Health Care Administration

The slow violence being inflicted on our environment—through everything from carbon emissions to plastic pollution—also represents an impending public health catastrophe. Yet standard health care practices are more concerned with short-term outcomes than long-term sustainability. Every resource used to deliver medical care, from IV tubes to antibiotics to electricity, has a significant environmental impact. This raises an urgent ethical dilemma: in striving to improve the health outcomes of individual patients, are we damaging human health on a global scale?

Hardly anyone is happy with American health care these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional health care system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine.

As we grapple with the world's worst pandemic for a century, our minds are on our health more than ever. But what should we rightfully expect of doctors? In this original and thought-provoking book, Sir David Haslam explores what good healthcare should achieve and asks how we pay for it. Informed by patient stories and data from across the world—from US big pharma to Britain's NHS—this is an urgent and often moving examination of our most important asset: our health.

Technological innovation is deeply woven into the fabric of American culture, and is no less a basic feature of American health care. Medical technology saves lives and relieves suffering, and is enormously popular with the public, profitable for doctors, and a source of great wealth for industry. Yet its costs are rising at a dangerously unsustainable rate. The control of technology costs poses a terrible ethical and policy dilemma. How can we deny people what they may need to live and flourish?

Conflicts of interest, misrepresentation of clinical trials, hospital price-fixing, and massive expenditures for procedures of dubious efficacy - these and other critical flaws leave little doubt that the current US health-care system is in need of an overhaul. In this essential guide, preeminent physician Nortin Hadler urges American health-care consumers to take time to understand the existing system and to visualize what the outcome of successful reform might look like.

Medical students and physicians-in-training embark on a long journey that, although steeped in scientific learning and technical skill building, includes little guidance on the emotional and interpersonal dimensions of becoming a healer. Written for anyone in the health care community who hopes to grow emotionally and cognitively in the way they interact with patients, On Becoming a Healer explains how to foster doctor-patient relationships that are mutually nourishing.

The U.S. healthcare system is in critical condition--but this should come as a surprise to no one. Yet until now the solutions proposed have been unworkable, pie-in-the-sky plans that have had little chance of becoming law and even less of succeeding. In Code Red, David Dranove, one of the nation's leading experts on the economics of healthcare, proposes a set of feasible solutions that address access, efficiency, and quality.

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.

The coronavirus pandemic has devastated lives and livelihoods around the world - and continues to do so. These personal tragedies will, and must, be told and heard. There is, however, also a truthful and objective scientific narrative to be written about how the virus played out and how the world set about dealing with it. Spike is that story - from the inside. Its author, Jeremy Farrar, is one of the UK's leading scientists and a - member of the SAGE emergency committee.

In March 2010, the Affordable Care Act officially became one of the seminal laws determining American health care. From day one, the law was challenged in court, making it to the Supreme Court four separate times. It transformed the way a 3 trillion dollar sector of the economy behaved and brought insurance to millions of people. It spawned the Tea Party, further polarized American politics, and affected the electoral fortunes of both parties.

The Patient Protection and Affordable Care Act has been a political football for years now, but as its provisions start going into effect, there’s still precious little information available on how it will impact you, your family, and your pocketbook. This 2,572 page document, nearly unreadable, will change your health care, your family budget, and innumerable aspects of your life.

As one of America’s most celebrated vascular surgeons, Dr. Frank Veith’s career was anything but conventional—from working undercover with the CIA to fighting to make vascular surgery an independent specialty to creating the largest vascular conference in the world.

In this short audiobook, R.W. Murphy makes the argument that the US healthcare delivery system is irreparably broken as the result of a perfectly inelastic demand curve for healthcare goods and services. In essence, he indicates that Americans will buy the same number of units regardless of price and that is destroying the system. He points to all the retail level cost control initiatives to date as failing to address wholesale pricing pressures. His premise is that underlying wholesale cost increases have hardly been affected at all.

When her daughter desperately needed a lung transplant to survive, Janet Murnaghan rallied against the outdated restrictions in health care that would limit her daughter's options. Transplant laws, restricting access to lungs based on arbitrary age restrictions, meant Sarah's options were limited. The injustice of her daughter's fate spurred Janet to start a public battle against outdated health-care regulations and a battle to save Sarah's life.

Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life.

Why a book on health care? Our systems have long been broken, even before the Covid-19 pandemic hit. The great progress in medicine is just not affordable any longer. Widespread frustration prevails and finger pointing in a silo-mentality are dominating the public narrative on the matter. Why have we missed the train of digitalization and value-based principles in health care? Any other industry has long recognized that customer focus is the holy grail to success. But, in health care, why have we so terribly lost focus on our ultimate customer - the patient?

"[E]veryone's health—including that of the next generation—may depend more on the health of society and the healing of nations than on the conquest of disease." Norman Cousins' experience with a massive heart attack is used as a case study in how to mobilize inner resources to overcome fear and panic. He also he generalizes from his experience with life-threatening illness to examine the experience of life-threatened humanity.

Chronic pain affects one in three Americans and exerts more than a $600 billion drain on the economy annually. It is the largest invisible epidemic in the land. Having treated thousands of patients with chronic pain - often when they were at their most vulnerable - Lynn R. Webster, MD, continues to believe there is hope. Ultimately, a cure for pain will require more research, better therapies, and improved policies. But healing can begin today with a broad-based approach to treatment, including compassionate support from those closest to the ones who are hurting.

When Abortion Was a Crime is the must-listen book on abortion history. Originally published ahead of the thirtieth anniversary of Roe v. Wade, this award-winning study was the first to examine the entire period during which abortion was illegal in the United States, beginning in the mid-nineteenth century and ending with that monumental case in 1973. When Abortion Was a Crime is filled with intimate stories and nuanced analysis, demonstrating how abortion was criminalized and policed—and how millions of women sought abortions regardless of the law.

The United States is embarking on a medical revolution. Supporters of personalized, or precision, medicine—the tailoring of health care to our genomes—have promised to usher in a new era of miracle cures. Advocates of this gene-guided health-care practice foresee a future where skyrocketing costs can be curbed by customization and unjust disparities are vanquished by biomedical breakthroughs. Progress, however, has come slowly, and with a price too high for the average citizen.