Beginnings Count: the Technological Imperative in American Health Care
Language: English
Published by Oxford University Press, 1997
- Hardcover
- Used
Seller: -OnTimeBooks-, Phoenix, AZ, U.S.A.-OnTimeBooks-
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Condition: Used - Good
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Seller Inventory # OTV.0195111184.G
- Title
- Beginnings Count: the Technological Imperative in American Health Care
- Author
- Rothman, David J.
- Publisher
- Oxford University Press
- Publication year
- 1997
- Condition
- good
- Binding
- Hardcover
- Language
- English
- ISBN 10
- 0195111184
- ISBN 13
- 9780195111187
The author advances his argument through the examination of two distinctive characteristics of American health care and the intricate links between them: the ubiquitous presence of technology in medicine, and the fact that the U.S. lacks a national health insurance program. Technology bears the heaviest responsibility for the costliness of American medicine. Rothman traces the histories of the "iron lung" and kidney dialysis machines in order to provide vivid evidence for his claim that the American middle class is fascinated by technology and is willing to pay the price to see the most recent advances in physics, biology, and biomedical engineering incorporated immediately in medical care. On the other hand, the lack of a universal health insurance program in the U.S. is rooted in the fact that, starting in the 1930's, government health policy has been a reflection of the needs and concerns of the middle class. Playing up to middle class sensibilities, the American presidents, Senate and Congress based their policy upon the private rather than the public sector, whenever possible. They encouraged the purchase of insurance based on the laws of the marketplace, not provided by the government. Private health insurance and high-tech medicine came with a hefty price, with the end result that about 40 million Americans could not afford medical care and were left to fend for themselves. The author investigates the moral values underpinning these decisions, and goes to the bottom of the problem of why the United States remain the only developed country which continually proves unable to provide adequate health care to all its citizens.
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