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LEADER 00000ngm a22004211i 4500
003 CaSfKAN
005 20140801123731.0
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007 vz uzazuu
007 cr una---unuuu
008 140819p20142009cau082 o vleng d
028 52 1062791|bKanopy
035 (OCoLC)897768015
040 UtOrBLW|beng|erda|cUtOrBLW
043 n-us---
099 Streaming Video Kanopy
245 00 Money-driven medicine.|h[Kanopy electronic resource]
264 1 [San Francisco, California, USA] :|bKanopy Streaming,
|c2014.
300 1 online resource (1 video file, approximately 86 min.) :
|bdigital, .flv file, sound
336 two-dimensional moving image|btdi|2rdacontent
337 computer|bc|2rdamedia
338 online resource|bcr|2rdacarrier
344 digital
347 video file|bMPEG-4|bFlash
500 Title from title frames.
518 Originally produced by California Newsreel in 2009.
520 Money-driven medicine provides the essential introduction
Americans need if they are to better understand and
address the unmet challenges of healthcare reform during
the coming decade. Produced by Academy Award winner Alex
Gibney (Taxi to the dark side; Enron: The smartest guys in
the room) and inspired by Maggie Mahar's acclaimed book,
Money driven medicine: the real reason health care costs
so much, the film goes beyond health insurance to offer a
behind-the-scenes look at the {dollar}2.6 trillion U.S.
healthcare system, how it went so terribly wrong and what
it will further take to fix it. Effective care, or Just
expensive care? The U.S. spends twice as much per person
on healthcare as the average developed nation, one-sixth
of our GDP, yet our outcomes are often worse. The problem
is that much of that spending is wasteful, and provides no
benefit to the patient. The reason? The U.S. is the only
developed nation that has chosen to turn medicine into a
largely unregulated, for-profit enterprise. In Money-
driven medicine, Dr. Donald Berwick, president of the
Institute for Healthcare Improvement (IHI), explains: We
get more care, but not better care. If you look at how we
manage chronic diseases, he points out, our outcomes are
not as good. We focus resources on the high-tech,
exorbitantly expensive rescue care that patients need
after they become terribly sick, and pay far less for the
preventive and primary care more likely to keep people out
of the hospital in the first place. Emergency rooms
overflow while primary care physicians are becoming an
endangered species. Medical students explain that the
compensation system is driving them away from primary care,
and into high-paying specialties. Medical ethicist Larry
Churchill doesn't mince words: The current medical care
system is not designed to meet the health needs of the
population. It is designed to protect the interests of
insurance companies, pharmaceutical firms, and to a
certain extent organized medicine. It is designed to turn
a profit. It is designed to meet the needs of the people
in power. These businesses comprise the medical-industrial
complex. They've gradually wrestled power from doctors,
turning medical care into just another commodity and
patients into profit centers. As the familiar Direct-to-
Consumer TV ads shown in Money-driven medicine make clear,
the more drugs pharmaceutical companies produce, the more
they must sell them, and sell them they do-- whether or
not we need them. The result: while many uninsured and
underinsured Americans receive too little care, the well-
insured too often receive unnecessary, even risky care.
More than two decades of studies by researchers at
Dartmouth reveal that fully one-third of our healthcare
dollars are squandered on unnecessary tests, ineffective
or unproven procedures, and over-priced drugs and devices
no better than the less-costly ones they replace. The
studies reveal the need for evidence-based, accountable
care that is both more effective and less expensive than
our current fee-for-service system. Taking back healthcare
in Money-driven medicine frustrated doctors and outraged
patients testify to how things can go horribly wrong when
the concerns of patients and families are ignored and
corporate interests trump patients' needs for high quality,
affordable care. Veteran physicians stress that reform
must begin with the doctor-patient partnership: we need
consistent patient-centered care built around informed,
shared decision-making. Before patients can reclaim their
rightful place at the center of our healthcare system,
Maggie Mahar notes, we must empower doctors and nurses to
practice patient-centered care based, not on corporate
imperatives, but on the best scientific research
available. Money-driven medicine can encourage health
professionals and patients to work together to take back
control of healthcare. The film alerts Americans that
universal coverage is just the first step in a long and
arduous battle for comprehensive reform that will continue
long past whatever bill emerges from Congress this fall.
We can be sure that the industry's lobbyists continue to
resist measures aimed at cost-containment and affordable,
results-based care. Screening Money-driven medicine will
help viewers distinguish between the structural changes we
need and sham reform proposals. It will help them realize
why a sound, sustainable medical infrastructure is crucial
not just to their personal futures but to the economy and
society as a whole; why curing America's healthcare crisis
is a matter of national life and death.
538 Mode of access: World Wide Web.
650 0 Medical care|zUnited States.
650 0 Documentary films.
655 7 Documentary films.|2lcgft
700 1 Gibney, Alex,|eproducer.
700 1 Berwick, Donald,|ecommentator.
700 1 Churchill, Larry,|ecommentator.
700 1 Mahar, Maggie,|ecommentator.
710 2 Kanopy (Firm)
856 40 |uhttps://naperville.kanopy.com/node/62792|zAvailable on
Kanopy
856 42 |zCover Image|uhttps://www.kanopy.com/node/62792/external-
image