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)
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- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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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
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By: Jason DeParle
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Fulfillment
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- Length: 12 hrs and 22 mins
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Alec MacGillis’ Fulfillment is not another inside account or exposé of our most conspicuously dominant company. Rather, it is a literary investigation of the America that falls within that company’s growing shadow. As MacGillis shows, Amazon’s sprawling network of delivery hubs, data centers, and corporate campuses epitomizes a land where winner and loser cities and regions are drifting steadily apart, the civic fabric is unraveling, and work has become increasingly rudimentary and isolated.
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Missing some important angles
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By: Alec MacGillis
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A Bittersweet Season
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- Narrated by: Kate Reading
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Performance
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In telling the intimate story of caring for her aged and ailing mother, Jane Gross offers indispensable, and often surprising, advice for the rapidly increasing number of adult children responsible for aging parents. Gross deftly weaves the specifics of her personal experience with a comprehensive resource for effectively managing the lives of one's own parents while keeping sanity and strength intact.
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Exceptional, thought-provoking, liberating!
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Glass House
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Performance
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The Anchor Hocking Glass Company, once the world's largest maker of glass tableware, was the base on which Lancaster's society was built. As Glass House unfolds, bankruptcy looms. With access to the company and its leaders, and Lancaster's citizens, Alexander shows how financial engineering took hold in the 1980s, accelerated in the 21st century, and wrecked the company.
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What really happened to the American Dream?
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Doctored
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Story
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
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By: Sandeep Jauhar
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Teeth
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- By: Mary Otto
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Performance
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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
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By: Mary Otto
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The Desperate Hours
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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
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In The Unwinding, George Packer, author of The Assassins’ Gate: America in Iraq, tells the story of the United States over the past three decades in an utterly original way, with his characteristically sharp eye for detail and gift for weaving together complex narratives. The Unwinding portrays a superpower in danger of coming apart at the seams, its elites no longer elite, its institutions no longer working, its ordinary people left to improvise their own schemes for success and salvation.
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Can't understand the low ratings!
- By Janet Pittman Henley on 05-27-13
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Unaccountable
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Performance
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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
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Mitch, Please!
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They say all politics is local. In 2020, Mitch McConnell will have served five full terms as a US Senator. Thirty years. The Senate Majority leader's power is as undeniable as it is infuriating, and the people of Kentucky have had enough. Led by Matt Jones, they (and they alone) have the power to oust him from office. How did Jones, a local boy turned attorney turned sports radio host come to shine the brightest light on McConnell's ineptitude?
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Amazing
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American Overdose
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The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs but the corrupting of medicine and public institutions that let the opioid makers get away with it.
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An important read
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Where You Are Is Not Who You Are
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The first Black female CEO of a Fortune 500 company looks back at her life and her career at Xerox, sharing unique insights on American business and corporate life, the workers she has always valued, racial and economic justice, how greed is threatening democracy, and the obstacles she’s conquered being Black and a woman.
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Relatable story, flaws and all
- By Anonymous User on 01-06-22
By: Ursula Burns
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What listeners say about The Hospital
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Brent Rieman
- 04-16-21
interesting listen
Interesting listen. The narrator needs to learn how to pronounce some of the cities correctly, most notibly Lima
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- TK Bridgeman
- 05-28-21
amazing insight into the American Pathology
great book that provides an incredible look into the conditions that lower american life expectancy and increase cost
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1 person found this helpful
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- KATHLEEN ROBERTS
- 04-10-21
Wow! Makes you really think about our HC system
Grew up in Ohio and used to work for a local hospital in Ohio. Wow have things change. I love the way the author weaves the socioeconomic maladies of our county with that of the Bryan hospital. Thoroughly written and researched. Unfortunately the narrator should have spent a little time in Ohio and learned how to pronounce some of our Senator and city names.
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- Bentley S. Davis
- 04-20-21
Everyone should read this book
This book is so very important and explains a lot of the problems in healthcare and our society at large. My only criticism is the narrator's mispronunciation of some Ohio specific words. Still, I am recommending this book to everyone.
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- Bruce Jugan
- 06-22-21
Must read
Well written, well read audible book. I learned much about the complexities of the health care system. Sadly, the author’s assumption that a single payer government run insurance plan as the panacea to solve all that is wrong, seems simplistic and naive. Systems like Kaiser Permanente, Imtermountain Health, and others show that integrated health care delivery systems which include insurance plans work to reduce cost and improve quality.
Still the book is a must read.
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1 person found this helpful
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- Nora
- 11-25-23
A facinating look at the failure if American health care
I started this book thinking I would learn about the struggles that have lead to the closures of so many rural hospitals. I did get that view, but I learned even more about hoe badly our healthcare system is failing the American public.
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- David Potenziani
- 08-24-22
Excellent and thoughtful
I teach a course on the US health system for graduate students. After reading this book, I will be assigning portion services to my students. The analysis of both the health system in economic and personal terms is very valuable understand the pathology that is American healthcare.
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.
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2 people found this helpful
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- Dave Renz
- 04-17-21
An accurate depiction of my hometown and rural America
I grew up 15 min out side Bryan, OH, the town featured in this book. I attended The First Baptist Church before it was sold and converted into Father John’s, restaurant noted many times. I’ve been to the Bryan hospital for treatment of the minor childhood accidents that required stitches or an X-ray. My family members trusted and were treated by many of the doctors mentioned in this book.
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.
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- Linda H.
- 11-26-22
Everyone Should Read This Book
This book explains in great and interesting detail why we, the growing underclass, are getting screwed by the healthcare industry. It is also a reflection on how the healthcare industry and big business weave together to create an even more dire situation for all of us who are just trying to live a decent life.
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- Patricia Shaw
- 11-24-22
Very Informative
As a nurse - I appreciated learning about how hospital system’s work!! I listened at x1.7 - and still enjoyed the narrator and the information.
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