The Price We Pay
What Broke American Health Care - and How to Fix It
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Narrated by:
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Marty Makary MD
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By:
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Marty Makary MD
About this listen
From the New York Times best-selling author of Unaccountable comes an eye-opening, urgent look at America's broken health care system - and the people who are saving it.
One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up. Dr Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable.
The Price We Pay offers a road map for everyday Americans and business leaders to get a better deal on their health care and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well - a mission that can rebuild the public trust and save our country from the crushing cost of health care.
PLEASE NOTE: When you purchase this title, the accompanying reference material will be available in your Library section along with the audio on our Desktop Site.
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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
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By: Jason Karlawish
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American Overdose
- The Opioid Tragedy in Three Acts
- By: Chris McGreal
- Narrated by: Dan Woren
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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
- By Macmom4 on 02-18-19
By: Chris McGreal
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- By: Sheila Himmel, Fran Smith
- Narrated by: Coleen Marlo
- Length: 6 hrs and 49 mins
- Unabridged
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Overall
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Performance
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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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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Overall
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Performance
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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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
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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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Super Crunchers
- Why Thinking-by-Numbers Is the New Way to Be Smart
- By: Ian Ayres
- Narrated by: Michael Kramer
- Length: 7 hrs and 34 mins
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Today, number crunching affects your life in ways you might never imagine. In this lively and groundbreaking new audiobook, economist Ian Ayres shows how today's best and brightest organizations are analyzing massive databases at lightening speed to provide greater insights into human behavior. They are the Super Crunchers.
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Great book on
- By Jon on 01-31-08
By: Ian Ayres
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The Nordic Theory of Everything
- In Search of a Better Life
- By: Anu Partanen
- Narrated by: Abby Craden
- Length: 10 hrs and 28 mins
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Moving to America in 2008, Finnish journalist Anu Partanen quickly went from confident, successful professional to wary, self-doubting mess. She found that navigating the basics of everyday life - from buying a cell phone and filing taxes to education and childcare - was much more complicated and stressful than anything she encountered in her homeland. At first she attributed her crippling anxiety to the difficulty of adapting to a freewheeling new culture. But as she got to know Americans better, she discovered they shared her deep apprehension.
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A non-radical perspective on two societies
- By kwdayboise (Kim Day) on 06-20-17
By: Anu Partanen
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Doctored
- The Disillusionment of an American Physician
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- Length: 10 hrs and 38 mins
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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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Deadly Spin
- An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans
- By: Wendell Potter
- Narrated by: Patrick Lawlor
- Length: 9 hrs and 17 mins
- Unabridged
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Overall
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Performance
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Story
In June 2009, Wendell Potter made national headlines with his scorching testimony before the Senate panel on health care reform. This former senior vice president of CIGNA explained how health insurers make promises they have no intention of keeping, how they flout regulations designed to protect consumers, and how they skew political debate with multibillion-dollar public relations campaigns designed to spread disinformation.
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Must Read
- By Randy on 01-11-11
By: Wendell Potter
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The Why Axis
- Hidden Motives and the Undiscovered Economics of Everyday Life
- By: Uri Gneezy, John A. List
- Narrated by: Eric Martin
- Length: 9 hrs and 8 mins
- Unabridged
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Overall
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Performance
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Uri Gneezy and John List are like the anthropologists who spend months in the field studying the people in their native habitats. But in their case they embed themselves in our messy world to try and solve big, difficult problems, such as the gap between rich and poor students and the violence plaguing inner city schools; the real reasons people discriminate; whether women are really less competitive than men; and how to correctly price products and services. Their field experiments show how economic incentives can change outcomes.
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Some Interesting Insights But Poor Science
- By Harold Toomey on 06-09-23
By: Uri Gneezy, and others
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The Up Side of Down
- Why Failing Well Is the Key to Success
- By: Megan McArdle
- Narrated by: Mia Barron
- Length: 10 hrs and 38 mins
- Unabridged
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Overall
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Performance
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Most new products fail. So do most small businesses. And most of us, if we are honest, have experienced a major setback in our personal or professional lives. So what determines who will bounce back and follow up with a home run? If you want to succeed in business and in life, Megan McArdle argues in this hugely thought-provoking book, you have to learn how to harness the power of failure. McArdle has been one of our most popular business bloggers for more than a decade, covering the rise and fall of some the world' s top companies and challenging us to think differently about how we live, learn, and work.
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Good Book
- By Ray on 05-21-14
By: Megan McArdle
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How has the United States, with more resources than any nation, developed a healthcare system that delivers much poorer results, at near double the cost of any other developed country - such that legendary seer Warren Buffett calls the Medical Industrial Complex "the tapeworm of American economic competitiveness"?
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Beware
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While researching the toxic and addictive properties of sugar for Fat Chance, Robert Lustig made an alarming discovery - our pursuit of happiness is being subverted by a culture of addiction and depression from which we may never recover. Dopamine is the "reward" neurotransmitter that tells our brains we want more; yet every substance or behavior that releases dopamine in the extreme leads to addiction. Serotonin is the "contentment" neurotransmitter that tells our brains we don't need any more; yet its deficiency leads to depression.
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6 stars
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Each week, people read about new and exciting cancer drugs. Some of these drugs are truly transformative, offering major improvements in how long patients live or how they feel. But what is often missing from the popular narrative is that, far too often, these new drugs have marginal or minimal benefits. Some are even harmful.
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Excellent dive into the data
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What listeners say about The Price We Pay
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Amazon Customer
- 10-08-21
Info you need to know
Great info for the lay person and the professional. I will recommend this to friends family coworkers!
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- E
- 06-12-20
a book worth reading
great insights into our medical, care delivery systems. told in an interesting way.
how did we get here? super reading. absorbing too.
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- Alexander Burns
- 12-06-20
Great informative book
This is a really important book. The Big Short for healthcare Let's take these lessons and change direction.
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- Myron from TX
- 02-09-23
Great information, I wish more within healthcare would read and heed.
Many excellent points were brought up, from Medical education, to use of plain English from Doctor to Patient
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- RHOWELL
- 03-12-23
Great Read
A great vantage point of American healthcare and it’s disparities. So many truths in this write up.
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- Elisa Trotter
- 03-23-23
Goes over the symptoms, but not the root problem
Dr. Makary and his team have done excellent work to find and expose many of the problems in our healthcare system. But like a lot of modern medicine, this book is focused on the symptoms rather than the root cause. I don't want to sound overly critical, because this is a great book that should be read by all voting Americans or anyone who plans to get medical treatment during their lifetime. However, it mostly fails to address the single most important cause of nearly all the problems highlighted in the book.
Perhaps Dr. Makary was trying to avoid being too similar to Catastrophic Care by David Goldhill, which is referenced in this book. Both are necessary and 'must read' texts, but Catastrophic Care gets to the root of all the problems while The Price We Pay goes into depth about many of the symptoms created by the root cause.
Analogy: If the American healthcare system is an obese patient with hypertension, diabetes, sleep apnea, and joint pain, The Price We Pay goes into depth about specific issues that cause each condition (blocked arteries, high blood sugar, obstructions around the airway, inflammation, etc) and how to remedy each separate condition with specific treatments, while Catastrophic Care ties all the symptoms to the root cause of obesity and explains how losing weight will likely get rid of all the symptoms and bring the patient back to a more healthy state.
This is a great book and very worthy of your time and attention. But, in my opinion, it is secondary to Catastrophic Care in explaining the deficiencies of the American healthcare system. I highly suggest you read/listen to both books.
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- Karen Schulkin
- 09-24-24
Eye opening
I work in healthcare and have heard of a some of these issues but there was so much more that was shocking. The book is thorough and has solutions. It’s unbelievable that we allow these companies to operate this way and it has to stop. When you take your animal to the vet, you get an itemized estimate with high end and the breakdown of all they plan to do. You agree before they proceed. This could be the way for us to work in healthcare too. So we can know if the work is affordable and we want it or not. Thank you for this work!
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- Magic Brian
- 10-23-21
Deep and relevant insights into our health care .
Really enjoyed and learned a lot.
Thank you for your commitment
and explanation about what's broken in our
Healthcare system. Thank you Dr Makary!
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- Amazon Customer
- 06-05-20
Price of Health Care Can Make You Sick
The subject of pricing of heath care will make you sick. Dr. Malady exposes a health care system gone wild with price gouging, procedure mark ups and the filing of lawsuits for those who cannot pay. Where is the humanity?
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- JWE
- 07-10-20
Great explanation of the problems in U.S Healthcare
Everyone should read this in order to understand how perverse the current system is and how we are screwed at every turn. It is a call to action.
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