Readership: Medical professionals, both practising and in training, healthcare management consultants and other experts, health system executives and managers, politicians, other policy-makers and think-tanks, pharmaceutical and other
life science business executives.
Richard has spent most of his career in healthcare, as a leader of organisations, as a board member and as a consultant. His leadership roles have spanned therapeutics, diagnostics and informatics both in the United States and in Europe. He was recently voted as one of the top 50 most influential people in UK healthcare and he sits on several healthcare and life sciences advisory boards on both sides of the Atlantic. His passions include securing a sustainable future for healthcare and redesigning how new medical technology is brought into practice. He now lives in London but is a frequent visitor to the US, where he spent 11 years working in Boston, New Haven, New York and San
"Making care truly personal, redesigning how we deliver it, and creating incentives to progressively improve outcomes and productivity are at the heart of what we need to do. And it will be obvious from this list that only the overall framework can be established by government the rest is up to health system managers, medical professionals and all of us as patients." - SCOPE
"The book reads with ease. The chapters are focused and the subject well-described. I liked the breakdown of the chapters in small parts, well and clearly titled. This helps to maintain the attention on a subject that can be rather dry...A thorough and very helpful overview of the impact that globalisation is having on the struggle countries face in their
efforts (or lack of them) to try to manage the effects of drinking alcohol in their population and the impact on the publlc health of their nations...I can see myself referring back to this book again and again in future as I assess my personal role in the health sector and engage colleagues and patients in the debate to determine what will be the best option(s) for the future." - BMA Med Book & Patient Info
"An accessible and comprehensive snapshot of the complex healthcare environment with which policy makers wrestle...A must read for those who want to be part of solutions to get best treatments to the most people and allow us all to benefit from one of the most remarkably exciting fields of human activity...understanding and fixing ourselves." -
Andrew Witty, Chief Executive GlaxoSmithKline
"This book is a must for healthcare leaders on both sides of the Atlantic. It grapples with the big question of how we can afford the future." - Ken Jennings, Consultant to leading US health systems
"The next 20 years will see huge strides in how medical science could transform our lives. This book not only describes what will be possible but also whether and how we can afford it." - Professor George Poste, Del E. Webb Chair in Health Innovation, Arizona State University
"A very engaging and enjoyable read, covering a colossal amount of ground without feeling stretched...translating the more upstream science into practical implications for the general public. A
great primer on the health future - for both the health-informed and those coming to such thoughts for the first time." - Sam Lister, Health Editor, London Times
"The author is to be congratulated: a well-rounded synopsis of the "present to the future" situation in healthcare...skillfully balancing the transition from basic to applied science, to healthcare and to potential political and economic solutions." - Professor Sir Alasdair Breckenridge, Chairman, UK Medicines and Healthcare Products Regulatory Agency
"This book offers a penetrating analysis of the underlying problems, and offers some simple, but far-reaching solutions to bring supply and demand back into balance and avoid the meltdown. It is not a contribution to the current
political debate but a primer for the changes to the underlying fabric of healthcare if reforms such as "Obamacare" have any chance of sustainable success." - Gorilla
"The book goes where few go, and that is to compare issues in the U.S. and U.K. and note how some issues such as need for redesign are similar even though the healthcare payment or insurance models are different." - Doody's Reviews
"Barker's book is a brief and excellent primer on current and possible future trends in medical care. His readable prose captures and synthesizes well the current thinking on how to deal with costs associated with medical advancement." - Health Affairs
Introduction and summary
1: The supply of new medicine - unlimited?
2: The demand for healthcare - insatiable?
3: The meltdown - unavoidable?
4: Taking responsibility - a 20 year healthcare agenda
5: Conclusion - the US, the UK and the middle way