A landmark book that shows us exactly how we have let health and medicine become a crisis in our society and what we can all do to resolve it Healthcare is no longer just a public issue; for millions of Americans it is now a crisis on their own doorstep. Costs of medical care today are a leading cause personal bankruptcy. Although policy makers have weighed in on all sides, in this book, bestselling author Andrew Weil, M.D. identifies the root of the problem. He shows us exactly how we have become embroiled in the present situation and provides a solution that will not only make healthcare affordable, but will also put each one of us on the road to optimum health. Dr. Weil states that we have a right to good healthcare that is effective, accessible, and affordable. Many Americans would be surprised to know that our national health is far from the best in the world, even though we spend more money on it than any other country. The World Health Organization recently rated America thirty-seventh in health outcomes, on par with Serbia. Tackling head-on The Three Major Myths of American Medicine, Dr. Weil shows how medical schools fail to give future doctors the education they need to care for patients, how insurance companies have destroyed our opportunity to get excellent care, and how pharmaceutical companies have come to rule our lives. The solution involves nothing less than the creation of a completely new culture of health and medicine in this country, one that we can each start building today.

The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.