05295nam 2200817Ia 450 991046002790332120200520144314.00-8014-6047-610.7591/9780801460470(CKB)2670000000078931(EBL)3137987(OCoLC)726824248(SSID)ssj0000483883(PQKBManifestationID)11282247(PQKBTitleCode)TC0000483883(PQKBWorkID)10574155(PQKB)10935953(MiAaPQ)EBC3137987(OCoLC)966803168(MdBmJHUP)muse51841(DE-B1597)478529(OCoLC)979969979(DE-B1597)9780801460470(Au-PeEL)EBL3137987(CaPaEBR)ebr10457608(CaONFJC)MIL752078(EXLCZ)99267000000007893120070314d2007 uy 0engur|n|---|||||txtccrDifferential diagnoses[electronic resource] a comparative history of health care problems and solutions in the United States and France /Paul V. DuttonIthaca ILR Press/Cornell University Press20071 online resource (267 p.)The culture and politics of health care workDescription based upon print version of record.1-336-20792-2 0-8014-4512-4 Includes bibliographical references and index.Frontmatter -- Contents -- Preface -- 1. Common Ideals, Divergent Nations -- 2. Health Insurance and the Rise of Private-Practice Medicine, 1915-1930 -- 3. Health Security, the State, and Civil Society, 1930-1940 -- 4. Challenges and Change during the Second World War, 1940-1945 -- 5. Labor's Quest for Health Security, 1945-1960 -- 6. The Choice of Public or Private, 1950-1970 -- 7. Cost Control Moves to the Fore, 1970-2000 -- 8. Hospitals and the Difficult Art of Health Care Reform, 1980-Present -- 9. Les Jeux Sont Faits? 2000-Present -- Notes -- IndexAlthough the United States spends 16 percent of its gross domestic product on health care, more than 46 million people have no insurance coverage, while one in four Americans report difficulty paying for medical care. Indeed, the U.S. health care system, despite being the most expensive health care system in the world, ranked thirty-seventh in a comprehensive World Health Organization report. With health care spending only expected to increase, Americans are again debating new ideas for expanding coverage and cutting costs. According to the historian Paul V. Dutton, Americans should look to France, whose health care system captured the World Health Organization's number-one spot.In Differential Diagnoses, Dutton debunks a common misconception among Americans that European health care systems are essentially similar to each other and vastly different from U.S. health care. In fact, the Americans and the French both distrust "socialized medicine." Both peoples cherish patient choice, independent physicians, medical practice freedoms, and private insurers in a qualitatively different way than the Canadians, the British, and many others. The United States and France have struggled with the same ideals of liberty and equality, but one country followed a path that led to universal health insurance; the other embraced private insurers and has only guaranteed coverage for the elderly and the very poor.How has France reconciled the competing ideals of individual liberty and social equality to assure universal coverage while protecting patient and practitioner freedoms? What can Americans learn from the French experience, and what can the French learn from the U.S. example? Differential Diagnoses answers these questions by comparing how employers, labor unions, insurers, political groups, the state, and medical professionals have shaped their nations' health care systems from the early years of the twentieth century to the present day.Culture and politics of health care work.Social medicineUnited StatesHistory20th centurySocial medicineFranceHistory20th centuryMedical policyUnited StatesHistory20th centuryMedical policyFranceHistory20th centuryMedical careUnited StatesHistory20th centuryMedical careFranceHistory20th centuryHealth insuranceUnited StatesHistory20th centuryHealth insuranceFranceHistory20th centuryElectronic books.Social medicineHistorySocial medicineHistoryMedical policyHistoryMedical policyHistoryMedical careHistoryMedical careHistoryHealth insuranceHistoryHealth insuranceHistory362.1362.109Dutton Paul V853657MiAaPQMiAaPQMiAaPQBOOK9910460027903321Differential diagnoses2492997UNINA