The Price We Pay: What Broke American Health Care--and How to Fix It
Marty Makary - 2019
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. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable.The Price We Pay offers a roadmap for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care.
Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner
Judy Melinek - 2014
Judy Melinek began her training as a New York City forensic pathologist. With her husband T.J. and their toddler Daniel holding down the home front, Judy threw herself into the fascinating world of death investigation, performing autopsies, investigating death scenes, counseling grieving relatives. Working Stiff chronicles Judy's two years of training, taking readers behind the police tape of some of the most harrowing deaths in the Big Apple, including a firsthand account of the events of September 11, the subsequent anthrax bio-terrorism attack, and the disastrous crash of American Airlines flight 587.Lively, action-packed, and loaded with mordant wit, Working Stiff offers a firsthand account of daily life in one of America's most arduous professions, and the unexpected challenges of shuttling between the domains of the living and the dead. The body never lies, and through the murders, accidents, and suicides that land on her table, Dr. Melinek lays bare the truth behind the glamorized depictions of autopsy work on shows like CSI and Law and Order to reveal the secret story of the real morgue.
Bill Bryson's African Diary
Bill Bryson - 2002
He arrived with a set of mental images of Africa gleaned from television broadcasts of low-budget Jungle Jim movies in his Iowa childhood and a single viewing of the film version of Out of Africa. (Also with some worries about tropical diseases, insects and large predators.) But the vibrant reality of Kenya and its people took over the second he deplaned in Nairobi, and this diary records Bill Bryson's impresssions of his trip with his inimitable trademark style of wry observation and curious insight. From the wrenching poverty of the Kibera slum in Nairobi to the meticulously manicured grounds of the Karen Blixen house and the human fossil riches of the National Museum, Bryson registers the striking contrasts of a postcolonial society in transition. He visits the astoundingly vast Great Rift Valley; undergoes the rigors of a teeth-rattling train journey to Mombasa and a hair-whitening flight through a vicious storm; and visits the refugee camps and the agricultural and economic projects where dedicated CARE professionals wage noble and dogged war against poverty, dislocation and corruption.
Mercies in Disguise: A Story of Hope, a Family's Genetic Destiny, and the Science That Rescued Them
Gina Kolata - 2017
The doctor from California is on the line. "Are you ready Amanda?" The two people Amanda Baxley loves the most had begged her not to be tested--at least, not now. But she had to find out.If your family carried a mutated gene that foretold a brutal illness and you were offered the chance to find out if you'd inherited it, would you do it? Would you walk toward the problem, bravely accepting whatever answer came your way? Or would you avoid the potential bad news as long as possible? In Mercies in Disguise, acclaimed New York Times science reporter and bestselling author Gina Kolata tells the story of the Baxleys, an almost archetypal family in a small town in South Carolina. A proud and determined clan, many of them doctors, they are struck one by one with an inscrutable illness. They finally discover the cause of the disease after a remarkable sequence of events that many saw as providential. Meanwhile, science, progressing for a half a century along a parallel track, had handed the Baxleys a resolution--not a cure, but a blood test that would reveal who had the gene for the disease and who did not. And science would offer another dilemma--fertility specialists had created a way to spare the children through an expensive process. A work of narrative nonfiction in the tradition of the The Immortal Life of Henrietta Lacks, Mercies in Disguise is the story of a family that took matters into its own hands when the medical world abandoned them. It's a story of a family that had to deal with unspeakable tragedy and yet did not allow it to tear them apart. And it is the story of a young woman--Amanda Baxley--who faced the future head on, determined to find a way to disrupt her family's destiny.
Somebody I Used to Know: A Memoir
Wendy Mitchell - 2018
Then, slowly, a mist settled deep inside the mind she once knew so well, blurring the world around her. She didn't know it then, but dementia was starting to take hold. In 2014, at age fifty-eight, she was diagnosed with young-onset Alzheimer's.Mitchell shares the heartrending story of her cognitive decline and how she has fought to stave it off. What lay ahead of her after the diagnosis was scary and unknowable, but Mitchell was determined and resourceful, and she vowed to outwit the disease for as long as she could.As Mitchell learned to embrace her new life, she began to see her condition as a gift, a chance to experience the world with fresh eyes and to find her own way to make a difference. Even now, her sunny outlook persists: She devotes her time to educating doctors, caregivers, and other people living with dementia, helping to reduce the stigma surrounding this insidious disease.Still living independently, Mitchell now uses Post-it notes and technology to remind her of her routines and has created a "memory room" where she displays photos--with labels--of her daughters, friends, and special places. It is a room where she feels calm and happy, especially on days when the mist descends.
The Immortal Life of Henrietta Lacks
Rebecca Skloot - 2010
She was a poor Southern tobacco farmer who worked the same land as her enslaved ancestors, yet her cells—taken without her knowledge—became one of the most important tools in medicine. The first “immortal” human cells grown in culture, they are still alive today, though she has been dead for more than sixty years. If you could pile all HeLa cells ever grown onto a scale, they’d weigh more than 50 million metric tons—as much as a hundred Empire State Buildings. HeLa cells were vital for developing the polio vaccine; uncovered secrets of cancer, viruses, and the atom bomb’s effects; helped lead to important advances like in vitro fertilization, cloning, and gene mapping; and have been bought and sold by the billions.Yet Henrietta Lacks remains virtually unknown, buried in an unmarked grave.Now Rebecca Skloot takes us on an extraordinary journey, from the “colored” ward of Johns Hopkins Hospital in the 1950s to stark white laboratories with freezers full of HeLa cells; from Henrietta’s small, dying hometown of Clover, Virginia — a land of wooden quarters for enslaved people, faith healings, and voodoo — to East Baltimore today, where her children and grandchildren live and struggle with the legacy of her cells.Henrietta’s family did not learn of her “immortality” until more than twenty years after her death, when scientists investigating HeLa began using her husband and children in research without informed consent. And though the cells had launched a multimillion-dollar industry that sells human biological materials, her family never saw any of the profits. As Rebecca Skloot so brilliantly shows, the story of the Lacks family — past and present — is inextricably connected to the history of experimentation on African Americans, the birth of bioethics, and the legal battles over whether we control the stuff we are made of.Over the decade it took to uncover this story, Rebecca became enmeshed in the lives of the Lacks family—especially Henrietta’s daughter Deborah, who was devastated to learn about her mother’s cells. She was consumed with questions: Had scientists cloned her mother? Did it hurt her when researchers infected her cells with viruses and shot them into space? What happened to her sister, Elsie, who died in a mental institution at the age of fifteen? And if her mother was so important to medicine, why couldn’t her children afford health insurance?Intimate in feeling, astonishing in scope, and impossible to put down, The Immortal Life of Henrietta Lacks captures the beauty and drama of scientific discovery, as well as its human consequences.
The Good Rain: Across Time & Terrain in the Pacific Northwest
Timothy Egan - 1990
Here is a blend of history, anthropology and politics.
The Nurses: A Year of Secrets, Drama, and Miracles with the Heroes of the Hospital
Alexandra Robbins - 2015
Lara, a superstar nurse who tries to battle her way back from a near-ruinous prescription-drug addiction. The outspoken but compassionate Juliette, a fierce advocate for her patients. And Sam, a first-year nurse, struggling to find her way in a gossipy mean-girl climate she likens to “high school, except for the dying people.”The result is a riveting page-turner, insightful and thought-provoking, that will leave readers feeling smarter about their healthcare and undeniably appreciative of the incredible nurses who provide it.
The Social Animal: The Hidden Sources of Love, Character, and Achievement
David Brooks - 2011
Now, with the intellectual curiosity and emotional wisdom that make his columns among the most read in the nation, Brooks turns to the building blocks of human flourishing in a multilayered, profoundly illuminating work grounded in everyday life.This is the story of how success happens. It is told through the lives of one composite American couple, Harold and Erica—how they grow, push forward, are pulled back, fail, and succeed. Distilling a vast array of information into these two vividly realized characters, Brooks illustrates a fundamental new understanding of human nature. A scientific revolution has occurred—we have learned more about the human brain in the last thirty years than we had in the previous three thousand. The unconscious mind, it turns out, is most of the mind—not a dark, vestigial place but a creative and enchanted one, where most of the brain’s work gets done. This is the realm of emotions, intuitions, biases, longings, genetic predispositions, personality traits, and social norms: the realm where character is formed and where our most important life decisions are made. The natural habitat of The Social Animal. Drawing on a wealth of current research from numerous disciplines, Brooks takes Harold and Erica from infancy to school; from the “odyssey years” that have come to define young adulthood to the high walls of poverty; from the nature of attachment, love, and commitment, to the nature of effective leadership. He reveals the deeply social aspect of our very minds and exposes the bias in modern culture that overemphasizes rationalism, individualism, and IQ. Along the way, he demolishes conventional definitions of success while looking toward a culture based on trust and humility.The Social Animal is a moving and nuanced intellectual adventure, a story of achievement and a defense of progress. Impossible to put down, it is an essential book for our time, one that will have broad social impact and will change the way we see ourselves and the world.
Madness Explained: Psychosis and Human Nature
Richard P. Bentall - 2003
This groundbreaking work argues that we cannot define madness as an illness to be cured like any other; that labels such as 'schizophrenia' and 'manic depression' are meaningless, based on nineteenth-century classifications; and that experiences such as delusions and hearing voices are in fact exaggerations of the mental foibles to which we are all vulnerable.We need, Bentall argues, a radically new way of thinking about psychiatric problems - one that does not reduce madness to bain chemistry, but understands and accepts it as part of human nature.'Bentall destroys many of the foundations underlying psychiatric thinking' - Oliver James'A monumental study ... brave, well-researched and accessible' - Scotland on Sunday'Bental demystifies psychosis and restores the patient to a proper place with the rest of humankind' - Aaron T. Beck
Surviving the Extremes: What Happens to the Body and Mind at the Limits of Human Endurance
Kenneth Kamler - 2004
A vice president of the legendary Explorers Club, as well as surgeon, explorer, and masterful storyteller, Dr. Kenneth Kamler has spent years discovering what happens to the human body in extreme environmental conditions. Divided into six sections—jungle, high seas, desert, underwater, high altitude, and outer space—this book uses firsthand testimony and documented accounts to investigate the science of what a body goes through and explains why people survive—and why they sometimes don’t.
Permanent Present Tense: The Unforgettable Life of the Amnesic Patient, H. M.
Suzanne Corkin - 2012
The outcome was unexpected—when Henry awoke, he could no longer form new memories, and for the rest of his life would be trapped in the moment. But Henry’s tragedy would prove a gift to humanity. As renowned neuroscientist Suzanne Corkin explains in Permanent Present Tense, she and her colleagues brought to light the sharp contrast between Henry’s crippling memory impairment and his preserved intellect. This new insight that the capacity for remembering is housed in a specific brain area revolutionized the science of memory. The case of Henry—known only by his initials H. M. until his death in 2008—stands as one of the most consequential and widely referenced in the spiraling field of neuroscience. Corkin and her collaborators worked closely with Henry for nearly fifty years, and in Permanent Present Tense she tells the incredible story of the life and legacy of this intelligent, quiet, and remarkably good-humored man. Henry never remembered Corkin from one meeting to the next and had only a dim conception of the importance of the work they were doing together, yet he was consistently happy to see her and always willing to participate in her research. His case afforded untold advances in the study of memory, including the discovery that even profound amnesia spares some kinds of learning, and that different memory processes are localized to separate circuits in the human brain. Henry taught us that learning can occur without conscious awareness, that short-term and long-term memory are distinct capacities, and that the effects of aging-related disease are detectable in an already damaged brain.Undergirded by rich details about the functions of the human brain, Permanent Present Tense pulls back the curtain on the man whose misfortune propelled a half-century of exciting research. With great clarity, sensitivity, and grace, Corkin brings readers to the cutting edge of neuroscience in this deeply felt elegy for her patient and friend.
Dr. Mütter's Marvels: A True Tale of Intrigue and Innovation at the Dawn of Modern Medicine
Cristin O'Keefe Aptowicz - 2014
This was the world of medicine when Thomas Dent Mütter began his trailblazing career as a plastic surgeon in Philadelphia during the middle of the nineteenth century.Although he died at just forty-eight, Mütter was an audacious medical innovator who pioneered the use of ether as anesthesia, the sterilization of surgical tools, and a compassion-based vision for helping the severely deformed, which clashed spectacularly with the sentiments of his time. Brilliant, outspoken, and brazenly handsome, Mütter was flamboyant in every aspect of his life. He wore pink silk suits to perform surgery, added an umlaut to his last name just because he could, and amassed an immense collection of medical oddities that would later form the basis of Philadelphia’s Mütter Museum. Cristin O’Keefe Aptowicz chronicles how Mütter’s efforts helped establish Philadelphia as a global mecca for medical innovation—despite intense resistance from his numerous rivals.
The Not-Quite States of America: Dispatches from the Territories and Other Far-Flung Outposts of the USA
Doug Mack - 2017
The U.S. territories—American Samoa, Guam, Puerto Rico, the Northern Mariana Islands, and the U.S. Virgin Islands—and their 4 million people are little known and often forgotten, so Doug Mack set out on a 30,000-mile journey to learn about them. How did they come to be part of the United States? What are they like today? And why aren’t they states? Deeply researched and richly reported, The Not-Quite States of America is an entertaining and unprecedented account of the territories’ crucial yet overlooked place in the American story.
Midnight in Siberia: A Train Journey into the Heart of Russia
David Greene - 2014
Midnight in Siberia chronicles David Greene's journey on the Trans-Siberian Railway, a 6,000-mile cross-country trip from Moscow to the Pacific port of Vladivostok. In quadruple-bunked cabins and stopover towns sprinkled across the country s snowy landscape, Greene speaks with ordinary Russians about how their lives have changed in the post-Soviet years.These travels offer a glimpse of the new Russia a nation that boasts open elections and newfound prosperity but continues to endure oppression, corruption, a dwindling population, and stark inequality.We follow Greene as he finds opportunity and hardship embodied in his fellow train travelers and in conversations with residents of towns throughout Siberia.We meet Svetlana, an entrepreneur who runs a small hotel in Ishim, fighting through corrupt layers of bureaucracy every day. Greene spends a joyous evening with a group of babushkas who made international headlines as runners-up at the Eurovision singing competition. They sing Beatles covers, alongside their traditional songs, finding that music and companionship can heal wounds from the past. In Novosibirsk, Greene has tea with Alexei, who runs the carpet company his mother began after the Soviet collapse and has mixed feelings about a government in which his family has done quite well. And in Chelyabinsk, a hunt for space debris after a meteorite landing leads Greene to a young man orphaned as a teenager, forced into military service, and now figuring out if any of his dreams are possible.Midnight in Siberia is a lively travel narrative filled with humor, adventure, and insight. It opens a window onto that country s complicated relationship with democracy and offers a rare look into the soul of twenty-first-century Russia."