Unaccountable
What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
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Narrated by:
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Robertson Dean
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By:
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Marty Makary
About this listen
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 and efforts to curb expenses. Why? To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.
Download the accompanying reference guide.©2012 Marty Makary, MD (P)2013 TantorListeners also enjoyed...
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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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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- By: Brendan Reilly
- Narrated by: Rob Shapiro
- Length: 15 hrs and 7 mins
- Unabridged
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Performance
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An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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Simply Brilliant
- By Jan on 06-20-14
By: Brendan Reilly
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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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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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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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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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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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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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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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To Repair the World
- Paul Farmer Speaks to the Next Generation
- By: Paul Farmer, Bill Clinton - foreword, Jonathan Weigel - editor
- Narrated by: Joe Barrett, David Ledoux, Kevin T. Collins
- Length: 8 hrs and 58 mins
- Unabridged
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Here, for the first time, is a collection of short speeches by the charismatic doctor and social activist Paul Farmer. One of the most passionate and influential voices for global health equity and social justice, Farmer encourages young people to tackle the greatest challenges of our times. Engaging, often humorous, and always inspiring, these speeches bring to light the brilliance and force of Farmer's vision in a single, accessible volume.
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Resist the Impoverishment of Aspiration
- By Susie on 05-14-13
By: Paul Farmer, and others
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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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Story
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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Polio
- An American Story
- By: David M. Oshinsky
- Narrated by: Jonathan Hogan
- Length: 14 hrs and 37 mins
- Unabridged
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This comprehensive and gripping narrative, which received the 2006 Pulitzer Prize for history, covers all the challenges, characters, and controversies in America's relentless struggle against polio. Funded by philanthropy and grassroots contributions, Salk's killed-virus vaccine (1954) and Sabin's live-virus vaccine (1961) began to eradicate this dreaded disease.
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Wonderful
- By Patricia B Tripoli on 07-22-08
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Silent Invasion
- The Untold Story of the Trump Administration, Covid-19, and Preventing the Next Pandemic Before It's Too Late
- By: Deborah Birx
- Narrated by: Kathe Mazur
- Length: 22 hrs and 3 mins
- Unabridged
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Overall
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Performance
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Story
In late February 2020, Dr. Deborah Birx—a lifelong federal health official who had worked at the CDC, the State Department, and the US Army across multiple presidential administrations—was asked to join the Trump White House Coronavirus Task Force and assist the already faltering federal response to the Covid-19 pandemic. For weeks, she’d been raising the alarm behind the scenes about what she saw happening in public—from the apparent lack of urgency at the White House to the routine downplaying of the risks to Americans.
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Great insight into Public Health
- By Ann-Karen Weller on 05-09-22
By: Deborah Birx
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Prayer multiplies the effort!
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Blind Spots
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In Blind Spots, Dr. Makary explores the latest research on critical topics ranging from the microbiome to childbirth to nutrition and longevity and more, revealing the biggest blind spots of modern medicine and tackling the most urgent yet unsung issues in our $4.5 trillion health care ecosystem. The path to medical mishaps can be absurd, entertaining, and jaw-dropping—but the truth is essential to our health.
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Outstanding and arguably daring
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It is well documented that our health-care system has grave problems, but how, in only a matter of decades, did things get this bad? Dr. Elisabeth Rosenthal doesn't just explain the symptoms; she diagnoses and treats the disease itself. Rosenthal spells out in clear and practical terms exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship, explaining step by step the workings of a profession sorely lacking transparency.
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Not well balanced
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Every year, millions of Americans are overcharged and underserved while the health-care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health-care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair and shows how you can, too.
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Comprehensive Guide To Not Getting F***d by Bills
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The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries—yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health care professionals.
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Great info, but I’m confused…
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Very important book!
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Prayer multiplies the effort!
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Outstanding and arguably daring
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It is well documented that our health-care system has grave problems, but how, in only a matter of decades, did things get this bad? Dr. Elisabeth Rosenthal doesn't just explain the symptoms; she diagnoses and treats the disease itself. Rosenthal spells out in clear and practical terms exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship, explaining step by step the workings of a profession sorely lacking transparency.
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Not well balanced
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Every year, millions of Americans are overcharged and underserved while the health-care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health-care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair and shows how you can, too.
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America's Bitter Pill
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America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare.
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Great history, questionable solutions
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Malignant
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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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Uncaring
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Hardly anyone is happy with American health care these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional health care system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine.
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Important to understand the current medical world
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Blind Spots
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When confronted with an ethical dilemma, most of us like to think we would stand up for our principles. But we are not as ethical as we think we are. In Blind Spots, leading business ethicists Max Bazerman and Ann Tenbrunsel examine the ways we overestimate our ability to do what is right and how we act unethically without meaning to.
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Great book! Poor narration
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By: Max H. Bazerman, and others
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Don't Let Your Doctor Kill You
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Dr. Erika Schwartz believes that today's patient is but a leaf blowing in the wind of groupthink protocols, corrupt medical societies, insurance companies on the take, and billions of dollars in marketing and lobbying pressure from drug companies. What is the quick fix? The answers are here in 10 clear chapters, giving examples every step of the way. It's a simple process that takes you, the patient, from being a victim to being in charge.
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A Must Read for Every Doctor and Patient
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Better
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The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
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A MUST read . . .
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The Heart Healers
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At one time heart disease was a death sentence. By the middle of the 20th century, it was killing millions, and, as with the Black Death centuries before, physicians stood helpless. Visionaries, though, had begun to make strides earlier. On September 7, 1895, Ludwig Rehn successfully sutured the heart of a living man with a knife wound to the chest for the first time.
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Great review of the landmark achievements in Cardiology.
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Confessions of a Surgeon
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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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Deep Medicine
- How Artificial Intelligence Can Make Healthcare Human Again
- By: Eric Topol
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Overall
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Performance
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Story
Medicine has become inhuman, to disastrous effect. The doctor-patient relationship - the heart of medicine - is broken: doctors are too distracted and overwhelmed to truly connect with their patients, and medical errors and misdiagnoses abound. In Deep Medicine, leading physician Eric Topol reveals how artificial intelligence can help. AI has the potential to transform everything doctors do, from notetaking and medical scans to diagnosis and treatment, greatly cutting down the cost of medicine and reducing human mortality.
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a must book for all doctors and patients.
- By adva onn on 04-21-19
By: Eric Topol
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Complications
- A Surgeon's Notes on an Imperfect Science
- By: Atul Gawande
- Narrated by: Robert Petkoff
- Length: 9 hrs and 31 mins
- Unabridged
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Overall
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Performance
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Story
Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form, but as it actually is - complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad.
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FALLIBILITY, MYSTERY AND UNCERTAINTY
- By AnnH on 10-04-20
By: Atul Gawande
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Follow the Science
- How Big Pharma Misleads, Obscures, and Prevails
- By: Sharyl Attkisson
- Narrated by: Sharyl Attkisson
- Length: 12 hrs and 25 mins
- Unabridged
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Overall
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Performance
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Story
Follow the Science recounts, in exacting detail, how far the pharmaceutical industry and its supporters in medicine, media, and government will go to protect their profits. Attkisson provides shocking examples that reveal the disturbing callousness our government, public health officials, and top researchers are capable of when it comes to the most vulnerable among us. And she explains, in a graphic sense, how some of the most trusted within our society are willing to commit life-threatening ethics violations.
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Conspiracy propaganda.
- By John Mckenzie on 09-23-24
By: Sharyl Attkisson
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The People's Hospital
- Hope and Peril in American Medicine
- By: Ricardo Nuila MD
- Narrated by: Ricardo Nuila MD
- Length: 10 hrs and 53 mins
- Unabridged
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Performance
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Story
Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The People’s Hospital, physician Ricardo Nuila’s stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care.
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Niche perspective
- By Kathleen Garcia on 05-07-23
By: Ricardo Nuila MD
What listeners say about Unaccountable
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- Andre
- 05-05-20
A must read
Deserves a spot on everyone's reading list. The things listed in this book are the reason why I refuse to see an MD.
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- Lubna
- 05-09-23
Excellent
This should be a required reading for those in and outside of the medical establishment.
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- Amazon Customer
- 12-03-19
Important book, but a little disheartening
Loved the book and message in it but a little disheartening look at healthcare. It ends with a slightly hopeful note.
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- Candice C. Shinaberry
- 10-17-19
Great information
I'm a nurse. This is an important read for those in the medical field and for patients. unfortunately the recording quality was terrible. Much of the time you cannot hear the beginning of a sentence. You might hear, "mtimes" instead of "sometimes", but it was so frequent that it was frustrating.
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4 people found this helpful
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- George
- 10-18-19
A page turner. This book can save your life.
Dr Marty Makary pulls back the curtain and tells us what is broken in our healthcare system. A must read, because we are all affected by this.
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2 people found this helpful
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- Greg Grant
- 10-27-24
Reader was dull
Enjoy the thoughts and ideas but the reader was slightly more exciting than wet bread.
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- Cynthia Gale Rose
- 01-11-20
Everyone should hear this
If you have a body, you need to hear this book. You have a responsibility to yourself to be informed.
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- WorldStudent
- 03-01-24
The Farse of the Medical System
Love the book. Hate the system. The medical industry is more full of greed at an unethical level. Then most industries in the country. With that sad, I am not surprised that we would have this issue in america. Greed runs this country more than anything else.
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- Susan Strong
- 10-14-24
Transparency- needed more than ever before
While waiting to get Makary’s new book, I read this one and even though it’s been published over a decade ago it is still or even more relevant to our medical crisis. Thank you
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- Amazon Customer
- 10-21-18
Excellent - Much needed
As a physician, I feel I have endured the stories of this book, been ridiculed, in similar ways, and I’m happy Dr Makary was able to show a broken, fragmented, and secretive culture that truly needs to change.
Well written, thoughtful, insightful
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4 people found this helpful