
The Social Transformation of American Medicine
The Rise of a Sovereign Profession and the Making of a Vast Industry
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Narrated by:
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Sean Runnette
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By:
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Paul Starr
About this listen
Considered the definitive history of the American healthcare system, The Social Transformation of American Medicine examines how the roles of doctors, hospitals, health plans, and government programs have evolved over the last two and a half centuries. How did the financially insecure medical profession of the 19th century become a most prosperous one in the 20th century? Why was national health insurance blocked? And why are corporate institutions taking over our medical care system today?
Beginning in 1760 and coming up to the present day, renowned sociologist Paul Starr traces the decline of professional sovereignty in medicine, the political struggles over healthcare, and the rise of a corporate system.
Updated with a new preface and an epilogue analyzing developments since the early 1980s, this new edition of The Social Transformation of American Medicine is a must-listen for anyone concerned about the future of our fraught healthcare system.
©1982 Paul Starr (P)2018 TantorListeners also enjoyed...
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When Jean Tirole won the 2014 Nobel Prize in Economics, he suddenly found himself being stopped in the street by complete strangers and asked to comment on issues of the day, no matter how distant from his own areas of research. His transformation from academic economist to public intellectual prompted him to reflect further on the role economists and their discipline play in society. The result is Economics for the Common Good, a passionate manifesto for a world in which economics, far from being a "dismal science," is a positive force for the common good.
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A Great Overview of the Challenges of Modern Econ
- By Zach Sullivan on 08-06-18
By: Jean Tirole, and others
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The Conscience of a Liberal
- By: Paul Krugman
- Narrated by: Jason Culp
- Length: 9 hrs and 9 mins
- Unabridged
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America emerged from Franklin Roosevelt's New Deal with strong democratic values and broadly shared prosperity. But for the past 30 years, American politics has been dominated by a conservative movement determined to undermine the New Deal's achievements. Now, the tide may be turning, and in The Conscience of a Liberal Paul Krugman, the world's most widely read economist and one of its most influential political commentators, charts the way to reform.
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Great Book!!!
- By carl801 on 12-04-07
By: Paul Krugman
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A Capitalism for the People
- Recapturing the Lost Genius of American Prosperity
- By: Luigi Zingales
- Narrated by: Jonathan Davis
- Length: 11 hrs and 20 mins
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Overall
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Performance
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Story
Born in Italy, University of Chicago economist Luigi Zingales witnessed firsthand the consequences of high inflation and unemployment - paired with rampant nepotism and cronyism - on a country’s economy. This experience profoundly shaped his professional interests, and in 1988 he arrived in the United States, armed with a political passion and the belief that economists should not merely interpret the world, but should change it for the better.
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Enjoyable but a tad predictable.
- By Kevin on 12-24-12
By: Luigi Zingales
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The Third Revolution
- Xi Jinping and the New Chinese State
- By: Elizabeth C. Economy
- Narrated by: Jo Anna Perrin
- Length: 11 hrs and 3 mins
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Eminent China scholar Elizabeth C. Economy provides an incisive look at the transformative changes underway in China today. Chinese leader Xi Jinping has unleashed a powerful set of political and economic reforms: the centralization of power under Xi himself; the expansion of the Communist Party's role in Chinese political, social, and economic life; and the construction of a virtual wall of regulations to control more closely the exchange of ideas and capital between China and the outside world.
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A decent synopsis of Xi Jinping and his polices
- By Yoda on 04-29-19
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A Generation of Sociopaths
- How the Baby Boomers Betrayed America
- By: Bruce Cannon Gibney
- Narrated by: Wayne Pyle
- Length: 14 hrs and 49 mins
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What happens when a society is run by people who are antisocial? Welcome to baby boomer America. In A Generation of Sociopaths, Bruce Cannon Gibney shows how America was hijacked by the boomers, a generation whose reckless self-indulgence degraded the foundations of American prosperity.
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Honest introspection required
- By Niki on 03-31-17
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FDR's Folly
- How Roosevelt and His New Deal Prolonged the Great Depression
- By: Jim Powell
- Narrated by: William Hughes
- Length: 9 hrs and 26 mins
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In the minds of historians and the American public alike, Franklin Delano Roosevelt was one of our greatest presidents, not least because he supposedly saved America from the Great Depression. But as historian Jim Powell reveals in this groundbreaking book, Roosevelt's New Deal policies actually prolonged and exacerbated the economic disaster.
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Scones for the Tea Party
- By Chiefkent on 06-11-12
By: Jim Powell
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Hostile Takeover
- Resisting Centralized Government's Stranglehold on America
- By: Matt Kibbe
- Narrated by: George Newbern
- Length: 12 hrs and 11 mins
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Overall
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Performance
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Story
Hostile Takeover is a rebellious challenge to the "upper management" of government, who are choking American prosperity and liberty. Matt Kibbe exposes the privileged collusion of Washington insiders - and maps out a proven plan for how to return power from the self-appointed "experts" back to the people. Dubbed "one of the Tea Party's masterminds" by Newsweek, Kibbe reveals how grassroots citizens can and will check the federal behemoth and restore the American enterprise.
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An amazing book from an interesting perspective
- By Aaron on 12-28-12
By: Matt Kibbe
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How Are You Going to Pay for That?
- Smart Answers to the Dumbest Question in Politics
- By: Ryan Cooper
- Narrated by: Ryan Cooper
- Length: 8 hrs and 22 mins
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Performance
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How Are You Going to Pay for That? is filled with engaging discussions and detailed strategies that policymakers and citizens alike can use to assail even the most entrenched lines of neoliberal logic and start to undo these long-held misconceptions. Equal parts economic theory, history, and political polemic, this is an essential roadmap for winning the key battles to come.
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Not horrible but not correct either
- By David on 03-20-23
By: Ryan Cooper
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The Hidden History of the Supreme Court and the Betrayal of America
- The Thom Hartmann Hidden History Series
- By: Thom Hartmann
- Narrated by: Sean Pratt
- Length: 4 hrs and 15 mins
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Taking his typically in-depth, historically informed view, Thom Hartmann asks: What if the Supreme Court didn't have the power to strike down laws? According to the Constitution, it doesn't. From the founding of the republic until 1803, the Supreme Court was the final court of appeals, as it was always meant to be. So where did the concept of judicial review start? As so much of modern American history, it began with the battle between the Federalists and Anti-Federalists, and with Marbury v. Madison.
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A must read to understand why voting is essential.
- By Brandon WIlliams on 10-05-19
By: Thom Hartmann
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Supercapitalism
- The Transformation of Business, Democracy, and Everyday Life
- By: Robert B. Reich
- Narrated by: Dick Hill
- Length: 9 hrs and 36 mins
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Overall
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Since the 1970s, and notwithstanding three recessions, the U.S. economy has soared. American capitalism has been a triumph, and it has spread throughout the world. At the same time, argues the former U.S. secretary of labor, Robert B. Reich, the effectiveness of democracy in America has declined. It has grown less responsive to the citizenry, and people are feeling more and more helpless as a result.
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Robert Reich for V.P. (of the U.S.)
- By Kenneth on 11-07-07
By: Robert B. Reich
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Here for the first time, in rich human, political, and scientific detail, is the complete story of how the bomb was developed, from the turn-of-the-century discovery of the vast energy locked inside the atom to the dropping of the first bombs on Japan. Few great discoveries have evolved so swiftly - or have been so misunderstood. From the theoretical discussions of nuclear energy to the bright glare of Trinity, there was a span of hardly more than 25 years.
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Beware limitations of the reader
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What listeners say about The Social Transformation of American Medicine
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- David J. Pascoe
- 02-23-24
Wonderful history/sociology of American Medical practice
Starr does an impressive job of translating arcane sociology to mainstream history. Well worth the time…and it takes a long time!
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- Mikio A. Nihira
- 10-05-20
really expansive but really dense
I last read Dr Starr's book as a college sophomore. it was incredibly satisfying to read it again after practicing surgery for 25 years.
His scholarship and insightful comments are particularly meaningful to me. I strongly recommend this book to help gain an understanding of the context of medical practice in the United States.
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3 people found this helpful
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- Dusty
- 07-29-21
Informative but kind of boring
I think it's an important book for every doctor to read BUT I wish there would have been some form of a quick summary at the end. I found myself getting lost at times in the story and how things were moving. I think the time frame would be easier to understand with a physical book. Overall, would definitely recommend. The topic is not my favorite but it was very good information!! Glad I listened to it!
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1 person found this helpful
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- CMcA
- 03-12-23
Cogent
Very well documented and the epilogue confirms analysis done decades earlier. Recommended for structure and Conte.
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- Phil Maychek
- 11-03-22
Chapters don’t align with the physical book’s chapters.
Very interesting and informative, but the chapters on the audiobook don’t align with the chapters in the physical book. Since there are no chapter titles on the audiobook it’s difficult to correspond with group discussion.
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3 people found this helpful
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- Rob
- 06-24-19
Fascinating Survey of Healthcare in Amerixa
This book was dense! By that, I mean it was chalk full of important and interesting information but a little challenging to get through at times.
I recommend powering through some of the slower points because they payoff is a wealth of information about one of the most important and confusing aspects of American Life.
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9 people found this helpful
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- Amazon Customer
- 07-16-23
Every one should read.
The book clearly points out, how we have gotten to where we are in the land of medicine.
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- F. Ospina
- 08-24-19
excellent.
excellent overview and analysis of why the US medical system is the way it is and why changing it is such a challenge.
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3 people found this helpful
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- john hodapp
- 10-09-23
simply wonderful
should be required reading in every medical school. as a physician none of this was discussed in my training. makes a fascinating if dense read
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- Brendan
- 02-05-24
Eye opening view of why our healthcare system is as it is
The history of the US healthcare system discussed in this book should be required reading for healthcare professionals.
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