Next medicine : the science and civics of health

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書誌事項

Next medicine : the science and civics of health

Walter M. Bortz II

Oxford University Press, 2011

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

Every year, the average American spends about $7,300 on medical expenses. The typical Canadian pays $2,700, the Briton only $2,000. And yet, according to the World Health Organization, our healthcare system, in terms of total quality, ranks thirty-eighth in the world, right between Costa Rica and Slovenia. Not only do 40 million Americans lack health insurance, but more than 200,000 die each year because of medical mistakes. Our average life expectancy is lower than Cuba's. In Next Medicine, Dr. Walter Bortz zeroes in on why the American medicine is spiraling toward disaster. A physician with fifty years of experience and a leading authority on aging, Bortz argues that the financial interests of biotech and drug companies have distorted the healthcare system. Thanks to them, medicine today is economically motivated to treat disease rather than to prevent it. Heart disease, for example, is widely treated with drug interventions and invasive surgery-both of which are extravagantly profitable for pharmaceutical giants and hospitals. Daily exercise and a healthy diet, on the other hand, can prevent heart disease, and can be obtained by patients essentially for free-but there's no money in that. The medical-industrial complex has a vested interest in keeping us sick, and until that changes medicine will fail to effectively address the leading cause of disability and mortality today: chronic diseases like diabetes that are largely preventable. Bortz proposes a medical system that emphasizes personal responsibility and provides incentives for healthy lifestyle choices, along with new training for medical professionals. Through a lively narrative full of personal anecdotes and jarring statistics, Bortz makes a powerful case for a radically new medical system-one that is based on rigorous science and loosens the strangle hold of corporate interests on American health.

目次

Introduction Part I. Current Medicine: History and Diagnosis 1. The Nature of Medicine 2. Current Medicine's Symptoms 3. Medicine's Historical Foundations I: Disease Medicine, the World of Panacea 4. Medicine's Historical Foundations II: Health Medicine, the World of Hygeia 5. Medical Education and Research 6. The Changing Medical Profession: The Rise of the Specialist in the Medical Industrial Complex 7. Current Medicine's Diagnosis Part II. Next Medicine: The Plan For Revolution 8. Current Medicine's Treatment: Next Medicine 9. The Science and Math of Next Medicine 10. The Civics and Politics of Next Medicine Part III. Next Medicine in Our Lives 11. Shifting from Repair to Prevention 12. Mens Sana: The Healthier Brain 13. Closing the Loop: Healthier Dying 14. Next Medicine in Situ: Healthier Communities

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