PDF-[EBOOK]-Beyond Obamacare: Life, Death, and Social Policy

Health care spending in the United States today is approaching 20 percent of GDP yet levels of US population health have been declining for decades relative to other wealthy and even some developing nations How is it possible that the United States which spends more than any other nation on health care and insurance now has a population markedly less healthy than those of many other nations Sociologist and public health expert James S House analyzes this paradoxical crisis offering surprising new explanations for how and why the United States has fallen into this trap In Beyond Obamacare House shows that health care reforms including the Affordable Care Act cannot resolve this crisis because they do not focus on the underlying causes for the nations poor health outcomes which are largely social economic environmental psychological and behavioralHouse demonstrates that the problems of our broken health care and insurance system are interconnected with our large and growing social disparities in education income and other conditions of life and work and calls for a complete reorientation of how we think about health He concludes that we need to move away from our misguided and almost exclusive focus on biomedical determinants of health and to place more emphasis on addressing social economic and other inequalitiesHouses review of the evidence suggests that the landmark Affordable Care Act of 2010 and even universal access to health care are likely to yield only marginal improvements in population health or in reducing health care expenditures In order to rein in spending and improve population health we need to refocus health policy from the supply sidewhich makes more and presumably better health care available to more citizensto the demand sidewhich would improve population health though means other than health care and insurance thereby reducing need and spending for health care House shows how policies that provide expanded educational opportunities more and better jobs and income reduced racialethnic discrimination and segregation and improved neighborhood quality enhance population health and quality of life as well as help curb health spending He recommends redirecting funds from inefficient supplyside health care measures toward broader social initiatives focused on education income support civil rights housing and neighborhoods and other reforms which can be paid for from savings in expenditures for health care and insuranceA provocative reconceptualization of health in America Beyond Obamacare looks past partisan debates to show how costefficient and effective health policies begin with more comprehensive social policy reforms. 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