The Fragmentation of U.S. Health Care

"This book provides an outstanding analysis of the need for reform of the U.S. health care system and why much work remains to be done even with the recent efforts by Congress to improve health care access and delivery. The distinguished group of authors carefully documents a key failing of the health care system- the extent to which insufficient integration of medical services saddles Americans with serious inefficiencies in care. We pay too much for care whose quality is not nearly as high as it could be. Anyone interested in health care reform in the United States will find critically important insights and should consider this book a must read." --David Orentlicher, Samuel R. Rosen Professor of Law and Co-director of the William S. and Christine S. Hall Center for Law and Health, Indiana University School of Law - Indianapolis "Providers often fail to deliver treatments that are cheap and effective, while offering many treatments that are unproven, ineffective or expensive. Service levels vary from place to place without reason. Outcomes are rarely guaranteed. One-stop shopping is often impossible. Prices are invisible or meaningless. Patients arm themselves with advocates because they fear being harmed. Excessive fragmentation of health care delivery causes many of these problems. As Einer Elhauge observes, health care's law-driven business model isn't up to the task. This collection of essays will enlighten anyone who wants to understand the problems of health care delivery and will be especially valuable for public health researchers and health law teachers." --Charles Silver, McDonald Chair in Civil Procedure, University of Texas School of Law "This volume contains some of the most cogent thinking assembled to date on the defining characteristic of the U.S. health care system: fragmentation. Elhauge presents a nuanced portrait of the causes and consequences of atomized decision making in health care. At a time of national debate about the future shape of health policy, the essays contained in this book and the various paths to reform they demarcate constitute required reading." -- Meredith B. Rosenthal Associate Professor of Health Economics and Policy, Harvard School of Public Health "To make sense of our nonsensical healthcare system, Professor Einer Elhauge has assembled the nation's leading professors in law, medicine, economics, health, business, and political science. Their conversation offers a deeply incisive, nuanced, and accessible discussion. It should be required reading for every scholar of health policy and every member of Congress." -- Amitabh Chandra Professor of Public Policy, Harvard Kennedy School of Government "In The Fragmentation of U.S. Health Care, Professor Elhauge and his colleagues offer a rich and provocative collection of perspectives. Policymakers and researchers alike will learn from these reflections on a set of critical problems for health care reform. The volume could not be better timed." --Jill R. Horwitz Louis and Myrtle Moskowitz Research Professor of Business and Law, University of Michigan Law School "In this illuminating volume, Einer Elhauge has assembled a top-flight interdisciplinary group of scholars to explain the root causes of the dysfunctional structures of the U.S. health care system, and to suggest possible solutions. The book is essential reading for scholars and policymakers who seek to understand the complexities of health care delivery in the U.S. and identify avenues for systemic improvement." --Theodore W. Ruger Professor of Law, University of Pennsylvania Law School