Cover image for Bad medicine : how the American medical establishment is ruining our healthcare system
Bad medicine : how the American medical establishment is ruining our healthcare system
O'Brien, Lawrence J.
Personal Author:
Publication Information:
Amherst, N.Y. : Prometheus Books, 1999.
Physical Description:
283 pages ; 24 cm
Format :


Call Number
Material Type
Home Location
Item Holds
RA395.A3 O28 1999 Adult Non-Fiction Central Closed Stacks

On Order



Reformers have tried to solve the U.S. healthcare crisis by focusing on costs, coverage, and benefits. But this doesn't get to the heart of medicine's problem, says veteran health services consultant Lawrence J. O'Brien, who argues here that the real solutions require a complete overhaul of the medical mindset of doctors and the institutions that train them. O'Brien prescribes needed reforms to doctor education and reconstruction of the government's policies within the healthcare system to clean up the growing medical mess.

Reviews 1

Choice Review

The US health care system is in the midst of a complex process of reform to achieve a high quality cost effective system. Patients' and taxpayers' interests are often neglected in the push of each interest group to conserve or enhance its piece of the health care pie. O'Brien steps back and takes a broad look at the development and current state of the US health care system, and he makes concrete recommendations of how it should be organized and implemented in the future. He identifies physicians, physician organizations, and medical schools as the principal cause of the current health care crisis. The outdated model of clinical medicine; the significant oversupply of physicians, particularly specialist physicians; the perverse financial incentives for care; the costly and poorly thought-out legislature reforms--these are just a few of the issues identified. O'Brien challenges the notion that the US has the best health care system and believes that most Americans know that something is wrong and yet have a hard time understanding why their system of care is not working. O'Brien suggests that a radical reform of current thinking about health and health care is needed. A needed perspective. All levels. R. L. Jones formerly, Pennsylvania State University, Hershey Medical Center