My purpose is to inform and educate people about the life of a doctor, the rigorous training involved, the daily routine of medical practice and the difficulties of reconciling the business of medicine with our ultimate goal of healing. My emphasis is on how the health care and malpractice crises affect physicians, and on how the doctor-patient relationship has suffered. Through a combination of personal reflections, surveys of physicians, statistical references and examples, I paint a picture of the physician that is more reality based than the TV shows, yet just as dramatic. This book attempts to portray physicians as people, not commodities and not technical robots, not the ultra rich and certainly not the heartless.
I felt that I had something to contribute to the health care literature, especially in light of the changes coming as a result of the Patient Protection and Affordable Care Act of 2010. While there is promise of improving access to health care for patients, the burdens placed on physicians and their attitudes toward this legislation need to be expressed. We need to understand the issues from the physicians’ perspective, from the other end of the stethoscope.
My mission is to convey the importance for all people to pay attention to the medical profession, to understand their physicians’ struggles and rewards, and to assist in salvaging the relationship that is suffering between doctor and patient. Suggestions for possible solutions to the ongoing problems facing doctors in this country are presented. I hope this book helps to promote better communication and transparency in the medical field. My advice to those of you considering a career in medicine or surgery; Go into it with open eyes and open hearts. For the rest of you, humanity, please remember that physicians too are only human.
Dr. Hilmy is uniquely qualified to render an informed opinion about health care in the United States. In his professional judgment, there is no question that the current system is faltering and in need of radical reform. No other country in the world spends so much on health care and has so little to show for it.
Written with the layperson in mind, Health-Care Reform offers insightful, well-researched, supported arguments. Though it does not set out to offend anyone, people will be offended—as a portion of the drivers of escalating health-care costs are laid squarely on their shoulders.
Health-Care Reform addresses how health care is delivered in America. By comparing our delivery system to those used around the world, Dr. Hilmy breaks down different cost drivers with anonymous case examples, and finally, offers suggestions for realistic reform.
In "Shock Therapy for the American Health Care System: Why Comprehensive Reform Is Needed," Dr. Robert Levine offers an easily understandable diagnosis of the problems plaguing our current health care infrastructure, with discussions that include the roles of various stakeholders--insurance companies, "big pharma," hospitals, health care providers, and patients. He also dispels a number of myths designed to make voters leery of any reform efforts. Levine's comprehensive plan addresses everything from bloated bureaucracies to unnecessary procedures to the handling of negligence and malpractice lawsuits/claims. Throughout, Levine backs his proposals with facts and comparisons to systems in various countries, and concludes that even now, with disaster looming, the ultimate goal of providing health insurance for every American is achievable and affordable.
Surgeon Paul A. Ruggieri reveals little-known truths about his profession—and the hidden flaws of our healthcare system—in this compelling and troubling account of real patients, real doctors, and how money influences medical decisions behind the scenes. Even many well-informed patients have no idea what may be contributing to the cost of their surgery. With up-to-date research and stories from his practice, Ruggieri shows how business arrangements among hospitals, insurance companies, and surgeons affect who gets treatment—and whether they get the right treatment. Pulling back the curtain from the hospital bed, he explains how to safeguard one’s own health (and finances), and how America can make surgery more affordable for all without sacrificing quality care.