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The History of Medicine, Money and Politics: Riding the Rollercoaster of State Medicine
 
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The History of Medicine, Money and Politics: Riding the Rollercoaster of State Medicine [Paperback]

P.Goddard
5.0 out of 5 stars  See all reviews (2 customer reviews)
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Product details

  • Paperback: 270 pages
  • Publisher: Clinical Press Ltd; First Thus edition (1 July 2008)
  • Language English
  • ISBN-10: 1854570501
  • ISBN-13: 978-1854570505
  • Product Dimensions: 29.4 x 20.8 x 1.8 cm
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Bestsellers Rank: 641,042 in Books (See Top 100 in Books)
  • See Complete Table of Contents

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Paul R. Goddard
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Product Description

Review

"It is to Professor Goddard's credit that he does not trade on his international reputation as a radiologist, or a pioneer of Magnetic Resonance Imaging. In fact., his specialty is barely alluded to, Instead he is everyman's Virgil, guiding the reader through a medical timeline." -- B Kelly, Consultant Radiologist, The Royal Hospitals, Belfast.

Product Description

60 years of the UK's National Health Service and the NHS is treating more people than ever and the population is living longer, healthier lives. That's the good news. But what about the bad news? Most histories of medicine concentrate on 'who invented what' or on the lives of great medical figures. This history looks at the effect on medical science of politics, religion, money supply and social mores. Illustrated throughout by the very coins with which the the medical staff may have been paid, this book is a reminder that medicine has never been free.Someone has to pay for it and in most developed countries that someone is, at least in part, the taxpayer. Are we getting value for money and would another system provide a better service? Having examined the history of State Medicine the book looks in-depth at the problems facing the NHS and compares them with healthcare delivery in other developed nations from around the world. It examines state medicine with all its warts!

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Customer Reviews

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Most Helpful Customer Reviews
3 of 3 people found the following review helpful
Format:Paperback
Prof Goddard, a lifelong specialist in the NHS had to write this book after he retired - firstly to exorcise some demons that were troubling him about the system we all love and cling to but complain about, and secondly because writing this book in post would have probably led to a swift knife in the back from hospital managers and a disciplinary GMC hearing.
Personal? very. Idiosyncratic? Definitely, Flawed? Possibly, Passionate? yes - on every page his passion shines through. Professor Goddard left John Humphries speechless on last week's today programme and has made headlines this week in UK popular press. Why are there so many managers and what have they achieved? Do old people get fed in hospital?Do doctors?Is the NHS in terminal decline? Why dont consultants name badges say doctor on them any more?
Prof Goddard has been a front line witness of medicine and its politics all his working life, starting out as a night nurse and ending up as a professor.He recounts how junior doctors first got overtime payments for their 120 hour weeks, (at 30% of their hourly rate) how the Bristol Heart Inquiry has paradoxically had the opposite effect to that intended
and sundry other flyonthewall insights. I couldnt sleep after reading this book. See for yourself.
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Format:Paperback
I recommend this book to anyone having an interest in their great institution, which has for so long been the envy of so many other countries. After a concise but fascinating history of the evolution of modern medicine, we are led into the narrative of an insidious process of devolutionary control which undermines the principles behind the concept. This has already removed much authority and respect from the clinical operators of this well-loved service, which has become much more beaurocratic. Since this book was published, the process has continued, endorsing much of what Dr. Goddard has predicted.

Most of us are now aware that something is happening to the NHS, and whilst I continue to work in it after more than forty years, my experiences in my sphere of the organization mirror Dr. Goddards, which makes me feel uneasy.
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