By Phillip Longman
Best Care at any place, 2d version demonstrates how an ongoing caliber revolution within the nation’s veterans hospitals offers deep classes for reforming the U.S. future health care approach as an entire. the hot variation is especially well timed with the winding down of the nationwide debate over overall healthiness care assurance reform, that allows you to inevitably shift concentration of reform to the perform of medication itself. The VA, by means of making vast use of digital clinical documents and evidence-based medication, has built a version of twenty first century overall healthiness care that reinforces protection, fee effectiveness, and sufferer satisfaction. And in so doing, it has confirmed that almost all of we expect we all know approximately healthiness care is simply wrong.
New to this edition:
• dialogue of sizeable adjustments in well-being care politics due to the fact 2007, and the way the VA version of care matches in.
• New insights on how the VA version will form twenty first century overall healthiness care.
• How Bush management guidelines undermined many winning facets of VA healthiness care, and the way the Obama management is commencing to placed topic correct for our wounded warriors.
• up-to-date assurance of federal details know-how projects in well-being care, and the teachings supplied through the VA’s “open source” software program development.
• New details at the carrying on with outcomes of publicity to Agent Orange, and its deeper implications for rethinking who must have entry to VA care.
• a suggestion for rolling out a brand new civilian model of the VA that now has won political viability in mild of the general failure of alternative techniques to well-being care reform. A civilian VA is a real “public option” in wellbeing and fitness take care of which Progressives and different american citizens needs to rally.
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Additional resources for Best Care Anywhere: Why VA Health Care Is Better Than Yours (2nd Edition)
Maybe it was the lucky ones who were treated to mind-altering drugs. Not only did many returning Vietnam vets ﬁnd veterans hospitals woefully underfunded and run down, many found them staffed by people they regarded as hostile. Some were house ofﬁcers and doctors their own age who opposed the war and had avoided 18 / BEST CARE ANYWHERE the draft by going to medical school. Others were older vets who viewed Vietnam veterans as losers and who dismissed their complaints about post-traumatic stress and exposure to chemical agents like Agent Orange as unmanly.
The revolution got ugly at times. At one point, a suspicious ﬁre damaged one of the dissident’s computers. Others were forced to quit or were driven into effective exile. “There were some nasty, nasty games played,” recalls one participant. But in the end, not even the most entrenched plutocrats in the VA’s Washington ofﬁce, nor their enablers in political ofﬁce, could put down the insurrection of the so-called Hard Hats, as the dissidents came to call themselves. THREE ...........................................................................
Hadn’t the big explosion in health-care cost started after the enactment of Medicare and Medicaid, along with the vast expansion of tax-subsidized employer-provided health insurance plans? Another underexamined assumption I brought to this project was that American health care, as inequitable and inefﬁcient as it may be, was nonetheless the most scientiﬁcally advanced in the world. Didn’t tens of thousands of rich foreigners ﬂy in desperation to the United States every year in search of treatments they could not get at home?