Saving Lives & Saving Money
by Newt Gingrich with Dana Pavey & Anne Woodbury
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Book Summary Information
Author: Newt Gingrich with Dana Pavey & Anne WoodburyEdition: Paperback
Audio: English (Unknown); English (Original Language); English (Published)
Published: 2003-05
ISBN: 0970548540
Number of pages: 337
Publisher: Alexis de Tocqueville Institution
Book Reviews of Saving Lives & Saving Money
Book Review: Failure to see the root causes of the crisis saves nothing
Summary: 1 Stars
Newt Gingrich may be viewed by many as being a visionary, but when it comes to a keen understanding of the American disease care system and what it would take to transform it, Mr. Gingrich is quite blind. Here are a few of the things that Newt has failed to see at all, based on the contents of this book:
? That "market forces" cannot solve the crisis because no market exists. If patients knew the difference between a colonoscopy and a colposcopy, they would certainly not know the fair market value of either procedure. When negotiating to buy a new car, the dealer knows you can walk off at any moment. A patient cannot walk off, cannot negotiate price, and cannot determine the kind or quantity of services they need.
? That the dominance of the commercial viewpoint in conventional medicine has become the most corrosive single force in medical practice, explaining the majority of its too often hideous aberrations. Abraham Flexner's cogent warnings about the dangers here have been ignored, at our peril.
? That the current physician workforce is poorly aligned professionally with the actual needs of the entire society for medical care.
? That there is today a complete absence of general medical management, with generalist physicians being at best marginally trained to fulfill this essential role.
? That the prevalent approach to the selection and the training of physicians is fundamentally flawed.
? That the suppliers of medical services are the principal regulators of the demand for those services, a complete perversion of normal market forces.
? That conventional medicine has confused technology with real science, with the result that, as A.M. Taylor has put it, "the inventions of the craftsman are mistaken for the discoveries of the savant."
? That Hippocratic tradition has been trashed by conventional medicine, along with any detectable signs of reverence on the part of physicians for the complexities and idiosyncrasies of human organisms - the subject and object of medical practice. In conventional American medicine, the Assumption of Simplicity has virtually trumped the hard realities of complexity.
? That American medicine is controlled by a guild built on the feudal model. The AMA rules as an absolute dictatorship, employing fear as a primary means of maintaining dominance and control, and functioning with structures and patterns that can be found in the contemporary period among the Taliban of Afghanistan.
Given these stubborn realities, there is simply no way in which "consumers" of disease care services will ever be able to overcome the preferences held by a treating physician as to the kind and quantity of such services that a specific "consumer" requires. It is naïve in the extreme to believe otherwise. Physicians who are coherently and effectively trained to be general managers of clinical medicine starting at the point of first contact - the primary care setting - are the only actors who can bring about the radical transformations that will be necessary to prevent the total collapse of American disease care, an eventuality that Newt Gingrich rightly judges to be now evident on the horizon. Mr. Gingrich's book does not, however, even slightly scratch the surface of how to practically change any aspect of the disease care system in ways that would do more good than harm.
Summary of Saving Lives & Saving Money
Saving Lives & Saving Money is a transforming approach to the challenge of creating a better system of health and healthcare for the twenty-first century. Learn more about designing a twenty-first century health and healthcare system at Newt.org.If you wish to order more than 100 copies or if you are a non-profit organization, please e-mail John Barker for special discount rates.
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