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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Story
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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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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Fulfillment
- Winning and Losing in One-Click America
- By: Alec MacGillis
- Narrated by: Danny Gavigan
- Length: 12 hrs and 22 mins
- Unabridged
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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
- By D. Zimmerle on 08-19-21
By: Alec MacGillis
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A Bittersweet Season
- Caring for Our Aging Parents - And Ourselves
- By: Jane Gross
- Narrated by: Kate Reading
- Length: 15 hrs and 35 mins
- Unabridged
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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!
- By Anne on 08-10-11
By: Jane Gross
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Glass House
- The 1% Economy and the Shattering of the All-American Town
- By: Brian Alexander
- Narrated by: Bob Souer
- Length: 11 hrs and 7 mins
- Unabridged
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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?
- By Bill on 05-10-17
By: Brian Alexander
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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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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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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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Performance
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Story
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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The Unwinding
- An Inner History of the New America
- By: George Packer
- Narrated by: Robert Fass
- Length: 18 hrs and 4 mins
- Unabridged
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Story
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
By: George Packer
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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
- Unabridged
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Overall
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Performance
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Story
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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Mitch, Please!
- How Mitch McConnell Sold Out Kentucky (and America Too)
- By: Matt Jones, Chris Tomlin - contributor
- Narrated by: Matt Jones, Chris Tomlin
- Length: 17 hrs and 30 mins
- Unabridged
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Overall
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Performance
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Story
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
- By Danielle Purcell on 04-10-20
By: Matt Jones, and others
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American Overdose
- The Opioid Tragedy in Three Acts
- By: Chris McGreal
- Narrated by: Dan Woren
- Length: 11 hrs and 55 mins
- Unabridged
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Overall
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Performance
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Story
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
- By Macmom4 on 02-18-19
By: Chris McGreal
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Where You Are Is Not Who You Are
- A Memoir
- By: Ursula Burns
- Narrated by: Ursula Burns
- Length: 7 hrs and 39 mins
- Unabridged
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Overall
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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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Ken McNab's in-depth look at the Beatles' acrimonious final year is a detailed account of the breakup featuring the perspectives of all four band members and their roles. A must to add to the collection of Beatles fans, And in the End is full of fascinating information available for the first time. McNab reconstructs for the first time the seismic events of 1969, when the Beatles reached new highs of creativity and new lows of the internal strife that would destroy them.
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In the summer of 1942, the Rabinowitz family narrowly escaped the Nazi ghetto in their Polish town by fleeing to the forbidding Bialowieza Forest. They miraculously survived two years in the woods—through brutal winters, Typhus outbreaks, and merciless Nazi raids—until they were liberated by the Red Army in 1944. After the war, they trekked across the Alps into Italy, where they settled as refugees before eventually immigrating to the United States.
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Great story with an added benefit
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Clare Bowditch has always had a knack for telling stories. Through her music and performing, this beloved Australian artist has touched hundreds of thousands of lives. But what of the stories she used to tell herself? That 'real life' begins only once you're thin or beautiful, that good things happen only to other people. Your Own Kind of Girl reveals a childhood punctuated by grief, anxiety and compulsion and tells how these forces shaped Clare's life for better and for worse. This is a heartbreaking, wise and at times playful memoir.
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Simply marvelous! Her voice !!!
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accurate acount
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We rise! — only eating at The Grey is better!
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WHEN HARRY MET MINNIE, I Felt Let Down Initially…
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The Nine follows the true story of the author’s great aunt Hélène Podliasky, who led a band of nine female resistance fighters as they escaped a German forced labor camp and made a 10-day journey across the front lines of World War II from Germany back to Paris. Drawing on incredible research, this powerful, heart-stopping narrative is a moving tribute to the power of humanity and friendship in the darkest of times.
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Marvin Kalb, the award-winning journalist who has written extensively about the world he reported on during his long career, now turns his eye on the young man who became that journalist. Chosen by legendary broadcaster Edward R. Murrow to become one of what came to be known as the Murrow Boys, Kalb in this newest volume of his memoirs takes listeners back to his first days as a journalist, and what also were the first days of broadcast news.
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What a voice!
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Fascinating Welsh granny
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Skeleton Keys
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Author Brian Switek is a charming and enthusiastic osteological raconteur. In this natural and cultural history of bone, he explains where our skeletons came from, what they do inside us, and what others can learn about us when these wondrous assemblies of mineral and protein are all we've left behind.
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Awesome Book, Read Very Well
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Flash Crash
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Performance
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Story
On May 6, 2010, financial markets around the world tumbled simultaneously and without warning. In the span of five minutes, a trillion dollars of valuation was lost. The Flash Crash, as it became known, represented the fastest drop in market history. When share values rebounded less than half an hour later, experts around the globe were left perplexed. A real-life financial thriller, Flash Crash uncovers the remarkable, behind-the-scenes narrative of a mystifying market crash, a globe-spanning investigation into international fraud, and the man at the center of them both.
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Rain Man takes on Commodities Exchange
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The Lost Gutenberg
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- By: Margaret Leslie Davis
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Performance
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Story
For rare-book collectors, an original copy of the Gutenberg Bible - of which there are fewer than 50 in existence - represents the ultimate prize. Here, Margaret Leslie Davis recounts five centuries in the life of one copy, from its creation by Johannes Gutenberg, through the hands of monks, an earl, the Worcestershire sauce king, and a nuclear physicist to its ultimate resting place, in a steel vault in Tokyo.
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Spare me
- By Dr. Small on 05-04-20
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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- 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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- 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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- 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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