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Review
"Regina Herzlinger's impressive and accessible "Who Killed Health Care?" offers insights that could lead to real progress. She sets forth a world in which insurance companies compete on quality, product design and disease management--not on ability to attract healthy consumers. Entrepreneurs would create integrated disease-management systems that profit from excellent and effective service, saving patients' time and providing coordinated care for all aspect of a condition."" Mrs Herzlinger is America's leading advocate of market-driven, consumer-orientated health reform. She wants a national system which requires individuals to buy health insurance, with help in the form of tax breaks for all punters, and subsidies for the poorest. She wants insurance prices to be risk-adjusted and hospitals to be free to charge what they like so they can offer new services as the market demands. Most importantly, she wants the government to demand transparency of price and quality from this notoriously murky industry." -"The Economist""Regina Herzlinger's impressive and accessible "Who Killed Health Care?" offers insights that could lead to real progress. She sets forth a world in which insurance companies compete on quality, product design and disease management--not on ability to attract healthy consumers. Entrepreneurs would create integrated disease-management systems that profit from excellent and effective service, saving patients' time and providing coordinated care for all aspect of a condition.""Mrs Herzlinger is America's leading advocate of market-driven, consumer-orientated health reform. She wants a national system which requires individuals to buy health insurance, with help in the form of tax breaks for all punters, and subsidies for the poorest. She wants insurance prices to be risk-adjusted and hospitals to be free to charge what they like so they can offer new services as the market demands. Most importantly, she wants the government to demand transparency of price and quality from this notoriously murky industry."-"The Economist""Mrs Herzlinger is America's leading advocate of market-driven, consumer-orientated health reform. She wants a national system which requires individuals to buy health insurance, with help in the form of tax breaks for all punters, and subsidies for the poorest. She wants insurance prices to be risk-adjusted and hospitals to be free to charge what they like so they can offer new services as the market demands. Most importantly, she wants the government to demand transparency of price and quality from this notoriously murky industry."-"The Economist"Mrs Herzlinger is America's leading advocate of market-driven, consumer-orientated health reform. She wants a national system which requires individuals to buy health insurance, with help in the form of tax breaks for all punters, and subsidies for the poorest. She wants insurance prices to be risk-adjusted and hospitals to be free to charge what they like so they can offer new services as the market demands. Most importantly, she wants the government to demand transparency of price and quality from this notoriously murky industry.-"The Economist"
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From the Back Cover
Doctors. Parents. Citizens. Employers. They're all ready for the cure to America's health care crisis: WHO KILLED HEALTH CARE? “ A brilliant analysis…a must read.â€-Bill George, Professor, Harvard Business School and former CEO of Medtronic “As it becomes more and more obvious to everyone that our current health care system is unsustainable, this is the book that had to be written.â€-Daniel H. Johnson, Jr., MD, former president of the American Medical Association “Regina Herzlinger's ideas to tackle the crisis of the U.S. health care system are based on a keen knowledge of the system's existing difficulties along with insights that introduce the reader to new streamlined choices that have the potential of getting both quality and cost under control.â€-Joseph Kennedy, founder, chairman, and president, Citizens Energy Corporation, CEO, Citizens Health Care, former representative (D-Mass) “Regina Herzlinger...offers a vision of the way things can be, should be, and will be sooner or later. The only question is: how long do we have to wait?â€-Greg Scandlen, founder, Consumers for Health Choices “Regi Herzlinger has brilliantly articulated a better way-embracing the principles of competition and innovation that cause every other sector of our economy to thrive.â€-U.S. Senator Tom Coburn (R-Okla), MD “Following on the heels of her landmark Market-Driven Health Care, Herzlinger lays it on the line with her exposé of what many who work in the health care industry have felt in their gut. Now it is articulated in an entertaining and must-read portrayal, with you and me as the only way out.â€-Dennis White, executive vice president for strategic development, National Business Coalition on Health
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Product details
Hardcover: 312 pages
Publisher: McGraw-Hill Education; 1 edition (June 1, 2007)
Language: English
ISBN-10: 0071487808
ISBN-13: 978-0071487801
Product Dimensions:
6.4 x 1.1 x 9.3 inches
Shipping Weight: 1.2 pounds (View shipping rates and policies)
Average Customer Review:
3.6 out of 5 stars
47 customer reviews
Amazon Best Sellers Rank:
#796,879 in Books (See Top 100 in Books)
Per the jacket flap, Professor Herzlinger (Harvard Business School) "has sat on the boards of directors of dozens of nonprofit and business health care organizations and has been a keynote lecturer at hundreds of meetings on health care." She is also plugged in politically, as attested to by the visits to the U.S. Congress and the White House mentioned in the introduction. So when the author talks about how the healthcare system works in this country, she can do so with some authority.As Herzlinger sees it, there is a war going on and "the wrong side" is winning. She ascribes blame to health insurers, general hospitals, employers (who provide insurance for their employees), Congress, and academics, in other words just about everyone involved with the healthcare industry except consumers and doctors. And in the acknowledgments section, she predicts that "because the status quo fights dirty and fights hard to protect its interests, this book will likely be smeared." (This prediction does not seem to be borne out by the reviews posted on Amazon, which are predominantly four and five stars.)There are indeed many pointed comments about firms, institutions, and people, which were probably not appreciated by those on the receiving end. Corners cut, actions taken based on self interest versus the welfare of consumers, over the top compensation packages, and the like. Herzlinger does not even spare her fellow academics, who are said to "favor schemes that give them considerable power over your money." In my view, this part of the analysis is well worth reading no matter what approach to healthcare reform one is inclined to favor.It is stated repeatedly that the healthcare system could benefit from more choices and competition, which leads to the conclusion that a government-run healthcare system (or "single payer") is not the solution and sets up the author's proposal for a "consumer-driven healthcare" system.But Herzlinger is no dyed-in-the wool conservative, for she also espouses universal healthcare and subscribes to the idea that individuals (not companies) should be required to maintain at least catastrophic healthcare insurance coverage (to be subsidized by the government as required).I am not sure the consumer choice and universal healthcare thrusts are compatible, although it would be nice if they were. That would be something for readers to ponder while following the argument.The issue is far from theoretical, for the healthcare legislation currently (10/21/09) under consideration would embrace greater government control as a means of reducing the number of Americans without healthcare insurance - an approach Professor Herzlinger seemingly warns against. On the other had, she praises the Massachusetts universal healthcare plan that was enacted in 2006 - which according to other sources has led to soaring healthcare costs, etc. - so it's not entirely clear how she would come out on the national legislation now under review.As for the author's own plan, there seem to be a few holes. For instance, I'm not convinced that establishing a new federal agency to function as "a health care SEC" would greatly improve the quality of information available on the performance of healthcare providers. Ask yourself why the SEC missed the Madoff scandal until it blew up in their face.Also, I don't see why the government should necessarily provide a tax subsidy for healthcare expenditures. Perhaps it would suffice to eliminate the current inequity in the tax law by taxing employees on the value of employer-provided healthcare coverage.In summary, this is an excellent analysis, but the solutions offered are no panacea.
Jack Morgan was a great guy and when he died, a lot of people mourned him. He could have lived another 20 years, but he died because of an inept, malfunctioning, costly healthcare system. Jack thought this system was protecting him, but it killed him.The hospitals, employers, managed care insurers, the Congress and executive branch, and health policy academics, all conspired, according to Dr. Regina Herzlinger, Harvard Business School Professor and accomplished author, to kill Jack and hundreds of thousands others, and to make enormous profits in the process.Her solution? Consumer-driven healthcare, more or less following the Swiss model. It would enable innovators who have great ideas about how to get more value for the money to enter the space and allow providers compete for Jack's business. It would encourage multiple revolutionary innovations in the supply of health care and result in significantly better and less expensive service.A truly innovative approach for radical improvement that can be accomplished incrementally and tremendously benefit all of us. Read it and think about wonderful possibilities!Yuval Lirov, Practicing Profitability - Billing Network Effect for Revenue Cycle Control in Healthcare Clinics and Chiropractic Offices: Collections, Audit Risk, SOAP Notes, Scheduling, Care Plans, and Coding
This consumer driven approach is so sensible and not dependent upon the creation of an overwhelming, ever enlarging bureaucracy, to sustain health care. By studying many of the current ills, this book proposes a system where participants involved in every stage of the medical process can compete in program and price against their direct competitors: insurance companies, doctors, technicians, equipment manufacturers, drug companies, home health providers, etc. The book doesn't answer every question. However, it promotes a plan for a free market society which is sensible. Too bad our elected representatives didn't have the courage or the wisdom to address problems in the way suggested in this book. The book becomes an afterthought in the face of the Federal behemoth that has been created. BUT, it offers sound ideas for future congressional consideration if we must make changes to the current plan...
This book was absolutely wonderful and I highly recommend it! Dr. Herzlinger does a remarkable job of explaining the complex (and inefficient) healthcare system that we currently have and clearly outlining the steps that need to be taken to fix it. Her ideas are simple, yet complex because they will revolutionize healthcare and take great steps towards the better care and coverage we all deserve.
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