By Gabrielli, Layon, Yu
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Extra resources for Civetta, Taylor, and Kirby’s Critical Care
Health system characterized— especially—by access and cost problems; offer an interpretation that traces problems of costs to underlying social contradictions and social structures within and outside the health system; and consider how these issues might change under varying models of a national health program. While we provide a discussion of possible organizational and ﬁnancing methods for a health system, the reader should understand that our viewpoint of a potentially optimal system is clearly expressed; while some of our colleagues will disagree with this view, we welcome the needed debate.
Second, our colleagues at Lippincott Williams & Wilkins— Brian Brown, N icole Dernoski, Rosanne H allowell, Kathleen Brown, Angela Panetta, Teresa M allon, and Larry Didona—and the production services group, Aptara—M ax Leckrone and his associates-kept us on time (more or less) and provided us the encouragement needed as we headed into the last 5 miles of our marathon. O ur colleagues and families have put up with us—quite an achievement and, for this, we thank them. Third, as editors and writers, we tried to ensure that this book has an international ﬂavor, which represents Critical Care M edicine today.
To reduce costs, many states decentralized M IA programs to county governments during the early 1980s. Counties vary widely in services provided and in copayments required from patients. ■ A 63-year-old man with hypertension, renal insufﬁciency, and prostatic hypertrophy causing urinary obstruction could Ab and o nme nt d ue t o Inab ilit y t o Pay M any patients in the United States have established relationships with physicians who follow them for many years until, either because of job loss, a company’s decision not to provide insurance as a fringe beneﬁt, divorce or death of a spouse, geographic relocation, or other changes in circumstances, they lose their insurance.