Book ID: CBB064961709

Unaffordable: American Healthcare from Johnson to Trump (2018)


Engel, Jonathan (Author)

University of Wisconsin Press

Publication Date: 2018
Physical Details: 296
Language: English

Written for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen.Unaffordable covers, in a conversational style punctuated by apt examples, topics ranging from health insurance, pharmaceutical pricing, and physician training to health maintenance organizations and hospital networks. Along the way, Engel introduces approaches that other nations have taken in organizing and paying for healthcare and offers insights on ethical quandaries around end-of-life decisions, neonatal care, life-sustaining treatments, and the limits of our ability to define death. While describing the political origins of many of the federal and state laws that govern our healthcare system today, he never loses sight of the impact that healthcare delivery has on our wallets and on the balance sheets of hospitals, doctors' offices, government agencies, and private companies.

Reviewed By

Review Andrew T. Simpson (2019) Review of "Unaffordable: American Healthcare from Johnson to Trump". Bulletin of the History of Medicine (pp. 139-140). unapi

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Authors & Contributors
Stevens, Rosemary A.
Fisher, Jill A.
Warner, John Harley
Greene, J.
Daemmrich, A.
Kahn, Jonathan
Social History of Medicine
Bulletin of the History of Medicine
The Lancet
Social Studies of Science
The Bridge: Journal of the National Academy of Engineering
History of Psychiatry
Rutgers University Press
Duke University Press
University of Minnesota
McGill University (Canada)
Boydell & Brewer
Manchester University Press
Health care
Health policy
Pharmaceutical industry
Medicine and government
Medicine and society
Physicians; doctors
Clinton, Bill
Time Periods
20th century, late
21st century
20th century
United States
Great Britain
New York (U.S.)
Philadelphia, PA
Boston (Massachusetts, U.S.)
National Health Service (Great Britain)
American Medical Association
United States. Food and Drug Administration
United States. Patent Office

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