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.
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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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Overall
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Performance
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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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Overall
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Performance
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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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Overall
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Performance
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Story
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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Story
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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Overall
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Performance
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Story
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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Overall
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Performance
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Story
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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Overall
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Performance
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Story
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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Finally! A magic pill ;-)
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Lucie Blackman - tall, blond, 21 years old - stepped out into the vastness of Tokyo in the summer of 2000 and disappeared. The following winter, her dismembered remains were found buried in a seaside cave. The seven months in between had seen a massive search for the missing girl involving Japanese policemen, British private detectives, and Lucie’s desperate but bitterly divided parents. Had Lucie been abducted by a religious cult or snatched by human traffickers? Who was the mysterious man she had gone to meet? And what did her work as a hostess in the notorious Roppongi district of Tokyo really involve?
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This is the audiobook against I rate all others.
- By El_Ron on 03-08-13
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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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Reinventing American Health Care
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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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Faster Cures
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Partly a memoir and partly a recent history of medicine, the definitive account of Michael Milken’s lifetime work to accelerate medicine's evolution from a dark past to a bright future.
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Interesting omission
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What listeners say about Sickening
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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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- 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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- 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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