Sickening
How Big Pharma Broke American Health Care and How We Can Repair It
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Narrated by:
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Kevin Stillwell
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By:
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John Abramson
About this listen
The inside story of how Big Pharma’s relentless pursuit of ever-higher profits corrupts medical knowledge—misleading doctors, misdirecting American health care, and harming our health.
The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries—yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health care professionals.
In this no-holds-barred exposé, Dr. John Abramson—one of the foremost experts on the drug industry’s deceptive tactics—combines patient stories with what he learned during many years of serving as an expert in national drug litigation to reveal the tangled web of financial interests at the heart of the dysfunction in our health-care system. For example, one of pharma’s best-kept secrets is that the peer reviewers charged with ensuring the accuracy and completeness of the clinical trial reports published in medical journals do not even have access to complete data and must rely on manufacturer-influenced summaries. Likewise for the experts who write the clinical practice guidelines that define our standards of care.
The result of years of research and privileged access to the inner workings of the U.S. medical-industrial complex, Sickening shines a light on the dark underbelly of American health care—and presents a path toward genuine reform.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2022 John Abramson (P)2022 HarperCollins PublishersListeners also enjoyed...
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Everyone should read this book.
- By Julie on 06-11-16
By: Marty Makary
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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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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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Denialism
- How Irrational Thinking Hinders Scientific Progress, Harms the Planet, and Threatens Our Lives
- By: Michael Specter
- Narrated by: Richard Poe
- Length: 8 hrs and 33 mins
- Unabridged
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New Yorker staff writer Michael Specter has twice won the Global Health Council’s Excellence in Media Award, as well as the Science Journalism Award from the American Association for the Advancement of Science. In Denialism, he fervently argues that people are turning away from new technologies and engaging in a kind of magical thinking that is hindering scientific progress.
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A compelling read
- By S on 05-17-11
By: Michael Specter
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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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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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The Future of Nutrition
- An Insider’s Look at the Science, Why We Keep Getting It Wrong, and How to Start Getting It Right
- By: T. Colin Campbell PhD
- Narrated by: Dan Woren
- Length: 11 hrs and 5 mins
- Unabridged
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Why, despite the many advances in science and technology over the past few decades, does our health only seem to be getting worse? Why, despite so much time and energy spent studying the foods we eat, are we more confused than ever about nutrition - what good nutrition looks like, and what it can do for our health? The Future of Nutrition offers a fascinating deep-dive behind the curtain of the field of nutrition - with implications both for our health and for the practice of science itself.
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His problem is the problem he has with others
- By abatista on 02-10-21
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Get What's Yours for Medicare
- Maximize Your Coverage, Minimize Your Costs
- By: Philip Moeller
- Narrated by: James Foster
- Length: 7 hrs and 27 mins
- Unabridged
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A coauthor of the New York Times bestselling guide to Social Security Get What's Yours authors an essential companion to explain Medicare, the nation's other major benefit for older Americans. Learn how to maximize your health coverage and save money.
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Very Negative and Overwhelming
- By A.C.W. on 04-08-20
By: Philip Moeller
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The Price We Pay
- What Broke American Health Care - and How to Fix It
- By: Marty Makary MD
- Narrated by: Marty Makary MD
- Length: 9 hrs and 29 mins
- Unabridged
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Overall
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Performance
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Story
One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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Very important book!
- By Wayne on 05-17-21
By: Marty Makary MD
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Sicker, Fatter, Poorer
- The Urgent Threat of Hormone-Disrupting Chemicals on Our Health and Future . . . and What We Can Do About It
- By: Leonardo Trasande MD MPP
- Narrated by: Leonardo Trasande MD MPP
- Length: 6 hrs and 44 mins
- Unabridged
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Lurking in our homes, hiding in our offices, and polluting the air we breathe is something sinister. Something we’ve turned a blind eye to for far too long. Dr. Leonardo Trasande, a pediatrician, professor, and world-renowned researcher, tells the story of how our everyday surroundings are making us sicker, fatter, and poorer. Through a blend of narrative, scientific detective work, and concrete information about the connections between chemicals and disease, he reveals what we can do to protect ourselves and our families in the short-term, and how we can help bring the change we deserve.
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The Must Read Book of 2019 is here early on Audio!
- By Ryan S on 12-21-18
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The Great Escape
- Health, Wealth, and the Origins of Inequality
- By: Angus Deaton
- Narrated by: Matthew Brenher
- Length: 12 hrs and 13 mins
- Unabridged
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The world is a better place than it used to be. People are healthier, wealthier, and live longer. Yet the escapes from destitution by so many has left gaping inequalities between people and nations. In The Great Escape, Angus Deaton - one of the foremost experts on economic development and on poverty - tells the remarkable story of how, beginning 250 years ago, some parts of the world experienced sustained progress, opening up gaps and setting the stage for today's disproportionately unequal world.
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not worth listening
- By Kyung on 04-26-20
By: Angus Deaton
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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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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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Desperate Remedies
- Psychiatry’s Turbulent Quest to Cure Mental Illness
- By: Andrew Scull
- Narrated by: Jonathan Keeble
- Length: 18 hrs and 38 mins
- Unabridged
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For more than two hundred years, disturbances of the mind—the sorts of things that were once called "madness"—have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, whose origins can be identified and from which one can be cured. But is this true? In this masterful account of America's quest to understand and treat everything from anxiety to psychosis, one of the most provocative thinkers writing about psychiatry today sheds light on its tumultuous past.
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A Great History but I Have One Big Reservation
- By Jeffrey Scot Minch on 08-02-22
By: Andrew Scull
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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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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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Where Does It Hurt?
- An Entrepreneur's Guide to Fixing Health Care
- By: Jonathan Bush, Stephen Baker
- Narrated by: Patrick Lawlor
- Length: 7 hrs and 21 mins
- Unabridged
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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
- By Steve from MD on 07-31-14
By: Jonathan Bush, and others
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Great book, but with some issues
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Not well balanced
- By Anonymous User on 02-12-18
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The Social Transformation of American Medicine
- The Rise of a Sovereign Profession and the Making of a Vast Industry
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Fascinating Survey of Healthcare in Amerixa
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Slanted
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We have reached a state of utter absurdity, where journalism schools teach students that their own personal truth or chosen narratives matter more than reality. In Slanted, Attkisson digs into the language of propagandists, the persistence of false media narratives, the driving forces behind today's dangerous blend of facts and opinion, the abandonment of journalism ethics, and the new, Orwellian definition of what it means to report the news.
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Connecting the dots
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Bad Pharma
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Medicine is broken. We like to imagine that it's based on evidence and the results of fair tests. In reality, those tests are often profoundly flawed. We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies. We like to imagine that doctors are impartially educated, when in reality much of their education is funded by industry.
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A must read for health professionals
- By zerodynamics on 03-01-13
By: Ben Goldacre
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The Price We Pay
- What Broke American Health Care - and How to Fix It
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One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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Very important book!
- By Wayne on 05-17-21
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Pharma
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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
- By Irina on 06-12-20
By: Gerald Posner
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An American Sickness
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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.
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Not well balanced
- By Anonymous User on 02-12-18
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The Social Transformation of American Medicine
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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
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Slanted
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We have reached a state of utter absurdity, where journalism schools teach students that their own personal truth or chosen narratives matter more than reality. In Slanted, Attkisson digs into the language of propagandists, the persistence of false media narratives, the driving forces behind today's dangerous blend of facts and opinion, the abandonment of journalism ethics, and the new, Orwellian definition of what it means to report the news.
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Connecting the dots
- By Amy Cox on 11-29-20
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Bad Pharma
- How Drug Companies Mislead Doctors and Harm Patients
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Medicine is broken. We like to imagine that it's based on evidence and the results of fair tests. In reality, those tests are often profoundly flawed. We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies. We like to imagine that doctors are impartially educated, when in reality much of their education is funded by industry.
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A must read for health professionals
- By zerodynamics on 03-01-13
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The Price We Pay
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Very important book!
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Mitochondria and the Future of Medicine
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In Mitochondria and the Future of Medicine, naturopathic doctor Lee Know tells the epic story of mitochondria - the widely misunderstood and often-overlooked powerhouses of our cells. The legendary saga began over two billion years ago, when one bacterium entered another without being digested, which would evolve to create the first mitochondrion. Since then, for life to exist beyond single-celled bacteria, it's the mitochondria that have been responsible for this life-giving energy.
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Fascinating
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America's Bitter Pill
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America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare.
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Great history, questionable solutions
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Anatomy of an Epidemic
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In this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Every day, 1,100 adults and children are added to the government disability rolls because they have become newly disabled by mental illness, with this epidemic spreading most rapidly among our nations children. What is going on?
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The author does not use a fair scientific approach
- By Michael on 08-15-10
By: Robert Whitaker
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Butchered by "Healthcare"
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Overall
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Performance
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Learn how big Pharma sells drugs by faking their studies. Understand the lies they stuff into websites and medical journals. Learn why it all gets ignored (hint: Pharma has the largest criminal settlements in history). Learn how to conquer healthcare costs. Medical spending per person is double that of other countries and it is the top reason for US personal bankruptcy. I will show you how to escape the over-billing and prosper anyway.
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on point
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By: Robert Yoho MD
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Bottle of Lies
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Overall
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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
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Radical Suburbs
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America’s suburbs are not the homogenous places we sometimes take them for. Today’s suburbs are racially, ethnically, and economically diverse, with as many Democratic as Republican voters, a growing population of renters, and rising poverty. The cliche of white picket fences is well past its expiration date. The history of suburbia is equally surprising: American suburbs were once fertile ground for utopian planning, communal living, socially conscious design, and integrated housing. We have forgotten that we built suburbs like these....
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When Money Dies
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Overall
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Performance
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When Money Dies is the classic history of what happens when a nations currency depreciates beyond recovery. In 1923, with its currency effectively worthless (the exchange rate in December of that year was one dollar to 4,200,000,000,000 marks), the German republic was all but reduced to a barter economy. Expensive cigars, artworks, and jewels were routinely exchanged for staples such as bread; a cinema ticket could be bought for a lump of coal; and a bottle of paraffin for a silk shirt....
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Useless details, missing the big points
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By: Adam Fergusson
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Never Pay the First Bill
- And Other Ways to Fight the Health Care System and Win
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Every year, millions of Americans are overcharged and underserved while the health-care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health-care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair and shows how you can, too.
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Comprehensive Guide To Not Getting F***d by Bills
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Malignant
- How Bad Policy and Bad Evidence Harm People with Cancer
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Each week, people read about new and exciting cancer drugs. Some of these drugs are truly transformative, offering major improvements in how long patients live or how they feel. But what is often missing from the popular narrative is that, far too often, these new drugs have marginal or minimal benefits. Some are even harmful.
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Excellent dive into the data
- By Jarod Hall on 05-29-20
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Reinventing American Health Care
- How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System
- By: Ezekiel J. Emanuel
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- Unabridged
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Performance
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Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health-care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own American story, and why reform has bedeviled presidents of the left and right for more than one hundred years.
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The book lacks integrity
- By Richard M. Shaner on 06-02-16
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Talk to Me
- How to Ask Better Questions, Get Better Answers, and Interview Anyone like a Pro
- By: Dean Nelson
- Narrated by: Michael David Axtell
- Length: 10 hrs and 9 mins
- Unabridged
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From respected journalist, professor, and founder of the Writer's Symposium by the Sea, an audiobook that demystifies the art and science of interviewing, in the vein of On Writing Well or How to Read Literature like a Professor. Nelson walks listeners through each step of the journey from deciding whom to interview and structuring questions, to the nitty-gritty of how to use a recording device and effective note-taking strategies, to the ethical dilemmas of interviewing people you love (and loathe).
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Not just for journalist;great for Salespeople also
- By Eric D. Knowles on 03-28-19
By: Dean Nelson
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How We Change
- (And Ten Reasons Why We Don't)
- By: Ross Ellenhorn
- Narrated by: Nathan Agin
- Length: 11 hrs and 9 mins
- Unabridged
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Overall
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Performance
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Story
We all have something we want to change about ourselves. But whether it's quitting smoking, losing weight, or breaking some common bad habit or negative behavior pattern, we feel a sense of failure when we don’t succeed. This often sets off a cascade of negative feelings and discouragement, making it even harder to change. The voice in our head tells us: Why bother.
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Amazing! A must listen
- By greygreen on 03-26-21
By: Ross Ellenhorn
What listeners say about Sickening
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- Nuke
- 07-03-24
Exposing the troubles with big pharma!
Like the exposure of the dishonest testing and advertising by the pharmaceutical industry. Disappointed in the author's praise of the vaccines, masking and social distancing all of which have been shown to be ineffective and unnecessary. He also seems to be a fan of Fauci who is the tip of the spear of this whole pharma debacle.
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- Bobby the G
- 05-23-22
Must Read or Listen!
This is an eye-opening and shocking read! I have been working as an RN for years sacrificing for others, but also have a family with medical needs, and this just blows my mind. That the sources I have come to rely on for information are commercially compromised makes sense when always stuck at the endpoint of “how is this patient going to ever be able to afford this?”. And when you look at the rationale for cost, is it in short supply? No. Is it hard to manufacture and transport? Does not seem to be as it is on your television screen every other hour which is something you don’t do if you have core issues. It’s just a blatant bullying of people who need truth not robbery. Wow. Spelled out very clearly and the book takes you through a systemic injustice step by step that leaves you wondering how many other things might be misled in this current capitalist state. Scary.
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- Robert Adams
- 05-11-24
The deep truth of Bad Drugs
I appreciated the truth and the insight into this health crisis in America. I also appreciated the understanding of how Congress and the executive branch of government have been co-opted by big Pharma. I especially appreciate his solutions.
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- Tonja D. Hammel
- 04-05-22
Unfettered Capitalism Wins Again
I was unable to stop once I'd started this title. Enjoyed doesn't seem to be the appropriate term for the book but I am grateful to author for writing it. I learned a great deal. I must be naive because while I'm aware that there are shady business practices, the scale of big pharma's transgressions continue to flabbergast me. The author addresses very specific & deliberate incidents where pharma & peer reviewed medical journals presented treatments and information with profits being the only motivating factor. In recent years I've begun to fact check everything. I frequently use the medical journals as a resource and I now realize I cannot even rely on them. I do not understand how anyone can think the system as is with big business, lobbyists, political donations, PACs and the ultra rich holding most of the power is a good thing. Profit at any cost should not be what motivates our society. Back to the book; despite being an RN I was unaware of the neurontin/gabapentin research. I've been on this med for almost 20 years. I am going to see my Dr and discuss removing it from my repertoire. This book is important and I hope it gets people's attention. The cynic in me doubts it though.
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- O. Brown
- 11-26-23
No big surprise
I liked this book. If you are interested in this topic, there will be no surprises here. But that doesn't make any of it less disgusting. I liked how he used case studies of various drugs to make his points. I'm sure his publisher pushed the solutions section. I'm not sure how realistic they are but at least there are some ideas. Basically, big medicine and big pharma have made us extremely unhealthy and it's not getting better.
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- laserpro
- 07-31-22
Finally some real insight
It is disheartening to get the evidence of what our guidelines and practice insights are based on. As physicians we try to do the best for our patients, obviously big pharma has another idea. Over the years I have taken many women off of statins for lack of evidence of benefit in primary prevention at the risk of upsetting my referral source, but right is right.
Glad this book agrees, hopefully someone has the guts and political will power to stop having big pharma make us sick. Great book, excellent read for all physicians and patients.
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- Amazon Customer in Sanford NC
- 12-26-23
Public beware of the direction of our healthcare
I really appreciated the authors, knowledge and appreciation of healthcare in the United States and the direction in which it is being propelled rapidly by big Pharma, big insurance, etc. This book is eye-opening. I really wish that some of this material would be available to the public, and that they would open their eyes and not merely be led by Mainstream media who is largely not completely subsidized by big Pharma, etc. I knew much of the problems that he discussed but again wish that more people were aware of what big business is doing to our healthcare. We have fallen from one of the best and healthiest countries in the world to not now even in the top 50.
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- Lori Bundy
- 09-26-24
Very informative
This was a very eye-opening book, giving a lot of details and names are certainly pharmaceuticals and the companies that make them. I already had suspicions about all the stuff now there’s a lot of proof. It’s sad.
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- Gigi
- 02-26-24
Very Important Information!
Every healthcare worker should read this book. Every patient should read this book. This level of capitalism does not work unless we educate ourselves.
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- Sinustrunz
- 10-04-23
Eye opening
For those who aren’t familiar with the inner workings of the pharmaceutical, medical, and insurance business in this country, this book is very much worth the read to understand that these companies do not have the best interest for the public’s health.
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