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Mama Might Be Better Off Dead: The Failure of Health Care in Urban America
Free Ebook Mama Might Be Better Off Dead: The Failure of Health Care in Urban America
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Mama Might Be Better Off Dead is an unsettling, profound look at the human face of health care. Both disturbing and illuminating, it immerses readers in the lives of four generations of a poor, African-American family beset with the devastating illnesses that are all too common in America's inner-cities. The story takes place in North Lawndale, a neighborhood that lies in the shadows of Chicago's Loop. Although surrounded by some of the city's finest medical facilities, North Lawndale is one of the sickest, most medically underserved communities in the country. Headed by Jackie Banes, who oversees the care of a diabetic grandmother, a husband on kidney dialysis, an ailing father, and three children, the Banes family contends with countless medical crises. From visits to emergency rooms and dialysis units, to trials with home care, to struggles for Medicaid eligibility, Abraham chronicles their access (or lack of access) to medical care. Told sympathetically but without sentimentality, their story reveals an inadequate health care system that is further undermined by the direct and indirect effects of poverty. When people are poor, they become sick easily. When people are sick, their families quickly become poorer. Embedded in the family narrative is a lucid analysis of the gaps, inconsistencies, and inequalities the poor face when they seek health care. This book reveals what health care policies crafted in Washington, D. C. or state capitals look like when they hit the street. It shows how Medicaid and Medicare work and don't work, the Catch-22s of hospital financing in the inner city, the racial politics of organ transplants, the failure of childhood immunization programs, the vexed issues of individual responsibility and institutional paternalism. One observer puts it this way: "Show me the poor woman who finds a way to get everything she's entitled to in the system, and I'll show you a woman who could run General Motors." Abraham deftly weaves these themes together to make a persuasive case for health care reform while unflinchingly presenting the complexities that will make true reform as difficult as it is necessary. Mama Might Be Better Off Dead is a book with the power to change the way health care is understood in America. For those seeking to learn what our current system of health care promises and what it delivers, it offers a place for the debate to begin.
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Product details
Paperback: 289 pages
Publisher: The University of Chicago Press; 1 edition (November 15, 1994)
Language: English
ISBN-10: 9780226001395
ISBN-13: 978-0226001395
ASIN: 0226001393
Product Dimensions:
6 x 0.8 x 9 inches
Shipping Weight: 13.6 ounces (View shipping rates and policies)
Average Customer Review:
4.1 out of 5 stars
51 customer reviews
Amazon Best Sellers Rank:
#212,491 in Books (See Top 100 in Books)
Had to read this book for a Medical Sociology course. I thought the title was a bit odd, but when I started reading the story of this one family that the author follows -- I couldn't put it down. I wanted to know what happened to these people. Their story could be the story of ANY family. It is not a happy story, but it is necessary to show how some people struggle to get adequate health care. For those who have super health care plans and no problem paying their co-pays or have never had a problem finding a doctor -- this is a book you should read. Just like many people are one paycheck away from being homeless, that also means being one paycheck away from having health insurance. It shows how the US health care system has contributed to many disparities in health.
really enjoyed reading this book for class! it is eye opening and really shows us how much trouble the poor endure related to health care and it shows that it isnt as easy as we may think with their resources. also shows you how much money is spent fighting fires that could have been fought at much lower costs with preventative care - which they lack access to and education about! great book!
Abraham presents facts and statistics of poor African Americans through the story of four generations in a poor Chicago family as they go through life navigating the health care system. The story is presented from a very fact based point of view. It includes the trials of Mrs. Jackson, the grandmother; Tommy, the son; Jackie, the caretaker and Tommy's daughter; Robert Banes, Jackie's husband; and their three children.Abraham presents the trouble deciding which jobs to take and how it will affect the overall family income when many jobs don't provide insurance. Statistics are presented on lack of family education about programs available for programs that would have not added income or taken away assistance they were already receiving.This book took into account the physician's assigned to the case when the patient is admitted without a primary physician, multiple residents and having to explain issues multiple times. Residents and physicians do not always look at the overall picture but the latest issue. Even the lack of physicians discussing do not resuscitate orders with the family when Mrs. Jackson is close to death was brought to light.I would like to ask the author what happened after the grandmother died and Robert received his transplant. How did the loss of SSI change their status and the outcome of their healthcare and financial status? Overall I give this book a 4 (very good). I agree with the authors position and policies set forth to help the poor are not working and need some serious revamping. I only rate it a four because of the tediousness of the information make it a hard to get through. This is a great read for those who want to do public policy dealing with healthcare reform and anyone interested in the plight of the poor having to negotiate the current system.
This is a good book for all 'Obama Care Bashers' to read and be able to understand why America needs health care reform. We could save a lot of money if we could prevent problems rather than attempt to treat problems after it's too late.
Needed for school delivered on time
I had to read this book for a class I'm taking. I understand that this is a type of story that needs to be told to understand the problems with the poor and health care. My problem is that the writing is horrible. The author jumps from story to story. Characters were either over explained or mentioned then vanished.
This book is a good read, and really points out the inequities that there are in families acquiring much needed health care in the United States. I recommend this book! This book will make you mad about what happens to people and the struggles that they face when just trying to get health care for their families. It also shows how people with few resources can be creative in finding ways to get healthcare. This book is well written and informative.
The book was for my sister but I began reading some of it. I didn't finish but they book sounded interesting, The story is sad but true fro a lot of people.
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