Just a few generations ago, serious illness, like hazardous weather, arrived with little warning, and people either lived through it or died. In this important, convincing, and long-overdue call for health care reform, Joanne Lynn demonstrates that our current health system, like our concepts of health and disease, developed at a time when life was mostly short, serious illnesses and disabilities were common at every age, and dying was quick. Today, most Americans live a long life, with the disabilities and discomforts of progressive chronic illness appearing only during the final chapters of their life stories.Sick to Death and Not Going to Take It Anymore! maintains that health care and community services are not set up to meet the needs of the large number of people who face a prolonged period of progressive illness and disability before death. Lynn offers what she calls an "owner's manual for the health care system," which lays out facts, concepts, strategies, and action plans for genuine reform and gives the reader new ways to interpret information creatively, imagine innovative possibilities, and take steps to implement them.

Just a few generations ago, serious illness, like hazardous weather, arrived with little warning, and people either lived through it or died. In this important, convincing, and long-overdue call for health care reform, Joanne Lynn demonstrates that our current health system, like our concepts of health and disease, developed at a time when life was mostly short, serious illnesses and disabilities were common at every age, and dying was quick. Today, most Americans live a long life, with the disabilities and discomforts of progressive chronic illness appearing only during the final chapters of their life stories.Sick to Death and Not Going to Take It Anymore! maintains that health care and community services are not set up to meet the needs of the large number of people who face a prolonged period of progressive illness and disability before death. Lynn offers what she calls an "owner's manual for the health care system," which lays out facts, concepts, strategies, and action plans for genuine reform and gives the reader new ways to interpret information creatively, imagine innovative possibilities, and take steps to implement them.

List of Illustrations and Tables 
Foreword 
Acknowledgments 
Introduction 

1. JUST THE FACTS 
Serious Chronic Disease in the Last Phase of Life 
Living with Chronic Conditions . Shortcomings in Current Care .
The Baby Boom Grows Old . Who Will Provide Care? . “Dying” and
the Problem of Prognostication . Which Illness Will It Be? .
Costs and Who Pays . The Shape of Things to Come

PERSPECTIVE: THE LONELINESS OF THE LONG TERM CARE GIVER 
by Carol Levine 

2. SEEING THE WORLD DIFFERENTLY
Ideas to Shape Reform 
Life Span Perspective . Rethinking the Transition Model .
Misleading Words and Ideas . The “No Surprise” Question . Trajectories of
Illness across Time . Frequency of Trajectories . Anticipating Challenges .
Creating and Naming a Category . More Patients, Fewer Caregivers .Working
Out Patterns of Cost . Summary of Ideas to Shape Reform

PERSPECTIVE : QUALITY COMES HOME 
by Donald M. Berwick 

3. GOOD CARE FOR SOME PEOPLE SOMETIMES 
Hospice . Palliative Care at Home . Palliative Care in Hospitals . PACE:
All-Inclusive Care . The Chronic-Care Model . Coordinating and
Managing Care . Quality Improvement . Caregiver Programs . Practice
Guidelines and Audit Tools . Gems and Strategies for Change

PERSPECTIVE IN BRITAIN, PROGRESS IN CARE FOR THE LAST PART OF LIFE 
by Joanne Lynn 

4. SURVERYING THE TERRAIN 
Opportunities and Challenges
Key Features of Change . Caregivers as a Political Force . The Business
Case for Change . Promoting Coordinated Care . Barriers
to Reform . Avoiding Low-Impact Reforms

PERSPECTIVE: THE CASE FOR REFORMING U.S. HEALTH CARE
by the Committee on Quality of Health Care in America, Institute of Medicine 

5. GOOD CARE FOR US ALL
Building the Care System to Count On 
Reprise of the Current Situation . Trajectories Form a Basis for Achievable
Excellence . MediCaring: From Promises to Practical Program . Methods to
Achieve Reform . Reforms to Implement Right Away! . Forging the
Will to Make Improvements Happen

Appendix: An Agenda for Action 
References 
Index