
The Hospital
Life, Death, and Dollars in a Small American Town
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Narrated by:
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Nick Landrum
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By:
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Brian Alexander
About this listen
An intimate, heart-wrenching portrait of one small hospital that reveals the magnitude of America’s health care crises.
“With his signature gut-punching prose, Alexander breaks our hearts as he opens our eyes to America’s deep-rooted sickness and despair by immersing us in the lives of a small town hospital and the people it serves." (Beth Macy, bestselling author of Dopesick)
By following the struggle for survival of one small-town hospital, and the patients who walk, or are carried, through its doors, The Hospital takes listeners into the world of the American medical industry in a way no audiobook has done before. Americans are dying sooner, and living in poorer health. Alexander argues that no plan will solve America’s health crisis until the deeper causes of that crisis are addressed.
Bryan, Ohio's hospital, is losing money, making it vulnerable to big health systems seeking domination and Phil Ennen, CEO, has been fighting to preserve its independence. Meanwhile, Bryan, a town of 8,500 people in Ohio’s northwest corner, is still trying to recover from the Great Recession. As local leaders struggle to address the town’s problems, and the hospital fights for its life amid a rapidly consolidating medical and hospital industry, a 39-year-old diabetic literally fights for his limbs, and a 55-year-old contractor lies dying in the emergency room. With these and other stories, Alexander strips away the wonkiness of policy to reveal Americans’ struggle for health against a powerful system that’s stacked against them, but yet so fragile it blows apart when the pandemic hits. Culminating with COVID-19, this audiobook offers a blueprint for how we created the crisis we're in.
A Macmillan Audio production from St. Martin's Press
"A brilliantly imaginative and creative way of telling the story of today's America and the roots of what ails it, through the travails of a small-town hospital. In The Hospital, Brian Alexander does again so well what he did in Glass House - telling the big story from the small place." (Sam Quinones, author of Dreamland: The True Tale of America's Opiate Epidemic)
©2021 Brian Alexander (P)2021 Macmillan AudioListeners also enjoyed...
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Critic reviews
“With his signature gut-punching prose, Alexander breaks our hearts as he opens our eyes to America’s deep-rooted sickness and despair by immersing us in the lives of a small town hospital and the people it serves.“ (Beth Macy, best-selling author of Dopesick)
“In this clear-eyed biography of a community hospital, Brian Alexander offers a powerful indictment of the American health care system. The Hospital will break your heart.” (Andrea Pitzer, author of One Long Night)
interesting listen
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amazing insight into the American Pathology
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Wow! Makes you really think about our HC system
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Everyone should read this book
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Great book from start to finish.
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Still the book is a must read.
Must read
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A facinating look at the failure if American health care
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The author points out the social determinant of health as the underlying problems of the American healthcare system. This analysis is spot on. Unless we can address issues of poverty, homelessness, drug addiction, and a host of other social problems, we will never truly address the health needs of our people.
The author has written a compelling story. It should be read by all Americans.
Excellent and thoughtful
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It was surreal how accurately Alexander depicted the town, it’s residents and their struggles. The central focus of this book is the town’s hospital and the US healthcare system, but the story was about the people of small town America.
I left the area for college in Cincinnati and have lived in Connecticut, New York City and Southern California for the past 15 years. I rarely return, except for holidays and the occasional wedding. Partly because the depressing reality described in this book makes it hard to face. But the area and its wonderful people grounded me in the reality of places like Bryan that the “coastal elites” I’ve been surrounded by can’t understand. I’ve always thought of Bryan as a microcosm of what’s been happening to the rural US in the past 30 years.
Being from this area, I also resonated with other books like Hillbilly Elegy, but I think The Hospital clearly paints the picture of the tragedy of what’s happening to the US in such human terms that I recommend to anyone interested in understanding the middle of America.
An accurate depiction of my hometown and rural America
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Everyone Should Read This Book
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