Critical: What We Can Do About the Health-Care Crisis | 
| Author: Tom Daschle
Creators: Jeanne M. Lambrew, Scott S. Greenberger
Publisher: Thomas Dunne Books
Category: Book
List Price: $23.95
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Avg. Customer Rating:  3 reviews
Sales Rank: 77383
Media: Hardcover
Edition: 1
Number Of Items: 1
Pages: 240
Shipping Weight (lbs): 0.7
Dimensions (in): 8.4 x 5.8 x 1.3
ISBN: 0312383010
Dewey Decimal Number: 362.10425
EAN: 9780312383015
ASIN: 0312383010
Publication Date: February 19, 2008
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Product Description
A much-needed and hard-hitting plan, from one of the great Democratic minds of our time, to reform America’s broken health-care system. Undoubtedly, the biggest domestic policy issue in the coming years will be America’s health-care system. Millions of Americans go without medical care because they can’t afford it, and many others are mired in debt because they can’t pay their medical bills. It’s hard to think of another public policy problem that has lingered unaddressed for so long. Why have we failed to solve a problem that is such a high priority for so many citizens? Former Senate Majority Leader Tom Daschle believes the problem is rooted in the complexity of the health-care issue and the power of the interest groups—doctors, hospitals, insurers, drug companies, researchers, patient advocates—that have a direct stake in it. Rather than simply pointing out the major flaws and placing blame, Daschle offers key solutions and creates a blueprint for solving the crisis. Daschle’s solution lies in the Federal Reserve Board, which has overseen the equally complicated financial system with great success. A Fed-like health board would offer a public framework within which a private health-care system can operate more effectively and efficiently—insulated from political pressure yet accountable to elected officials and the American people. Daschle argues that this independent board would create a single standard of care and exert tremendous influence on every other provider and payer, even those in the private sector. After decades of failed incremental measures, the American health-care system remains fundamentally broken and requires a comprehensive fix. With his bold and forward-looking plan, Daschle points us to the solution.
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| Customer Reviews:
 A slim volume on fat topic May 23, 2008
I avoided learning about the politics of the mid-East for a long, long time. Too complex and insoluble. Then 9/11 and, well... I picked up "The Mid-East for Dummies" at Barnes and Noble. "It's a start," I told myself, and not a bad one as it turns out.
As a supposedly responsible political actor, I've found myself similarly ignorant when it comes to the droning debate on health care. And, God knows, listening to the candidates for President is not terribly edifying in this regard. "Tastes great, less filling" would pass nicely for substance on this (or almost any other) topic in this election season.
To my rescue rides Tom Daschle and his co-authors whose "Critical: What Can We Do About the Health Care Crisis" could have just as well been sub-titled "U.S. Health Care Policy for Dummies."
Unlike the "Dummies" books, this one is prescriptive. Senator Daschle et al bascically argue that the U.S. Congress is in over its head on health care and--like it did on monetary policy with the creation of the Federal Reserve in 1913--should outsource its decision making on the immensely complex topic to a Presidentially appointed panel of experts. This is a an interesting proposition, coming as it does from the former Senate Majority leader who hails from a state with deep populist roots. But the case he makes is not uncompelling.
Daschle calmly traces how health care reform has crashed repeatedly upon the same special interest shoals, at least since the Depression. The shape of the barely submerged obstacle may change (doctors, unions, insurance companies), but its sheer, hulking mass only increaseth. Congress, he argues, has neither knowledge nor institutional will to make good and far-sighted decisions on behalf of its constituents.
The book is worthwhile if for nothing other than its mid-section, wich recounts the history of attempted reform, especially since Truman. The Clinton/Magaziner effort of the early 90s gets special attention, as it should. Daschle--ever the statesman--manages to scoff at how on-its-face silly was the C-M approach to health care reform, while not laying a glove on the former first lady. In fact, his account is practically tantamount to hagiography compared to the version delivered by Carl Bernstein in his biography of Mrs. Clinton.
Again, this is a very helpful book for the lay reader. But its brevity and accessibiltiy require that many good questions are left open. Is the obsession over absolutely universal coverage necessary? If the fault of the Clinton plan was primarily that it was too detailed, what details could have been eliminated with eviscerating its substance? If Congress can't handle health care, what else should devolve from its purview? Energy policy? The more delicate pieces of foreign policy oversight?
And finally, the elephant which has taken up tenancy in Daschle's rather modestly sized room: "gee, this all seems pretty expensive, doesn't it?" By book's end, I found myself with the mental image of one dial spinning clockwise, tallying the cost of the incremental (and undoubtedly worthwhile) programs Daschle proposes. Another opposing dial spun the opposite direction, counting the result of the cost savings the book proposes. You can guess which one spins faster.
Three things become quite evident in reading "Critical." The first is that tackling the challenge of universal health care coverage will requre monuumental Presidential leadership, and an almost reckless risk of political capital which no event other than a fresh election will generate. Clinton promised a proposal in the first 100 days of his presidency. And while that turned out to be a hyperbolic mistake of ambition, it nonetheless reminds us that in order for health care reform to succeed, it likely must be a new President's top priority.
Second, although Daschle's proposal of a National Health Board is not new, its timing may be apt. Health care has bubbled to the top of the list of main street issues, and Congress has perhaps never in the modern era been less trusted to address cleave the Gordian knot.
And finally, you can bet that if the nation chooses Barack Obama as its 44th President, this is not the last we've heard from Tom Daschle on health care.
Probably not a bad thing.
 Simple thought .... March 7, 2008
2 out of 26 found this review helpful
Buy it from Amazon, read it and then resell it to Half Price Books. It's okay to expand your mind, but just remember one simple thought: If you think healthcare is expensive now, wait until you see what it costs when it's free.
It's wonderful to live in a free country and express your opinion which was Tom Daschle's right. Read it and then remember it's just an opinion. It does not make it right. Use your common sense and the basic law of economics ... There's no such thing as a free lunch. If you buy into this book, you're buying into your loss of Liberty and the spiral of becoming the United States of Socialism. Scary.
 Illuminating February 19, 2008
19 out of 21 found this review helpful
A big part of me resisted the idea of buying a book on health care written by a former Senator. It just seemed way too wonkish for me. But I am into politics and a minute does not go by without a candidate screaming about "Health Care" and "Universal Health Care" so I figured I should get up to speed on what the debate is all about.
I'm really glad I did. In truth, Critical is a well written book and is quite interesting. Daschle cogently explains why our current health care system is broken and why there is, in fact, a desperate need to fix it. I'd heard that said many times before but did not understand why. Now I do, thanks to this book.
I am a strong believer in the free market as the best means for providing most of the goods that people want at the best price. But I now have to admit that the free market is not working when it comes to health care. It really isn't. And I am not saying this as a Democrat. I am a registered Republican.
For those who might think that this book is nothing but a left-wing, socialist rant, they would be wrong. In fact, many of Daschle's recommendations for "fixing" the system are to make our system work the way it would in a true free market environment. That is, to provide the highest quality care at the least cost to the consumer. It was really eye-opening to learn how very far away from this ideal our current system is.
Daschle's book covers most of the bases. It describes our current system and why it is so flawed (the number one cause for bankruptcy in our country cannot be called a good system of health care!) He then describes the history of trying to create a better health care system in our country, starting with Truman, up to Clinton, and on up to the current day. He outlines the players who consistently get in the way of needed reform. And, finally, he puts forward his own idea of how we might create a viable health care system that affordably takes care of people when they fall into disease.
I got a great deal out of this book. For one, I've learned that right wing talk radio is REALLY clouding the issue when they talk about health care, and is doing the country a great disservice. Daschle persuaded me on a lot of important points and made me aware of the nature of the problem. I thank him for the time he put into writing such an informative, readable book on such an important issue. If you want to educate yourself on the state of our health care system, this is the place to start.
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