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The Social Transformation of American Medicine: The Rise of a Sovereign Profession and the Making of a Vast Industry
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Audible Audiobook
Listening Length: 24 hours and 5 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Tantor Audio
Audible.com Release Date: July 18, 2018
Language: English, English
ASIN: B07FCPL7WB
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★★★★ from Zora on January 1, 2018Evolution of the American Health SystemI bought this book for a class on the history of health system in the US and enjoyed it very much. Even though it's dense, Starr writes in a way that can be understood by all, not just for health policy experts or historians. If your interested in this book check out Starr's book Remedy and Reaction about the health policy of the Affordable Care Act and the context in which it was passed and strategies used to pass the legislation. Also, check out his Ted Talk, American Struggle over Health Care Reform. This was a major book in the class, he is able to describe the different factors influencing the health system over the years which has created the health system the current health system. Given that the class used specific pages of the book for the class, I look forward to reading more of it on my own. If you are interested in health policy and the development of the unique health system in the US this is the right book for you.
I wish I knew as much about anything as Starr knows about the history of health care in America. The book is deeply informative, well written, and clearly conveys the role of physicians in ensuring that the health care system in this country fit their needs (at least until the 1970s or so). As other reviewers have written, the book was published in 1984 so it does not include the history of the past 30 years (and it's predictions are only partially accurate). Still it is an invaluable resource for learning about health care history from the 18th until the middle 20th century.
I teach in a graduate health care management program. Although this book is not directly relevant to the courses I teach it is one of the two books I recommend to all my students. If you want to understand the underpinnings of how we got here in an unbiased fashion- Read This Book!!
The other reviewers have covered this book pretty well, so I would just like to make few additional points:A- for anyone interested in the current debates regarding health care, health care insurance and the ACA, you should realize, and this book documents, that there has NEVER been a "free market" for medical care. Since the US Civil War era one group or another has had various degrees of cartel or monopoly power of the market for medical services. This makes all rational discussions difficult because there is consequently no documentable evidence to refer to as to what a free market would look like. This hinders debaters across the political spectrum.B- This is a social history and at times while reading it I wished the author had an economic historian coauthor.C- The book was published in 1982. This means that the flow of the book segues from history to a current events commentary somtime around mid to late 1965. This is not a criticism just a reminder that with time the last hundred pages of the book may need revision.
This book is long, but it's absolutely essential reading for anyone with decision making input in health care to understand how we got where we are.
This book should have been required reading of politicians and talking-heads engaged in the health care reform debate a few months ago. The Social Transformation of American Medicine has aged only a bit. The last chapter is out of date, but its predictions are somewhat chilling--that doctors have more to fear from the corporate takeover of medicine than putative reform.Starr takes a long historical view of the medical profession and the role of doctors in it, paying attention to ancillary issues like hospitals, public health policies, among others. Starr's book should shake loose a lot of commonly held chestnuts about medicine in the US, most prevalently that doctors always enjoyed unprecedented social status or that doctors used to operate in a free-market atmosphere. As the title suggests, Starr points out that medicine and medical care has transformed from being home-based to being, more or less, "industrial" (albeit controlled but what might be considered a cartel). Key to this transformation is the sovereignty accorded this profession, often at the expense of health care's accessibility, not to mention cost.Starr is not afraid to mince words or leave inferences unstated. In particular (as stated before) that doctors always operated in a free market free from government regulation (indeed, regulation is one of the ways doctors "captured" medical care, that government intervention/investment had nothing to do with the reputation the US enjoys in experimental medicine or research, that health care "crises" have long roots in American history, and that the role of corporations in present-day medical care has again transformed American medicine (and will continue to do so. Part history, part sociology, and part public policy analysis, this book provides much useful info in judging the heal care debate.
Wonderful scholarship. Beautifully written. Depicts an insight of America's medical history since 1982. Would love to read a 2015 edition as much water has gone under this bridge since Affordable Care.
So much new(to me) info. Everyone should attend discussion sessions on this book. That being said, it was a lot to take in. No speed reading this one. Made my brain hurt, a good thing!
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