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Reviews
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Few, if any, health care experts can claim the enormous breadth of experience that Troy Brennan can. He tackles how to turn around our health care system with careful attention to the evidence, a scholar's sense of balance, and a commitment to honesty. An instant 'must read' for anyone who cares about finding our way to better health care.
Troyen Brennan is uniquely qualified to write a book explaining how American health care policy has evolved and where it might be going, having been at various times in his career a clinician and physician administrator, and an executive in health insurance, pharmacy benefit management, and retail pharmacy companies. You are sure to learn things about health policy you didn't know. This book has my strongest recommendation.
Blending insights from a career in the top echelons of medicine, business, and academia, Brennan's book is a must-read, exposing how US health insurance has produced a bloated healthcare system and why Medicare for All is not a liberal pipedream but a lifeboat that businesses will embrace.
A superb description of the government and commercial evolution of the uniquely American health financing, insurance, and delivery system. Troyen Brennan describes the inevitable financial and social trends pushing us toward a more equitable, effective health insurance system. The employer can be an important contributor to a value-based system to improve outcomes and reimbursement. If employers fail, then government's role may continue to expand, hopefully in public and private collaboration.
Vivid, incisive, and urgent. This is essential reading on why American health care is failing—and how rebuilding primary care can fix it.
Brennan's book is brilliant. He has full grasp of what makes primary care wonderful and how it is broken. He offers a clear and realistic vision of how primary care should evolve and even thrive—and the steps that key stakeholders should take to make that possible.
Brennan skillfully highlights the persistent tension between the well-established benefits of primary care—for both individuals and the broader health care system—and a system that too often hinders the realization of those benefits. He calls on us to move beyond these entrenched barriers and to build a health care system that truly places patients and primary care at its center.
Wonderful and Broken is a must-read for anyone who wants to understand why our health system is so dysfunctional and what can be done to fix it. With data and compelling storytelling, Brennan illustrates how we are only limited by our willingness to spend resources differently in order to reduce overall health care costs while extending lives and improving health.
Wonderful and Broken captures primary care's reality perfectly. As a practicing family physician, I recognize Dr. Brennan's descriptions all too well. I'm grateful for his nationwide exploration of primary care models, and I share his optimism that primary care can still be rediscovered to lift the US from the basement of health outcomes among developed nations.
About
Book Details
Release Date
Publication Date
Status
Preorder
Trim Size
6
x 9
Pages
488
ISBN
9781421452197
Table of Contents
Foreword
1. The Somewhat Recent History of Primary Care
2. Are there Signs of a New Deal for Primary Care?
3. What Can the Federal Government Do to Promote Primary Care?
4. The States' Role in Primary
Foreword
1. The Somewhat Recent History of Primary Care
2. Are there Signs of a New Deal for Primary Care?
3. What Can the Federal Government Do to Promote Primary Care?
4. The States' Role in Primary Care Reform
5. State-Based Health Insurers' Role in Primary Care
6. The National Health Insurers (and Other Corporations)
7. The Role of Private Equity
8. The Future of Primary Care
Featured Contributor
Troyen A. Brennan
Troyen A. Brennan is an adjunct professor of health policy and management at the Harvard T. H. Chan School of Public Health. A former professor of medicine at Harvard Medical School and the former chief medical officer at CVS Health, he is the author of The Transformation of American Health Insurance: On the Path to Medicare for All and Just Doctoring: Medical Ethics in the Liberal State.
