Dmitry Medvedev Medvedev থেকে Lindula, Sri Lanka
Overtreated was a decent primer, but I thought it was a bit too simplistic to be of real value. Brownlee takes an extremely complex, multifaceted issue and boils it down to one or two "problems" which I think can be misleading for readers who are not familiar with health economics, or the history of healthcare in the US. For example, Brownlee discusses skyrocketing medical costs, and associates these with increased FFS Medicare payments. She pretty much concludes that Medicare is responsible for driving medical costs up. While Medicare did contribute to healthcare costs inflation there are tons of other factors also contributed to increasing costs, none of which she touched on -- this could lead readers to think that Medicare was the only (or majority) cost driver, which is not the case. I would say that a greater contributor than Medicare were employment laws capping wages while allowing fringe benefits (such as health insurance) to go untaxed; this fueled the growth in medical spending by shifting payment to third parties on a massive level. After systematically presenting everything that she thinks is wrong with the system, Brownlee does present some solutions. However, her solutions are again quite limited. She holds electronic medical records as one of the major solutions to the healthcare crisis. While I do think HIT is an important component to a high-functioning, efficient system, it's again only one piece. I think many people are expecting HIT to revolutionize health; absent evidence-based guidelines and practice recommendations, HIT cannot be used to its full potential. Bottom line: a good primer, but don't expect that you're getting the whole story here. The book had a viewpoint, but felt a bit biased.