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In the battle for U.S. health care, patients and doctors are losing.
Who Killed Health Care? shows how to win the war.
One of the nation's most respected health care analysts, Regina Herzlinger exposes the motives and methods of those who have crippled America's health care system-figures in the insurance, hospital, employment, governmental, and academic sectors. She proves how our current system, which is organized around payers and providers rather than the needs of its users, is dangerously eroding patient welfare and is pushing costs out of the reach of millions.
Who Killed Health Care? then outlines Herzlinger's bold new plan for a consumer-driven system that will deliver affordable, high-quality care to everyone. By putting insurance money in the hands of patients, removing the middleman in the doctor-patient relationship, and giving employers cost relief, consumers and physicians will be empowered to make the system work the way it should. Herzlinger describes in precise detail how her innovative program will provide
Who Killed Health Care? is a call to arms that must be answered; the welfare of every American hangs in the balance.
“A brilliant analysis… A must-read.” – 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.” – 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 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 quantity and cost under control.” – 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?” – 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. Discharging American health care from the ICU can only happen by putting individual Americans – not politicians and bureaucrats – back in charge of their health care decisioins.” – U.S. Senator Tom Coburn (R-Okla), M.D.“Following on the heels of her landmark Market-Driven Health Care, Herzlinger lays it on the line with her expose 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.” – Dennis White, executive vice president for strategic development, National Business Coalition on Health“A wonderful Orwellian romp through issues which carry a deadly irony. The killers of health care are, of course, the third parties, each of which has an itchy palm and a commitment to profit or power which exceeds the commitment to service, with each engaging the others within a politically shaped box. Rarely has the case for the public been made with so much force, foresight, and wit, and a better way forward shown so clearly.” – James F. Fries, MD, Professor of Medicine, Stanford University School of Medicine“You can practically hear the war chants as Professor Herzlinger sets out her view of what’s wrong with the health care system and how to fix it. You’d best read it so you can decide which side you will be on when the battle is joined.” – Paul Levy, CEO, Beth Israel Hospital, Boston, MA“Regina Herzlinger, the nation’s leading expert on consumer-driven health care, has given us a brilliant analysis of the flaws in our health care system and what it will take to get it back on track. Her latest book is a must-read.” – Bill George, Professor of Management Practice, Harvard Business School, Former CEO, Medtronic, and author of Authentic Leadership“You don’t have to agree with her diagnosis and prescription for the U.S. health care system, but you do have to read her book. Once again, Professor Herzlinger has put together a well researched, well written, and very provocative blueprint for the future of health care.” Peter L. Slavin, MD, President, Massachusetts General HospitalAccording to information released by the Centers for Disease Control and Prevention on June 24, 2007, about 43.6 million people in the United States, or 14.8 percent of the population, had no health insurance in 2006. The finding, based on a survey of 100,000 people, is lower than previous federal estimates of 46 million. The estimate is based on those who did not have insurance at the time of the interview. About 54.5 million people in the country, or 18.6 percent of the population, had no insurance for at least part of 2006. Whatever the exact numbers, there is obviously a very serious problem with health care provision in the U.S. In fact, dozens.
In her previously published book, Consumer-Driven Health Care, Regina Herzlinger explains that consumer-driven health care is "fundamentally about empowering health care consumers - all of us - with control, choice, and information." Such control will "reward innovative insurers and providers for creating the higher-quality,... read more
Herzlinger begins by telling us that she was spurred to write this book after a tax exempt hospital chain (Sioux Valley Hospitals and Health Systems) testified before Congress of the "need" to limit competition from specialty hospitals - "would undermine it's ability to provide care to the uninsured." Unfortunately, the effort was successful in achieving a moratorium, even though the system only provided $5 million (at overstated prices) prior to the moratorium, and then cut that to $3 million afterwards. (A 2004 congressional comparison of non-profits and for-profits concluded that non-profits, on average, provided only 0.6% greater uncompensated care.)
Since 2000, health insurance premiums have risen 73%, vs. inflation and wages increasing 15%. Herzlinger blames:
1) hospital consolidations (# dropped 20% from 1970-2005) - usually without cost rationalization of duplicated costs, aimed simply at reducing the number of competitors. In addition, hospitals have... read more
Twenty years ago on a cold November night, I was one of two nurses called into the operating room were the team preformed a c-section and delivered a healthy baby boy. While waiting for the mother to recover, I picked up a copy of JAMA in the doctors lounge, there I found an article authored by some PHD entitled: Stop the Charade. It was the authors contention if we made all the non-profit charter hospitals in the country for profit the government would save enough money (eliminating the tax subsidies) to buy every American health care insurance.
Twenty years later author Regina Herzlinger MD PHD echoes this same strategy combined with other comprehensive solutions for curing the health care debacle infecting our nation. In her book: Who Killed Health Care. Dr Herzlinger identifies the culpable players who have brought havoc upon us; government bureaucrats that exorcise legislative powers to manipulate markets, technocrats who employ statistics to homogenize variables into... read more
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