192 pages | 10 B/W Illus.
Not What the Doctor Ordered: How to End the Medical Monopoly in Pursuit of Managed Care contained some revolutionary solutions to the healthcare crisis when first published in 1993 by renowned healthcare futurist and economist Dr. Jeff Bauer. At the time he proposed that one true way to solve the problems of the healthcare crisis was by using America’s greatest economic strength – the free market – to produce a system that promotes both maximum choice and quality competition at significantly lower costs. Dr. Bauer quite simply suggested that the present physician medical monopoly ought to be dismantled to allow entry into the system by qualified, licensed non-physician providers such as nurse practitioners, physician assistant, pharmacist and physician therapists to name a few.
While the AMA refused to acknowledge Dr. Bauer’s recommendations at the time, today we see the use of qualified, non-physician providers becoming more the norm than the exception. As managed care spread across the country and physicians were required to double the amount of patients they see in a day, the only solution was to utilized non-physician providers. Today, you are just as likely to get a flu shot from a nurse practitioner as you are from a primary care physician.
This 25th Anniversary edition of Not What the Doctor Ordered, takes a look back at the predictions and recommendations made by Dr. Bauer when the first book published. He updates each of his points and gives us a status report of the impact of each recommendation. He goes even further to make his future predictions and recommendations on the state of healthcare today and going into the future.
Acknowledgements. About the Author. Chapter 1 - INTRODUCTION AND BACKGROUND: 25 YEARS LATER. Chapter 2 - MEDICAL MONOPOLY: WHAT THE DOCTOR ORDERED. Chapter 3 - THE MEDICAL MARKETPLACE: LEARNING LESSONS OF HISTORY. Chapter 4 - CAPTAIN OF THE SHIP: LEGAL FOUNDATIONS OF INDEPENDENT PRACTICE. Chapter 5 - ADVANCED PRACTITIONERS: HEALTH PROFESSIONALS WHOSE TIME HAS COME. Chapter 6 - CASE STUDIES. Additional Readings.