ABSTRACT

This book examines U.S. health care with a multi-focal, organizational lens that seeks to illustrate the disparities, rigidity, lack of leadership, social injustice, and ineffectiveness of the current system. By taking a macro-level, organizational culture approach to this discussion and analysis, the lack of interdependent efforts and especially leadership will be examined in order to assess 21st century health care in America. Specifically, this text will consider the state of our union where medical errors are the third leading cause of death in the U.S.; we spend more on health care than any other country and yet have worse life expectancies than many of our peers; nearly 30 million Americans are uninsured with limited access to health care delivery; physicians and nurses report worrisome levels of stress and burnout; pharmaceutical manufacturers can raise the price of prescription drugs without regulation; and the biomedical approach to access and delivery has created a disease focus that negatively impacts almost every aspect of health care in America.