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Inspired by witnessing and experiencing the changes in healthcare and its delivery over the past 50 years, Dr. Henry Buchwald observes and comments on the current state of healthcare in the United States. His narrative includes the history, the historical data, and personal experiences of a healthcare system that has moved away from caring, first and foremost, for patients. This expensive, impersonal system, he believes may not be in the best interest either of the nation or of the people it purports to heal.As the title suggests, it appears that healthcare has been turned upside down to serve the administrators of the system and away from its basic function of offering the best care for patients. With this basic principle in mind, the topics presented in this book provide and discuss healthcare statistics and alterations to the language of medicine. The chapters themselves examine the transformations to the medical school, the clinic and the office, thehospital, and the practice. Additional chapters discuss the role of the payers, public health research, as well as pandemics, including COVID-19, the advantages and disadvantages of socialized medicine, as well as the broken doctor/patient relationship. Finally, Dr. Buchwald offers thoughts on the areas in which future healthcare efforts can most fruitfully be expended.Analysing today¿s pervading administrative domination of essentially every facet of healthcare, Healthcare Upside Down thoughtfully considers the variety of ways in which we can turn the current healthcare system right-side up to serve those who should be the ultimate beneficiaries ¿ all of us as patients, now and in the future.
The golden era in American surgery, described by a young doctor practicing under innovator Owen Wangensteen at the University of Minnesota In 1960, fresh out of a stint in the Air Force, Henry Buchwald was recruited by Dr. Owen H. Wangensteen to join the Department of Surgery at the University of Minnesota’s medical school. For an American born in Austria, a child of the Holocaust, a position in a city then considered by some to be the “anti-Semitic capital of the United States” might seem an uneasy fit, but in the culture of innovation created by Wangensteen, Buchwald, who had chafed against the rigidity of East Coast medical practice, found everything an imaginative young surgeon could have asked for. Surgical Renaissance in the Heartland is the story of a golden era in American surgery, ushered in by Wangensteen’s creative approach to medical practice, told by one who lived it.Buchwald describes the roots, heritage, and traditions of this remarkable period at the University of Minnesota’s medical school, where the foundations of open-heart procedures, heart and pancreas transplantation, bariatric surgery, implantable infusion pump therapies, and other medical landmarks originated. Buchwald’s account of the Wangensteen era brings to life a medical culture that thrived on debate and the expression of ideas, a clinical practice bound only by the limits of a surgeon’s inspiration and imagination. As entertaining as it is informative, Surgical Renaissance in the Heartland effectively conjures the character—and characters—of a time that forever changed medicine and the lives of millions.
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