
The American Health Care Paradox: Why Spending More is Getting Us Less

Most doctor’s offices are open an average of thirty to forty hours a week, and host practices of approximately 2,500 patients.22 On the basis of recommendations from national clinical care guidelines for preventive services and chronic disease management, sufficiently addressing the needs of this size practice would require 21.7 working hours per d
... See moreElizabeth Bradley • The American Health Care Paradox: Why Spending More is Getting Us Less
Although hospitals and physicians may have worked to fine tune their operations and deliver high-quality, patient-centered care, the impact often starts and ends at the hospital door.
Elizabeth Bradley • The American Health Care Paradox: Why Spending More is Getting Us Less
of government in 1967. Under pressure from these and other critical lobbies, legislators made key concessions to accommodate conservative opposition and sustain necessary funding. As part of a 1967 amendment to the Economic Opportunity Act, Congress required each center to provide care only for people below the poverty line, rather than for the com
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As chronic disease came to replace communicable diseases atop the list of medicine’s priorities, realms of an individual’s life that had heretofore been considered private and therefore forbidden from physician inquiry, such as diet or marital relationships, came to be seen as important determinants of health.
Elizabeth Bradley • The American Health Care Paradox: Why Spending More is Getting Us Less
Similarly, the Ministry of Health and Social Care in Denmark is responsible for establishing broad legislative and financial frameworks for both health and social policy, while responsibility for service design and provision are decentralized to thirteen counties and more than one hundred municipalities.
Elizabeth Bradley • The American Health Care Paradox: Why Spending More is Getting Us Less
Similarly, Americans laud individual freedom but struggle to uphold this value in the treatment of those who depend on government.
Elizabeth Bradley • The American Health Care Paradox: Why Spending More is Getting Us Less
Even for primary care physicians, who are meant to be the main portal for patients seeking health care, making a full investment in collecting a patient’s history and assessing current lifestyle can be difficult.
Elizabeth Bradley • The American Health Care Paradox: Why Spending More is Getting Us Less
The idea is that housing is necessary for any larger health outcomes or behavioral changes, such as less substance abuse and violence, continued treatment for mental illness, or recovery from a medical condition.
Elizabeth Bradley • The American Health Care Paradox: Why Spending More is Getting Us Less
To some, the failure to sustain neighborhood health centers according to their original formulation is surprising, given the conceptual strength of the model, but in retrospect, this evolution might have been predicted. Like the broader policies and programs that made up the War on Poverty, the idea of neighborhood health centers was initiated from
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