1st Edition

Healing the Fragmented U.S. Healthcare System Bold Solutions for Systemic Problems

By Barbara Sowada Copyright 2025
178 Pages 20 B/W Illustrations
by Routledge

178 Pages 20 B/W Illustrations
by Routledge

178 Pages 20 B/W Illustrations
by Routledge

Through a systems perspective, this insightful book challenges the current state of healthcare in the United States, arguing for overarching reforms that would lead ultimately to universal healthcare coverage across the country. Written by the president of the board of trustees of a rural hospital, the book highlights the chronic issues facing American healthcare today, namely high costs, poor... Read more

Introduction.  1. Review of Systems: The Construction of the U.S. Healthcare System.   2. Efficiency.  3. Fifty Years of Cost Reductions Increased Costs.  4. Creative Disruptors.  5. Effectiveness.  6. The U.S. Healthcare System Is Out of Date.  7. Health Equity.  8. Social Capital and Social Cohesion.  9. Choices.  10. Healing.  

Biography

Barbara J. Sowada is president of the board of trustees of a rural hospital. She has a Ph.D. in nutrition from Colorado State University. She lives in southwest Wyoming. This is her second book about healthcare reform.

"An unabashed review of the systemic fragmentation of the U.S. healthcare system that clearly brings light to the cracks institutionally designed to benefit the stakeholder while perpetuating disparities for the consumer. Dr. Sowada delivers a powerful call to examine the mental models that influence our nation's creation and consumption of healthcare with a compelling mandate to consider our common humanity for system redesign that supports the well-being of all. An essential read for those committed to restoring our shared agency in health at a critical juncture where compassion must guide system transformation."

- Samantha Baker, Clinical Assistant Professor, University of Wyoming, USA.