LEADER 05295nam 2200817Ia 450 001 9910460027903321 005 20200520144314.0 010 $a0-8014-6047-6 024 7 $a10.7591/9780801460470 035 $a(CKB)2670000000078931 035 $a(EBL)3137987 035 $a(OCoLC)726824248 035 $a(SSID)ssj0000483883 035 $a(PQKBManifestationID)11282247 035 $a(PQKBTitleCode)TC0000483883 035 $a(PQKBWorkID)10574155 035 $a(PQKB)10935953 035 $a(MiAaPQ)EBC3137987 035 $a(OCoLC)966803168 035 $a(MdBmJHUP)muse51841 035 $a(DE-B1597)478529 035 $a(OCoLC)979969979 035 $a(DE-B1597)9780801460470 035 $a(Au-PeEL)EBL3137987 035 $a(CaPaEBR)ebr10457608 035 $a(CaONFJC)MIL752078 035 $a(EXLCZ)992670000000078931 100 $a20070314d2007 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aDifferential diagnoses$b[electronic resource] $ea comparative history of health care problems and solutions in the United States and France /$fPaul V. Dutton 210 $aIthaca $cILR Press/Cornell University Press$d2007 215 $a1 online resource (267 p.) 225 1 $aThe culture and politics of health care work 300 $aDescription based upon print version of record. 311 $a1-336-20792-2 311 $a0-8014-4512-4 320 $aIncludes bibliographical references and index. 327 $tFrontmatter -- $tContents -- $tPreface -- $t1. Common Ideals, Divergent Nations -- $t2. Health Insurance and the Rise of Private-Practice Medicine, 1915-1930 -- $t3. Health Security, the State, and Civil Society, 1930-1940 -- $t4. Challenges and Change during the Second World War, 1940-1945 -- $t5. Labor's Quest for Health Security, 1945-1960 -- $t6. The Choice of Public or Private, 1950-1970 -- $t7. Cost Control Moves to the Fore, 1970-2000 -- $t8. Hospitals and the Difficult Art of Health Care Reform, 1980-Present -- $t9. Les Jeux Sont Faits? 2000-Present -- $tNotes -- $tIndex 330 $aAlthough the United States spends 16 percent of its gross domestic product on health care, more than 46 million people have no insurance coverage, while one in four Americans report difficulty paying for medical care. Indeed, the U.S. health care system, despite being the most expensive health care system in the world, ranked thirty-seventh in a comprehensive World Health Organization report. With health care spending only expected to increase, Americans are again debating new ideas for expanding coverage and cutting costs. According to the historian Paul V. Dutton, Americans should look to France, whose health care system captured the World Health Organization's number-one spot.In Differential Diagnoses, Dutton debunks a common misconception among Americans that European health care systems are essentially similar to each other and vastly different from U.S. health care. In fact, the Americans and the French both distrust "socialized medicine." Both peoples cherish patient choice, independent physicians, medical practice freedoms, and private insurers in a qualitatively different way than the Canadians, the British, and many others. The United States and France have struggled with the same ideals of liberty and equality, but one country followed a path that led to universal health insurance; the other embraced private insurers and has only guaranteed coverage for the elderly and the very poor.How has France reconciled the competing ideals of individual liberty and social equality to assure universal coverage while protecting patient and practitioner freedoms? What can Americans learn from the French experience, and what can the French learn from the U.S. example? Differential Diagnoses answers these questions by comparing how employers, labor unions, insurers, political groups, the state, and medical professionals have shaped their nations' health care systems from the early years of the twentieth century to the present day. 410 0$aCulture and politics of health care work. 606 $aSocial medicine$zUnited States$xHistory$y20th century 606 $aSocial medicine$zFrance$xHistory$y20th century 606 $aMedical policy$zUnited States$xHistory$y20th century 606 $aMedical policy$zFrance$xHistory$y20th century 606 $aMedical care$zUnited States$xHistory$y20th century 606 $aMedical care$zFrance$xHistory$y20th century 606 $aHealth insurance$zUnited States$xHistory$y20th century 606 $aHealth insurance$zFrance$xHistory$y20th century 608 $aElectronic books. 615 0$aSocial medicine$xHistory 615 0$aSocial medicine$xHistory 615 0$aMedical policy$xHistory 615 0$aMedical policy$xHistory 615 0$aMedical care$xHistory 615 0$aMedical care$xHistory 615 0$aHealth insurance$xHistory 615 0$aHealth insurance$xHistory 676 $a362.1 676 $a362.109 700 $aDutton$b Paul V$0853657 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910460027903321 996 $aDifferential diagnoses$92492997 997 $aUNINA