000			02830cam a2200385 i 4500
001			2017015526
003			DLC
005			20190722164701.0
008			170406t20182018wiu b 001 0 eng
010			_a 2017015526
020			_a9780299314101 (cloth : alk. paper)
020			_a0299314103 (cloth : alk. paper)
035			_a(OCoLC)NEW
035			_a(WU)ocm00000NEW
042			_apcc
043			_an-us---
040			_aWU/DLC _beng _erda _cWU _dDLC
050	0	0	_aRA395.A3 _bE546 2018
082	0	0	_a368.38/200973 _223
100	1		_aEngel, Jonathan,
245	1	0	_aUnaffordable : _bAmerican healthcare from Johnson to Trump / _cJonathan Engel.
264		1	_aMadison, Wisconsin : _bThe University of Wisconsin Press, _c[2018]
264		4	_c©2018
300			_ax, 285 pages ; _c24 cm
336			_atext _btxt _2rdacontent
337			_aunmediated _bn _2rdamedia
338			_avolume _bnc _2rdacarrier
504			_aIncludes bibliographical references (pages 227-270) and index.
505	0		_aIntro; Contents; Timeline of Major Federal Legislation; Introduction; 1. A System Run Amok; 2. Medical Free Markets; 3. Reining in the Excess; 4. The Lure of Profits; 5. Efforts to Rationalize; 6. HillaryCare; 7. Managing Care; 8. Quantity and Quality; 9. Ethical Wrangling; 10. Medicare and Medicaid: Evolving Government Programs; 11. (Un)Affordable Care; 12. Afterword; Acknowledgments; Notes; Index.
520			_a"Written for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drug prices can jump 1,000 percent in a day and primary care physicians can lose a fifth of their income at the stroke of a Congressional pen. Unaffordable covers topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Engel offers comparisons with other nations and provides insights on ethical quandaries arround end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, governmental agencies, and private companies."--Back cover.
650		0	_aMedical policy _zUnited States _xHistory _y20th century.
650		0	_aMedical policy _zUnited States _xHistory _y21st century.
650		0	_aMedical care _zUnited States _xHistory _y20th century.
650		0	_aMedical care _zUnited States _xHistory _y21st century.
999			_c233990 _d233990