The People's Hospital
Hope and Peril in American Medicine
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Narrated by:
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Ricardo Nuila MD
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By:
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Ricardo Nuila MD
About this listen
“Nuila’s storytelling gifts place him alongside colleagues like Atul Gawande.”—Los Angeles Times
This “compelling mixture of health care policy and gripping stories from the frontlines of medicine” (The Guardian) explores the question: where does an uninsured person go when turned away by hospitals, clinics, and doctors?
Here, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital that prioritizes people over profit. First, we meet Stephen, the restaurant franchise manager who signed up for his company’s lowest priced plan, only to find himself facing insurmountable costs after a cancer diagnosis. Then Christian—a young college student and retail worker who can’t seem to get an accurate diagnosis, let alone treatment, for his debilitating knee pain. Geronimo, thirty-six years old, has liver failure, but his meager disability check disqualifies him for Medicaid—and puts a life-saving transplant just out of reach. Roxana, who’s lived in the community without a visa for more than two decades, suffers from complications related to her cancer treatment. And finally, there’s Ebonie, a young mother whose high-risk pregnancy endangers her life. Whether due to immigration status, income, or the vagaries of state Medicaid law, all five are denied access to care. For all five, this exclusion could prove life-threatening.
Each patient eventually lands at Ben Taub, the county hospital where Dr. Nuila has worked for over a decade. Nuila delves with empathy into the experiences of his patients, braiding their dramas into a singular narrative that contradicts the established idea that the only way to receive good health care is with good insurance. As listeners follow the moving twists and turns in each patient’s story, it’s impossible to deny that our system is broken—and that Ben Taub’s innovative model, where patient care is more important than insurance payments, could help light the path forward.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2023 Ricardo Nuila. All rights reserved. (P)2023 Simon & Schuster, Inc. All rights reserved.Listeners also enjoyed...
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Critic reviews
"Physician Ricardo Nuila brings the full extent of his passion for people to his narration of his experiences with American healthcare. A doctor on staff at Ben Taub Hospital in Houston, Nuila saw firsthand the destructive aspects of for-profit healthcare and how often those who were truly suffering would end up in his public hospital when it was almost too late. Examining the history and current issues of the American healthcare system, this audiobook is a tough listen. Nuila embraces his emotions as he tells personal stories of real-life cases. What results is a powerful audiobook that leaves the listener both fascinated and horrified by what is happening to those who cannot access healthcare in our first-world nation." (AudioFile Magazine)
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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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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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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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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!
- By Anne on 08-10-11
By: Jane Gross
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The Problem of Alzheimer's
- How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
- By: Jason Karlawish
- Narrated by: Jason Karlawish, Jonathan Todd Ross
- Length: 13 hrs and 41 mins
- Unabridged
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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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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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God's Hotel
- A Doctor, a Hospital, and a Pilgrimage to the Heart of Medicine
- By: Victoria Sweet
- Narrated by: Victoria Sweet
- Length: 13 hrs and 44 mins
- Unabridged
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San Francisco's Laguna Honda Hospital is the last almshouse in the country, a descendant of the Hôtel-Dieu (God's hotel) that cared for the sick in the Middle Ages. Ballet dancers and rock musicians, professors and thieves - "anyone who had fallen, or, often, leapt, onto hard times" and needed extended medical care - ended up here. So did Victoria Sweet, who came for two months and stayed for 20 years. Laguna Honda, lower-tech but human-paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished.
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Great read
- By kayla solomon on 04-08-17
By: Victoria Sweet
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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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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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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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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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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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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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How Doctors Think
- By: Jerome Groopman M.D.
- Narrated by: Michael Prichard
- Length: 10 hrs and 27 mins
- Unabridged
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Performance
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Story
On average, a physician will interrupt a patient describing her symptoms within 12 seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong: with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
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Disappointing
- By Audiophile on 05-13-07
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State of the Heart
- Exploring the History, Science, and Future of Cardiac Disease
- By: Haider Warraich
- Narrated by: Neil Shah
- Length: 11 hrs and 8 mins
- Unabridged
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Overall
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Performance
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Story
In State of the Heart, the journey to rid the world of heart disease is shown to be reflective of the journey of medical science at large. We are learning not only that women have as much heart disease as men, but that the type of heart disease women experience is diametrically different from that in men. We are learning that heart disease and cancer may have more in common than we could have imagined. And we are learning how human evolution itself may have led to the epidemic of heart disease
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Good information, bad organization
- By Conor Cox on 09-03-19
By: Haider Warraich
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Confessions of a GP
- By: Benjamin Daniels
- Narrated by: Eamonn Riley
- Length: 6 hrs and 1 min
- Unabridged
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Overall
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Performance
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Story
Benjamin Daniels is angry. He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions.A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor.
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Very enjoyable
- By PCF on 05-27-17
By: Benjamin Daniels
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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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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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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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Overall
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Performance
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Story
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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Despite modern medicine's infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion's share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to "make their case" to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements.
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Newbie review follows. Be ware
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The story of Native peoples’ resistance to environmental injustice and land incursions and a call for environmentalists to learn from the indigenous community’s rich history of activism.
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Can't tell a book by it's cover!
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From Elizabeth Holmes and Anna Delvey to Frank Abagnale and Charles Ponzi, audacious scams and charismatic scammers continue to intrigue us as a culture. As Tori Telfer reveals in Confident Women, the art of the con has a long and venerable tradition, and its female practitioners are some of the best - or worst.
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Fun stories of bad girls
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In 2013, Alicia Garza wrote what she called “a love letter to Black people” on Facebook, in the aftermath of the acquittal of the man who murdered seventeen-year-old Trayvon Martin. Garza wrote: Black people. I love you. I love us. Our lives matter. With the speed and networking capacities of social media, #BlackLivesMatter became the hashtag heard ’round the world. But Garza knew even then that hashtags don’t start movements - people do.
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Black Lives Matter is not about rioting: read this
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Seen, Secure, Free
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Fire Island
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Fire Island, a thin strip of beach off the Long Island coast, has long been a vital space in the queer history of America. Both utopian and exclusionary, healing and destructive, the island is a locus of contradictions, all of which coalesce against a stunning ocean backdrop. Now, poet and scholar Jack Parlett tells the story of this iconic destination—its history, its meaning and its cultural significance—told through the lens of the artists and creators who sought refuge on its shores.
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Excellent
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We Do This ‘Til We Free Us
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What if social transformation and liberation isn't about waiting for someone else to come along and save us? What if ordinary people have the power to collectively free ourselves? In this timely collection of essays and interviews, Mariame Kaba reflects on the deep work of abolition and transformative political struggle.
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content is great, but audiobook is unlistenable
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Decoding Madness
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Dealing with some of the most heinous crimes imaginable, forensic neuropsychologist and psychoanalyst Dr. Richard Lettieri gives a behind-the-scenes look at criminal psychology through case studies from his over 30 years of experience as a court-appointed and privately retained psychologist.
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well presented
- By Sherise on 06-19-24
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When Religion Hurts You
- Healing from Religious Trauma and the Impact of High-Control Religion
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Dr. Laura Anderson takes an honest look at a side of religion that few like to talk about. Drawing from her own life and therapy practice, she helps listeners understand what religious trauma is and isn't, and how high-control churches can be harmful and abusive, often resulting in trauma. She shows how elements of fundamentalist church life—such as fear of hell, purity culture, corporal punishment, and authoritarian leaders—can cause psychological, relational, physical, and spiritual damage.
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Harmed by Church of Christ beliefs
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What listeners say about The People's Hospital
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- LMH
- 09-08-23
A Must Read
This is a must read for anyone needing health care in the US. With immense heart Nuila looks at what’s wrong and how it can be fixed.
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- Amazon Customer
- 12-18-23
Important book
Every one in America who uses healthcare should read this book. It should be required reading for every politician. I thank the author for writing it
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- mountainfrog
- 05-31-24
Healthcare review
This book was an engaging review of the unique story of Ben Taub hospital. The author gives a fairly unbiased case for the benefit of social safety net hospitals. As a former Texan … it brought back memories of Houston and of my medical training in Galveston, Tx
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- Patricia Gonzales
- 05-11-23
Ben Taub Nurse
Thank you to the author. While working there for 25 yrs I often told our PR reps they should market the hospital by telling what we do. We turn no one away. This is a perfect documentation of that.
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- Denia
- 04-19-23
yes!
i love this book, finished it in a weekend. everything about is real, and puts a bit of hope to everyone story.
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- Frank Elvin
- 06-15-23
Excellent book.
I learned more about the US health (and insurance) system from this book than from any other source. The inhumanity of the US system as described in thus book is unbelievable. It’s inefficiency and high cost defy logic. Surely we can come up with a better system at lower cost
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- tkweaver
- 09-12-23
Outstanding Book
Everyone needs to read this to get a better understanding of how health care in America works and how it should work. Required reading!
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- Laura
- 06-28-23
Amazing
The author captured the problems in healthcare so well with specificity and compassion - what a gift. A must listen, a call to act.
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- mary
- 07-12-23
Beautiful and heartfelt
As a nurse who has worked in a safety hospital I found this to be an incredibly moving description.
It would be a fabulous book for anyone entering the medical field or anyone who doesn’t understand how fragile the system really is.
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- Michael
- 04-26-24
Excellent!
Being a retired physician myself, the author is spot on in describing the issues and problems with our current healthcare system. The United States is in the midst of a healthcare crisis due to the corporatization of the healthcare industry. I can tell you from the trenches that no one on the inside of healthcare is happy with the current system. As the author points out, public hospitals remain the last stop for the many desperate patients discarded by the for-profit healthcare system. This beautifully written book describes the complexities and the many failures of the current system. I wish more Americans were aware of the issues as so well described in this book. Hopefully, public pressure will drive politicians to reform our broken healthcare system!
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