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If I Betray These Words
- Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First
- Narrated by: Wendy Dean
- Length: 10 hrs and 26 mins
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Publisher's summary
Through stories and solutions, leading physicians tackle the conundrum of how best to care for patients while being thwarted by the business side of healthcare
Moves "away from calling doctors’ difficulties 'burnout'—thus blaming doctors—to 'moral injury'—like soldiers floundering under unjust orders. A brilliant expansive book.”—Samuel Shem, Professor in Medicine at NYU Medical School, author of The House of God and Man's 4th Best Hospital
“Wendy Dean diagnoses the dangerous state of our healthcare system, illustrating the thumbscrews applied to medical professionals by their corporate overlords… Required reading for all stakeholders in healthcare.”—Danielle Ofri, MD, PhD, author of When We Do Harm; A Doctor Confronts Medical Error
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.
Doctors face real risks when they stand up for their patients and their oath; they may lose their license, their livelihood, and for some, even their lives.
There’s a growing sense, referred to as moral injury, that doctors have their hands tied—they know what patients need but can’t get it for them because of constraints imposed by healthcare systems run like big businesses.
Workforce distress in healthcare—moral injury—was a crisis long before the COVID-19 pandemic, but COVID highlighted the vulnerabilities in our healthcare systems and made it impossible to ignore the distress, with 1 in 5 American healthcare workers leaving the profession since 2020, and up to 47% of U.S. healthcare workers now planning to leave their positions by 2025.
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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Exceptional, thought-provoking, liberating!
- By Anne on 08-10-11
By: Jane Gross
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- By: Sheila Himmel, Fran Smith
- Narrated by: Coleen Marlo
- Length: 6 hrs and 49 mins
- Unabridged
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There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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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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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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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
- Narrated by: William Dufris
- Length: 11 hrs and 57 mins
- Unabridged
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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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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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The Nordic Theory of Everything
- In Search of a Better Life
- By: Anu Partanen
- Narrated by: Abby Craden
- Length: 10 hrs and 28 mins
- Unabridged
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Moving to America in 2008, Finnish journalist Anu Partanen quickly went from confident, successful professional to wary, self-doubting mess. She found that navigating the basics of everyday life - from buying a cell phone and filing taxes to education and childcare - was much more complicated and stressful than anything she encountered in her homeland. At first she attributed her crippling anxiety to the difficulty of adapting to a freewheeling new culture. But as she got to know Americans better, she discovered they shared her deep apprehension.
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A non-radical perspective on two societies
- By kwdayboise (Kim Day) on 06-20-17
By: Anu Partanen
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It Shouldn't Be This Hard to Serve Your Country
- Our Broken Government and the Plight of Veterans
- By: David Shulkin
- Narrated by: Daniel Thomas May, David Shulkin
- Length: 11 hrs and 21 mins
- Unabridged
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Known in health care circles for his ability to fix ailing hospitals, Dr. David Shulkin was originally brought into government by President Obama, in an attempt to save the broken Department of Veterans Affairs. When President Trump made him VA secretary, Dr. Shulkin was as shocked as anyone. Yet this surprise was trivial compared to what Shulkin encountered as the VA secretary: a team of political appointees devoted to stopping anyone - including the secretary himself - who stood in the way of privatizing the organization and implementing their agenda.
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A Powerful Account by an Impressive Public Servant
- By Tom on 12-10-19
By: David Shulkin
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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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A Collective Bargain
- Unions, Organizing, and the Fight for Democracy
- By: Jane McAlevey
- Narrated by: Jane McAlevey
- Length: 9 hrs and 21 mins
- Unabridged
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In A Collective Bargain, longtime labor organizer, environmental activist, and political campaigner Jane McAlevey makes the case that unions are a key institution capable of taking effective action against today’s super-rich corporate class. Since the 1930s, when unions flourished under New Deal protections, corporations have waged a stealthy and ruthless war against the labor movement. And they’ve been winning.
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Disappointing
- By Ellen on 01-26-20
By: Jane McAlevey
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To Repair the World
- Paul Farmer Speaks to the Next Generation
- By: Paul Farmer, Bill Clinton - foreword, Jonathan Weigel - editor
- Narrated by: Joe Barrett, David Ledoux, Kevin T. Collins
- Length: 8 hrs and 58 mins
- Unabridged
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Here, for the first time, is a collection of short speeches by the charismatic doctor and social activist Paul Farmer. One of the most passionate and influential voices for global health equity and social justice, Farmer encourages young people to tackle the greatest challenges of our times. Engaging, often humorous, and always inspiring, these speeches bring to light the brilliance and force of Farmer's vision in a single, accessible volume.
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Resist the Impoverishment of Aspiration
- By Susie on 05-14-13
By: Paul Farmer, 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
- Unabridged
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Overall
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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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The Desperate Hours
- One Hospital's Fight to Save a City on the Pandemic's Front Lines
- By: Marie Brenner
- Narrated by: Kirsten Potter
- Length: 15 hrs and 41 mins
- Unabridged
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In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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Way too much politics
- By Josh on 07-18-22
By: Marie Brenner
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Haiti After the Earthquake
- By: Paul Farmer
- Narrated by: Meryl Streep, Edoardo Ballerini, Edwidge Danticat
- Length: 14 hrs and 7 mins
- Unabridged
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On January 12, 2010, a major earthquake struck near Port-au-Prince, Haiti. Hundreds of thousands of people died, and the greater part of the capital was demolished. Dr. Paul Farmer, U.N. deputy special envoy to Haiti, who had worked in the country for nearly thirty years treating infectious diseases like tuberculosis and AIDS, and former President Bill Clinton, the U.N. special envoy to Haiti, had just begun to work on an extensive development plan to improve living conditions in Haiti.
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If you read one book about Haiti make it this one
- By Bryan on 06-07-12
By: Paul Farmer
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Black Man in a White Coat
- A Doctor's Reflections on Race and Medicine
- By: Damon Tweedy M.D.
- Narrated by: Corey Allen
- Length: 8 hrs and 44 mins
- Unabridged
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When Damon Tweedy begins medical school, he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career.
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Absolutely eye opening!
- By Kelene on 02-23-16
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Niche perspective
- By Kathleen Garcia on 05-07-23
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Fantastic, balanced book
- By Michael Elliott on 06-28-23
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Sickening
- How Big Pharma Broke American Health Care and How We Can Repair It
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- Narrated by: Kevin Stillwell
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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.
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Great info, but I’m confused…
- By Iread on 04-04-22
By: John Abramson
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The Social Transformation of American Medicine
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- By: Paul Starr
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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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Every Deep-Drawn Breath
- A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU
- By: Dr. Wes Ely
- Narrated by: Grover Gardner, Dr. Wes Ely
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Over the next ten years, 40 to 60 million people in this country will be admitted to the ICU. Most of these hospitalizations will be sudden, unexpected, and harrowing experiences that can alter patients and their families physically and emotionally, with effects that endure for years. In this rich blend of science, medical history, profoundly humane patient stories, and personal reflection, Dr. Wes Ely describes his mission to prevent patients from being inadvertently harmed by the technology that is keeping them alive.
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A clarion call in medicine
- By S. Langdon on 09-13-21
By: Dr. Wes Ely
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Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
- By: Marty Makary
- Narrated by: Robertson Dean
- Length: 7 hrs and 16 mins
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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.
- By Julie on 06-11-16
By: Marty Makary
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The People's Hospital
- Hope and Peril in American Medicine
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- Narrated by: Ricardo Nuila MD
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Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The People’s Hospital, physician Ricardo Nuila’s stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care.
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Niche perspective
- By Kathleen Garcia on 05-07-23
By: Ricardo Nuila MD
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Imposter Doctors
- Patients at Risk
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- Narrated by: Rebekah Bernard
- Length: 11 hrs and 4 mins
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From the co-author of Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare, the first book to warn of the systematic replacement of physicians, comes Imposter Doctors, an even more frightening exposé of patient endangerment at the hands of for-profit corporate entities and healthcare conglomerates.
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Fantastic, balanced book
- By Michael Elliott on 06-28-23
By: Rebekah Bernard
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Sickening
- How Big Pharma Broke American Health Care and How We Can Repair It
- By: John Abramson
- Narrated by: Kevin Stillwell
- Length: 9 hrs and 17 mins
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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.
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Great info, but I’m confused…
- By Iread on 04-04-22
By: John Abramson
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The Social Transformation of American Medicine
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- Length: 24 hrs and 5 mins
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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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Every Deep-Drawn Breath
- A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU
- By: Dr. Wes Ely
- Narrated by: Grover Gardner, Dr. Wes Ely
- Length: 9 hrs and 48 mins
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Over the next ten years, 40 to 60 million people in this country will be admitted to the ICU. Most of these hospitalizations will be sudden, unexpected, and harrowing experiences that can alter patients and their families physically and emotionally, with effects that endure for years. In this rich blend of science, medical history, profoundly humane patient stories, and personal reflection, Dr. Wes Ely describes his mission to prevent patients from being inadvertently harmed by the technology that is keeping them alive.
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A clarion call in medicine
- By S. Langdon on 09-13-21
By: Dr. Wes Ely
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Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
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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.
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These Are the Plunderers
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- By: Gretchen Morgenson, Joshua Rosner
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These Are the Plunderers traces the thirty-year history of corporate takeovers in America and private equity’s increasing dominance. Morgenson and Rosner investigate some of the biggest names in private equity, exposing how they buy companies, load them with debt, and then bleed them of assets and profits. All while prosecutors and regulators stand idly by.
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Lacks credibility and fact checking
- By Sam Smith on 05-25-23
By: Gretchen Morgenson, and others
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An American Sickness
- How Healthcare Became Big Business and How You Can Take It Back
- By: Elisabeth Rosenthal
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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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Uncaring
- How the Culture of Medicine Kills Doctors and Patients
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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.
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Important to understand the current medical world
- By DMM on 07-12-21
By: Robert Pearl MD
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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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Legacy
- A Black Physician Reckons with Racism in Medicine
- By: Uché Blackstock MD
- Narrated by: Uché Blackstock MD
- Length: 8 hrs and 6 mins
- Unabridged
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Overall
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Performance
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Story
Growing up in Brooklyn, New York, it never occurred to Uché Blackstock and her twin sister, Oni, that they would be anything but physicians. In the 1980s, their mother headed an organization of Black women physicians, and for years the girls watched these fiercely intelligent women in white coats tend to their patients and neighbors, host community health fairs, cure ills, and save lives.
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Hit home
- By Jones on 03-25-24
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Being Mortal
- Medicine and What Matters in the End
- By: Atul Gawande
- Narrated by: Robert Petkoff
- Length: 9 hrs and 3 mins
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Overall
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Performance
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Story
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
- By George on 11-02-14
By: Atul Gawande
What listeners say about If I Betray These Words
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Calico Ducheneaux
- 05-11-23
Life changing
What a journey. Thank you for giving us a voice and putting into words what so many of us feel but cannot articulate.
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- thi cao
- 11-15-23
A must read!
Very insightful and intelligent journey that should be taken by all in healthcare and legislation. We need to do better in order to serve our patients.
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- Mary D. Tipton
- 06-04-23
Must read for all patients (that’s everyone!)
I don’t think I have ever listened to a book and then immediately started it over AGAIN.
But…. this book.
This book I read twice.
It is the sometimes tragic story of my life, my passion, my 22 year career as a physician; it describes the internal conflict I feel daily.
A conflict so intense it makes me ill.
A conflict between my desire to put patients needs first and my inability to do so.
This pain I feel now has a name = Moral Injury.
Moral Injury describes the plight of tough, resourceful, and resilient clinicians who feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system.
⭐️If you want to understand why you can’t find a doctor to see or listen to you…. Read this book.
⭐️If you wonder why healthcare is so expensive… read this book.
⭐️If you are frustrated that your doctor can only spend 15 minutes with you and seems rushed and looks at the computer the whole visit…. Read this book.
⭐️If you wonder why physicians have high suicide rates… read this book.
I believe things will get worse before they get better. It will take all of us to fight for a system that allows physicians to put patients first.
“One day we will all be patients. Don’t we want our health systems to put us and those who care for us first?” - Dr Wendy Dean
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- Jason Jones
- 08-23-23
Important
Few things are as important in the U.S. right now as the state and trajectory of healthcare. If you want to understand where we are, this will be one of the most accessible and informative books you can read. From this understanding, please help us find a better path.
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- Andrea Callister
- 05-18-23
Richly insightful and thought provoking
As a neurology resident, I recommend to anyone wanting to understand modern healthcare challenges
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- sam
- 04-26-23
Great!
I really didn’t expect this to be so gripping and hold my interest. But it did. Wendy Dean does an amazing job at illustrating the system failures of medicine. It is well researched, well written and enjoyable to listen to. Really superb.
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- lipomaman
- 05-14-23
Important for Health in America
A vitally important look into what ails our healthcare system and why it’s gotten harder to get quality physician care, why physician’s die by suicide more than any other profession, and why legislative changes to date have failed to restore quality, reduce costs, or relieve strain on physicians. Wendy Dean’s book is concise, poignant and rooted in the desire to bring CARING for patients back to the center of healthcare.
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- JHenderson
- 11-01-23
Required Reading - necessary transformation
I’m so thankful to the authors for standing in the gap for patients and health care workers who have so often been abandoned by the government and health systems they work for in the name of profit. This should be required reading in every boardroom, C suite, MBA and MHA program in the country. Unfortunately, that would require for those who inhabit those spaces to recognize that patient care is the priority. Hopefully we can all work together to bring that truth back to the light it deserves. This book is an inspiration and a blueprint for those of us who care.
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- Anonymous User
- 12-13-23
Relatable
Appreciated the author’s giving words to use to better understand the struggles we health care workers face on a daily basis.
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- Nicole
- 06-06-23
An important read for all physicians
Dr. Dean puts into words the trauma and injury physicians have been subject to in recent decades as healthcare has become focused on bottom lines over patient outcomes and care. So often the medical system asks so much of doctors without remembering that doctors are people who also need people to care for them as they care for their communities. Dr. Dean reminds us to focus on the care and support of physicians as we work to improve and heal the practice of medicine now and in the future. Thank you for your work. Thank you for getting out this info and opening peoples eyes to this often misunderstood problem. Keep kicking!
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