RT Book, Section A1 Bodenheimer, Thomas A1 Grumbach, Kevin SR Print(0) ID 1171158401 T1 How Health Care Is Organized—I: Primary, Secondary, and Tertiary Care T2 Understanding Health Policy: A Clinical Approach, 8e YR 2020 FD 2020 PB McGraw Hill PP New York, NY SN 9781260454260 LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1171158401 RD 2024/11/12 AB In 1989, Frank Hope developed Acquired Immune Deficiency Syndrome (AIDS) and was in and out of the hospital with debilitating infections. Yet he remained hopeful that a scientific breakthrough would give him a chance. By 1995, with the discovery of life-saving protease inhibitors, his wish had come true. In Frank’s mind, these types of scientific discoveries attest to the wonders of the US health care system. Frank’s grandson attends a day care program. Ruby, a 3-year-old girl in the program, was recently hospitalized for a severe asthma attack complicated by pneumococcal pneumonia. She spent 2 weeks in a pediatric intensive care unit, including several days on a respirator. Ruby’s mother works full time as a bus driver while raising three children. She has comprehensive private health insurance through her job but finds it difficult to keep track of all her children’s immunization schedules and to find a physician’s office that offers convenient appointment times. She takes Ruby to an evening-hours urgent care center when Ruby has some wheezing but never sees the same physician twice. Ruby never received all her pneumococcal vaccinations or consistent prescription of a steroid inhaler to prevent a severe asthma attack. Ruby’s mother blames herself for her child’s hospitalization.