Our Malady
Lessons in Liberty from a Hospital Diary
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Narrated by:
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Timothy Snyder
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By:
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Timothy Snyder
About this listen
New York Times best seller
From the author of the number-one New York Times best seller On Tyranny comes an impassioned condemnation of America's pandemic response and an urgent call to rethink health and freedom.
On December 29, 2019, historian Timothy Snyder fell gravely ill. Unable to stand, barely able to think, he waited for hours in an emergency room before being correctly diagnosed and rushed into surgery. Over the next few days, as he clung to life and the first light of a new year came through his window, he found himself reflecting on the fragility of health, not recognized in America as a human right but without which all rights and freedoms have no meaning.
And that was before the pandemic. We have since watched American hospitals, long understaffed and undersupplied, buckling under waves of ill patients. The federal government made matters worse through willful ignorance, misinformation, and profiteering. Our system of commercial medicine failed the ultimate test, and thousands of Americans died.
In this eye-opening cri de coeur, Snyder traces the societal forces that led us here and outlines the lessons we must learn to survive. In examining some of the darkest moments of recent history and of his own life, Snyder finds glimmers of hope and principles that could lead us out of our current malaise. Only by enshrining healthcare as a human right, elevating the authority of doctors and medical knowledge, and planning for our children’s future can we create an America where everyone is truly free.
©2020 Timothy Snyder (P)2020 Random House AudioListeners also enjoyed...
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“[Snyder’s] litany of the many ways the United States bungled the coronavirus response is eloquent and pointed.... His cry of rage is certain to get your attention.” (The Washington Post)
“Compelling ... Snyder combines moving personal experience with keen historical and political analysis in Our Malady.... A powerful argument for universal health care as a fundamental right.” (Chicago Tribune)
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In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. Sixteen million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their 70s and 80s, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis.
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A must read
- By kara kuntz on 05-20-21
By: Jason Karlawish
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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- By: Brendan Reilly
- Narrated by: Rob Shapiro
- Length: 15 hrs and 7 mins
- Unabridged
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An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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Simply Brilliant
- By Jan on 06-20-14
By: Brendan Reilly
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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
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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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Confessions of a Surgeon
- The Good, the Bad, and the Complicated...Life Behind the O.R. Doors
- By: Paul A. Ruggieri MD
- Narrated by: Eric Martin
- Length: 8 hrs and 2 mins
- Unabridged
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As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting.
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Enjoyed the anecdotes!
- By suzanne on 07-31-17
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Early
- An Intimate History of Premature Birth and What It Teaches Us About Being Human
- By: Sarah DiGregorio
- Narrated by: Ann Marie Gideon
- Length: 9 hrs and 47 mins
- Unabridged
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Overall
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Performance
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Story
The heart of many hospitals is the Neonatal Intensive Care Unit (NICU). It is a place where humanity, ethics, and science collide in dramatic and deeply personal ways as parents, doctors, and nurses grapple with sometimes unanswerable questions: When does life begin? When and how should life end? And what does it mean to be human? Nearly 20 years ago, Dr. John D. Lantos wrote The Lazarus Case, a seminal work on ethical dilemmas in neonatology. He described the NICU as “a strong, strange, powerful place”. The
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Gripping read for this late preterm infant mom
- By R. Ash on 08-08-21
By: Sarah DiGregorio
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Brotherhood
- Dharma, Destiny, and the American Dream
- By: Sanjiv Chopra, Deepak Chopra
- Narrated by: Deepak Chopra, Sanjiv Chopra
- Length: 12 hrs and 53 mins
- Unabridged
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The Chopra brothers were among the most eager and ambitious of the new generation. In the 1970s, they each emigrated to the United States to make a new life. Both faced tough obstacles: while Deepak encountered resistance from Western-trained doctors over what he called the mind-body connection, Sanjiv struggled to reconcile the beliefs of his birthplace with those of his new home. Eventually, each brother became convinced that America was the right place to build a life, and the Chopras went on to great achievements.
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How to Toot Your Horn
- By Kenneth on 07-01-13
By: Sanjiv Chopra, and others
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In Pain
- A Bioethicist’s Personal Struggle with Opioids
- By: Travis Rieder
- Narrated by: Travis Rieder
- Length: 8 hrs and 56 mins
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A bioethicist’s eloquent and riveting memoir of opioid dependence and withdrawal - a harrowing personal reckoning and clarion call for change not only for government but medicine itself, revealing the lack of crucial resources and structures to handle this insidious nationwide epidemic.
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An essential read in a time of crisis
- By Kelly Heuer on 06-25-19
By: Travis Rieder
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Doctored
- The Disillusionment of an American Physician
- By: Sandeep Jauhar
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 38 mins
- Unabridged
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Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.
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Frank, inside perspective on the follies of unintended consequences in medical reform
- By JW on 02-25-18
By: Sandeep Jauhar
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Inferno
- A Doctor's Ebola Story
- By: Steven Hatch MD
- Narrated by: Steven Hatch MD
- Length: 11 hrs and 31 mins
- Unabridged
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Dr. Steven Hatch first came to Liberia in November 2013 to work at a hospital in Monrovia. Six months later, several of the physicians Dr. Hatch had mentored and served with were dead or barely clinging to life, and Ebola had become a world health emergency. Hundreds of victims perished each week; whole families were destroyed in a matter of days; so many died so quickly that the culturally taboo practice of cremation had to be instituted to dispose of the bodies.
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Good story, spoiled by politics.
- By Roman Vogel on 07-22-17
By: Steven Hatch MD
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A Good Provider Is One Who Leaves
- One Family and Migration in the 21st Century
- By: Jason DeParle
- Narrated by: Fred Sanders
- Length: 11 hrs and 44 mins
- Unabridged
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When Jason DeParle moved into the Manila slums with Tita Comodas and her family three decades ago, he never imagined his reporting on them would span three generations and turn into the defining chronicle of a new age - the age of global migration. In a monumental book that gives new meaning to "immersion journalism", DeParle paints an intimate portrait of an unforgettable family as they endure years of sacrifice and separation, willing themselves out of shantytown poverty into a new global middle class.
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Excellent and Important
- By Booklover on 03-22-20
By: Jason DeParle
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Your Heart, My Hands
- An Immigrant's Remarkable Journey to Become One of America's Preeminent Cardiac Surgeons
- By: Arun K. Singh MD, John Hanc - contributor, Delos Cosgrove MD - foreword
- Narrated by: Shridhar Solanki
- Length: 8 hrs and 39 mins
- Unabridged
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Story
Leaving a life marked by crippling setbacks and his father's doubt, in 1967 a 20-something doctor from India arrived in America with only five dollars and the desire to claim his American dream. Faced with an entirely new culture, racism, and the lasting effects of disabling childhood injuries, through hard work and perseverance he overcame all odds. Now having performed over 15,000 open-heart surgeries, more than nearly every surgeon in history, Dr. Singh reflects on his most memorable patients and his incredible personal life.
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Remarkable!
- By Stacey on 12-01-22
By: Arun K. Singh MD, and others
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Viral Justice
- How We Grow the World We Want
- By: Ruha Benjamin
- Narrated by: Ruha Benjamin
- Length: 13 hrs and 24 mins
- Unabridged
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Long before the pandemic, Ruha Benjamin was doing groundbreaking research on race, technology, and justice, focusing on big, structural changes. But the twin plagues of COVID-19 and anti-Black police violence inspired her to rethink the importance of small, individual actions. Part memoir, part manifesto, Viral Justice is a sweeping and deeply personal exploration of how we can transform society through the choices we make every day.
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Fantastic book!
- By Avie Kearney on 05-21-23
By: Ruha Benjamin
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UNINTELLIGIBLE
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The Founding Fathers tried to protect us from the threat they knew, the tyranny that overcame ancient democracy. Today, our political order faces new threats, not unlike the totalitarianism of the twentieth century. We are no wiser than the Europeans who saw democracy yield to fascism, Nazism, or communism. Our one advantage is that we might learn from their experience.
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History does not repeat, but it does instruct.
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Twilight of Democracy
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Today’s Republican party is not a “normal” political party in the American tradition. It has become an autocratic movement masquerading as a political party. As Stuart Stevens argues in The Conspiracy to End America, if we look away from that truth, we greatly increase the likelihood that the America we love will slip away, never to return.
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As the child of refugees of World War II Europe and a renowned philosopher and scholar of propaganda, Jason Stanley has a deep understanding of how democratic societies can be vulnerable to fascism: Nations don’t have to be fascist to suffer from fascist politics. In fact, fascism’s roots have been present in the United States for more than a century.
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The mob that stormed the Capitol on January 6, 2021, represented an extreme form of the central danger facing American democracy today: a blatant disregard for the will of the majority. Through voter suppression, election subversion, gerrymandering, dark money, the takeover of the courts, and the whitewashing of history, reactionary white conservatives have strategically entrenched power in the face of a massive demographic and political shift.
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SO much great information!
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Good But . . .
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Fascism
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At the end of the 1980s, when the Cold War ended, many, including former Secretary of State Madeleine Albright, believed that democracy had triumphed politically once and for all. Yet nearly 30 years later, the direction of history no longer seems certain. A repressive and destructive force has begun to reemerge on the global stage - sweeping across Europe, parts of Asia, and the United States - that to Albright, looks very much like fascism.
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Warning!
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Autocracy, Inc.
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From the Pulitzer-prize winning author, an alarming account of how autocracies work together to undermine the democratic world, and how we should organize to defeat them.
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Brilliant explanation of the realignment of world powers
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What listeners say about Our Malady
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Becky
- 04-18-22
Some big truths here
As a retired Hospital financial officer, this book brought me back to pricing decisions, payor mix, staffing per bed, occupied beds and many other metrics we used to determine how efficient & effective the hospital ran. Having been retired 10+ yrs I'd actually forgotten a lot of it. Mr Snyder's Medical Industrial Machine analogy is spot on. We've been brain washed about the quality & thus the cost of our Healthcare in the US. This book tells an amazing personal story & talks about what we could do different. bravo!
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- barry orvell
- 10-21-20
A book that all doctors and patients should read
As a physician, I agree with this vilification of commercial medicine and with the remedies suggested in this important book As in his previous books Snyder tells us truth at a turning point in history when truth is most needed . Doctors will find support by this affirmation of the feelings they carry in secret.
This writer understands deeply the plight of medicine in America at this time.
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- John C. Pope
- 04-26-24
Important and personal
The deficiencies of our US healthcare system are shown clearly through personal stories of someone being processed through that system. Very engaging. I hope we can shift away from profit-oriented medical care, where so much effort goes into denying the treatments prescribed by doctors.
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- Thomas
- 02-10-21
Snyder at the height of hos powers despite illness
More specific in its focus than his other recent work, just as vast in its implications.
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- Anonymous User
- 11-17-20
Read this book
Probably the most important book you will ever read to understand how society can be better and how Americans can be free
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- Ben Brafford
- 10-14-24
Honesty about the US Healthcare system.
Excellent narrative. His personal encounters are powerful.
Highly recommend to anyone who wants to learn about our healthcare system in the early part of the 21st-century. 
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- Van
- 02-03-21
Had this jaded ER nurse close to tears
Wow, this short book was literally a brief summary of much of my everyday frustrations and a glimpse of how broken our healthcare system is. It's also sprinkled with specific evidence of how our government has failed to act appropriately during this pandemic. Although I can see how some may perceive this as a left point of view, it actually is based on factual events and statements, that are not taken out of context. Overall, a great read that gets you pondering just exactly how our nation got here and what on earth can we do now.
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- Amos Lakos
- 11-26-20
Most important message for our time.
This short book, is the most affecting I read in this pandemic year. It is filled with pain, anger, compassion and truth. I am sending it as a hopeful message to my friends. I hope that this definition of freedom replaces our (US) flawed nihilistic understanding of freedom. I hope that more people here understand what I mean when I explain that universal health care drives away fear and that we pay taxes out of solidarity.
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- J.B.
- 09-08-20
Our Medical System Flayed
Our Malady, Lessons in Liberty from a Hospital Diary written and read by Timothy Snyder. If you are considering reading this very long essay (but short novel) be prepared. Prepared for object brilliance in reasoned argument. Those of you who know Mr. Snyder, understand, one should expect nothing less from this gift of an educator, political commentator, and savior of analysis. What do I mean by all this hyperbole? If A and B equal C; then C minus B equals A – that is how Mr. Snyder presents his arguments. He will construct a set of facts and analyze their historical effect on the body politic. He will then test his perceived rule against other known political history and reason out the truth (or weakness) of the proposition. If proven to be insightful he then takes the rule and applies it forward against existing political theatre. Brilliance in considering that which is abject. An exciting political theorist.
In Our Malady, he considers our medical system’s weakness to societal liberty. (Yes, I got that comparison correct.) Mr. Snyder compares his recent bout with death (a non-COVID-19 ailment which was not properly diagnosed) with our present malady: Covid-19. In this work, we consider the individual's need for continued life. In his tale, he rages then contemplates the failure of our medical system against the failures of our political systems. (Yes, I got that comparison correct, too.) His focus is on our health system and its malaise. He explains why a health system should be calculated not by profit from short lives but rather achievement in providing for long lives.
This is not just about a President and a failed response to a pandemic, which is discussed and analyzed with surgical precisions, but about our medical system's inability to provide for a proper response, which is flayed for all to see in its elemental state. His stories are captivating.
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- heather e.
- 01-18-21
Everyone should read this book
This book is essential to understanding our questions about healthcare. There should be so much more on this subject. This book is very well and thoughtfully written
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