100 books like Priced Out

This is a sobering account of what has happened to far too many blue-collar, non-college-educated workers in America.

Wracked with economic uncertainty, shunted aside, feeling left out and powerless, many have turned to alcohol, drugs, and suicide. The greed of the opioid industry—the doctors, the pharmacies, the corporate pushers—has led to an extraordinary increase in deaths among white blue-collar workers.
For working men and women, once the backbone of American economic vibrancy, capitalism, and globalization has not worked, but has crushed families and prospects for a better life.

A powerful indictment, but one we need to hear and comprehend.

Dr. Puri is a specialist in palliative care for patients with terminal conditions.

She describes the challenges she has encountered during her medical training and practice in dealing with a medical establishment committed to intensive care even in the face of insurmountable odds that such care will improve patients’ health or quality of life.

She also describes encounters with patients’ families who demand intensive medical treatment and are unwilling to allow patients to transition peacefully through the end of life. Often the demand for intensive care is made without the desires of the patient being considered.

This is a poignant set of stories showing that intensive care in what is often the most expensive medical cases exact a price far higher than the dollars involved in the transaction.

John Wennberg is a medical doctor and researcher who has spent much of the last half century analyzing the practice of medicine across the United States.

He has used Medicare patients’ treatment records to show that health delivery is often more dependent on the supply of providers and facilities in an area than the expected demand for such treatment of the area population.

He and his associates have also shown that more intensive treatment generally does not result in better care and sometimes leads to more adverse outcomes.

These medical doctors explore the introduction of new medical practices that are subsequently shown to be of no value to patients or even harmful.

Prasad and Cifu report on a variety of procedures and practices often used widely that have been proven ineffective. They review 10 years of a prominent medical journal's articles reporting the results of efficacy studies of existing and new practices.

Of 363 articles reporting on the results of studies on existing practices, 40.2 percent indicated the practice of no value or harmful to the patients and another 21.8 percent were inconclusive on whether the practice was beneficial or not.

In looking at 981 articles on studies of new practices, 16.8 percent found the practice of no benefit or harmful and another 6.1 percent were inconclusive.

In the latter sections of their discussion, they describe ways to address the prevalence of what they call “medical reversals.”

Breast cancer has become ubiquitously one of the most common and dreaded cancers among women. Through this book, the author authentically and innovatively advocates for patients like her, who are diagnosed with breast cancer. She describes her journey in detail in an attempt to guide and advise others on how to deal with and manage life in the face of such a deadly diagnosis. While patients may be overwhelmed by the medical management aspects of the disease, the author reminds us to keep the human and psychological aspects in mind as a patient is after all a human being with emotions at the core.

Ever hear of MLR or Medical Loss Ratio? I had, but it didn’t click why it was a cruel joke on American healthcare consumers until I read Marshall’s book. His give a kid a bowl of ice cream analogy is so spot on that I asked for and received his permission to quote it in my book. My dad used to say that a sure sign of genius is making a complex subject understandable to an eighth grader. Marshall’s a genius. His insights stem from over 15 years of investigative reporting on the healthcare industry are critical to combatting a downright evil billing system. Whenever a friend mentions they’ve been in the hospital, or will be, I tell them to read this book. 

This picture book biography does so many things at once—and does it all with a masterful, lyrical storytelling voice. Of course, the primary thing this book does is tell the story of a real person’s life: Dr. Anthony Fauci, the Director of the National Institute of Allergy and Infectious Diseases. In this story, we learn about his ordinary childhood, his personal interests, and the ways his family inspired and encouraged him. It shows that even people we see on the news were once children, just like the kids reading this book. More than that, this book is a celebration of science and the excitement of scientific discoveries.

It reminds kids (and grown-ups) that science is a creative endeavour. So once the urgency of learning about the COVID virus wanes, this book will be still valuable as a primer on how scientists do their work. Additionally, though the narrative part of… show more.

If you think that medical journals published by respected medical societies are full of good science, think again.

For me, Abramson’s Sickening nailed the case for a conclusion that the net effect of the many hundreds of medical journals published here and around the world is to subtract from the sum of human medical knowledge.

Abramson, as an expert witness in criminal and civil cases against drug companies, draws in part on subpoenaed documents to expose how medical science, as part of the entire medical-industrial complex, is corrupted from start to finish by the drug industry’s funding of most clinical trials, their control over the data analysis, and even their ghost-writing of articles submitted to journals.

New and disturbing was the withholding of clinical trials’ raw data from journals’ peer reviewers. Instead, they get biased summaries bearing drug manufacturers’ fingerprints.

I absolutely loved the simplicity and clarity of this approach.

It’s almost the opposite end of the spectrum to my first selection and a method that I found more and more common over the years of my career: checklists and flowcharts for the serious and frequent presentations in the Emergency Department, in the operating theatre, and at Triage. And Gawande was right: they did and do save lives.

More generally, I used this process all the time when I was training other staff in my posts with Doctors Without Borders. Preventing and avoiding problems with fail-safe systems is so much better than trying to solve them after they occur!

Almost all Americans think the high cost of health care is a major problem and a large number think access to services is also a problem. 

Many, however, think that if a person has access to medical care and good insurance, quality of care is excellent. That’s sometimes true, but often not as this book describes.