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Title: Market-Driven Healthcare: Who Wins, Who Loses in the Transformation of America's Largest Service Industry by Regina E. Herzlinger ISBN: 0-7382-0136-7 Publisher: Perseus Book Group Pub. Date: May, 1999 Format: Paperback Volumes: 1 List Price(USD): $19.00 |
Average Customer Rating: 3.3 (10 reviews)
Rating: 2
Summary: Where was the editor?
Comment: There's a good idea or two in here. You won't have
any problem at all finding out which one - there
are only two in the book. These are:
1. Health care will become more of a
consumerist industry
2. Focused factories are excellent vehicles
for delivering care
These are pretty damn sensible ideas.
Policy wonks, though, already know this. And
others, frankly, should not read this book, since
it is (somewhat) careless in its factual
delineation of how the HC market operates.
If you can, track down some of RH's shorter papers.
They're pretty durn good.
Rating: 4
Summary: So she's no Tolstoy, but the ideas are great.
Comment: No one will accuse Ms. Herzlinger of being a great writer, but her conversational style is easy to read and she does have some good ideas for how the healthcare industry should be. Ideas that still haven't been implemented even now, 8 years after it was written. She does make a fairly convincing argument for how focused factories could reduce costs. In addition, suggestions that everybody should have health insurance, that healthcare providers should not be insulated from market forces, that consumers are the ones with the real power to stop the soaring healthcare costs, and that they'll only curtail spending when given incentive to do so are good points that can't be made often enough. Points that seem even more relevant today given the continued increase in healthcare costs, the inability of the HMO system to manage them, and the spiraling problem the growing uninsured population is creating (the more uninsured people there are, the more insurance costs, which increases the number of uninsured, etc.). She has good ideas, I think it's time people listened. It's of vital importance that the healthcare system incorporate what's great about America, what has made America a leader in every other industry: innovation and sensibly regulated free markets. Ms. Herzlinger gives us a good way to get it done.
I also have to ask if some of the other reviewers actually read the book. The author gives a pretty good analysis of how focused factories would reduce costs, using that 20% of the people produce 80% of the costs as a cornerstone of her argument. Also, she cites physicians' inability to deal with market forces as a cause of the problem and gives suggestions for how to deal with it.
Rating: 2
Summary: There is no "market" in American medical care, period.
Comment: Market forces cannot solve the medical crisis. No market exists. Knowledge of what is sold is inequivalent: if patients knew the difference between colonoscopy and colposcopy, they would not know the fair market value of either procedure. Unlike buying a car, where the dealer knows you can walk off, patients cannot negotiate, and can't determine the quantity of medical services needed. Eyeglasses constitute a misleading example. Physicians are the principal drivers of all expenditure on medical care. Without a medical license, nothing can be ordered or prescribed. This fact must be faced squarely: the supplier of services regulates the level of demand for medical services. Annual outlays have now reached $1.6 trillion with no end in sight to the physician-driven escalation in expenditures. This is not COST inflation, but relentless EXPENDITURE INCREASE driven chiefly by an oversupply of medical doctors. If this system is ever to be fixed, these stubborn realities must be faced. This author evidently has no clue that there is not a "market" operating in the world of medical care delivery, thus her analysis is unhelpful.
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Title:Let's Put Consumers in Charge of Health Care (HBR OnPoint Enhanced Edition) by Regina E. Herzlinger ASIN: B00006FC6H Publisher: Harvard Business School Press Pub. Date: 24 April, 2004 List Price(USD): $7.00 Comparison N/A, buy it from Amazon for $7.00 |
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Title: Saving Lives & Saving Money by Newt Gingrich with Dana Pavey & Anne Woodbury, Newt Gingrich, Dana Pavey, Anne Woodbury ISBN: 0970548540 Publisher: Gingrich Communications, Inc. Pub. Date: May, 2003 List Price(USD): $24.95 |
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Title: The Corporate Practice of Medicine: Competition and Innovation in Health Care (California/Milbank Series on Health and the Public, 1) by James C. Robinson ISBN: 0520220765 Publisher: University of California Press Pub. Date: November, 1999 List Price(USD): $21.95 |
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Title: Consumer-Driven Health Care: Implications for Providers, Players, and Policy-Makers by Regina E. Herzlinger ISBN: 0787952583 Publisher: Jossey-Bass Pub. Date: 09 April, 2004 List Price(USD): $55.00 |
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Title: The Health Care Value Chain : Producers, Purchasers, and Providers by Lawton R. Burns, Wharton School Colleagues ISBN: 0787960217 Publisher: Jossey-Bass Pub. Date: 22 March, 2002 List Price(USD): $56.00 |
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