He threw himself into the study of medicine and excelled—winning a Rhodes Scholarship, earning two advanced degrees, and landing a tenure-track position at Columbia University. At 30, he became the youngest city health official in America, tasked with rebuilding Detroit's health department after years of austerity policies.    But El-Sayed found himself disillusioned. He could heal the sick—even build healthier and safer communities—but that wouldn’t address the social and economic conditions causing illness in the first place. So he left health for politics, running for Governor of Michigan and earning the support of progressive champions like Congresswoman Alexandria Ocasio-Cortez-Cortez and Senator Bernie Sanders.    In Healing Politics, El-Sayed traces the life of a young idealist, weaving together powerful personal stories and fascinating forays into history and science. Marrying his unique perspective with the science of epidemiology, El-Sayed diagnoses an underlying epidemic afflicting our country, an epidemic of insecurity. And to heal the rifts this epidemic has created, he lays out a new direction for the progressive movement. This is a bold, personal, and compellingly original book from a prominent young leader.

    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. In Malignant, hematologist-oncologist Dr. Vinayak K. Prasad writes about the many sobering examples of how patients are too often failed by cancer policy and by how oncology is practiced. Throughout this work, Prasad illuminates deceptive practices which- promote novel cancer therapies long before credible data are available to support such treatment; and- exaggerate the potential benefits of new therapies, many of which cost thousands and in some cases hundreds of thousands of dollars.Prasad then critiques the financial conflicts of interest that pervade the oncology field, the pharmaceutical industry, and the US Food and Drug administration.This is a book about how the actions of human beings--our policies, our standards of evidence, and our drug regulation--incentivize the pursuit of marginal or unproven therapies at lofty and unsustainable prices. Prasad takes us through how cancer trials are conducted, how drugs come to market, and how pricing decisions are made, asking how we can ensure that more cancer drugs deliver both greater benefit and a lower price. Ultimately, Prasad says,- more cancer clinical trials should measure outcomes that actually matter to people with cancer;- patients on those trials should look more like actual global citizens;- we need drug regulators to raise, not perpetually lower, the bar for approval; and- we need unbiased patient advocates and experts.This well-written, opinionated, and engaging book explains what we can do differently to make serious and sustained progress against cancer--and how we can avoid repeating the policy and practice mistakes of the past.

    Aaron Berkowitz had just finished his neurology training when he was sent to Haiti on his first assignment with Partners In Health. There, he meets Janel, a 23-year-old man with the largest brain tumor Berkowitz or any of his neurosurgeon colleagues at Harvard Medical School have ever seen. Determined to live up to Partners In Health’s mission statement “to bring the benefits of modern medical science to those most in need,” Berkowitz tries to save Janel’s life by bringing him back to Boston for a 12-hour surgery.  In One by One by One, Berkowitz traces what he learns and grapples with as a young doctor trying to bridge the gap between one of the world’s richest countries and one of the world’s poorest to make the first big save of his medical career.As Janel and Berkowitz travel back and forth between the high-tech neurosurgical operating rooms of Harvard’s hospitals and Janel’s dirt-floored hut in rural Haiti, they face countless heart-wrenching twists and turns. Janel remains comatose for months after his surgery. It’s not clear he will recover enough to return to Haiti and be able to survive there. So he goes for a second brain surgery, a third, a fourth. Berkowitz brings the reader to the front lines of global humanitarian work as he struggles to overcome the challenges that arise when well-meaning intentions give rise to unintended consequences, when cultures and belief systems clash, and when it’s not clear what the right thing to do is, let alone the right way to do it. One by One by One is a gripping account of the triumphs, tragedies, and confusing spaces in between as an idealistic young doctor learns the hard but necessary lessons of living by the Haitian proverb tout moun se moun—every person is a person.

    Patients are crushed by medical debt, sometimes forced to choose between paying for medications, rent, or food. Healthcare workers are burned out from being trapped in a broken system-one that has been the greatest rip-off of the American people this century. In Broken, Bankrupt, and Dying, Dr. Brad Spellberg tells the story of this tragic failure of American healthcare, from excess deaths to maddening inefficiencies, crushing costs to medical bankruptcies, and bizarre billing practices to absurd waste (learn what a "Johnson rod" is and how it affects your health).Dr. Spellberg presents a real-world solution for a better future that differs from the healthcare proposals discussed in the media. Most importantly, he shows us how we can do better-for our families, our businesses, and our society as a whole.

    This is bad for patients, bad for doctors, and bad for business.In The Long Fix, physician and health care CEO Vivian S. Lee, MD, cuts to the heart of the health care crisis. The problem with the way medicine is practiced, she explains, is not so much who’s paying, it’s what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better—and that is both backward and dangerous.Dr. Lee proposes turning the way we receive care completely inside out. When doctors, hospitals, and pharmaceutical companies are paid to keep people healthy, care improves and costs decrease. Lee shares inspiring examples of how this has been done, from physicians’ practices that prioritize preventative care, to hospitals that adapt lessons from manufacturing plants to make them safer, to health care organizations that share online how much care costs and how well each physician is caring for patients.Using clear and compelling language, Dr. Lee paints a picture that is both realistic and optimistic. It may not be a quick fix, but her concrete action plan for reform—for employers and other payers, patients, clinicians, and policy makers—can reinvent health care, and create a less costly, more efficient, and healthier system for all.

    Beyond it, cars go by, and pedestrians and cyclists. A large park behaves as if nothing has happened. The mirage of a world intact.In an instant, a life can change forever. After he falls from a scaffold on the construction site where he works, David, deep in a coma, is visited regularly by his wife, Caroline, and their six-year-old son Bertrand. Yet despite their devotion, there seems to be no crossing the divide between consciousness and the mysterious world David now inhabits. Devastated by loss and the reality that their own lives must go on, the mourners face difficult questions. How do we communicate when language fails? When, and how, do we move forward? What constitutes a life, and can there be such a thing as a good death? All the while, David’s inner world unfolds, shifting from sensory perceptions, to memories of loved ones, to nightmare landscapes from his family’s past in WWII Poland.Elegantly translated by Lazer Lederhendler, If You Hear Me is a gripping account of a woman’s struggle to let go of the husband whose mind is lost to her while his body lives on in the bittersweet present, and a deft rendering of the complexity of grief, asking what it means to be alive and how we learn to accept the unacceptable—while at the same time bearing witness to the enduring power of hope, and the ways we find peace in unexpected places.