Cover image for Wounded profession : American medicine enters the age of managed care
Wounded profession : American medicine enters the age of managed care
Birenbaum, Arnold.
Personal Author:
Publication Information:
Westport, Conn. : Praeger, [2002]

Physical Description:
xx, 149 pages ; 25 cm
Electronic Access:
Table of contents
Format :


Call Number
Material Type
Home Location
Item Holds
RA413 .B54 2002 Adult Non-Fiction Non-Fiction Area

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This important new study explores how American health care evolved in the 1990s, as well as the changes in public support and policy. Birenbaum examines where the interests of consumers and professionals have dovetailed and where they differ. He considers the health care system's future and suggested ways the system must be adjusted to provide better and wider coverage at reasonable costs. This volume is essential reading for scholars, students, and professionals in the medical field, as well as general readers concerned with health care issues.

The 90s saw the country moving toward a realization that health care had become unaffordable--or an enormous financial burden for people with otherwise adequate incomes. Health care providers and consumers alike worried that the problem was becoming uncontrollable. Doctors saw their autonomy and control eroded, employers saw their costs rising significantly, the costs began shifting to employees, and alternative approaches to cost containment were explored.

Author Notes

ARNOLD BIRENBAUM is Professor in the Pediatrics Department of the Albert Einstein College of Medicine and Associate Director of the Rose F. Kennedy University Center for Excellence in Developmental Disability Education, Research, and Service.

Reviews 1

Choice Review

Birenbaum offers an excellent book about the state of health care in the US. It is an accurate assessment of where the interests of the American people and the medical professionals have dovetailed and where they have differed. The author delineates the changes health care has undergone since managed care came into being about a decade ago. He argues that all health care providers must speak up and get involved in changing the current US health care system and that more physicians must articulate their dismay with some of the constraints of managed care and communicate to consumers, lawyers, and administrators of managed care systems that the quality of health care needs to be the most foremost issue. The author also offers some strategies for medical professionals to use in fighting for the high quality of health care that all Americans should have. Similar to all of Birenbaum's work, this book is extremely informative and easy to read. All health care providers should read this detailed account of the historical, present, and future of health care, and it should be required reading for all students of health care. Summing Up: Essential. General readers; upper-division undergraduates; graduate students; faculty; researchers, and professionals. S. C. Grossman Fairfield University

Table of Contents

Prefacep. ix
An Introduction to the Study of Professionsp. xiii
1 Health Care on the National Agendap. 1
2 What's Behind the Changing Doctor-Patient Relationshipp. 17
3 Driving Down Costs and Professional Autonomyp. 37
4 The Reorganization of Health Care Deliveryp. 55
5 Managed Care and the Profession's Tarnished Jewel in the Crown--Academic Health Centersp. 71
6 Doctors Respond to the Dark Side of Managed Carep. 85
7 How Managed Care Is Shaping Medical Practicep. 99
8 Hopes for Reformp. 115
9 The Future of American Medicinep. 127
Indexp. 143