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In Defiance of Death

Exposing the Real Costs of End-of-Life Care

by Missy Scott

Published 2008240 pagesISBN 978-0-2759-9710-6

Publisher's description -- Death is a natural part of life. But it has become a painful, protracted, humiliating process that is often inappropriate for the healthcare patient, puts an undue financial and emotional burden on the family, and provides a model of improper care for physicians in training. And it's expensive--about 22 percent of all medical expenditures are for people in the last year of their lives. Further, while studies show that 90 percent of all people would prefer to die at home surrounded by family and friends, the reality is that more than 70 percent die in institutions. As Dr. Ken Fisher argues so passionately in this book, it's time for a change. End-of-life care in the U.S. has evolved over the years into a nightmare for patients and family members, and it has created a near-crushing financial burden on the medical system that is not just excessive but unsustainable. It has driven the cost of healthcare out of reach for many people, and it is a large factor in preventing the creation of universal coverage. Defiance of Death reviews the current state of end-of-life care and highlights its many problems from a variety of economic, political, and social perspectives. Fisher and Rockwell illuminate the ethical dilemmas we all face as technology allows us to prolong life--but at a huge human and financial cost. This book documents these problems and provides a historical perspective of how our medical system evolved. It argues that America's "defiance of death" is far too costly and recommend that all stakeholders--including the public, medical community, Congress, and business leaders--join together to create a system that improves end-of-life care for everyone involved. This book, with workable solutions to improve our medical system, helps point the way.

Beyond its central premise, the book can be read through the connected lenses of Philosophy. Those themes offer useful points of attention as the characters, ideas, or world develop, especially where the book complicates the expectations of its primary category.

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Themes to notice

Philosophy

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Content notes

Catalog signals suggest violence, death, or criminal harm. These notes may not be complete; consult a publisher or reader-supplied guide when detailed warnings matter.

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Reading experience

Balanced tone · Measured pace

A comfortable full-length choice for steady daily reading.

Who it may suit

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At a glance

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ToneBalanced
LuminousDark

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Spoiler-Free Emotional Arc

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PeakRelative emotional intensity
In Defiance of DeathMissy Scott
Heightened4.1/5

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A quick reading snapshot

Edition facts and catalog signals to help you decide whether this book fits what you want to read next.

Reading lengthA shorter read240 pages in this edition
Publication eraModernFirst published or edition dated 2008
Primary categoryPhilosophyExplore similar books below
ISBN-13
978-0-2759-9710-6
Language
English
Edition record
OL10289949M
BookenDeX editorial lens

A more thoughtful way into this book

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Good to know

A comfortable full-length choice for steady daily reading.

Begin with its place in Philosophy, then notice where the book resists that label.

Try this reading approach

Read for connection, not completion.

Mark one passage that sharpens the book's central concern and one that complicates it. That tension often reveals more than a quick summary.

Three questions to carry with you

  1. What question is the author really asking beneath the book’s main argument?
  2. Which claim challenges one of your familiar assumptions?
  3. What remains unresolved—and is that uncertainty useful?

Editorial framework by Wesley Bryan, BookenDeX Founder and Editor.