Got me through my course !

I bought the book the first time pages were glued together, so I returned. Bought a second time thinking it wouldn’t be the same problem but it the pages were glued even worse as shown in the pictures.

Some of it is very good, and some appears to have been written by someone halfway through with their undergraduate econ degree. They make suggestions that are way out of line with reality and cannot be taken seriously. That being said, most academic health management books I've read in the last ten years are chock full of insurance industry bias, and this one, I see much less of that. There are good things to take from this book, and I have learned a lot from it...but there are some apparent problems with many of the suggestions about medical education and ensuring quality. Bad ideas, indeed. It's not that change isn't needed; it's just that the "economists" clearly have not considered the cost of things they suggest. It's like they never talked to a physician, other than they appear to have an axe to grind about foreign medical graduates. I'm still reading the book, but the chapter on easing the process of getting into medical school, having students taught by non-clinicians for a shorter number of years, and schools owned by managed care organizations.Who do they think will want to work like that? It ignores how much training is required to SURVIVE our healthcare system as a doctor. They imply that the perception of quality is related to the physician's competence. That is just not the case. And how will they be competent when non-clinicians train them? What is the premise of the teacher going to be? Here's how they did it on Greay's Anatomy the other night. Then they recommend state medical boards punishing more doctors, meanwhile wanting more access to care. Hard to take care of patients when you're fending off a state medical board (I imagine.) Again, they would have spent more time on this aspect and maybe based it on ideas reflecting the overall goal's reality. Also, this book doesn't understand that Osteopathic physicians are physicians, too. And most of them do NOT graduate from primary research schools. Anyway, you get the idea. This book is thicker than it needs to be.