American Health Care

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.

Every catastrophe has a beginning. For the opioid crisis in America, the seed was a drug called OxyContin. First hailed as a miracle drug for severe pain in the early 1990s, OxyContin went on to ignite a plague of addiction and death across America. Equal parts crime thriller, medical detective story and business exposé, Pain Killer is the origin story of the opioid crisis, a hard-hitting look at how a supposed wonder drug became the trigger for a national tragedy.

Life expectancy in the United States has recently fallen for three years in a row - a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year - and they're still rising. Case and Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class.

The first full-length biography of the Civil War surgeon who, over the course of the war’s bloodiest battles - from Antietam to Gettysburg - redefined military medicine.

Jonathan Letterman was an outpost medical officer serving in Indian country in the years before the Civil War, responsible for the care of just hundreds of men. But when he was appointed the chief medical officer for the Army of the Potomac, he revolutionized combat medicine over the course of four major battles - Antietam, Fredericksburg, Chancellorsville, and Gettysburg - that produced unprecedented numbers of casualties.

Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States more than $11,000 for each person in the country each year - more than double what it costs in most Western European countries to deliver equal or even better care.

Few of us need convincing that the American health insurance system needs reform. But many of the existing proposals focus on expanding one relatively successful piece of the system or building in piecemeal additions. These proposals miss the point. As the Stanford health economist Liran Einav and the MIT economist and MacArthur Genius Amy Finkelstein argue, our health care system was never deliberately designed, but rather pieced together to deal with issues as they became politically relevant.

Physicians enter their professions with the highest of hopes and ideals for compassionate and efficient patient care. Along the way, however, recurring problems arise in their interactions with some patients that lead physicians to label them as "difficult." Some studies indicate that physicians identify 15 percent or more of their patients as "difficult." The negative feelings that physicians have toward these patients may lead to frustration, cynicism, and burnout.

It's no secret that American health care has become too costly and politicized to help everyone. So where do you turn if you can't afford doctors, or don't trust them? In this book, Matthew Hongoltz-Hetling examines the growing universe of non-traditional treatments—including some that are really non-traditional. With costs skyrocketing and anti-science sentiment spreading, the so-called "medical freedom" movement has grown. Now it faces its greatest challenge: going mainstream.

Doctors and patients have lost control of American medicine. Generative AI can put the power back in their hands, save millions of lives, and restore the doctor-patient relationship. Welcome to ChatGPT, MD. In this unique collaboration, renowned healthcare leader Dr. Robert Pearl teams up with the artificial intelligence system ChatGPT to examine the transformational power of generative AI in medicine.

When three-month-old Lia Lee arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos.

In 2007, David Goldhill’s father died from infections acquired in a hospital - one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous - and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness - and how a business that failed so miserably could be paid in full.

The problem with pandemics is that people want to forget them. One year, a million Americans are killed by a deadly new virus. The next, everyone is back rooting for the Georgia Bulldogs. The impulse to move on from this particular kind of tragedy is more than a little odd.

Lloyd I. Sederer, MD, recounts the unfettered story of how McLean survived impending closure or sale to once again prosper and regain its international stature as the hospital where you would want a loved one to be treated for a psychiatric or substance use disorder.

America's leaders say the economy is strong and getting stronger. But the safety net that once protected us is fast unraveling. With retirement plans in growing jeopardy while health coverage erodes, more and more economic risk is shifting from government and business onto the fragile shoulders of the American family. In The Great Risk Shift, Jacob S. Hacker lays bare this unsettling new economic climate, showing how it has come about, what it is doing to our families, and how we can fight back.

The American health-care system is failing us. It is a frustratingly complex, opaque, and unaffordable system that results in suboptimal care and a deterioration of the welfare of the majority of American families. The experience of the past few decades and the recent ravaging pandemic has shown us that doing more of the same is not going to deliver us from this dilemma. But there is hope. There is a way to create a more accessible, consumer-friendly, safer, and affordable system of care for all of us.

In this anthology, Black Queer Feminist editors Cara Page and Erica Woodland guide listeners through the history, legacies, and liberatory practices of healing justice—a political strategy of collective care and safety that intervenes on generational trauma from systemic violence and oppression. They call forth the ancestral medicines and healing practices that have sustained communities who have survived genocide and oppression, while radically imagining what comes next.

In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white "ladies". Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities.

At the turn of the last century, a smallpox epidemic swept the United States. The age-old disease spread swiftly through an increasingly interconnected American landscape: from southern plantations to the immigrant neighborhoods of northern cities to far-flung villages on the edges of the American empire. In Pox, historian Michael Willrich offers a gripping chronicle of how the nation's continent-wide fight against smallpox launched one of the most important civil liberties struggles of the 20th century.

Navigating the complexities of the American healthcare system can be a daunting task for any medical professional, but it presents unique challenges for foreign medical graduates. "Guide to the American Healthcare System for the Foreign Medical Graduate" is an essential resource designed to demystify these challenges and provide a comprehensive roadmap to success.

The explosion of Internet commerce, coupled with globalization and increased pharmaceutical use, has led to an unprecedented vulnerability in the US drug supply. Today, an estimated 80 percent of our drugs are manufactured overseas, mostly in India and China. Every link along this supply chain offers an opportunity for counterfeiters, and increasingly, they are breaking in. Even when the US system works, consumers are increasingly circumventing the safeguards. Skyrocketing health care costs in the US have forced more Americans to become "medical tourists" seeking drugs, life-saving treatments, and transplants abroad, sometimes in countries with rampant counterfeit drug problems and no FDA. Bitter Pills will heighten the public's awareness about counterfeit drugs, critically examine possible solutions, and help people protect themselves.