The medical profession and healthcare in the United States are in trouble. Healthcare is unaffordable for a growing part of the population, 46 million Americans are uninsured, tens of millions are underinsured, quality of care is unpredictable, and these problems are getting worse, t better. All incremental attempts at reform have been ineffective, and the nation is confronting a crisis in healthcare costs, access, quality, and equity.
John Geyman, MD, a rewned expert in primary care and health policy, traces over the last forty years the sea change in US healthcare, which has engulfed the profession in a marketplace w controlled by corporate and business interests. The profession's long history of service-based ethics and its social contract have been called into question as the business ethic of bottom-line profits has spread throughout the system. The deregulated healthcare marketplace, w one-sixth of the nation's ecomy, has had damaging impacts on health of the public
John Geyman is Professor Emeritus of Family Medicine at the University of Washington School of Medicine in Seattle, WA. He has spent 25 years in academic family medicine.