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Medicine, its Marketplace, and the American Dream

Posted: Sun, Feb 17, 2008

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The electronic version of this book is available for free download in PDF format: Medicine, its Marketplace, and the American Dream (File Size: 304 KB)

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By Taylor Dickinson, 2003, 79 pp.
Copyright 2003 by Taylor Dickinson

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The current medical system in the United States is a chaotic blend of traditional medical practice, political ideologies and business solutions. Most approaches to health-care reform seek a solution that does not disturb these basic characteristics. But rational analysis reveals economic inconsistencies that cripple the system. Juxtaposed to this is the extraordinary promise of modern medical science. The objective in health-care reform, therefore, ought not to be to control its cost, but to assure the timely incorporation of these advances into the everyday practice of medicine. Ultimately, medicine's value to society lies in the healthier, longer lives lived by its people. To be meaningful, reform must achieve universal care based upon an equality that serves the rights of all. This is the marketplace described in this book.


"The United States health care “system” is not a system at all. Incremental tinkering holds little or no promise for achieving health care that meets contemporary cost, access, and quality criteria. Dr. Dickinson has set forth a comprehensive reform agenda capable of giving Americans the healthcare they want and need. His experiences as a physician and patient in the United States and Canadian health systems lend his proposal unusual credibility at both the theoretical and applied levels. Medicine, its Marketplace, and the American Dream is timely, compelling reading for anyone concerned about the health of our health care system".
- David Freed, President and CEO of Nyack Hospital, Nyack, New York.

"This book takes the reader beyond the superficial and often inadequate treatment of this increasingly complex challenge that we face in the United States. It explores a unique approach to providing universal medical care in a fair and equitable manner that, if implemented properly, could meet the goal of providing access to medical care to every citizen of the United States, while keeping the economics under control".
- Usha Wright Esq., General Counsel, SHARE

"Dr. Dickinson, with his extensive and international experiences has presented a pragmatic framework that can and should serve as a basis for provocative and candid discussions among health care policy makers.

In Medicine its Marketplace and the American Dream, Dr. Taylor Dickinson presents a compelling approach for improving our nations health care system. With his premise that every citizen of the United States should have access to medical care, he explores various models based on his professional experiences working in Canada and the United States.

Dr. Dickinson has presented a thought provoking and forceful approach that is innovative and worthy of scholastic review."
- Jerry Warshaw

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  1. 1

    Dr. Michael Newhouse, Ontario, Canada

    April 3, 2008 at 9:16 p.m.

    I think that your analysis of the deficiencies of our current "system" is fairly comprehensive and I have only few comments.

    1. A discussion of the cost of becoming a physician in the USA, in particular, would be helpful. Docs have little choice but to focus on income to repay debts at graduation of up to $250,000 to say nothing of the cost of establishing and maintaining a practice with overhead up to 50% of income. Patients neither understand nor allow for this when "questioning" the widely publicized high incomes of certain specialists e.g. plastic surgeons, ophthalmologists, orthopedic surgeons, cardiovascular surgeons, radiologists etc. It is rarely mentioned that the average internist and GP make a relatively modest income, particularly when the time to enter practice, accumulated debts, enormous malpractice insurance costs and 55-60 hours per week worked is taken into account.

  2. 2

    Ronald Caplan,MD

    July 28, 2008 at 10:22 p.m.

    Thought-provoking and fascinating.Your ideas should be integral to the debate on universal health care coverage.
    Best wishes

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