000			04160cam a22005654a 4500
001			musev2_57722
003			MdBmJHUP
005			20250527155914.0
006			m o d
007			cr||||||||nn|n
008			151025s2016 nyu o 00 0 eng d
010			_z 2021694379
020			_a9781501703867
020			_z9781501703874
020			_z9781501702778
035			_a(OCoLC)1080552150
040			_aMdBmJHUP _cMdBmJHUP
100	1		_aLazris, Andrew, _eauthor.
245	1	0	_aCuring Medicare : _bA Doctor's View on How Our Health Care System Is Failing Older Americans and How We Can Fix It / _cAndy Lazris ; with a foreword by Shannon Brownlee.
250			_aRevised edition.
264		1	_aIthaca : _bILR Press, an imprint of Cornell University Press, _c2016.
264		3	_aBaltimore, Md. : _bProject MUSE, _c2019
264		4	_c©2016.
300			_a1 online resource (264 pages).
336			_atext _btxt _2rdacontent
337			_acomputer _bc _2rdamedia
338			_aonline resource _bcr _2rdacarrier
490	0		_aThe culture and politics of health care work
505	0		_aIntroduction : my boss -- Defining quality : the quest for numerical perfection -- Defining thorough : finding and fixing everything -- Excessive specialization, expectation, and litigation -- Hospitalization : the pinnacle of thorough -- Long term care : the unwitting geriatric ICU -- Quality and value : moving toward a cure -- Afterword : redefining thorough.
506	0		_aOpen Access _fUnrestricted online access _2star
520			_aAndy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare's payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly. Lazris offers straightforward solutions to ensure Medicare's solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.
588			_aDescription based on print version record.
650		7	_aOlder people _xMedical care. _2fast _0(OCoLC)fst01199115
650		7	_aMedicare. _2fast _0(OCoLC)fst01014815
650		7	_aGeriatrics. _2fast _0(OCoLC)fst00941257
650		6	_aGeriatrie _zÉtats-Unis.
650		6	_aPersonnes âgees _xSoins medicaux _zÉtats-Unis.
650		6	_aMedicare.
650		2	_aMedicare
650		0	_aGeriatrics _zUnited States.
650		0	_aOlder people _xMedical care _zUnited States.
650		0	_aMedicare.
651		7	_aUnited States. _2fast _0(OCoLC)fst01204155
655		7	_aElectronic books. _2local
710	2		_aProject Muse. _edistributor
830		0	_aBook collections on Project MUSE.
856	4	0	_zFull text available: _uhttps://muse.jhu.edu/book/57722/
945			_aProject MUSE - Archive Complete Supplement VII
945			_aProject MUSE - Archive Public Health and Health Policy Foundation
999			_c32162 _d32162