Tracking the evolution of medical care from an individualized small cottage profession to a giant impersonal corporate industry costing Americans over $3 trillion each year. Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States over $3 trillion each year and consumes over 18% of the country's gross domestic product. That's more than $11,000 for each person in the country each year—more than double what it costs in most Western European countries to deliver equal or even better care. In Corporatizing American Health Care, Robert W. Derlet, MD, traces the progression of health care policy in the United States. How, he asks, has US health care transformed from bedside medicine—a model of small practices and patient-focused care—into corporate medicine, which prioritizes profit and deals with both patient care and outcomes as billing codes? Arguing that the US Congress is the root of the problem, he describes how Congress has failed to enact legislation to prevent corporate monopolies in the health care industry. Instead, corrupted by large campaign donations and corporate lobbyists, Congress has crafted loopholes benefiting corporations and harming people. Drawing on his decades as a practicing physician caring for thousands of patients, as well as his university and medical school teaching experience, Derlet follows changes to both policy and practice across many sectors of health care. Scrutinizing how hospitals work, he also takes a hard look at high prescription drug prices, unresponsive insurance companies, problems with the Affordable Care Act, the growing medical implant device industry, and even nursing homes. Finally, he explains why the dominance of corporations and their lobbyists over health policy means that we now pay more for our care and our medications but have less choice both in what doctors we see and in what drugs we take. Breaking down the complex ABCs of health care to reveal the unscrupulous practices of the health care industry, Corporatizing American Health Care is perfect for both students and general readers who want to understand the changes in our system from the perspective of an actual doctor.
For nearly 40 years, Rosen's Emergency Medicine has provided emergency physicians, residents, physician assistants, and other emergency medicine practitioners with authoritative, accessible, and comprehensive information in this rapidly evolving field. The fully revised 10th Edition delivers practical, evidence-based knowledge and specific recommendations from clinical experts in a clear, precise format, with focused writing, current references, and extensive use of illustrations to provide definitive guidance for emergency conditions. With coverage ranging from airway management and critical care through diagnosis and treatment of virtually every emergency condition, from highly complex to simple and common, this award-winning, two-volume reference remains your #1 choice for reliable, up-to-date information across the entire spectrum of emergency medicine practice. Please note the following important change for printed copies of Rosen's Emergency Medicine, 10e. On page 1029, in table 74.3, the dosage for Rivaroxaban should be 15mg by mouth. You may contact Elsevier Customer Service to request a sticker (Part no. 9996133834) to make the correction in your printed copy. Corrections have been made to the eBook versions of this title. - Offers the most immediately clinically relevant content of any emergency medicine resource, providing diagnostic and treatment recommendations and workflows with clear indications and preferred actions. - Contains eight entirely new chapters covering coronaviruses/COVID-19, the morbidly obese patient, human trafficking, sexual minority (LGBTQ) patients, social determinants of health, community violence, and humanitarian aid in war and crisis. - Features over 1,700 figures, including more than 350 new anatomy drawings, graphs and charts, algorithms, and photos. - Includes new information across the spectrum of emergency care, such as adult and pediatric airway management, shock, pandemic disease, emergency toxicology, sepsis syndrome, resuscitation, medical emergencies of pregnancy, the immunocompromised patient, child abuse, pediatric sedation, pediatric trauma, and more. - Features revised and refined chapter templates that enhance navigation, making it easy to find key information quickly. - Provides access to more than 1,200 questions and answers online to aid in exam preparation, as well as two dozen new video clips showing how to best perform critical emergency procedures in real time. - Reviewed and verified cover-to-cover by a team of expert clinical pharmacists to ensure accuracy and completeness of all drug information and treatment recommendations. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. - Please note the following important change for printed copies of Rosen's Emergency Medicine, 10e. On page 1029, in table 74.3, the dosage for Rivaroxaban should be 15mg by mouth. You may contact Elsevier Customer Service to request a sticker (Part no. 9996133834) to make the correction in your printed copy. Corrections have been made to the eBook versions of this title.
In an emergency, you only have one chance...and usually very little time...to make the right decision. How can you be certain you have the knowledge you need? Through six editions, Rosen’s Emergency Medicine has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority. Now, the seventh edition places the latest knowledge at your fingertips, while a more streamlined format makes it easy to find the exact information you seek more rapidly and conveniently than ever before. Presents more than 1,200 exquisite color illustrations that accurately capture the real-life appearance of patient symptoms and diagnostic imaging findings, helping you to reach a definitive diagnosis more easily. Includes "Cardinal Presentations" sections that provide quick and easy guidance on differential diagnosis and directed testing. Presents greatly expanded coverage of emergency ultrasound and emergency gynecological disorders to place the latest knowledge at your fingertips, as well as state-of-the-art coverage of emergency ultrasound, management of sepsis, new airway devices, updated protocols for adult and pediatric cardiac arrest, STEMI and NSTEMI/ACS, DVT and PTE, and much, much more. Features a streamlined format that focuses on the most need-to-know information so you can find answers more quickly.
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