care. Much of our population still cannot afford health care, and there is no cost containment in sight. Underinsurance is the new norm, with narrowed networks, high deductibles, and increasing cost-sharing forcing many people to forego necessary care. Here we take a comprehensive, non-partisan, objective look at the ACA almost six years after its passage. We also take an evidence-based approach to assessing three major alternatives for further health care reform: (1) continuation of the ACA with improvements as needed, (2) Republican proposals for its repeal and/or replacement, and (3) single-payer national health insurance (NHI).
- Sales Rank: #1448399 in Books
- Published on: 2016-01-01
- Original language: English
- Number of items: 1
- Dimensions: 9.00" h x .63" w x 6.00" l, .82 pounds
- Binding: Paperback
- 238 pages
Review
"An insightful critique of ObamaCare and an impassioned plea for a single-payer system, enlivened by stories of real people poorly served by the Affordable Care Act. An invaluable contribution to the discussion of how to make health care in America better and more affordable for everyone." --Kenneth Ludmerer, M.D., professor of medicine and the history of medicine at Washington University in St. Louis, and past
president of the American Association for the History of Medicine
"This book has heartbreaking stories of U. S. citizens who face medical and financial catastrophes due to our dysfunctional healthcare system which now includes the ACA.
We need to listen to these stories to feel the true impact of how the profit-based medical industry is harming our society. A major paradigm change to single-payer is discussed as an equitable and viable solution.
--Ray Drasga, M.D., long-time community-based oncologist and leader toward universal health care in his own specialty organization,
the American Society of Clinical Oncology.
In his new book, Dr. Geyman takes us beyond abstract numbers to explain why the Affordable Care Act is not by any means the final solution to fixing what continues to be for too many Americans a dysfunctional, inequitable and unaffordable health care system. He makes a compelling case for replacing our costly and inefficient multi-payer system with single-payer national health insurance. --Donald Berwick, M.D., president emeritus and senior fellow,Institute for Healthcare Improvement and former administrator, Centers for Medicare and Medicaid Services
In his new book, Dr. Geyman takes us beyond abstract numbers to explain why the Affordable Care Act is not by any means the final solution to fixing what continues to be for too many Americans a dysfunctional, inequitable and unaffordable health care system. He makes a compelling case for replacing our costly and inefficient multi-payer system with single-payer national health insurance. --Wendell Potter, former CIGNA executive, senior fellow on health care at the Center for Media and Democracy, and author of Deadly Spin: An Insurance Company Insider Speaks Out On How Corporate PR Is Killing Health Care and Deceiving Americans, and Obamacar
In his latest book John Geyman takes stock, honestly and objectively, of the state of American health care five years into the implementation of ObamaCare. He examines the law s effects on our healthcare system, on the healing professions, and on individual Americans and makes a persuasive case the ObamaCare is unsustainable. He presents three possible scenarios for future reforms. After reading this comprehensive and persuasive critique, I am more convinced than ever that an improved and expanded Medicare for All system is not only the best for the vast majority of Americans but is the only reasonable option for those of us who believe health care should be focused on the prevention and treatment of illness rather than wealth-extraction from patients. The only question now is how much longer the public will tolerate the accelerating corruption of our healthcare system Geyman documents and the charade that masquerades in Washington as a real debate about health care policy. This book is a must read for any American who has been or will be exposed to the American healthcare system. That would be all of us. --Philip Caper, M.D., internist with long experience in health policy since the 1970s, and past chairman of the National Council on Health Planning and Development
From the Author
Now that the Affordable Care Act (ACA) has been upheld by the U.S. Supreme Court as the law of the land, it is the target of an intense partisan debate during this 2016 election cycle. Confusion, disinformation, and misleading rhetoric dominate the airwaves as politicians and their corporate backers offer up wildly different approaches to our health care problems and solutions.
After six years with the ACA, there is a large base of experience to draw upon to assess, on the basis of evidence, what has worked and not worked. So it is time to reassess its impacts on the problems it was intended to address--reduced access to health care, uncontrolled costs, increasing unaffordability, and unacceptable quality of care for our population.
Despite promises of the Obama administration before the law was passed that we can keep our insurance if we like it, stay with our same doctors, and save money at the same time, many millions of Americans have too often found these assurances to be empty. Having insurance "coverage" for many does not translate into having access to affordable necessary care. Instead, the largely for-profit "system" continues on, profiting and sometimes profiteering from expanded markets subsidized by us, the taxpayers. The original title of the ACA as the Patient Protection and Affordable Care Act (PPACA) has become a misnomer, not surprisingly little used today.
Too we are often bombarded by abstract numbers and statistics that neglect what they mean to ordinary Americans. This book takes a different approach, starting with stories of patients and their families, thereby putting a human face on the large body of experience and evidence about the effects of the ACA since its passage in 2010. Far from isolated anecdotes, these are common stories that best illustrate national trends and problems in our increasingly dysfunctional market-based system.
The book is organized in three parts: Part One presents some 50 patient and family stories that represent problems confronted by implementation of the ACA since 2010. These are real people and their families drawn from press reports. Part Two looks at five major problems of the entire system, as we consider to what extent the ACA has addressed them, and find that we are far from the health care reform that we need. Part Three deals with where we are now, in the middle of an election year, faced with three main alternatives about where to go next: (1) stick with the ACA or try to improve it; (2) repeal and replace it with a Republican "plan"; or (3) move to single-payer system of national health insurance. You will notice that many of the chapters start with a heading, "The Promise", "The Premise," or "The Myth." These denote either the promises made by the Obama administration about the ACA or the premises underlying it, which typically and ironically are based on earlier conservative ideas put forward by conservative organizations, such as the Heritage Foundation.
The stakes are too high to get health care wrong in this country. Our incremental reform attempts over many years have been compromised by the money and political power of corporate stakeholders that perpetuate many of our problems. We need objective evidence to combat the rhetoric and claims of the medical-industrial complex and direct our attention to the real needs of patients and their families. It is my hope that this book will help in this process.
--John Geyman, M.D.
Friday Harbor, WA
January 2016
From the Inside Flap
Synopsis
This book shows the human face of the Affordable Care Act (ACA or ObamaCare) as the stories of real patients and their families best illustrate continuing problems of our health care system. It also shows how many of the promises made by the Obama administration have not been kept. The big question now is: "What next?"
The ACA has helped many millions of people since its enactment in 2010, but has fallen far short of what is needed to improve access, affordability, and quality of U. S. health care. Much of our population still cannot afford health care, and there is no cost containment in sight. Underinsurance is the new norm, with narrowed networks, high deductibles, and increasing cost-sharing forcing many people to forego necessary care.
Here we take a comprehensive, non-partisan, objective look at the ACA almost six years after its passage. We also take an evidence-based approach to assessing three major alternatives for further health care reform: (1) continuation of the ACA with improvements as needed, (2) Republican proposals for its repeal and/or replacement, and (3) single-payer national health insurance (NHI).
Most helpful customer reviews
1 of 1 people found the following review helpful.
Why We Must Work For Single Payer
By Lee Sturdivant
Here is strong evidence that we, as private citizens, cannot hold our own in the rapacious arena that has developed around ObamaCare.
Giant corporate hospital, health care and insurance company mergers,that ObamaCare allows, leaves so many victims along the way. Geyman shows us just 50 of those victims; the reality vs. the promises of ObamaCare. Read it and weep, and then sign up to work for Single Payer.
0 of 0 people found the following review helpful.
For any organization like League of Women Voters that is seriously studying and ...
By Karen West
For any organization like League of Women Voters that is seriously studying and taking action on health care in America,
this is a MUST READ. And for individuals too! The evidence presented is easy to read, well documented, and
published this year. Kudos to Dr. Geyman.
0 of 0 people found the following review helpful.
Five Stars
By Matthew P. Stahl
An excellent book. Highly referenced and factual.
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