LEADER 04195oam 22006854a 450 001 9910465075103321 005 20210915044221.0 010 $a1-5017-0387-0 024 7 $a10.7591/9781501703874 035 $a(CKB)3710000000666481 035 $a(SSID)ssj0001672905 035 $a(PQKBManifestationID)16471600 035 $a(PQKBTitleCode)TC0001672905 035 $a(PQKBWorkID)14820768 035 $a(PQKB)10550871 035 $a(MiAaPQ)EBC4813224 035 $a(OCoLC)1080552150 035 $a(MdBmJHUP)muse58597 035 $a(DE-B1597)480088 035 $a(OCoLC)949885894 035 $a(OCoLC)979836787 035 $a(DE-B1597)9781501703874 035 $a(Au-PeEL)EBL4813224 035 $a(CaPaEBR)ebr11353131 035 $a(CaONFJC)MIL951883 035 $a(EXLCZ)993710000000666481 100 $a20151025d2016 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aCuring Medicare$eA Doctor?s View on How Our Health Care System Is Failing Older Americans and How We Can Fix It /$fAndy Lazris ; with a foreword by Shannon Brownlee 205 $aRevised edition. 210 1$aIthaca :$cILR Press, an imprint of Cornell University Press,$d2016. 210 4$dİ2016. 215 $a1 online resource (263 pages) $cillustrations 225 0 $aThe culture and politics of health care work 300 $aIncludes index. 311 $a1-5017-0386-2 311 $a1-5017-0277-7 320 $aIncludes bibliographical references (pages 219-236) and index. 327 $aIntroduction : my boss -- Defining quality : the quest for numerical perfection -- Defining thorough : finding and fixing everything -- Excessive specialization, expectation, and litigation -- Hospitalization : the pinnacle of thorough -- Long term care : the unwitting geriatric ICU -- Quality and value : moving toward a cure -- Afterword : redefining thorough. 330 $aAndy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare's payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly.Lazris offers straightforward solutions to ensure Medicare's solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want. 410 0$aCulture and politics of health care work. 606 $aGeriatrics$zUnited States 606 $aOlder people$xMedical care$zUnited States 606 $aMedicare 608 $aElectronic books. 615 0$aGeriatrics 615 0$aOlder people$xMedical care 615 0$aMedicare. 676 $a368.38/200973 700 $aLazris$b Andrew$0835353 801 0$bMdBmJHUP 801 1$bMdBmJHUP 906 $aBOOK 912 $a9910465075103321 996 $aCuring Medicare$92434381 997 $aUNINA