America has a healthcare system that it cannot afford. In Care for Me, A.S. Callahan III, MD describes an effective alternative that delivers on the value proposition in medicine: saving lives cheaply. By focusing on prevalent preventable conditions and showing how to accomplish needed care, Care for Me is an invaluable guide for everyone. This may be the most valuable book you ever read. More
America has a healthcare system that is the most expensive in the world. America has a healthcare system that it cannot afford. Changes to the current program are intended to reduce expense, but change neither demand nor price. In Care for Me, A.S. Callahan III, MD develops a system of care that is defined by the value proposition: saving lives cheaply. He proposes an integrated care model for the most prevalent preventable disease: vascular disease. Vascular outcomes such as stroke, heart attack and vascular death will affect ½ of the world’s population.
Vascular disease begins early in life, proceeds over many decades before plaque rupture results in a vascular outcome. The process of early atherogenesis is reviewed in detail in compelling fashion. Illustrative examples of plaque show how the current healthcare system undercares and how an integrated system produces plaque regression.
Care for Me begins with communication rather than science. A book that is to help you live longer must begin with enabled communication—how to produce change by its program. Care without change is not care just expense without value.
After reviewing communication, Care for Me presents vascular disease in an understandable format. Examples are shown of traditional risk factors underestimating risk or over-estimating risk. The ability to modify plaque is also graphically demonstrated as an invitation to integrated care.
Programs of self-help such as exercise, diet and vitamins are reviewed for their potential impact and limitations in the proposed system. While making the point that focusing on those things that can provide impact, Care for Me also reviews the alchemy of placebos. Only in medicine can you get something for nothing—but there are many caveats/facets to how this happens.
In sections on hypertension and lipids, Care for Me shows how care can be laser focused on immediate achievement of results rather than alternative incremental programs. Two clinical projects are reviewed in detail showing how to accomplish the value proposition without the need for significant monies/expense. Success in care will begat more success because of the positive feedback of the care program’s success at each office visit.
Atrial fibrillation the most common adult arrhythmia accounting for 1 our of every 6 strokes has its own chapter. Traditional anticoagulants are reviewed along with the new oral anticoagulants. No value proposition program can be successful without reducing the risk of stroke from atrial fibrillation.
Care for Me shines with its description of issues, science, treatments and their limitations. Proof of principle is shown with 2 demonstration projects. But, this vision and its eludication would not be enough to insure the value proposition. Additional chapters include social capital and stewardship to complete the vision of care that counts.
In his first book, The Next Medical Revoluton: Angiology, Dr. Callahan wrote at the strategic level. In Care for Me his writing is at the tactical or personal level showing the details of a new integrated program of care. Your own personal prescription is his goal.
Care for Me is a “runway” project—how to live longer, remove genetic road blocks with an affordable care model. The integrated care model is the best way forward and the only one.