Kenneth Fisher, Lindsay Rockwell, Missy Scott

In Defiance of Death

Exposing the Real Costs of End-of-Life Care

• Gebundenes Buch

Produktbeschreibung

Death is a natural part of life. But it has become a painful, protracted, humiliating process that is often inappropriate for the healthcare patient, puts an undue financial and emotional burden on the family, and provides a model of improper care for physicians in training. And it's expensive-about 22 percent of all medical expenditures are for people in the last year of their lives. Further, while studies show that 90 percent of all people would prefer to die at home surrounded by family and friends, the reality is that more than 70 percent die in institutions. As Dr. Ken Fisher argues so passionately in this book, it's time for a change. End-of-life care in the U.S. has evolved over the years into a nightmare for patients and family members, and it has created a near-crushing financial burden on the medical system that is not just excessive but unsustainable. It has driven the cost of healthcare out of reach for many people, and it is a large factor in preventing the creation of universal coverage. In Defiance of Death reviews the current state of end-of-life care and highlights its many problems from a variety of economic, political, and social perspectives. Fisher and Rockwell illuminate the ethical dilemmas we all face as technology allows us to prolong life-but at a huge human and financial cost. This book documents these problems and provides a historical perspective of how our medical system evolved. It argues that America's defiance of death is far too costly and recommend that all stakeholders-including the public, medical community, Congress, and business leaders-join together to create a system that improves end-of-life care for everyone involved. This book, with workable solutions to improve our medical system, helps point the way.

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Produktdetails

• Verlag: Praeger
• Seitenzahl: 240
• Erscheinungstermin: 30. März 2008
• Englisch
• Abmessung: 240mm x 161mm x 18mm
• Gewicht: 531g
• ISBN-13: 9780275997106
• ISBN-10: 0275997103
• Artikelnr.: 23830054

Autorenporträt

Kenneth A. Fisher, Lindsay E. Rockwell, Missy Scott

Inhaltsangabe

List of Illustrations Foreword by Dr. Benjamin Brown Preface
Acknowledgments Chapter One: Dying in America Today Chapter Two: Roots of
the Problem: The Patient Self-Determination Act, Advance Directives, and
the Americans with Disabilities Act Chapter Three: Why We Need Appropriate
Care Committees Chapter Four: The Three Most Typical End-of-life
Populations Chapter Five: Hospitals, Escalating Costs, and End-of-Life Care
Chapter Six: Nursing Homes Chapter Seven: Palliative Care and Hospice
Chapter Eight: A Big Step in The Right Direction: The VA Transforms
End-of-Life Care Chapter Nine: Results of My Non-Scientific, Revealing
Survey Chapter Ten: The Winds of Change: Suggestions for New Directions in
End-of-life Care Appendix I: The Survey Questionnaires Appendix II :
Family-Physician Interactions Appendix III: The Baby K Case Appendix IV: In
Support of Appropriate Care Committees Cardiologists Get Wake-up Call on
Stents by Mike Mitkam, (selected text) Journal of the American Medical
Association. Geographical Variations in Medicare Spending, Editorial by
Kenneth I. Shine, MD, Annals of Internal Medicine. Physician-Owned
Specialty Hospitals and Coronary Revascularization Utilization Too Much of
a Good Thing? By Peter Cram, MD, MBA Gary E. Rosenthal, MD (Selected Text)
Journal of the American Medical Association. How Physicians Can Change the
Future of Health Care by Michael E. Porter, PhD, MBA Elizabeth Olmsted
Teisberg, PhD, MEngr, MS, (Selected Text) Journal of the American Medical
Association. For Further Reading: A Selection of Titles for Further
Investigation Appendix V: American Medical Education American Medical
Education 100 Years after the Flexner Report by Molly Cooke, M.D., David M.
Irby, Ph.D., William Sullivan, Ph.D., and Kenneth M. Ludmerer, M.D., New
England Journal of Medicine. Appendix VI: Pharmaceutical Company Issues
Surviving Sepsis--Practice Guidelines, Mar Campaigns, and Eli Lilly by
Eichacker PQ, Natanson C, Danner RL. New England Journal of Medicine.
Appendix VII: The Economic Impact of Our Health Care if We Do Not Change
Aging Baby Boom Generation Will Increase Demand and Burden on Federal and
State Budgets, GAO Report Appendix VIII: The Truth About Americas Health
Care System--Most Expensive Bad Results What Cannot Be Said on Television
About Health Care by E.J. Emanuel, MD. (abstract) Journal of the American
Medical Association. Appendix IX: Dying in America National Institutes of
Health State-of-the-Science Conference Statement on Improving End-of-Life
Care, National Institutes of Health,State-of-the-Science Conference
Statement Appendix X: Universal Health Care in America: TheLure of a Quick
Fix Universal Health Care in America: The Lure of a Quick Fix by Kenneth A.
Fisher, M.D. Glossary Index