Urgent Care: 10 Cures for America’s Ailing Healthcare System

urgent-care-minda-wilson


Urgent Care: 10 Cures for America’s Ailing Healthcare System
by Minda Wilson, J.D.

As I write this in early 2017, there is much chatter about the potential repeal and replacement of the Patient Protection and Affordable Care Act (ACA) commonly known as Obamacare. I was motivated to read this book to get beyond the myopic hysteria and gain a deeper understanding of the problems and possible solutions presented by healthcare attorney Minda Wilson.

“The United States has the world’s highest [per-capita] healthcare cost, double that of Canada… The number one cause of personal bankruptcy in the United States is due to overbearing healthcare costs… A devastating illness means that, beyond your deductible, you could be responsible for a minimum of 30 percent of the medical bills incurred if you stay in-network. If you go outside of your network, then you could be responsible for between 50 percent and 100 percent of every bill.”

Wilson asks, “Why did the [ACA] focus on providing insurance and not healthcare?” I think this is the fundamental issue. The cost of insurance is a function of the cost of claims. So if the main focus is on subsidizing premiums, the law simply masked the underlying problem rather than solving it. “To be clear, deductibles, copays, and/or the costs of excluded care or limits on care were not included in this measure of affordability.”

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Water 4.0

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Water 4.0: The Past, Present, and Future of the World’s Most Vital Resource
by David Sedlak

David Sedlak is a professor of environmental engineering at the University of California, Berkeley. In this book he explains the history, science, engineering, and political aspects of water and sewer systems. First, it may be helpful to decode the title:

  • Water 1.0—a system of importing and distributing water.
  • Water 2.0—drinking water treatment including filtration and chlorination.
  • Water 3.0—sewage treatment.
  • Water 4.0—next-generation water systems.

I will focus on some of the more contemporary topics in this summary.

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The Higher Education Bubble

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The Higher Education Bubble
by Glenn Harlan Reynolds

In the first decade of the new millennium we saw the dot-com bubble and housing bubble end badly. In this concise 48-page booklet, University of Tennessee law professor Glenn Harlan Reynolds explains why higher education will be the next bubble to burst. “Bubbles burst when there are no longer enough excessively optimistic and ignorant folks to fuel them.”

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The Crime Fighter


The Crime Fighter: How You Can Make Your Community Crime Free
by Jack Maple

Engaging stories from Maple’s career as a detective for the NY Transit Police, deputy commissioner of NYPD, and consultant to Newark, Philadelphia, and New Orleans police departments make this a very interesting read. The fact that the problems and solutions discussed are relevant to other cities—not just NYC—broadens the appeal of this book. While some of the principles will apply to smaller police jurisdictions, the context of all examples is with large cities.

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The Innovator’s Prescription


The Innovator’s Prescription
by Clayton Christensen, Jerome H Grossman M.D., and Jason Hwang M.D

Building on the framework of disruptive innovation presented in his prior book The Innovator’s Dilemma, Christensen and two medical doctors present a vision for how to make the American health care system “higher in quality, lower in cost, and more conveniently accessible to all.”

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Turnaround


Turnaround: How America’s Top Cop Reversed the Crime Epidemic
by William J. Bratton

I think of Turnaround as a management book by a highly-accomplished chief executive (police) officer. The book reads like an autobiography, from Bill Bratton’s childhood in Boston, until after his falling out with Rudy Guiliani. Through his experiences, I learned a lot about police work and his management style

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