health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets.In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change.The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency.With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.

    What is going on? Anatomy of an Epidemic challenges readers to think through that question themselves. First, Whitaker investigates what is known today about the biological causes of mental disorders. Do psychiatric medications fix “chemical imbalances” in the brain, or do they, in fact, create them? Researchers spent decades studying that question, and by the late 1980s, they had their answer. Readers will be startled—and dismayed—to discover what was reported in the scientific journals. Then comes the scientific query at the heart of this book: During the past fifty years, when investigators looked at how psychiatric drugs affected long-term outcomes, what did they find? Did they discover that the drugs help people stay well? Function better? Enjoy good physical health? Or did they find that these medications, for some paradoxical reason, increase the likelihood that people will become chronically ill, less able to function well, more prone to physical illness?  This is the first book to look at the merits of psychiatric medications through the prism of long-term results. Are long-term recovery rates higher for medicated or unmedicated schizophrenia patients? Does taking an antidepressant decrease or increase the risk that a depressed person will become disabled by the disorder? Do bipolar patients fare better today than they did forty years ago, or much worse? When the National Institute of Mental Health (NIMH) studied the long-term outcomes of children with ADHD, did they determine that stimulants provide any benefit?  By the end of this review of the outcomes literature, readers are certain to have a haunting question of their own: Why have the results from these long-term studies—all of which point to the same startling conclusion—been kept from the public?  In this compelling history, Whitaker also tells the personal stories of children and adults swept up in this epidemic. Finally, he reports on innovative programs of psychiatric care in Europe and the United States that are producing good long-term outcomes. Our nation has been hit by an epidemic of disabling mental illness, and yet, as Anatomy of an Epidemic reveals, the medical blueprints for curbing that epidemic have already been drawn up.

    At once a riveting story of the birth of an enterprise—ala Tracy Kidder’s The Soul of a New Machine—and a inspiring tale of the indomitable human spirit in the vein of Erin Brockovich and A Civil Action, The Cure is a testament to ingenuity, unflagging will, and unconquerable love.

    At the same time, he was immersed in street life. Today he is a cutting-edge neuroscientist—Columbia University's first tenured African American professor in the sciences—whose landmark, controversial research is redefining our understanding of addiction.In this provocative and eye-opening memoir, he recalls his journey of self-discovery and weaves his past and present. Hart goes beyond the hype of the antidrug movement as he examines the relationship among drugs, pleasure, choice, and motivation, both in the brain and in society. His findings shed new light on common ideas about race, poverty, and drugs, and explain why current policies are failing.Though Hart escaped neighborhoods that were dominated by entrenched poverty and the knot of problems associated with it, he has not turned his back on his roots. Determined to make a difference, he tirelessly applies his scientific research to help save real lives. But balancing his former street life with his achievements today has not been easy—a struggle he reflects on publicly for the first time.A powerful story of hope and change, of a scientist who has dedicated his life to helping others, High Price will alter the way we think about poverty, race, and addiction—and how we can effect change.

    Includes new chapter for assessing resources.

    Are you sick of self-important celebrities preaching against “global warming,” yet flying private planes to their countless homes? Fed up with lectures about charity and philanthropy from miserly rockers who will do anything for a tax break? Disgusted by leftist stars decrying the evils of the Second Amendment as their personal bodyguards pack more heat than a Chuck Norris kick to the face? The same Hollywood loons who got Barack Hussein Obama elected in 2008 will do so again in 2012. That is, unless we muzzle them. Four years ago, Republicans sat back like wimps and let Obama’s celebrity-fueled cool machine steamroll them into electoral smithereens. This time, we must do the steamrolling. New York Times bestselling author of Obama Zombies and gonzo journalist Jason Mattera takes the first stand with Hollywood Hypocrites, as he slays the Left’s sacred celebrity cows and teaches Obama’s Tinseltown foot soldiers their most important lesson yet: No longer can they attempt to deny Americans the very liberties they use to catapult themselves to prosperity and stardom. In his trademark eye-opening, no-holds-barred, and hilarious style, Mattera puts scores of A-list celebrities, including Sting, Madonna, Bono, Al Gore, Alec Baldwin, Matt Damon, Cameron Diaz, Bruce Springsteen, and many, many more under the microscope to analyze whether they live by the same environmental, health, anti-violence, civil rights, and other policy prescriptions they seek to inflict on Americans. What he uncovers will shock you. Hollywood’s megaphone is powerful, and the mainstream media’s love affair with the president will roar back with a vengeance when their guy is against the wall. Anyone who thinks Barack Obama’s abysmal first term will be enough to demoralize the Liberal Left Coast from flexing its mediated political muscle is a fool. It’s time to recognize the marketing and fund-raising power the Hollywood Progressives wield. It’s time to dig into the data and set the record straight. It’s time to turn the media spotlight back on the image makers and prevent the Hollywood elite from hoodwinking American voters once again.

    Such was the opening line to many patient encounters in the emergency departments and clinics where I spent my career as a physician. Shadow me back through the years in a series of vignettes that will give you a peek into a world of medicine that few on the outside ever see. Along the way you may laugh a little, tear up a bit or even learn something, but through it all you will experience the highs and lows of the day to day practice of emergency and urgent care medicine. Put on your scrubs and come join me now: your first shift working in the emergency department is about to begin.

    Ruggieri reveals little-known truths about his profession—and the hidden flaws of our healthcare system—in this compelling and troubling account of real patients, real doctors, and how money influences medical decisions behind the scenes. Even many well-informed patients have no idea what may be contributing to the cost of their surgery. With up-to-date research and stories from his practice, Ruggieri shows how business arrangements among hospitals, insurance companies, and surgeons affect who gets treatment—and whether they get the right treatment. Pulling back the curtain from the hospital bed, he explains how to safeguard one’s own health (and finances), and how America can make surgery more affordable for all without sacrificing quality care.

    --Wall Street Journal"Informative and well paced."--The Guardian"An intense ride through the pandemic with chilling details of what really happened. It is also sprinkled with notes of true wisdom that may help all of us better prepare for the future."--Sanjay Gupta, MD, chief medical correspondent, CNNPhysician and former FDA commissioner Scott Gottlieb asks: Has America's COVID-19 catastrophe taught us anything?In Uncontrolled Spread, he shows how the coronavirus and its variants were able to trounce America's pandemic preparations, and he outlines the steps that must be taken to protect against the next outbreak. As the pandemic unfolded, Gottlieb was in regular contact with all the key players in Congress, the Trump administration, and the drug and diagnostic industries. He provides an inside account of how level after level of American government crumbled as the COVID-19 crisis advanced.A system-wide failure across government institutions left the nation blind to the threat, and unable to mount an effective response. We'd prepared for the wrong virus. We failed to identify the contagion early enough and became overly reliant on costly and sometimes divisive tactics that couldn't fully slow the spread. We never considered asymptomatic transmission and we assumed people would follow public health guidance. Key bureaucracies like the CDC were hidebound and outmatched. Weak political leadership aggravated these woes. We didn't view a public health disaster as a threat to our national security.Many of the woes sprung from the CDC, which has very little real-time reporting capability to inform us of Covid's twists and turns or assess our defenses. The agency lacked an operational capacity and mindset to mobilize the kind of national response that was needed. To guard against future pandemic risks, we must remake the CDC and properly equip it to better confront crises. We must also get our intelligence services more engaged in the global public health mission, to gather information and uncover emerging risks before they hit our shores so we can head them off. For this role, our clandestine agencies have tools and capabilities that the CDC lacks.Uncontrolled Spread argues we must fix our systems and prepare for a deadlier coronavirus variant, a flu pandemic, or whatever else nature -- or those wishing us harm -- may threaten us with. Gottlieb outlines policies and investments that are essential to prepare the United States and the world for future threats.

     A distraught woman who regrets not going to see a GP sooner. More Googled self-diagnoses than one can count… After three years as one of London’s doctors - as full-time night-time GP doing the house calls that no-one else wants to do - Alex Rudd has switched to working in surgeries. Rudd travels to a different place surgery each day, helping those struggling to cope with patient numbers and seeing those that might not otherwise be seen. With limited time to spend on each patient, he must walk the difficult line between caring for patients while diagnosing and prescribing efficiently. Hilarious diagnoses mix with genuine tragedies as Rudd sees a variety of patients, with all sorts of medical conditions. In this follow-up to “London Call-Out: Confessions of a Doctor in the Capital”, Rudd presents us with another window into the world of the freelance GP today, and the challenges they face. With moments that stir admiration and sadness, this timely and insightful memoir is as thought-provoking as it is entertaining.

    B. Heron Foundation: The Alternative, is not only important reading, it's imperative. Miller, a trained engineer, the one-time manager of a top social service organization and most importantly, the son of a remarkable single mother, has both lived and observed the failings embodied in our attitudes toward the poor and, as a result, the flaws in our systems meant to help people in poverty. He merges heart and soul with system thinking to yield a prescription featuring the real math, trust relationships and courage that can change the "us and them," to "upward together" and put American families in the driver's seat to build their futures.

    For someone who hates exercise, Kristy Chambers is pretty good at running away, and coming back again when her credit cards are declined. She’s not so much an international jetsetter as a loose cannon with a passport. So, in the manner of Eat, Pray, Love, a privileged white girl takes her privileged white arse on the road in an attempt to find happiness. With a family history of mental illness that goes back generations and a complicated long-term relationship with depression, will eating all the pasta in Italy help her to find the silver lining she’s looking for? Of course it won’t. It’s pasta, not magic beans. Joined by the most unreliable travel companion of them all—her mental health—Kristy openly, honestly, and humorously recounts their adventures together.

    After highlighting the benefits of Lean methods for patients, employees, physicians, and the hospital itself, he explains how Lean manufacturing staples such as Value Stream Mapping and process observation can help hospital personnel identify and eliminate waste in their own processes -- effectively preventing delays for patients, reducing wasted motion for caregivers, and improving the quality of care.Additionally, Graban describes how Standardized Work and error-proofing can prevent common hospital errors and details root cause problem-solving and daily improvement processes that can engage all personnel in systemic improvement. A unique guide for healthcare professionals, Lean Hospitals clearly elaborates the steps they can take to begin the proactive process of Lean implementation.The book has an accompanying website with more information.Mark Graban was quoted in a July 2010 New York Times article about lean hospitals.*Given the increase in candidates from the health services sector, the Lean Certification and Oversight Appeals committee has approved Lean Hospitals by Mark Graban as recommended reading in pursuit of the Lean Bronze Certification exam.Mark Graban speaks about his book on the CRC Press YouTube channel.

    These writers recount intensely personal and profoundly moving end-of-life accounts that cover a wide spectrum of human experience. All six authors are donating their royalties to a Maine hospice; Down East will also donate 10 percent of proceeds to the same cause.

    In this indispensable book, the staff of the Washington Post tells the story of health-care reform and explains what it means for the American people.In the book’s first section, the Washington Post’s reporter embedded in the White House provides a behind-the-scenes narrative of how Obama and the Democrats pushed through health-care reform in the face of nearly unanimous Republican opposition. This section traces the tortured evolution of the legislation, showing how the Senate killed the public option, how the January 2010 victory of Republican senator Scott Brown left the Democrats scrambling, and how Democratic leaders ultimately negotiated among entrenched political factions—including disillusioned Democrats—to reach a compromise.What does this final package include? The book’s second section provides an accessible summary of the legislation that Obama signed into law in March 2010. In the third section, Washington Post writers answer the most pressing questions about the health-care legislation’s immediate impact. Most importantly, how will the new bill affect individuals—small-business owners, uninsured Americans with pre-existing conditions, and twenty-somethings on their parents’ policies? This is a must-read for anyone who wants to understand how this legislation came into being and what the new health-care program means.