The Doctor Crisis

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The Doctor Crisis

Author : Jack Cochran
Publisher : PublicAffairs
ISBN 13 : 1610394445
Total Pages : 241 pages
Book Rating : 4.6/5 (13 download)

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Book Synopsis The Doctor Crisis by : Jack Cochran

Download or read book The Doctor Crisis written by Jack Cochran and published by PublicAffairs. This book was released on 2014-05-06 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: Calming fears, alleviating suffering, enhancing and saving lives -- this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward -- amidst jarring changes in our health care system -- is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.

Life in Crisis

Author : Peter Redfield
Publisher : Univ of California Press
ISBN 13 : 0520955188
Total Pages : 313 pages
Book Rating : 4.5/5 (29 download)

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Book Synopsis Life in Crisis by : Peter Redfield

Download or read book Life in Crisis written by Peter Redfield and published by Univ of California Press. This book was released on 2013-02-25 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Life in Crisis tells the story of Médecins Sans Frontières (Doctors Without Borders or MSF) and its effort to "save lives" on a global scale. Begun in 1971 as a French alternative to the Red Cross, the MSF has grown into an international institution with a reputation for outspoken protest as well as technical efficiency. It has also expanded beyond emergency response, providing for a wider range of endeavors, including AIDS care. Yet its seemingly simple ethical goal proves deeply complex in practice. MSF continually faces the problem of defining its own limits. Its minimalist form of care recalls the promise of state welfare, but without political resolution or a sense of well-being beyond health and survival. Lacking utopian certainty, the group struggles when the moral clarity of crisis fades. Nevertheless, it continues to take action and innovate. Its organizational history illustrates both the logic and the tensions of casting humanitarian medicine into a leading role in international affairs.

Addressing the Physician Shortage in Occupational and Environmental Medicine

Author : Institute of Medicine (U.S.). Committee on Enhancing the Practice of Occupational and Environmental Medicine. Subcommittee on Physician Shortage
Publisher : National Academies
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.1/5 (362 download)

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Book Synopsis Addressing the Physician Shortage in Occupational and Environmental Medicine by : Institute of Medicine (U.S.). Committee on Enhancing the Practice of Occupational and Environmental Medicine. Subcommittee on Physician Shortage

Download or read book Addressing the Physician Shortage in Occupational and Environmental Medicine written by Institute of Medicine (U.S.). Committee on Enhancing the Practice of Occupational and Environmental Medicine. Subcommittee on Physician Shortage and published by National Academies. This book was released on 1991 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Crisis

Author : Robin Cook
Publisher : G.P. Putnam's Sons
ISBN 13 : 9780425216576
Total Pages : 0 pages
Book Rating : 4.2/5 (165 download)

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Book Synopsis Crisis by : Robin Cook

Download or read book Crisis written by Robin Cook and published by G.P. Putnam's Sons. This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Shocked and humiliated by a medical malpractice lawsuit, physician Craig Bowman receives help from his estranged brother-in-law, medical examiner Jack Stapleton, who discovers trouble after exhuming the body of Craig's alleged victim.

Every Minute Is a Day

Author : Robert Meyer, MD
Publisher : Crown
ISBN 13 : 0593238591
Total Pages : 257 pages
Book Rating : 4.5/5 (932 download)

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Book Synopsis Every Minute Is a Day by : Robert Meyer, MD

Download or read book Every Minute Is a Day written by Robert Meyer, MD and published by Crown. This book was released on 2021-08-03 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: An urgent, on-the-scene account of chaos and compassion on the front lines of ground zero for Covid-19, from a senior doctor at New York City’s busiest emergency room “Remarkable and inspiring . . . We’re lucky to have this vivid firsthand account.”—A. J. Jacobs, bestselling author of The Year of Living Biblically When former New York Times journalist Dan Koeppel texted his cousin Robert Meyer, a twenty-year veteran of the emergency room at Montefiore Medical Center in the Bronx, at the beginning of the Covid-19 crisis in the United States, he expected to hear that things were hectic. On a scale of 1 to 10, 10 being overwhelmed, where do you think you are? Koeppel asked. Meyer’s grave reply—100—was merely the cusp of the crisis that would soon touch every part of the globe. In need of an outlet to process the trauma of his working life over the coming months, Meyer continued to update Koeppel with what he’d seen and whom he’d treated. The result is an intimate record of historic turmoil and grief from the perspective of a remarkably resilient ER doctor. Every Minute Is a Day takes us into a hospital ravaged by Covid-19 and is filled with the stories of promises made that may be impossible to keep, of life or death choices for patients and their families, and of selflessness on the part of medical professionals who put themselves at incalculable risk. As fast-paced and high-tempo as the ER in which it takes place, Every Minute Is a Day is at its core an incomparable firsthand account of unrelenting compassion, and a reminder that every human life deserves a chance to be saved.

Priceless

Author : John C. Goodman
Publisher : Independent Institute
ISBN 13 : 1598133977
Total Pages : 334 pages
Book Rating : 4.5/5 (981 download)

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Book Synopsis Priceless by : John C. Goodman

Download or read book Priceless written by John C. Goodman and published by Independent Institute. This book was released on 2024-09-24 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this long-awaited updated edition of his groundbreaking work Priceless: Curing the Healthcare Crisis, renowned healthcare economist John Goodman ("father" of Health Savings Accounts) analyzes America's ongoing healthcare fiasco—including, for this edition, the failed promises of Obamacare. Goodman then provides what many critics of our healthcare system neglect: solutions. And not a moment too soon. Americans are entangled in a system with perverse incentives that raise costs, reduce quality, and make care less accessible. It's not just patients that need liberation from this labyrinth of confusion—it's doctors, businessmen, and institutions as well. Read this new work and discover: why no one sees a real price for anything: no patient, no doctor, no employer, no employee; how Obamacare's perverse incentives cause insurance companies to seek to attract the healthy and avoid the sick; why having a preexisting condition is actually WORSE under Obamacare than it was before—despite rosy political promises to the contrary; why emergency-room traffic and long waits for care have actually increased under Obamacare; how Medicaid expansion spends new money insuring healthy, single adults, while doing nothing for the developmentally disabled who languish on waiting lists and children who aren't getting the pediatric care they need; how the market for medical care COULD be as efficient and consumer-friendly as the market for cell phone repair... and what it would take to make that happen; how to create centers of medical excellence, which compete to meet the needs of the chronically ill; and much, much more... Thoroughly researched, clearly written, and decidedly humane in its concern for the health of all Americans, John Goodman has written the healthcare book to read to understand today's healthcare crisis. His proposed solutions are bold, crucial, and most importantly, caring. Healthcare is complex. But this book isn't. It's clear, it's satisfying, and it's refreshingly human. If you read even one book about healthcare policy in America, this is the one to read.

Plague Years

Author : Ross A. Slotten, MD
Publisher : University of Chicago Press
ISBN 13 : 022671876X
Total Pages : 225 pages
Book Rating : 4.2/5 (267 download)

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Book Synopsis Plague Years by : Ross A. Slotten, MD

Download or read book Plague Years written by Ross A. Slotten, MD and published by University of Chicago Press. This book was released on 2020-07-15 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1992, Dr. Ross A. Slotten signed more death certificates in Chicago—and, by inference, the state of Illinois—than anyone else. As a family physician, he was trained to care for patients from birth to death, but when he completed his residency in 1984, he had no idea that many of his future patients would be cut down in the prime of their lives. Among those patients were friends, colleagues, and lovers, shunned by most of the medical community because they were gay and HIV positive. Slotten wasn’t an infectious disease specialist, but because of his unique position as both a gay man and a young physician, he became an unlikely pioneer, swept up in one of the worst epidemics in modern history. Plague Years is an unprecedented first-person account of that epidemic, spanning not just the city of Chicago but four continents as well. Slotten provides an intimate yet comprehensive view of the disease’s spread alongside heartfelt portraits of his patients and his own conflicted feelings as a medical professional, drawn from more than thirty years of personal notebooks. In telling the story of someone who was as much a potential patient as a doctor, Plague Years sheds light on the darkest hours in the history of the LGBT community in ways that no previous medical memoir has.

Let Me Heal

Author : Kenneth M. Ludmerer
Publisher : Oxford University Press, USA
ISBN 13 : 0199744548
Total Pages : 457 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Let Me Heal by : Kenneth M. Ludmerer

Download or read book Let Me Heal written by Kenneth M. Ludmerer and published by Oxford University Press, USA. This book was released on 2014 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a highly engaging, richly contextualized account of the residency system in all its dimensions and analyzes the mutual relationship between residency education and patient care in America.

I Have Been Talking with Your Doctor

Author : Peggy Rothbaum
Publisher :
ISBN 13 : 9780988359291
Total Pages : 306 pages
Book Rating : 4.3/5 (592 download)

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Book Synopsis I Have Been Talking with Your Doctor by : Peggy Rothbaum

Download or read book I Have Been Talking with Your Doctor written by Peggy Rothbaum and published by . This book was released on 2016-06-01 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: I interviewed 50 doctors using about four pages of questions developed based on the professional research literature on doctoring and my personal professional experience working with doctors. The interviews lasted between 30 minutes and two hours. I sat down with the doctor interviewees, one by one. They talked, I typed. They met with me in between patients, taking breaks to answer emails, texts, phone calls, or deal with emergencies, or after hours, on time off, during paperwork time, or while eating a rushed meal. It is also worth mentioning that some of the doctor interviewees experienced their own traumas close to the time of our interview, such as their own illness or that of someone close to them, or the death of a family member or close friend. Several of them experienced the death of their own child. Remarkably, they all kept working, each one saying that helping others helped them to cope with their own pain. After completing the interviews, I am left with an even deeper understanding of the health care crisis. It is my hope that these interviews will expose an intimate portrait of the gravity and urgency of our healthcare crisis. It is with the utmost gratitude, admiration, and humility, that I thank my doctor interviewees for their help with this task.

Unhinged

Author : Daniel Carlat
Publisher : Simon and Schuster
ISBN 13 : 1416596356
Total Pages : 274 pages
Book Rating : 4.4/5 (165 download)

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Book Synopsis Unhinged by : Daniel Carlat

Download or read book Unhinged written by Daniel Carlat and published by Simon and Schuster. This book was released on 2010-05-18 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this stirring and beautifully written wake-up call, psychiatrist Daniel Carlat writes with bracing honesty about how psychiatry has so largely forsaken the practice of talk therapy for the seductive—and more lucrative—practice of simply prescribing drugs, with a host of deeply troubling consequences. Psychiatrist Daniel Carlat has noticed a pattern plaguing his profession. Psychiatrists have settled for treating symptoms rather than causes, embracing the apparent medical rigor of DSM diagnoses and prescription in place of learning the more challenging craft of therapeutic counseling, gaining only limited understanding of their patients’ lives. Talk therapy takes time, whereas the fifteen-minute "med check" allows for more patients and more insurance company reimbursement. Yet, DSM diagnoses, he shows, are premised on a good deal less science than we would think. Writing from an insider’s perspective, with refreshing forthrightness about his own daily struggles as a practitioner, Dr. Carlat shares a wealth of stories from his own practice and those of others that demonstrate the glaring shortcomings of the standard fifteen-minute patient visit. He also reveals the dangers of rampant diagnoses of bipolar disorder, ADHD, and other "popular" psychiatric disorders, and exposes the risks of the cocktails of medications so many patients are put on. Especially disturbing are the terrible consequences of overprescription of drugs to children of ever younger ages. Taking us on a tour of the world of pharmaceutical marketing, he also reveals the inner workings of collusion between psychiatrists and drug companies. Concluding with a road map for exactly how the profession should be reformed, Unhinged is vital reading for all those in treatment or considering it, as well as a stirring call to action for the large community of psychiatrists themselves. As physicians and drug companies continue to work together in disquieting and harmful ways, and as diagnoses—and misdiagnoses—of mental disorders skyrocket, it’s essential that Dr. Carlat’s bold call for reform is heeded.

Tears of Salt: A Doctor's Story of the Refugee Crisis

Author : Pietro Bartolo
Publisher : W. W. Norton & Company
ISBN 13 : 0393651290
Total Pages : 116 pages
Book Rating : 4.3/5 (936 download)

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Book Synopsis Tears of Salt: A Doctor's Story of the Refugee Crisis by : Pietro Bartolo

Download or read book Tears of Salt: A Doctor's Story of the Refugee Crisis written by Pietro Bartolo and published by W. W. Norton & Company. This book was released on 2018-01-09 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This is a personal, urgent, and universal book." —Gloria Steinem Situated more than one hundred miles off Italy’s southern coast, the rocky island of Lampedusa has hit world headlines in recent years as the first port of call for hundreds of thousands of African and Middle Eastern refugees fleeing civil war and terrorism and hoping to make a new life in Europe. Dr. Pietro Bartolo, who runs the lone medical clinic on the island, has been caring for many of them—both the living and the dead—for a quarter century. Tears of Salt is Dr. Bartolo’s moving account of his life and work set against one of the signal crises of our time. With quiet dignity and an unshakable moral center, he tells unforgettable tales of pain and hope, stories of those who didn’t make it and those who did.

America's Health Care Crisis Solved

Author : J. Patrick Rooney
Publisher : John Wiley & Sons
ISBN 13 : 047033441X
Total Pages : 268 pages
Book Rating : 4.4/5 (73 download)

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Book Synopsis America's Health Care Crisis Solved by : J. Patrick Rooney

Download or read book America's Health Care Crisis Solved written by J. Patrick Rooney and published by John Wiley & Sons. This book was released on 2008-07-25 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: America’s Health Care Crisis Solved highlights the major pitfalls of our current health care system and shows why, without changes, health care costs will soon demolish the American economy as well as the opportunity to receive quality care. However, contrary to the increasingly popular idea of a government health plan, the alternative presented by authors J. Patrick Rooney and Dan Perrin brings the self-interest of you, the American consumer, into the equation.

Searching for the Family Doctor

Author : Timothy J. Hoff
Publisher : JHU Press
ISBN 13 : 1421443015
Total Pages : 287 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Searching for the Family Doctor by : Timothy J. Hoff

Download or read book Searching for the Family Doctor written by Timothy J. Hoff and published by JHU Press. This book was released on 2022-03-01 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.

What the Eyes Don't See

Author : Mona Hanna-Attisha
Publisher : One World
ISBN 13 : 0399590846
Total Pages : 386 pages
Book Rating : 4.3/5 (995 download)

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Book Synopsis What the Eyes Don't See by : Mona Hanna-Attisha

Download or read book What the Eyes Don't See written by Mona Hanna-Attisha and published by One World. This book was released on 2018-06-19 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: A NEW YORK TIMES NOTABLE BOOK • The dramatic story of the Flint water crisis, by a relentless physician who stood up to power. “Stirring . . . [a] blueprint for all those who believe . . . that ‘the world . . . should be full of people raising their voices.’”—The New York Times “Revealing, with the gripping intrigue of a Grisham thriller.” —O: The Oprah Magazine Here is the inspiring story of how Dr. Mona Hanna-Attisha, alongside a team of researchers, parents, friends, and community leaders, discovered that the children of Flint, Michigan, were being exposed to lead in their tap water—and then battled her own government and a brutal backlash to expose that truth to the world. Paced like a scientific thriller, What the Eyes Don’t See reveals how misguided austerity policies, broken democracy, and callous bureaucratic indifference placed an entire city at risk. And at the center of the story is Dr. Mona herself—an immigrant, doctor, scientist, and mother whose family’s activist roots inspired her pursuit of justice. What the Eyes Don’t See is a riveting account of a shameful disaster that became a tale of hope, the story of a city on the ropes that came together to fight for justice, self-determination, and the right to build a better world for their—and all of our—children. Praise for What the Eyes Don’t See “It is one thing to point out a problem. It is another thing altogether to step up and work to fix it. Mona Hanna-Attisha is a true American hero.”—Erin Brockovich “A clarion call to live a life of purpose.”—The Washington Post “Gripping . . . entertaining . . . Her book has power precisely because she takes the events she recounts so personally. . . . Moral outrage present on every page.”—The New York Times Book Review “Personal and emotional. . . She vividly describes the effects of lead poisoning on her young patients. . . . She is at her best when recounting the detective work she undertook after a tip-off about lead levels from a friend. . . . ‛Flint will not be defined by this crisis,’ vows Ms. Hanna-Attisha.”—The Economist “Flint is a public health disaster. But it was Dr. Mona, this caring, tough pediatrican turned detective, who cracked the case.”—Rachel Maddow

Cries of Crisis

Author : Robert B. Hackey
Publisher : University of Nevada Press
ISBN 13 : 0874178908
Total Pages : 298 pages
Book Rating : 4.8/5 (741 download)

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Book Synopsis Cries of Crisis by : Robert B. Hackey

Download or read book Cries of Crisis written by Robert B. Hackey and published by University of Nevada Press. This book was released on 2012-10-31 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the late 1960s, health care in the United States has been described as a system in crisis. No matter their position, those seeking to improve the system have relied on the rhetoric of crisis to build support for their preferred remedies, to the point where the language and imagery of a health care crisis are now deeply embedded in contemporary politics and popular culture. In Cries of Crisis, Robert B. Hackey analyzes media coverage, political speeches, films, and television shows to demonstrate the role that language and symbolism have played in framing the health care debate, shaping policy making, and influencing public perceptions of problems in the health care system. He demonstrates that the idea of crisis now means so many different things to so many different groups that it has ceased to have any shared meaning at all. He argues that the ceaseless talk of “crisis,” without a commonly accepted definition of that term, has actually impeded efforts to diagnose and treat the chronic problems plaguing the American health care system. Instead, he contends, reformers must embrace a new rhetorical strategy that links proposals to improve the system with deeply held American values like equality and fairness.

The Long Fix

Author : Vivian Lee
Publisher : National Geographic Books
ISBN 13 : 0393867447
Total Pages : 0 pages
Book Rating : 4.3/5 (938 download)

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Book Synopsis The Long Fix by : Vivian Lee

Download or read book The Long Fix written by Vivian Lee and published by National Geographic Books. This book was released on 2021-08-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: It may not be a quick fix, but this concrete action plan for reform can create a less costly and healthier system for all. Beyond the outrageous expense, the quality of care varies wildly, and millions of Americans can’t get care when they need it. 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.

Canary in the Coal Mine

Author : William Cooke
Publisher : Tyndale House Publishers, Inc.
ISBN 13 : 1496446488
Total Pages : 321 pages
Book Rating : 4.4/5 (964 download)

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Book Synopsis Canary in the Coal Mine by : William Cooke

Download or read book Canary in the Coal Mine written by William Cooke and published by Tyndale House Publishers, Inc.. This book was released on 2021 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: One doctor's courageous fight to save a small town from a silent epidemic that threatened the community's future--and exposed a national health crisis. When Dr. Will Cooke, an idealistic young physician just out of medical training, set up practice in the small rural community of Austin, Indiana, he had no idea that much of the town was being torn apart by poverty, addiction, and life-threatening illnesses. But he soon found himself at the crossroads of two unprecedented health-care disasters: a national opioid epidemic and the worst drug-fueled HIV outbreak ever seen in rural America. Confronted with Austin's hidden secrets, Dr. Cooke decided he had to do something about them. In taking up the fight for Austin's people, however, he would have to battle some unanticipated foes: prejudice, political resistance, an entrenched bureaucracy--and the dark despair that threatened to overwhelm his own soul. Canary in the Coal Mine is a gripping account of the transformation of a man and his adopted community, a compelling and ultimately hopeful read in the vein of Hillbilly Elegy, Dreamland, and Educated.