Fragmented: A Doctor's Quest to Piece Together American Health Care

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Publisher : W. W. Norton & Company
ISBN 13 : 0393881202
Total Pages : 135 pages
Book Rating : 4.3/5 (938 download)

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Book Synopsis Fragmented: A Doctor's Quest to Piece Together American Health Care by : Ilana Yurkiewicz MD

Download or read book Fragmented: A Doctor's Quest to Piece Together American Health Care written by Ilana Yurkiewicz MD and published by W. W. Norton & Company. This book was released on 2023-07-11 with total page 135 pages. Available in PDF, EPUB and Kindle. Book excerpt: An award-winning physician-writer exposes how pervasive cracks in the health care system cost us time, energy, and lives—and how we can fix them. There’s an unspoken assumption when we go to see a doctor: the doctor knows our medical story and is making decisions based on that story. But reality frequently falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer’s whims. Physician Ilana Yurkiewicz calls this phenomenon fragmentation, and, she argues, it’s the central failure of health care today. In this gripping narrative from medicine’s front lines, Yurkiewicz reveals how a system that doesn’t talk to itself puts insupportable burdens on physicians, patients, and caregivers, forcing them to heroic lengths to hold the pieces together—barely. The stories she tells are at once harrowing and commonplace. A patient narrowly averts an unnecessary, invasive heart procedure by producing a worn rhythm strip he has carried in his pocket for a decade. A man diagnosed with leukemia while visiting from abroad has thirty-one physicians, but no one he can call “his” doctor, with tragic consequences. When Yurkiewicz’s own father falls ill, a culture that incentivizes health care providers to react with quick fixes to the problems immediately before them—often to the neglect of a patient’s overall narrative—leads to weeks of additional suffering and a risky hospital transfer. The system is hanging by a thread, and we need better solutions. Yurkiewicz issues a clear-eyed call for change, naming concrete reforms doctors and policymakers can make, and empowering patients and their loved ones to advocate for themselves in the meantime. Urgent, radiantly humane, and ultimately hopeful, Fragmented a prescription for what really needs fixing in modern medicine.

The Fragmentation of U.S. Health Care

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Publisher : Oxford University Press, USA
ISBN 13 : 019539013X
Total Pages : 397 pages
Book Rating : 4.1/5 (953 download)

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Book Synopsis The Fragmentation of U.S. Health Care by : Einer Elhauge

Download or read book The Fragmentation of U.S. Health Care written by Einer Elhauge and published by Oxford University Press, USA. This book was released on 2010 with total page 397 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why is the American health care system so fragmented in the care it gives patients? This title approaches this question and more with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider.

The Fragmentation of U.S. Health Care

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Publisher :
ISBN 13 : 9780199775934
Total Pages : 388 pages
Book Rating : 4.7/5 (759 download)

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Book Synopsis The Fragmentation of U.S. Health Care by : Einer Elhauge

Download or read book The Fragmentation of U.S. Health Care written by Einer Elhauge and published by . This book was released on 2010 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why is the American health care system so fragmented in the care it gives patients? This title approaches this question and more with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider.

The Truth About Health Care

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Publisher : Rutgers University Press
ISBN 13 : 0813541158
Total Pages : 244 pages
Book Rating : 4.8/5 (135 download)

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Book Synopsis The Truth About Health Care by : David Mechanic

Download or read book The Truth About Health Care written by David Mechanic and published by Rutgers University Press. This book was released on 2006-08-04 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes? In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, "big money" and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population. Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care. For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system's current and future dilemmas. Mechanic's thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America. About the Author:

The Rise and Fall of the American Medical Empire

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Publisher :
ISBN 13 : 9781934716083
Total Pages : 0 pages
Book Rating : 4.7/5 (16 download)

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Book Synopsis The Rise and Fall of the American Medical Empire by : Robert A. Linden

Download or read book The Rise and Fall of the American Medical Empire written by Robert A. Linden and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are four major dilemmas at work in the rapid decline of the United States' healthcare system: the disappearing primary care sector, healthcare insurance reform, the influence of the pharmaceutical industry on the practice of medicine, and reform of malpractice litigation. In this book, Dr. Robert A. Linden provides a comprehensive explanation of these dilemmas, from the perspective of a primary care physician who has spent 30 years working directly with patients and seeing first-hand how changes in the system have impacted patients and physicians. Dr. Linden sorts out the fragments of information that most readers get through the media and fills in the blanks to provide a clear picture of what's wrong with the U.S. healthcare system, an impartial review of proposed solutions, and a look at what other countries have done to reform their healthcare systems. Unlike many academician authors who have covered the problems only in part with skewed information, this book will finally help the healthcare consumer understand the problems facing us and form their own assessments of what should be done to restore the American healthcare system.

Listening for What Matters

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Publisher : Oxford University Press
ISBN 13 : 0190229012
Total Pages : 282 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Listening for What Matters by : Saul Weiner

Download or read book Listening for What Matters written by Saul Weiner and published by Oxford University Press. This book was released on 2015-12-17 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care. The result is measurably harmful to individuals and costly to society. Listening for What Matters: Avoiding Contextual Errors in Health Care covers ten years of empirical research based on hundreds of recorded doctor visits by patients and undercover actors alike, which revealed a widespread disregard of patients' individual circumstances and needs resulting in inappropriate care. These medical errors have been largely undocumented and unaddressed by the American healthcare system. This book tells the stories of patients whose care was compromised by inattention to individual context, and introduces novel methods for assessing the magnitude of the problem. It describes how these errors, termed "contextual errors," can be minimized through changes in how doctors are trained, how medicine is practiced and quality measured, and in the ways patients assert their needs during visits. The aim of this book is to open a dialog between patients, physicians, policy makers, and medical educators, about a serious quality problem that has been overlooked and understudied.

Code Blue

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Publisher : Atlantic Monthly Press
ISBN 13 : 0802146872
Total Pages : 474 pages
Book Rating : 4.8/5 (21 download)

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Book Synopsis Code Blue by : Mike Magee

Download or read book Code Blue written by Mike Magee and published by Atlantic Monthly Press. This book was released on 2019-06-04 with total page 474 pages. Available in PDF, EPUB and Kindle. Book excerpt: This “searing and persuasive exposé of the American health care system” demonstrates the disastrous consequences of putting profit before people (Kirkus Reviews, starred review). In this timely and important book, Mike Magee, M.D., sends out a “Code Blue” —an urgent medical emergency—for the American medical industry itself. A former hospital administrator and Pfizer executive, he has spent years investigating the pillars of our health system: Big Pharma, insurance companies, hospitals, the American Medical Association, and anyone affiliated with them. Code Blue is a riveting, character-driven narrative that draws back the curtain on the giant industry that consumes one out of every five American dollars. Making clear for the first time the mechanisms, greed, and collusion by which our medical system was built over the last eight decades. He persuasively argues for a single-payer, multi-plan insurance arena of the kind enjoyed by every other major developed nation.

Uncaring

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Publisher : PublicAffairs
ISBN 13 : 1541758250
Total Pages : 400 pages
Book Rating : 4.5/5 (417 download)

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Book Synopsis Uncaring by : Robert Pearl

Download or read book Uncaring written by Robert Pearl and published by PublicAffairs. This book was released on 2021-05-18 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctors are taught how to cure people. 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.

Fresh Medicine

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Publisher : Grove/Atlantic, Inc.
ISBN 13 : 0802196241
Total Pages : 287 pages
Book Rating : 4.8/5 (21 download)

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Book Synopsis Fresh Medicine by : Phil Bredesen

Download or read book Fresh Medicine written by Phil Bredesen and published by Grove/Atlantic, Inc.. This book was released on 2010-10-12 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: An authoritative, engaging, and nonpartisan look at what is wrong with American health care and how we can fix it—“told with skill and grace” (Jon Meacham, author of American Lion). Former Governor of Tennessee and CEO of HealthAmerica Corporation, Phil Bredesen “knows the American health care system inside and out. He knows both the theory and, more importantly, how things really work.” In Fresh Medicine, he analyses the current state of American Health Care, beginning with a clear-eyed critique of the Affordable Care Act (Bill Frist, M.D., former Senate majority leader). According to Bresden, the Obama Administration ushered million more people into a broken system while doing little to address the underlying problems. Looking back over the past century, Bresden explains how that system developed from local doctors making house calls to today’s sprawling insurance model. What began as an insurance system to cover hospitalization has expanded to cover drugs, doctor visits, and the treatment of chronic disease. American health care, Bredesen asserts, needs to be reset on a new foundation. In Fresh Medicine, he harnesses thirty years of experience to offer a new solution.

Discovering the Cause and the Cure for America's Health Care Crisis

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Publisher :
ISBN 13 : 9781462003884
Total Pages : 0 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Discovering the Cause and the Cure for America's Health Care Crisis by : Roger H. Strube

Download or read book Discovering the Cause and the Cure for America's Health Care Crisis written by Roger H. Strube and published by . This book was released on 2011-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health care system remains in crisis, and it's hurting the overall economy. Join an insider as he examines the problem and offers solutions. Everyone knows that there are severe challenges when it comes to health care delivery and financing these days. Even so, not many people are offering viable solutions. Author Roger H. Strube, MD, spent thirty-six years in medical education, training, practice, and health care administration, and he's not satisfied with the status quo. He shares his personal experiences along with a vision of how to fix the problems associated with a broken system. If you have been frustrated by excessive paperwork, high expenses, and poor treatment in the current health care system, Strube can help you understand the root causes behind the troubles. You'll discover - ways that the medical-industrial complex cripples the economy; - a plan to get control of skyrocketing medical expenses while improving the quality of care; - strategies to develop the right decision-making tools and protocols; - a vision to bring the practice and administration of medicine into the electronic age. All Americans must understand our core problems and realize what real reforms can be made to control costs and improve our health care system. Learn an insider's perspective on Discovering the Cause and the Cure for American's Health Care Crisis.

The Cure

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Publisher : Encounter Books
ISBN 13 : 159403219X
Total Pages : 258 pages
Book Rating : 4.5/5 (94 download)

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Book Synopsis The Cure by : David Gratzer

Download or read book The Cure written by David Gratzer and published by Encounter Books. This book was released on 2008 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: We are surrounded by medical miracles: polio has been eradicated; childhood leukemia is now treatab death by cardiovascular disease has declined by two-thirds in the last fifty years. Yet while American medicine has never been better, angst over American health care has never been greater. In this path-breaking book, Dr. David Gratzer goes to the heart of the problem, showing that the crisis in American health care stems largely from its addiction to outmoded and discredited economic ideas. His argument is bold and provocative, rejecting the conventional wisdom that socialized health care is compassionate and that top-down government agencies like the FDA save lives. Instead, he prescribes a strong dose of capitalism. The Cure presents an overview of American health care, from economics and politics to medical science. An award-winning author and essayist, Dr. Gratzer is a master storyteller who spices his book with interviews and anecdotes, some from his extensive clinical experience. He details the cardiac woes of Robert E. Lee and Dick Cheney, describes a chat over coffee with Canada's foremost private medical entrepreneur, and explains the evolution of his own thinking, from advocating HillaryCare as a medical student to promoting individual choice and competition today. Dr. Gratzer makes a compelling case that it's possible to reduce health expenses, insure millions more, and improve quality of care without growing government or raising taxes. Book jacket.

Doctored: The Disillusionment of an American Physician

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Publisher : Farrar, Straus and Giroux
ISBN 13 : 1429945842
Total Pages : 289 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Doctored: The Disillusionment of an American Physician by : Sandeep Jauhar

Download or read book Doctored: The Disillusionment of an American Physician written by Sandeep Jauhar and published by Farrar, Straus and Giroux. This book was released on 2014-08-19 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: In his acclaimed memoir Intern, Sandeep Jauhar chronicled the formative years of his residency at a prestigious New York City hospital. Doctored, his harrowing follow-up, observes the crisis of American medicine through the eyes of an attending cardiologist. Hoping for the stability he needs to start a family, Jauhar accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower. Blatant cronyism determines patient referrals, corporate ties distort medical decisions, and unnecessary tests are routinely performed in order to generate income. Meanwhile, a single patient in Jauhar's hospital might see fifteen specialists in one stay and still fail to receive a full picture of his actual condition. Provoked by his unsettling experiences, Jauhar has written an introspective memoir that is also an impassioned plea for reform. With American medicine at a crossroads, Doctored is the important work of a writer unafraid to challenge the establishment and incite controversy.

The Best Practice

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Publisher : ReadHowYouWant.com
ISBN 13 : 1458759342
Total Pages : 434 pages
Book Rating : 4.4/5 (587 download)

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Book Synopsis The Best Practice by : Charles C. Kenney

Download or read book The Best Practice written by Charles C. Kenney and published by ReadHowYouWant.com. This book was released on 2010-05 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the late 1990s, treatment-related deaths or ''complications'' were the fifth leading cause of death for Americans. Yet healthcare practitioners decried attempts to standardize treatment. ''We're working with people, not cars,'' they said. The result: an epidemic of preventable mistakes in a medical landscape where patients wait for hours in ''emergency'' rooms, fill out the same paperwork at each visit, and increasingly run the risk of being dosed with the wrong medication or having the wrong limb amputated. These problems spurred a group of dedicated physicians like Paul Batalden and Don Berwick to study the concepts of ''quality improvement'' used at Toyota and NASA, and to dare to apply them to the practice of medicine. This book tells their story, and how these ''heretical'' ideas have blossomed into a movement, bringing the focus back to where it should have always been: the patient.

Guide to U.S. Health and Health Care Policy

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Publisher : CQ Press
ISBN 13 : 1483346560
Total Pages : 505 pages
Book Rating : 4.4/5 (833 download)

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Book Synopsis Guide to U.S. Health and Health Care Policy by : Thomas R. Oliver

Download or read book Guide to U.S. Health and Health Care Policy written by Thomas R. Oliver and published by CQ Press. This book was released on 2014-09-03 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: Guide to U.S. Health and Health Care Policy provides the analytical connections showing students how issues and actions are translated into public policies and institutions for resolving or managing health care issues and crises, such as the recent attempt to reform the national health care system. The Guide highlights the decision-making cycle that requires the cooperation of government, business, and an informed citizenry in order to achieve a comprehensive approach to advancing the nation’s health care policies. Through 30 topical, operational, and relational essays, the book addresses the development of the U.S. health care system and policies, the federal agencies and public and private organizations that frame and administer those policies, and the challenges of balancing the nation’s health care needs with the rising costs of medical research, cost-effective treatment, and adequate health insurance. Key Features: The 30 topical essays investigate the fundamental political, social, economic, and procedural initiatives that drive health and health care policy decisions affecting Americans at the local, regional, and national levels Essential themes traced throughout the chapters include providing access to health care, national and international intervention, nutrition and health, human and financial resource allocation, freedom of religion versus public policy, discrimination and health care policy, universal health care coverage, private health care versus publicly funded health care, and the immediate and long-term costs associated with disease prevention, treatment, and health maintenance A Glossary of Key Health Care Policy Terms and Events, a selected Master Bibliography, and a thorough Index are included. This must-have reference for political science and public policy students who seek to understand the issues affecting health care policy in the U.S. is suitable for academic, public, high school, government, and professional libraries.

Better

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Publisher : Metropolitan Books
ISBN 13 : 1429927941
Total Pages : 288 pages
Book Rating : 4.4/5 (299 download)

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Book Synopsis Better by : Atul Gawande

Download or read book Better written by Atul Gawande and published by Metropolitan Books. This book was released on 2008-01-22 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: NATIONAL BESTSELLER The New York Times bestselling author of Being Mortal and Complications examines, in riveting accounts of medical failure and triumph, how success is achieved in a complex and risk-filled profession The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable. At once unflinching and compassionate, Better is an exhilarating journey narrated by "arguably the best nonfiction doctor-writer around" (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.

One Doctor

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Publisher : Simon and Schuster
ISBN 13 : 1476726299
Total Pages : 465 pages
Book Rating : 4.4/5 (767 download)

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Book Synopsis One Doctor by : Brendan Reilly

Download or read book One Doctor written by Brendan Reilly and published by Simon and Schuster. This book was released on 2013-09-03 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A first-person narrative that takes readers inside the medical profession as one doctor solves real-life medical mysteries"--Provided by publisher.

Open Your Eyes

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Publisher :
ISBN 13 : 9781670127624
Total Pages : 147 pages
Book Rating : 4.1/5 (276 download)

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Book Synopsis Open Your Eyes by : E J Balbona M D

Download or read book Open Your Eyes written by E J Balbona M D and published by . This book was released on 2019-12-10 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: In "Open Your Eyes: A Prescription for Change in American Health Care," Dr. Eduardo Balbona shares his expert advice on how U.S. health care can be improved from its current state, in which both patients and doctors are unable to thrive. Gleaned from his more than 30 years of practicing medicine, Balbona's text illustrates how our ideas on medical care have developed, and ultimately at what cost. Along with providing engaging excursions into medical education and history, he also shares patient vignettes to show the human stories behind the evolution of medicine. Having served in many types of medical practices, including as a naval officer and U.S. Capitol physician, Balbona's well-rounded insights on how we can fix the daunting American health care mess are an essential read.