
An American Sickness
How Healthcare Became Big Business and How You Can Take It Back
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Narrado por:
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Nancy Linari
Acerca de esta escucha
Award-winning New York Times reporter Dr. Elisabeth Rosenthal reveals the dangerous, expensive, and dysfunctional American health-care system and tells us exactly what we can do to solve its myriad of problems.
It is well documented that our health-care system has grave problems, but how, in only a matter of decades, did things get this bad? Dr. Elisabeth Rosenthal doesn't just explain the symptoms; she diagnoses and treats the disease itself. Rosenthal spells out in clear and practical terms exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship, explaining step by step the workings of a profession sorely lacking transparency. This is about what we can do, as individual patients, both to navigate a byzantine system and also to demand far-reaching reform.
Breaking down the monolithic business into its individual industries - the hospitals, doctors, insurance companies, drug manufacturers - that together constitute our health-care system, Rosenthal tells the story of the history of American medicine as never before. The situation is far worse than we think, and it has become like that much more recently than we realize. Hospitals, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Americans are dying from routine medical conditions when affordable and straightforward solutions exist.
Dr. Rosenthal explains for the first time how various social and financial incentives have encouraged a disastrous and immoral system to spring up organically in a shockingly short span of time. The system is in tatters, but we can fight back. An American Sickness is the frontline defense against a health-care system that no longer has our well-being at heart.
©2017 Elisabeth Rosenthal (P)2017 Penguin AudioLos oyentes también disfrutaron...
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Reseñas de la Crítica
"An eye opening discussion ... [An] important book.... Rosenthal told an interviewer her goal was to 'start a very loud conversation' that will be 'difficult politically to ignore.' We need such a conversation - not just about how the market fails, but about how we can change the political realities that stand in the way of fixing it.” (The New York Times Book Review)
“In this in-depth analysis of a malfunctioning system, Rosenthal makes a compelling case against the hospital and pharmaceutical executives behind the 'money chase,' and it’s hard to imagine a more educated, credible guide...The patients she interviewed share mind-boggling stories...She builds her case with one damning statistic after another...Rosenthal presents solutions both personal and societal in this commanding and necessary call to arms.” (Booklist [starred])
"Provocatively analyzes...Rosenthal unveils with surgical precision the 'dysfunctional medical market'...a startling cascade.” (Publishers Weekly [starred review])
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Historia
Considered the definitive history of the American healthcare system, The Social Transformation of American Medicine examines how the roles of doctors, hospitals, health plans, and government programs have evolved over the last two and a half centuries. Updated with a new preface and an epilogue analyzing developments since the early 1980s, this new edition is a must-listen for anyone concerned about the future of our fraught healthcare system.
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Fascinating Survey of Healthcare in Amerixa
- De Rob en 06-24-19
De: Paul Starr
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Pharma
- Greed, Lies, and the Poisoning of America
- De: Gerald Posner
- Narrado por: Jacques Roy
- Duración: 22 h y 55 m
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Pharmaceutical breakthroughs such as antibiotics and vaccines rank among some of the greatest advancements in human history. Yet, exorbitant prices for life-saving drugs, safety recalls affecting tens of millions of Americans, and soaring rates of addiction and overdose on prescription opioids have caused many to lose faith in drug companies. Now, Americans are demanding a national reckoning with a monolithic industry.
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Great book, but with some issues
- De Irina en 06-12-20
De: Gerald Posner
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Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
- De: Marty Makary
- Narrado por: Robertson Dean
- Duración: 7 h y 16 m
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Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's best-selling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last 10 years, neither error rates nor costs have come down, despite scientific progress.
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Everyone should read this book.
- De Julie en 06-11-16
De: Marty Makary
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Bottle of Lies
- The Inside Story of the Generic Drug Boom
- De: Katherine Eban
- Narrado por: Katherine Eban
- Duración: 14 h y 26 m
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From an award-winning Fortune reporter, an explosive narrative investigation of the generic drug boom that reveals the life-threatening dangers posed by globalization - The Jungle for pharmaceuticals.
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overbearing self-righteous indignation
- De VB en 01-13-20
De: Katherine Eban
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Delay Deny Defend
- Why Insurance Companies Don’t Pay Claims and What You Can Do About It
- De: Jay M. Feinman
- Narrado por: Pat Grimes
- Duración: 8 h y 59 m
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The denial of valid insurance claims is not occasional or accidental or the fault of a few bad employees. It's the result of an increasing and systematic focus on maximizing profits by major companies such as Allstate and State Farm. Citing dozens of stories of victims who were unfairly denied payment, the book explains how people can be more careful when shopping for policies and what to do when pursuing a disputed claim. It also lays out a plan for the legal reforms needed to prevent future abuses.
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prolonged and dry
- De Robert Katuna en 05-20-25
De: Jay M. Feinman
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The Innovator's Prescription
- A Disruptive Solution for Health Care
- De: Clayton M. Christensen, Jerome H. Grossman, Jason Hwang
- Narrado por: Scott Pollak
- Duración: 13 h y 34 m
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Our health-care system is in critical condition. The Affordable Care Act has insured more Americans than ever, yet deductibles keep rising and costs continue to climb. Now more than ever, the industry needs a shot in the arm. It needs The Innovator's Prescription, the now-classic approach to efficient, affordable health care.
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Confused on the publishing date.
- De Anonymous User en 01-29-25
De: Clayton M. Christensen, y otros
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We've Got You Covered
- Rebooting American Health Care
- De: Liran Einav, Amy Finkelstein
- Narrado por: Susan Bennett
- Duración: 7 h y 20 m
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Few of us need convincing that the American health insurance system needs reform. But many of the existing proposals focus on expanding one relatively successful piece of the system or building in piecemeal additions. These proposals miss the point. As the Stanford health economist Liran Einav and the MIT economist and MacArthur Genius Amy Finkelstein argue, our health care system was never deliberately designed, but rather pieced together to deal with issues as they became politically relevant.
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real solutions to our healthcare system
- De kris p. en 03-26-24
De: Liran Einav, y otros
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Better
- A Surgeon's Notes on Performance
- De: Atul Gawande
- Narrado por: John Bedford Lloyd
- Duración: 7 h y 34 m
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The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
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A MUST read . . .
- De Kathy in CA en 08-11-14
De: Atul Gawande
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Dopesick
- De: Beth Macy
- Narrado por: Beth Macy
- Duración: 10 h y 16 m
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In this extraordinary work, Beth Macy takes us into the epicenter of a national drama that has unfolded over two decades. From the labs and marketing departments of big pharma to local doctor's offices; wealthy suburbs to distressed small communities in Central Appalachia; from distant cities to once-idyllic farm towns; the spread of opioid addiction follows a tortuous trajectory that illustrates how this crisis has persisted for so long and become so firmly entrenched.
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Useful, but recommend Dreamland instead
- De Sarah en 08-27-18
De: Beth Macy
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Blind Spots
- When Medicine Gets It Wrong, and What It Means for Our Health
- De: Marty Makary MD
- Narrado por: Marty Makary MD
- Duración: 10 h y 24 m
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In Blind Spots, Dr. Makary explores the latest research on critical topics ranging from the microbiome to childbirth to nutrition and longevity and more, revealing the biggest blind spots of modern medicine and tackling the most urgent yet unsung issues in our $4.5 trillion health care ecosystem. The path to medical mishaps can be absurd, entertaining, and jaw-dropping—but the truth is essential to our health.
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Outstanding and arguably daring
- De Scott J. Jones MD en 10-08-24
De: Marty Makary MD
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Empire of AI
- Dreams and Nightmares in Sam Altman's OpenAI
- De: Karen Hao
- Narrado por: Karen Hao
- Duración: 17 h y 50 m
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When AI expert and investigative journalist Karen Hao first began covering OpenAI in 2019, she thought they were the good guys. Founded as a nonprofit with safety enshrined as its core mission, the organization was meant, its leader Sam Altman told us, to act as a check against more purely mercantile, and potentially dangerous, forces. What could go wrong?
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Large focus on individuals' perceived social issues
- De Alice Thompson en 05-28-25
De: Karen Hao
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Being Mortal
- Medicine and What Matters in the End
- De: Atul Gawande
- Narrado por: Robert Petkoff
- Duración: 9 h y 3 m
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In Being Mortal, best-selling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending. Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit.
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A Walk through the Valley of the Shadow
- De George en 11-02-14
De: Atul Gawande
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Manufacturing Consent
- The Political Economy of the Mass Media
- De: Edward S. Herman, Noam Chomsky
- Narrado por: John Pruden
- Duración: 15 h y 24 m
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In this pathbreaking work, now with a new introduction, Edward S. Herman and Noam Chomsky show that, contrary to the usual image of the news media as cantankerous, obstinate, and ubiquitous in their search for truth and defense of justice, in their actual practice they defend the economic, social, and political agendas of the privileged groups that dominate domestic society, the state, and the global order.
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Eye opening
- De EFM en 03-24-18
De: Edward S. Herman, y otros
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Money, Lies, and God
- Inside the Movement to Destroy American Democracy
- De: Katherine Stewart
- Narrado por: Patricia Rodriguez
- Duración: 11 h y 36 m
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Why have so many Americans turned against democracy? In this deeply reported book, Katherine Stewart takes us to conferences of conspiracy-mongers, backroom strategy gatherings, and services at extremist churches, and profiles the people who want to tear it all down.
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Describes a well funded international fascist cult
- De marwalk en 03-24-25
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The Emperor of All Maladies
- A Biography of Cancer
- De: Siddhartha Mukherjee
- Narrado por: Fred Sanders
- Duración: 22 h y 18 m
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The Emperor of All Maladies reveals the many faces of an iconic, shape-shifting disease that is the defining plague of our generation. The story of cancer is a story of human ingenuity, resilience, and perseverance but also of hubris, arrogance, paternalism, and misperception, all leveraged against a disease that, just three decades ago, was thought to be easily vanquished in an all-out "war against cancer".
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Incredible
- De S.R.E. en 03-02-16
Outstanding summary of our current healthcare situation
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learned a lot!
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Information packed
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Good book. Sickening details.
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A true call to arms against financial abuses
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My favorite book of 2017
Brilliant and enticing
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it's beyond comprehensible that a system like this is allowed to exist
i'm especially disgusted with so many beyond greedy doctors for whom the Hippocrates Oath is clearly a massive joke
i cannot believe that people in the states actually agree to put up with that
my family and i live in Israel and the health-care system here is incredible compared to the one in the USA
i'm beyond disgusted!!!!!!!!
must read, utterly disgusting
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People need to practice preventive health and eat responsibly because NO one can afford chronic care. Very very sad.
SICK Healthcare
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A MUST Read
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Give how much good information is in this book - I did feel there as a major hole in that it was kind of one sided. When I spoke about some of the ideas in this book with some healthcare leaders I work with, they had some things to say that provided a different perspective. So just keep that in mind when reading.
A Fascinating Must Read - Is it Onesided?
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