LEADER 03692nam 2200697Ia 450 001 9910811315003321 005 20200520144314.0 010 $a0-520-93142-4 010 $a1-4175-4079-6 024 7 $a10.1525/9780520931428 035 $a(CKB)1000000000007279 035 $a(EBL)224580 035 $a(OCoLC)56607531 035 $a(SSID)ssj0000245732 035 $a(PQKBManifestationID)11210452 035 $a(PQKBTitleCode)TC0000245732 035 $a(PQKBWorkID)10177745 035 $a(PQKB)10318961 035 $a(MiAaPQ)EBC224580 035 $a(DE-B1597)539737 035 $a(DE-B1597)9780520931428 035 $a(Au-PeEL)EBL224580 035 $a(CaPaEBR)ebr10064723 035 $a(EXLCZ)991000000000007279 100 $a20040510d2004 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aSick to death and not going to take it anymore! $ereforming health care for the last years of life /$fJoanne Lynn 205 $a1st ed. 210 $aBerkeley, Calif. $cUniversity of California Press$d2004 215 $a1 online resource (219 p.) 225 1 $aCalifornia/Milbank books on health and the public ;$v10 300 $aDescription based upon print version of record. 311 $a0-520-24300-5 320 $aIncludes bibliographical references and index. 327 $aJust the facts: serious chronic disease in the last phase of life -- Seeing the world differently: ideas to shape reform -- Good care for some people, sometimes -- Surveying the terrain: opportunities and challenges -- Good care for us all: building the care system to count on. 330 $aJust a few generations ago, serious illness, like hazardous weather, arrived with little warning, and people either lived through it or died. In this important, convincing, and long-overdue call for health care reform, Joanne Lynn demonstrates that our current health system, like our concepts of health and disease, developed at a time when life was mostly short, serious illnesses and disabilities were common at every age, and dying was quick. Today, most Americans live a long life, with the disabilities and discomforts of progressive chronic illness appearing only during the final chapters of their life stories. Sick to Death and Not Going to Take It Anymore! maintains that health care and community services are not set up to meet the needs of the large number of people who face a prolonged period of progressive illness and disability before death. Lynn offers what she calls an "owner's manual for the health care system," which lays out facts, concepts, strategies, and action plans for genuine reform and gives the reader new ways to interpret information creatively, imagine innovative possibilities, and take steps to implement them. 410 0$aCalifornia/Milbank books on health and the public ;$v10. 606 $aOlder people$xMedical care$zUnited States 606 $aOlder people$xLong-term care$zUnited States 606 $aChronically ill$xMedical care$zUnited States 606 $aTerminal care$zUnited States 606 $aHealth care reform$zUnited States 615 0$aOlder people$xMedical care 615 0$aOlder people$xLong-term care 615 0$aChronically ill$xMedical care 615 0$aTerminal care 615 0$aHealth care reform 676 $a362.198/97/00973 700 $aLynn$b Joanne$f1951-$01351560 712 02$aMilbank Memorial Fund. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910811315003321 996 $aSick to death and not going to take it anymore$94028347 997 $aUNINA