An American Sickness
How Healthcare Became Big Business and How You Can Take It Back
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Narrated by:
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Nancy Linari
About this listen
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 AudioListeners also enjoyed...
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Critic reviews
"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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Offering examples of how to make medicine better for the healers and those they serve, If I Betray These Words profiles clinicians across the country who are tough, resourceful, and resilient, but feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system. If I Betray These Words confronts the threat and broken promises of moral injury—what it is; where it comes from; how it manifests; and who’s fighting back against it. We need better healthcare—for patients and for the workforce. It’s time to act.
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Dust bowl
- By Doc on 04-12-23
By: Wendy Dean, and others
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The Social Transformation of American Medicine
- The Rise of a Sovereign Profession and the Making of a Vast Industry
- By: Paul Starr
- Narrated by: Sean Runnette
- Length: 24 hrs and 5 mins
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Performance
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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
- By Rob on 06-24-19
By: Paul Starr
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American Overdose
- The Opioid Tragedy in Three Acts
- By: Chris McGreal
- Narrated by: Dan Woren
- Length: 11 hrs and 55 mins
- Unabridged
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The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs but the corrupting of medicine and public institutions that let the opioid makers get away with it.
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An important read
- By Macmom4 on 02-18-19
By: Chris McGreal
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Super Crunchers
- Why Thinking-by-Numbers Is the New Way to Be Smart
- By: Ian Ayres
- Narrated by: Michael Kramer
- Length: 7 hrs and 34 mins
- Unabridged
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Performance
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Today, number crunching affects your life in ways you might never imagine. In this lively and groundbreaking new audiobook, economist Ian Ayres shows how today's best and brightest organizations are analyzing massive databases at lightening speed to provide greater insights into human behavior. They are the Super Crunchers.
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Great book on
- By Jon on 01-31-08
By: Ian Ayres
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Teeth
- The Story of Beauty, Inequality, and the Struggle for Oral Health in America
- By: Mary Otto
- Narrated by: Suehyla El'Attar
- Length: 9 hrs and 37 mins
- Unabridged
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Overall
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Performance
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Teeth takes listeners on a disturbing journey into America's silent epidemic of oral disease, exposing the hidden connections between tooth decay and stunted job prospects, low educational achievement, social mobility, and the troubling state of our public health.
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Content everyone should know; dismal narration
- By Elaine on 08-04-17
By: Mary Otto
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Deadly Spin
- An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans
- By: Wendell Potter
- Narrated by: Patrick Lawlor
- Length: 9 hrs and 17 mins
- Unabridged
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Overall
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Performance
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In June 2009, Wendell Potter made national headlines with his scorching testimony before the Senate panel on health care reform. This former senior vice president of CIGNA explained how health insurers make promises they have no intention of keeping, how they flout regulations designed to protect consumers, and how they skew political debate with multibillion-dollar public relations campaigns designed to spread disinformation.
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Must Read
- By Randy on 01-11-11
By: Wendell Potter
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Overall
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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The Antidote
- Inside the World of New Pharma
- By: Barry Werth
- Narrated by: Sean Pratt
- Length: 16 hrs and 27 mins
- Unabridged
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Performance
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In 1989, the charismatic Joshua Boger left Merck, then America's most admired business, to found a drug company that would challenge industry giants and transform health care. Barry Werth described the company's tumultuous early days during the AIDS crisis in The Billion-Dollar Molecule, a celebrated classic of science and business journalism. Now he returns to tell a riveting story of Vertex's bold endurance and eventual success.
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For me this was not interesting
- By Yan on 06-26-17
By: Barry Werth
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The HPV Vaccine on Trial
- Seeking Justice for a Generation Betrayed
- By: Mary Holland, Kim Mack Rosenberg, Eileen Iorio
- Narrated by: Caroline Slaughter
- Length: 13 hrs and 41 mins
- Unabridged
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Overall
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Performance
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Cancer strikes fear in people’s hearts around globe. So the appearance of a vaccine to prevent cancer - as we are assured the human papillomavirus (HPV) vaccine will - seemed like a game-changer. Since 2006, over 80 countries have approved the vaccine, with glowing endorsements from the world’s foremost medical authorities. Bringing in over $2.5 billion in annual sales, the HPV vaccine is a pharmaceutical juggernaut. Yet scandal now engulfs it worldwide. The HPV Vaccine on Trial is a shocking tale, chronicling the global efforts to sell and compel this alleged miracle.
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Outstanding Investigative Book!
- By Barbara Loeppke on 10-02-19
By: Mary Holland, and others
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Phishing for Phools
- The Economics of Manipulation and Deception
- By: George A. Akerlof, Robert J. Shiller
- Narrated by: Bronson Pinchot
- Length: 7 hrs and 11 mins
- Unabridged
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Overall
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Ever since Adam Smith, the central teaching of economics has been that free markets provide us with material well-being, as if by an invisible hand. In Phishing for Phools, Nobel Prize-winning economists George Akerlof and Robert Shiller deliver a fundamental challenge to this insight, arguing that markets harm as well as help us. As long as there is profit to be made, sellers will systematically exploit our psychological weaknesses and our ignorance through manipulation and deception.
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Useful for a certain audience, but ...
- By Philo on 02-29-16
By: George A. Akerlof, and others
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Less Medicine, More Health
- 7 Assumptions That Drive Too Much Medical Care
- By: H. Gilbert Welch
- Narrated by: L. J. Ganser
- Length: 8 hrs and 18 mins
- Unabridged
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Overall
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Performance
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Story
The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated - and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
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The truth will set you free
- By Rene B Milner on 04-01-16
By: H. Gilbert Welch
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Influenza
- The Hundred-Year Hunt to Cure the 1918 Spanish Flu Pandemic
- By: Dr. Jeremy Brown
- Narrated by: Holter Graham
- Length: 6 hrs and 28 mins
- Unabridged
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Overall
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Performance
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Story
On the 100th anniversary of the devastating pandemic of 1918, Jeremy Brown, a veteran ER doctor, explores the troubling, terrifying, and complex history of the flu virus, from the origins of the Great Flu that killed millions, to vexing questions such as: are we prepared for the next epidemic, should you get a flu shot, and how close are we to finding a cure?
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Important read
- By Kathryn C. on 12-21-18
By: Dr. Jeremy Brown
-
Handbook for a Post-Roe America
- By: Robin Marty
- Narrated by: Charon Normand-Widmer
- Length: 5 hrs and 27 mins
- Unabridged
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Overall
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Performance
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Story
This comprehensive manual for understanding and preparing for the looming changes to reproductive rights law explains how to get the healthcare you need - by any means necessary. Activist and writer Robin Marty guides listeners through various worst-case scenarios of a post-Roe America and offers ways to fight back, including how to acquire financial support, how to use existing networks and create new ones, and how to, when required, work outside existing legal systems.
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Old Version
- By Paige Clarkson on 01-26-23
By: Robin Marty
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Everyone should read this book.
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Six decades ago, visionary doctors achieved the impossible: the humble kidney, acknowledged since ancient times to be as essential to life as the heart, became the first human organ to be successfully replaced with a machine. Yet huge dialysis corporations, ambitious doctor-entrepreneurs, and Beltway lobbyists soon turned this medical miracle into an early experiment in for-profit medicine—and one of the nation's worst healthcare catastrophes.
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NME - The McDonald’izing of healthcare
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Dated but still relevant
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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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Reframing Healthcare: A Roadmap for Creating Disruptive Change
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Dr. Zeev Neuwirth wrote Reframing Healthcare for leaders and organizations interested in understanding what the disrupters in healthcare are doing and, more to the point, for those who want to be the disrupters rather than the disrupted. This audiobook is a step-by-step guide for leadership teams that are intent on improving healthcare at an accelerated pace. It’s written for healthcare organizations that wish to thrive in a customer-centric, community-oriented, value-based healthcare system.
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How has the United States, with more resources than any nation, developed a healthcare system that delivers much poorer results, at near double the cost of any other developed country - such that legendary seer Warren Buffett calls the Medical Industrial Complex "the tapeworm of American economic competitiveness"?
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Which Country Has the World's Best Health Care?
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The US spends more than any other nation, nearly four trillion dollars, on health care. Yet, for all that expense, the US is not ranked number one - not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles 11 of the world's health-care systems in pursuit of the best or at least where excellence can be found.
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The Hidden History of the Supreme Court and the Betrayal of America
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Taking his typically in-depth, historically informed view, Thom Hartmann asks: What if the Supreme Court didn't have the power to strike down laws? According to the Constitution, it doesn't. From the founding of the republic until 1803, the Supreme Court was the final court of appeals, as it was always meant to be. So where did the concept of judicial review start? As so much of modern American history, it began with the battle between the Federalists and Anti-Federalists, and with Marbury v. Madison.
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A must read to understand why voting is essential.
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Bottle of Lies
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overbearing self-righteous indignation
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Where Does It Hurt?
- An Entrepreneur's Guide to Fixing Health Care
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A bold new remedy for the sprawling and wasteful health care industry. In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices.
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No critical thinking
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Blue Collar, Blue Scrubs
- The Making of a Surgeon
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- Narrated by: John Pruden
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In his acclaimed first memoir, Hot Lights, Cold Steel, Collins wrote passionately about his four-year surgical residency at the prestigious Mayo Clinic. Blue Collar, Blue Scrubs turns back the clock, taking listeners from his days as a construction worker to his entry into medical school, expertly infusing his journey to become a doctor with humanity, compassion, and humor.
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Another great one!
- By August Wells on 09-16-19
What listeners say about An American Sickness
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- R & R
- 04-13-17
Outstanding summary of our current healthcare situation
A must read for every American to better understand the issues stakeholders and patients face, how we got to this current situation, and why politicians are in a standoff over a solution that will work to keep cost down while providing high quality patient care. Very timely and a much needed release.
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7 people found this helpful
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- Michael Bates
- 07-02-17
learned a lot!
great book, I haven't read anything like it before. definitely recommend to anyone looking to understand the healthcare system better.
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1 person found this helpful
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- Meghan Herger
- 05-31-17
Information packed
An enlightening investigation into healthcare practices for both healthcare consumers and healthcare providers. As a person who wears both of these hats I found this book informative and also angering as healthcare has become more about profit than quality care. It is not light reading and it's focus is heavily on what is wrong with the current state of healthcare (and offers advice on how to better it personally and nationally). Highly recommended read for healthcare consumers and professionals.
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1 person found this helpful
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- User
- 06-06-19
Good book. Sickening details.
This book covers everything from humble beginnings to the nightmare we have today. Brutal real-life examples and ways to possibly fix this are included. You may want to listen to this if you are considering moving to the US from a country with a more cost-effective healthcare system. Every chapter felt like I was listening to what a different layer of hell is like. very well written overall and good research and sources. If every American read this book, there would be protests.
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Performance
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- Fabrício
- 05-26-17
A true call to arms against financial abuses
Throughly and masterfully illustrated with recent, ongoing, real life examples of the abuses of the many players in the health care business, this work is an outright unashamed call to arms for us, patients, or consumers, to insurge against every touchable corner of the health care system, its perverse incentives, and its inefficiencies. A well crafted journalistic work from Rosenthal.
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- Nicole
- 11-20-17
Brilliant and enticing
I wish this book was required reading for all college students entering into health care fields. It’s full of wisdom and written in such a way that I felt like I was reading a top selling novel. The system is so corrupt but this book takes the reader to the first step: awareness of the problem.
My favorite book of 2017
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- Marko Vukosavovic
- 10-15-17
must read, utterly disgusting
i am absolutely disgusted with what i have read in this book
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!!!!!!!!
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- Eileen Giardina
- 08-18-18
SICK Healthcare
I have worked in the health care industry for 50 years. Dr. Rosenthal has nailed it. Monies spent for health care are directed to make CEOs and mega insurance carriers and hospitals. Why would anyone want to become a doctor, Nurse Practitioner, etc.
People need to practice preventive health and eat responsibly because NO one can afford chronic care. Very very sad.
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- Eric Collson
- 07-27-19
A MUST Read
This book truly unwraps the complex and sometimes corrupt financial world of health care. I recommend this book to every person whether medical or not.
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- John Fortune
- 08-01-17
A Fascinating Must Read - Is it Onesided?
So much good and fascinating information in this book. I find it to be a must read for almost anyone over 30. We has patients need to be extremely diligent by taking as much control over our healthcare as possible and reasonable. It is not like the good old days when you just trusted everything the hospital and doctor told you and did to you.
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.
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8 people found this helpful