American Health Care

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.

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.

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.

Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States more than $11,000 for each person in the country each year - more than double what it costs in most Western European countries to deliver equal or even better care.

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.

In 2007, David Goldhill’s father died from infections acquired in a hospital - one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous - and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness - and how a business that failed so miserably could be paid in full.

Popular progressive radio host and New York Times best-selling author Thom Hartmann reveals how and why attempts to establish affordable universal healthcare in the United States have been thwarted and what we can do to finally make it a reality.

There's an unspoken assumption when we go to see a doctor: the doctor knows our medical story and is making decisions based on that story. But reality often falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer's whims. In this gripping narrative from medicine's front lines, Ilana Yurkiewicz reveals how a system that doesn't talk to itself puts insupportable burdens on physicians, patients, and caregivers.

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.

David M. Craig traveled across the US to assess its health care access, delivery, and finance. He interviewed religious hospital administrators and interfaith activists, learning how they balance the values of economic efficiency and community accountability. He discovered that health care in the US is not a private good or a public good, but a shared social good. This book argues that as escalating health costs absorb more and more of family income and government budgets, we need to take stock of the full range of health care values.

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.

In Dying to Save You, Dr. William Queale takes you behind the scenes of our sickcare system. He uses deeply personal stories to explain how we got here and how systems thinking can get us out. But Dying to Save You isn’t just about medicine, science, and healthcare policy. This book is about you—and how you can stay out of the sickcare system altogether.

The American health insurance system is anything but simple to maneuver. Health plan enrollees become entangled in an intricate and opaque maze of confusion, often resulting in frustration, regret, and deep debt. Health plan and health care technology veteran Marc S. Ryan seeks to demystify the US health care system, helping Americans become wiser consumers and allowing them to navigate the maze with more confidence and certainty. Using his decades of experience, Marc outlines a bipartisan blueprint to transform America’s unique system without upending the employer-based system.

Lloyd I. Sederer, MD, recounts the unfettered story of how McLean survived impending closure or sale to once again prosper and regain its international stature as the hospital where you would want a loved one to be treated for a psychiatric or substance use disorder.

The American health-care system is failing us. It is a frustratingly complex, opaque, and unaffordable system that results in suboptimal care and a deterioration of the welfare of the majority of American families. The experience of the past few decades and the recent ravaging pandemic has shown us that doing more of the same is not going to deliver us from this dilemma. But there is hope. There is a way to create a more accessible, consumer-friendly, safer, and affordable system of care for all of us.

Physicians enter their professions with the highest of hopes and ideals for compassionate and efficient patient care. Along the way, however, recurring problems arise in their interactions with some patients that lead physicians to label them as "difficult." Some studies indicate that physicians identify 15 percent or more of their patients as "difficult." The negative feelings that physicians have toward these patients may lead to frustration, cynicism, and burnout.

America's leaders say the economy is strong and getting stronger. But the safety net that once protected us is fast unraveling. With retirement plans in growing jeopardy while health coverage erodes, more and more economic risk is shifting from government and business onto the fragile shoulders of the American family. In The Great Risk Shift, Jacob S. Hacker lays bare this unsettling new economic climate, showing how it has come about, what it is doing to our families, and how we can fight back.

Health disparities have remained stubbornly entrenched in the American health care system - and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients.

Living with a chronic, progressive neurological disease (MS), a geologist explores some of the confounding questions of our time. The difference between wellness and illness, the different, but complementary roles modern science and alternative traditions like naturopathy play in healing, the potholed approach to accessibility and affordability of health care in our great country, the role of resilience and opportunity in answering the time honored question each of us ask: "Just who am I?"

Tens of thousands of Americans die each year from treatable illness merely because they can’t afford medical care. How did we reach this shameful state? You’ll be shocked to find out not only who’s to blame, but more importantly, how easy the solution can be. In this riveting book, Dr. Joseph Jarvis, MD, examines how our nation’s focus has radically shifted from the disease to the dollar. With unforgettable stories drawn from Dr. Jarvis’s 30-plus years in the medical profession, he gets you thinking about health-care reform in a big way