Have you ever wondered what the differences are between HMOs and PPOs and whether it’s even worth it to have health insurance? Have you wondered what routine tests you should get for your health and which ones you probably don’t need?
“Stay Healthy, Live Longer, Spend Wisely–Making Intelligent Choices in America’s Healthcare System” is a recent book by a physician, Davis Liu, that helps explain different facets of today’s healthcare system.
This book describes HMOs, PPOs, Health Savings Accounts, and whether you really do need insurance (YOU DO!!!). Several times, he points out that we are legally bound to having car/vehicle insurance and house insurance if we own vehicles/homes, but are able to choose if we have health insurance; that we are diligent about when our cars need routine service/maintenance, but we rarely do the same with our health–although our health is the most important thing we have and it is priceless!
The book also discusses HOW to talk to your doctor and make the most of the office visit. How often do you schedule that appointment with a list of questions in your head, only to get there and forget them? Dr. Liu mentions that we need to tell our story–just as you would tell your friends all about a date you may have just had, you need to fill your doctor in when it comes to the symptoms you are having. Think of the 5 W’s: Who, What, When, Where, Why. You need to use these to describe what is going on with your health.
However, because doctors don’t have all day, you need to be concise in what you describe and discuss, and this book aids you in becoming a model patient. One page in the book also helps you make a health/medical history form. It is also best to take a pen and notebook with you to record what the doctor says and what you need to do about it. Just as your boss may give you an assignment and you must follow up with the assignment, so as your doctor might give you a task to complete as well (exercise, get certain bloodwork or tests done, etc). Who wants to go home from the doctor’s office after spending X amount of money only to forget what you’re supposed to do? What good is the appointment then?
The book goes on to describe the different types of doctors, when to get a second opinion, and how to improve communication with your doctor. It talks about checking out your doctor’s credentials to make sure they are board certified, and questions to ask regarding medications (and whether they are necessary).
A key point to the book that I will utilize is the section on over-the-counter medications–I never realized how many active ingredients are similar in the products we have in the house, and how I can really downsize the meds I take for common ailments. For example, trouble sleeping and seasonal allergies are aided by the same active ingredients, so why take 2 different meds when one will aid both?.
However, I think that this book could have discussed the healthcare team in more detail. For example, it discusses body mass index/overweight/obesity and herbal and dietary supplements but does not discuss that your doctor should refer you to a registered dietitian for questions/more information regarding these topics. It also does not mention that if you have a chronic illness, that other members of the healthcare team (registered dietitians, social workers, case managers, support groups) will become an important part of your life. I think a chapter focusing on these “support” individuals would be beneficial. In that sense, this book is “doctor-biased” in that it underlyingly assumes that the doctor is the “be all/end all” resource which is not the true case.
This book does give you a myriad of websites to go to for further information on several organizations (American Cancer Society, checking out your doctor’s licensure, etc). However, it IS internet-focused; there are no phone numbers to call if you do not have the internet which is a huge downfall of this book. One of the prime audiences of this book (in my opinion) is the “baby boomer” generation who are at the age where they need routine doctor visits and may not have the internet.
Do not be fooled by the title–this book is not a guide to help you stay healthy and give you specific points to do so. It focused mostly on managing the healthcare system and becoming wiser at managing the system. But, being wiser about the system does not guarantee that you WILL stay healthier and live longer (as these things are affected more by how you live your life rather than how smart you are about things). From a financial perspective, I think that this book gives you good information on different healthcare options and will help you and your insurance company make the most of the money it will spend.
I think this book is a must for those of us who choose insurance options primarily based on cost or on what sounds good–for those of us who don’t really understand health insurance and want to know which is the best choice for us. As well, I think it is a good book for those of us who are not really knowledgeable about the health care system (do you know what a pulmonologist does or what routine tests are beneficial for someone your age?). This book does not give you medical advice and is not a reference for “what to do if I have a cold or if I have chest pain”. It is meant to guide you towards making wise health care decisions, inform you of your options, and aid you in communicating with your doctor so that you can increase your chances of staying healthy longer.
Overall, I think this book is well written, an “easy read”, and definitely interesting. Although I think that there are some topics lacking from the book and it is somewhat mistitled, I think it’s a must-read for most people and will increase your knowledge of the healthcare system and aid you in making the most of your doctor visits and routine preventative tests–and if nothing else, it gives you a myriad of websites to go to for more information!
I did not receive any monetary or non-monetary compensation for writing this review. The opinions within this article are my own.