Money-Driven Medicine: The Real Reason Health Care Costs So Much


Maggie Mahar - 2006
    But as costs levitate, that argument becomes more difficult to make. Today, we spend twice as much as Japan on health care—yet few would argue that our health care system is twice as good.Instead, startling new evidence suggests that one out of every three of our health care dollars is squandered on unnecessary or redundant tests; unproven, sometimes unwanted procedures; and overpriced drugs and devices that, too often, are no better than the less expensive products they have replaced.How did this happen? In Money-Driven Medicine, Maggie Mahar takes the reader behind the scenes of a $2 trillion industry to witness how billions of dollars are wasted in a Hobbesian marketplace that pits the industry's players against each other. In remarkably candid interviews, doctors, hospital administrators, patients, health care economists, corporate executives, and Wall Street analysts describe a war of "all against all" that can turn physicians, hospitals, insurers, drugmakers, and device makers into blood rivals. Rather than collaborating, doctors and hospitals compete. Rather than sharing knowledge, drugmakers and device makers divide value. Rather than thinking about long-term collective goals, the imperatives of an impatient marketplace force health care providers to focus on short-term fiscal imperatives. And so investments in untested bleeding-edge medical technologies crowd out investments in information technology that might, in the long run, not only reduce errors but contain costs.In theory, free market competition should tame health care inflation. In fact, Mahar demonstrates, when it comes to medicine, the traditional laws of supply and demand do not apply. Normally, when supply expands, prices fall. But in the health care industry, as the number and variety of drugs, devices, and treatments multiplies, demand rises to absorb the excess, and prices climb. Meanwhile, the perverse incentives of a fee-for-service system reward health care providers for doing more, not less.In this superbly written book, Mahar shows why doctors must take responsibility for the future of our health care industry. Today, she observes, "physicians have been stripped of their standing as professionals: Insurers address them as vendors ('Dear Health Care Provider'), drugmakers and device makers see them as customers (someone you might take to lunch or a strip club), while . . . consumers (aka patients) are encouraged to see their doctors as overpaid retailers. . . . Before patients can reclaim their rightful place as the center—and indeed as the raison d'être—of our health care system," Mahar suggests, "we must once again empower doctors . . . to practice patient-centered medicine—based not on corporate imperatives, doctors' druthers, or even patients' demands," but on the best scientific research available.

Pain Killer: A "Wonder" Drug's Trail of Addiction and Death


Barry Meier - 2003
    From the start, the drug's manufacturer aggressively marketed its patented time-release formula as a breakthrough in the effort to reduce prescription drug abuse. It wasn't long, however, before thrill-seeking teenagers shattered that illusion of safety; by simply crushing an "Oxy," they were able to tap into a high so seductive it would come to dominate their lives. Some patients, seeking relief from pain, also found themselves drawn to the drug's dark side. Pain Killer takes readers on a journey of discovery that begins with the true story of Lindsay, a high-school cheerleader in Virginia who gets hooked on Oxys, and expands outward to explore the critical issues of legitimate pain management, prescription drug abuse, and how the misuse of science by the drug industry threatens the public good. With the fast-rising abuse of prescription drugs by young people ringing alarm bells within government, the how and why behind the OxyContin disaster is a gripping read not only for parents, but also for medical professionals, community leaders, business executives, and all those concerned with this crisis. The dangers described in Pain Killer also reverberate far beyond the threat from a single drug at a particular moment in time. The focus of our government's war on drugs has clearly misled many of us into thinking that only illegal drugs smuggled from beyond our borders can be abused. As Meier tells the dramatic story, some of the most deadly substances are produced and sold legally right here at home.THE EXTRAORDINARY AND TRUE STORY OF OXYCONTIN EQUAL PARTS crime thriller, medical detective story, and business exposé, Pain Killer takes a hard-hitting look at how a powerful drug touted as the salvation for millions triggered a national tragedy. At its inception, the legal narcotic OxyContin was seen as a pharmaceutical dream, a "wonder" drug that would herald a sea change in medical care while reaping vast profits for its maker. It did do that; but it also unleashed a public health crisis that cut a swath of despair and crime through unsuspecting small towns, suburbs, and cities across the country. As reports of OxyContin overdoses made front-page and network news, doctors, narcotics agents, regulators, industry executives, and lawmakers raced in, scrambling to slow the damage. Behind it all stood one of America's wealthiest families, and a drug company whose relentless promotion helped fuel the problem Written by award-winning journalist Barry Meier, whose special report in the New York Times triggered national interest in OxyContin, Pain Killer chronicles the rise of the multibillion dollar pain management industry and lays bare its excesses and abuses.

From Outrage to Courage: The Unjust and Unhealthy Situation of Women in Poor Countries and What They Are Doing About It


Anne Firth Murray - 2008
    In this searing cradle-to-grave review, Murray tackles health issues from prenatal care to challenges faced by aging women. Looking at how gender inequality affects basic nutrition, Murray makes clear the issues are political more than they are medical. In an inspiring look, From Outrage to Courage shows how women are organizing the world over. Women’s courage to transform their situations and communities provides inspiration and models for change. From China to India, from Indonesia to Kenya, Anne Firth Murray takes readers on a whirlwind tour of devastation—and resistance.

The Chimp and the River: How AIDS Emerged from an African Forest


David Quammen - 2015
    Recent research has revealed dark surprises and yielded a radically new scenario of how AIDS began and spread. Excerpted and adapted from the book Spillover, with a new introduction by the author, Quammen's hair-raising investigation tracks the virus from chimp populations in the jungles of southeastern Cameroon to laboratories across the globe, as he unravels the mysteries of when, where, and under what circumstances such a consequential "spillover" can happen. An audacious search for answers amid more than a century of data, The Chimp and the River tells the haunting tale of one of the most devastating pandemics of our time.

Food Fix: How to Save Our Health, Our Economy, Our Communities, and Our Planet-One Bite at a Time


Mark Hyman - 2020
    What we eat has tremendous implications not just for our waistlines, but also for the planet, society, and the global economy. What we do to our bodies, we do to the planet; and what we do to the planet, we do to our bodies.In Food Fix, #1 bestselling author Mark Hyman explains how our food and agriculture policies are corrupted by money and lobbies that drive our biggest global crises: the spread of obesity and food-related chronic disease, climate change, poverty, violence, educational achievement gaps, and more.Pairing the latest developments in nutritional and environmental science with an unflinching look at the dark realities of the global food system and the policies that make it possible, Food Fix is a hard-hitting manifesto that will change the way you think about -- and eat -- food forever, and will provide solutions for citizens, businesses, and policy makers to create a healthier world, society, and planet.

Menopause Confidential: A Doctor Reveals the Secrets to Thriving Through Midlife


Tara Allmen - 2016
    Menopause affects every aspect of life—from sex and sleep to mood and mental clarity to weight and body temperature. While there are a number of resources available, many are confusing and contradictory. Now, Manhattan gynecologist Dr. Tara Allmen, an experienced, nationally board-certified menopause practitioner and the recipient of the 2015 Doctor’s Choice National Award for Obstetrics & Gynecology, shares her knowledge to help women be their happiest and healthiest, and turn this challenging time into an exciting one.Written in her effervescent yet assured voice, Menopause Confidential provides simple strategies and cutting-edge information on:hormonal changes and the symptoms of perimenopause and menopause;the health risks associated with midlife—from cutting through the conflicting opinions and advice about health screenings (Do I really need a colonoscopy? How often should I get a mammogram?) to common medical conditions, such as osteoporosis;various remedies, both allopathic and natural, to combat symptoms and empower women to make the best choices for their individual needs;practical tips and resources for mitigating the effects of menopause.Fifty-one-year-old Dr. Allmen knows firsthand what women are going through, and shares stories of her own personal travails and solutions. Women can’t turn back the clock, but they can take control of their health and flourish in midlife. Menopause Confidential encourages them to be informed, be proactive, and be their greatest selves.

Building the Orange Wave: The Inside Story Behind the Historic Rise of Jack Layton and the NDP


Brad Lavigne - 2013
    He was also a key architect of Layton’s overnight success that was ten years in the making. In Building the Orange Wave, Lavigne recounts the dramatic story of how Layton and his inner circle developed and executed a plan that turned a struggling political party into a major contender for government, defying the odds and the critics every step of the way. The ultimate insider’s account of one of the greatest political accomplishments in modern Canadian history, Building the Orange Wave takes readers behind the scenes, letting them eavesdrop on strategy sessions, crisis-management meetings, private chats with political opponents, and internal battles, revealing new details of some of the most important political events of the last decade.

Uncaring: How the Culture of Medicine Kills Doctors and Patients


Robert Pearl - 2021
    But they don’t always know how to care for them.Hardly anyone is happy with American healthcare 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 healthcare 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. Today’s physicians have a surprising disdain for technology, an unhealthy obsession with status, and an increasingly complicated relationship with their patients. All of this can be traced back to their earliest experiences in medical school, where doctors inherit a set of norms, beliefs, and expectations that shape almost every decision they make, with profound consequences for the rest of us.Uncaring draws an original and revealing portrait of what it’s actually like to be a doctor. It illuminates the complex and intimidating world of medicine for readers, and in the end offers a clear plan to save American healthcare.

The Fix: How Nations Survive and Thrive in a World in Decline


Jonathan Tepperman - 2016
    The heady promise of the Arab Spring has given way to repression, civil war, and an epic refugee crisis. Economic growth is sputtering. Income inequality is rising around the world. And the threat of ISIS and other extremist groups keeps spreading. We are living in an age of unprecedented, irreversible decline—or so we’re constantly being told.         Jonathan Tepperman’s The Fix presents a very different picture. The book reveals the often-overlooked good news stories, offering a provocative, unconventional take on the answers hiding in plain sight. It identifies ten pervasive and seemingly impossible challenges—including immigration reform, economic stagnation, political gridlock, corruption, and Islamic terrorism—and shows that, contrary to the general consensus, each has a solution, and not merely a hypothetical one. In his close analysis of government initiatives as diverse as Brazil’s Bolsa Família program, Indonesia’s campaign against extremism, Canada’s early embrace of multiculturalism, and Mayor Michael Bloomberg’s reform of the NYPD, Tepperman isolates the universally applicable measures that have can boost and buttress equality, incomes, cooperation, and cohesion in wildly diverse societies. He flips conventional political wisdom on its head, showing, for example, how much the U.S. Congress could learn about compromise and conciliation from its counterpart in Mexico.         Tepperman has traveled the world to write this book, conducting more than a hundred interviews with the heads of state and other innovators responsible for these unexpected success stories. His access and expertise make The Fix a work of unusual insight, focused on the people and leadership lessons behind the policies. Meticulously researched and deeply reported, it presents practical advice for aspiring problem-solvers of all stripes, and stands as a necessary corrective to the hand-wringing and grim prognostication that dominates the news these days, making a data-driven case for optimism in a time of crushing pessimism.From the Hardcover edition.

Apollo's Arrow: The Profound and Enduring Impact of Coronavirus on the Way We Live


Nicholas A. Christakis - 2020
    Drawing on momentous (yet dimly remembered) historical epidemics, contemporary analyses, and cutting-edge research from a range of scientific disciplines, bestselling author, physician, sociologist, and public health expert Nicholas A. Christakis explores what it means to live in a time of plague—an experience that is paradoxically uncommon to the vast majority of humans who are alive, yet deeply fundamental to our species.Unleashing new divisions in our society as well as opportunities for cooperation, this 21st-century pandemic has upended our lives in ways that will test, but not vanquish, our already frayed collective culture. Featuring new, provocative arguments and vivid examples ranging across medicine, history, sociology, epidemiology, data science, and genetics, Apollo's Arrow envisions what happens when the great force of a deadly germ meets the enduring reality of our evolved social nature.

Gifted Hands: The Ben Carson Story


Ben Carson - 1992
    Gifted Hands will transplace you into the operating room to witness surgeries that made headlines around the world, and into the private mind of a compassionate, God-fearing physician who lives to help others. In 1987, Dr. Carson gained worldwide recognition for his part in the first successful separation of Siamese twins joined at the back of the head -- an extremely complex and delicate operation that was five months of planning and twenty-two hours of actual surgery, involving a surgical plan that Carson helped initiate. Gifted Hands reveals a man with humility, decency, compassion, courage, and sensitivity who serves as a role model for young people (and everyone else) in need of encouragement to attempt the seemingly impossible and to excel in whatever they attempt. Dr. Carson also describes the key role that his highly intelligent though relatively uneducated mother played in his metamorphosis from an unmotivated ghetto youngster into one of the most respected neurosurgeons in the world.

God, Trump, and the 2020 Election: Why He Must Win and What's at Stake for Christians if He Loses


Stephen E. Strang - 2020
    Evangelicals who recognized this backed him more than any other presidential candidate in history. Heading into 2020, the stakes in his reelection are even higher. This election, nine months after this book releases, is a new fight for the soul of America. Stephen E. Strang makes the case that God wants America to be great because God has raised up America—beginning with our Founding Fathers—to be a beacon of light and hope for the world. We’ve been the nation with religious liberty that has supported those who have spread the gospel around the world.In this book Strang looks at the election, Trump, and America from a spiritual perspective and helps Christians (and others) see God’s hand at work. This book is as much about God and His purposes as about Donald Trump. But it is also an articulate, impassioned apologetic about why all Christians must support this imperfect president, because he has God’s blessing and because the destiny of America is riding on his reelection. This book also explores why he might lose, if his base is overconfident and doesn’t vote or if his opponents are dishonest enough to steal the election.God, Trump, and the 2020 Election is an inside look at how the political climate is affected by  spiritual warfare—an important subject for Bible-believing Christians. The satanic schemes are so brazen on key issues that the book was written to explain what’s at stake. Strang believes that the intersection of faith and politics needs to be part of the national discussion about the division in our country.Other Books By Stephen E. Strang:God and Donald Trump (2017) ISBN-13: 978-1629994864Trump Aftershock (2018)ISBN-13: 978-1629995557

The Mexican Revolution: A History From Beginning to End


Hourly History - 2018
     Over a period of more than ten years, following the overthrow of the government in 1910, Mexico experienced a period of intense and bloody warfare as a bewildering array of factions in ever-changing alliances took power and then lost it. Presidents were elected (or elected themselves) and were then deposed or assassinated. New factions appeared with impressive sounding slogans, took to the field, and were either wiped out and never heard of again or became the next government. Inside you will read about... ✓ The Porfiriato ✓ The Unlikely Revolutionary ✓ Reign and Assassination of Madero ✓ The Iron Hand of Huerta ✓ Carranza Takes on Zapata and Villa ✓ Last Man Standing And much more! The Mexican Revolution is confusing and difficult to understand—there is, for example, still no agreement between scholars and historians on when it ended—but it is essential in understanding the national identity of modern Mexico. The civil war produced heroes whose names live on in legend and villains whose bloody exploits are still horrifying. It also caused anything up to two million casualties both as a direct result of the fighting and in the famine, economic hardship, and disease which followed in its wake. Modern Mexico was created out of the turmoil of the Mexican Revolution; this is the story of la revolución mexicana.

Why Your World Is about to Get a Whole Lot Smaller: Oil and the End of Globalization


Jeff Rubin - 2009
    Why Your World Is About to Get a Whole Lot Smaller is a powerful and provocative book that explores what the new global economy will look like and what it will mean for all of us. In a compelling and accessible style, Jeff Rubin reveals that despite the recent recessionary dip, oil prices will skyrocket again once the economy recovers. The fact is, worldwide oil reserves are disappearing for good. Consequently, the amount of food and other goods we get from abroad will be curtailed; long-distance driving will become a luxury and international travel rare. Globalization as we know it will reverse. The near future will be a time that, in its physical limits, may resemble the distant past. But Why Your World Is About to Get a Whole Lot Smaller is a hopeful work about how we can benefit-personally, politically, and economically-from this new reality. American industries such as steel and agriculture, for instance, will be revitalized. As well, Rubin prescribes priorities for President Obama and other leaders, from imposing carbon tariffs that will increase competition and productivity, to investing in mass transit instead of car-clogged highways, to forging "green" alliances between labor and management that will be good for both business and the air we breathe. Most passionately, Rubin recommends ways every citizen can secure this better life for himself, actions that will end our enslavement to chain-store taste and strengthen our communities and timeless human values.

Charity: The Heroic and Heartbreaking Story of Charity Hospital in Hurricane Katrina


Jim Carrier - 2015
    Then came the water, and for five days, the country’s oldest hospital was under siege. The never-before-told story of the heroic doctors, nurses — and patients — who fought to survive Hurricane Katrina at Charity Hospital in New Orleans.The story traces a remarkable five-day transformation of an infirm institution, caught in a sea of death and indifference, into an island of care and tenderness.