Overhauling America's Healthcare Machine

Dr. Doug Peredniareveals how government and insurance company-created complexity is tearing apart the U.S. healthcare system and presents a new model for healthcare reform that will actually work. Leading physician, healthcare expert, and entrepreneur Perednia identifies specific inefficiencies and worthless administrative overhead that is making healthcare inaccessible or unaffordable for millions, driving providers from practice, and adding over half a trillion dollars annually to healthcare spending. Next, he shows how to design a far simpler system: one that delivers care to everyone by drawing on the best of both market efficiency and public "universality." Recent "health care reform" involved 2,000+ pages of complex, special interest-friendly legislation--including 168 new federal committees, program cuts, and higher taxpayer costs. Perednia offers a better way: a logical, comprehensive, and non-partisan and apolitical approach that gives providers and their patients more medical and financial security, enhances competition, would save some $570 billion annually--and still gives individual patients real freedom. This plan isn't wishful thinking: Overhauling America’s Healthcare Machine backs it up with detailed logic and objective calculations. Even after the recent endless debate about healthcare, the system is still broken--and unless it's fixed, it will break us all. Perednia shows how to finally fix it: once and for all.

Part I: The Nature of the Beast

Chapter 1: An Introduction 3

Chapter 2: Are We Getting What We’re Paying For? 9

Chapter 3: Where Does All Our Money Go? 17

Chapter 4: Into Thin Air 39

Chapter 5: The Healthcare Machine 53

Chapter 6: How and Why They Spin: Inside Key Wheels 63

Part II: Why the Machine Is Breaking Down

Chapter 7: Too Many Parts 123

Chapter 8: Sand in the Gears 135

Chapter 9: Friction 183

Part III: How to Fix It

Chapter 10: Defining the Desired Outcome 219

Chapter 11: Overhauling Payment for Healthcare Goods and Services 227

Chapter 12: Dumping Redundancy 263

Chapter 13: Blowing Sand Out of the System 271

Chapter 14: Lubricating Points of Friction 301

Chapter 15: Where Does the Money Come From? 323

Chapter 16: The End of an Era 331

Appendix: "Brief Strategy B" from the Federal Guidelines Regarding Smokers Who Report That They Are Unwilling to Quit 337

References 341

Index 359

Douglas A. Perednia, M.D., graduated from Swarthmore College with a degree in Economics, and obtained his medical degree at Washington University in St. Louis, Missouri. A medical internist and dermatologist, he has spent many years in clinical medicine, in academia as a principal investigator for the National Institutes of Health, with non-profit healthcare organizations, and as a business executive in private industry. A popular speaker and writer, Dr. Perednia periodically works as a consultant to government, business, and nonprofit organizations. In his spare time, he writes for The Road to Hellth blog (www.roadtohellth.com), which deals with the interactions between doctors, patients, insurers, government, and the business of medicine.

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