
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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- Unabridged
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A groundbreaking collection of essays by celebrated international writers bears witness to the human cost of 50 years of Israeli occupation of the West Bank and Gaza. In Kingdom of Olives and Ash, Michael Chabon and Ayelet Waldman, two of today's most renowned novelists and essayists, have teamed up with the Israeli NGO Breaking the Silence and a host of illustrious writers to tell the stories of the people on the ground in the contested territories.
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An emotionally and ethically charged book
- By Loni Shelef on 11-18-17
By: Michael Chabon, and others
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This Bright Future
- A Memoir
- By: Bobby Hall
- Narrated by: Bobby Hall
- Length: 10 hrs and 11 mins
- Unabridged
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A self-described orphan with parents, Bobby Hall began life as Sir Robert Bryson Hall II, the only child of an alcoholic, mentally ill mother on welfare and an absent, crack-addicted father. After enduring 17 years of abuse and neglect, Bobby ran away from home and - with nothing more than a discarded laptop and a ninth-grade education - he found his voice in the world of hip-hop and a new home in a place he never expected: the untamed and uncharted wilderness of the social media age. In the message boards and livestreams of this brave new world, Bobby became Logic.
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Wow
- By Donna on 09-24-21
By: Bobby Hall
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Apparently There Were Complaints
- A Memoir
- By: Sharon Gless
- Narrated by: Sharon Gless
- Length: 9 hrs and 51 mins
- Unabridged
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Anyone who has seen Sharon Gless act in Cagney & Lacey, Queer as Folk, Burn Notice, and countless other shows and movies, knows that she’s someone who gives every role her all. She holds nothing back in Apparently There Were Complaints, a hilarious, deeply personal memoir that spills all about Gless’s five decades in Hollywood.
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I listened from beginning to end
- By Amazon Customer on 12-14-21
By: Sharon Gless
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How Money Became Dangerous
- The Inside Story of Our Turbulent Relationship with Modern Finance
- By: Christopher Varelas, Dan Stone
- Narrated by: Roger Wayne
- Length: 14 hrs and 43 mins
- Unabridged
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From a veteran of the trade, a provocative and entertaining voyage into the turbulent heart of modern money that sheds new light on the rise of our threatening and complicated financial system, how money became our adversary, and why finding a new course is crucial to a healthy society.
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Many-sided, thoughtful, very listenable
- By Philo on 02-06-20
By: Christopher Varelas, and others
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The Best American Essays 2022
- By: Alexander Chee
- Narrated by: Robert Atwan, Iva-Marie Palmer, Ewan Chung, and others
- Length: 12 hrs and 54 mins
- Unabridged
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Alexander Chee, an essayist of “virtuosity and power” (Washington Post), selects twenty essays out of thousands that represent the best examples of the form published the previous year.
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Best of this series ever
- By Melissa on 02-28-23
By: Alexander Chee
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Lies I Taught in Medical School
- How Conventional Medicine Is Making You Sicker and What You Can Do to Save Your Own Life
- By: Robert Lufkin MD
- Narrated by: Jim Meskimen
- Length: 8 hrs and 6 mins
- Unabridged
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For the first time in history, chronic diseases like diabetes, hypertension, and obesity plague our population on a global scale. From a seasoned physician, this paradigm-shifting book comprehensively explains the linked cause of chronic diseases and exposes the misconceptions prevalent in modern medicine. In Lies I Taught in Medical School, Robert Lufkin, MD, explains that metabolic dysfunction is the common underlying cause of most chronic diseases that has been overlooked for decades, providing the tools needed to prevent and reverse them in ourselves.
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Bold new perspectives
- By Shad on 07-10-24
By: Robert Lufkin MD
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Riding the Lightning
- A Year in the Life of a New York City Paramedic
- By: Anthony Almojera
- Narrated by: Anthony Almojera
- Length: 8 hrs and 41 mins
- Unabridged
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As a seasoned paramedic and union leader, Anthony Almojera thought he could handle anything his job threw at him. Like many medical first responders, he came from a troubled background and carried the traumas of the city as well as its triumphs. He had grown up in the rough-and-tumble Park Slope of the 1980s, been homeless for a time, and had watched murder, addiction, and hopelessness consume those closest to him. But he had dedicated his life to helping people in need, and while every day was filled with tragedy—stabbings, shootings, accidents, suicides—it also brought moments of uplift.
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Concerning
- By Owen monk on 01-30-23
By: Anthony Almojera
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Impossible Takes Longer
- 75 Years After Its Creation, Has Israel Fulfilled Its Founders’ Dreams?
- By: Daniel Gordis
- Narrated by: Rob Shapiro
- Length: 11 hrs and 59 mins
- Unabridged
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In 1948, Israel’s founders sought a “national home for the Jewish people,” where Jewish life would be transformed. The state they ultimately made, says Daniel Gordis, is a place of extraordinary success and maddening disappointment, a story of both unprecedented human triumph and great suffering.
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Leftist agenda all over the place
- By AlexS on 12-11-23
By: Daniel Gordis
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Somatic Trauma Healing
- The At-Home DIY Crash Course in Experiencing True Body Awareness Through Somatic Secrets Anyone Can Do & Insider Techniques Your ... (Sound Healing and Somatic Mindfulness)
- By: Ascending Vibrations
- Narrated by: Alana Marie Cheuvront
- Length: 5 hrs and 15 mins
- Unabridged
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Have you suffered trauma in the past? Have you been wanting to relieve unusual symptoms but can’t seem to get to the bottom of it? Stored trauma can often lead to physical pain and the psychological anguish that comes along with it. Want to say good-bye to all of the overwhelming and complex info out there and discover what easily works for you? You see, using somatic healing to your benefit doesn't have to be difficult, even if you feel like you've already tried everything. In fact, it's easier than you think.
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A Must-Read for Survivors of Trauma
- By Anonymous User on 11-06-23
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Fire Island
- A Century in the Life of an American Paradise
- By: Jack Parlett
- Narrated by: Joe Jameson
- Length: 6 hrs and 48 mins
- Unabridged
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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
- By Jonathan Hurst on 08-16-23
By: Jack Parlett
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The Power of Flexing
- How to Use Small Daily Experiments to Create Big Life-Changing Growth
- By: Susan J. Ashford
- Narrated by: Megan Tusing
- Length: 8 hrs and 55 mins
- Unabridged
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Addressing diverse issues depends on improving your soft skills - such as time management, team-building, communication and listening, creative-thinking, and problem-solving. But this isn’t as easy as it may seem. Sue Ashford has the solution. In this timely book, she introduces Flexing - a technique individuals, teams, and entire organizations can use to learn, grow, and develop their skills and knowledge with every new project, work assignment, and problem. Flexing empowers you to embrace any challenge and adapt to any change, yielding valuable takeaways that ensure growth.
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Flexing changed everything
- By H. Hendricks on 03-18-22
By: Susan J. Ashford
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The Self-Healing Mind
- An Essential Five-Step Practice for Overcoming Anxiety and Depression, and Revitalizing Your Life
- By: Gregory Scott Brown
- Narrated by: Gregory Scott Brown
- Length: 7 hrs and 34 mins
- Unabridged
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Mental health is the driving force behind every decision we make—how we live, work, and love. Many of us suffer from depression and anxiety, which impede our choices and quality of life, and despite the proliferation of prescription drugs, the numbers are growing across the globe. But there is another, proven way to achieve mental wellness, beyond antidepressants and talk therapy. Practicing psychiatrist Gregory Scott Brown believes that mental health begins with actionable self-care.
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initially thought it was crap
- By Amazon Customer on 01-12-25
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Mutual Aid
- Building Solidarity During This Crisis (and the Next)
- By: Dean Spade
- Narrated by: Stephen R. Thorne
- Length: 4 hrs and 41 mins
- Unabridged
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This book is about mutual aid: why it is so important, what it looks like, and how to do it. It provides a grassroots theory of mutual aid, describes how mutual aid is a crucial part of powerful movements for social justice, and offers concrete tools for organizing, such as how to work in groups, how to foster a collective decision-making process, how to prevent and address conflict, and how to deal with burnout.
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abridge this for audio format
- By Jeff M. on 02-17-22
By: Dean Spade
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The Emergency
- A Year of Healing and Heartbreak in a Chicago ER
- By: Thomas Fisher
- Narrated by: Ta-Nehisi Coates, Thomas Fisher
- Length: 7 hrs and 50 mins
- Unabridged
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As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives.
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Meh
- By chel_c42 on 03-29-22
By: Thomas Fisher
What listeners say about The People's Hospital
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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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- 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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- Norma P
- 12-29-24
Thought Provoking
This book challenged the listener to step back and reconsider assumptions around healthcare in America.
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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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- 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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- Georgia Reviewer
- 01-23-25
Interesting Portrayal of Healthcare in the USA
The author does a great job of outlining the greatest issues plaguing the American healthcare system. He does a nice of job of intertwining stories of individual patients over time to keep the reader engaged. The book clearly demonstrates how our government systems can motivate those who are lower wage earners to not work due to benefit qualifications. As the author very clearly describes outright and through example, this can literally be a matter of life or death. It is also very interesting how Ben Taub has managed to function in such a different way. There are some inherent issues that are glossed over, like the extended wait time in the ED. Ben Taub is actually ranked 4th in the country for the longest ED wait time, which is currently > 6 hrs. Nonetheless, their foundation is one that warrants consideration as an example of what healthcare in this country could be.
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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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- Nicole B.
- 01-28-25
A humane perspective
A realistic portrayal of the current US healthcare system. Excellent narration and good illustrative examples.
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