The best books about health care

When my husband and I were preparing for our unassisted homebirth, we had two books by our nightstand: Birth and the Dialogue of Love, and Emergency Childbirth. Emergency Childbirth was originally published by the Police Training Foundation and was used by emergency medical technicians for unexpected childbirth situations. One part of the book explained what to do if a baby is coming quickly and stated that any normal eight-year-old could handle it. 

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.

The defining text of the topic of law and medicine, written by one of the nation’s premier bioethicists, Menikoff’s compendium of challenging cases and analyses is as relevant today as it was when first published two decades ago. Serious students of the subject matter will appreciate both the nuance and thoroughness of this short yet comprehensive volume.

Although this book is set in 1952, I picked it because I have a soft spot for Easter Island. In the 1990s, when working on a cruise ship, I was fortunate enough to visit this remote place and was deeply fascinated by the Moai statues and how society can function so far from the mainland.

Dr. Verdugo, a doctor recruited to the island, gives a vivid account of the culture shock he experienced there, and the carefree, simple culture of the locals. This mirrored my own experience on Tin Can Island in Tonga, as did his insights into the importance of family ties, tradition, and the solitude one experiences on such a remote island. 

I found Fixing the Primary Care Crisis as I was researching the root cause of America’s healthcare problems. Dr. Schimpff shares keen, frontline insights into how we arrived at a crisis point. He dials in on time with the patient as a critical factor, and how primary care was devastated over many decades by government and insurance intrusion. That he became a medical mentor is another fortunate outcome from discovering his book. He helped refine my thinking and incorporated it into my book. Fixing the Primary Care Crisis is the first book I recommend for understanding what we have now and solutions for fixing it. I was very proud to have him as my first Winning Healthcare Food Fights podcast guest.

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.

This book is near and dear to me because of the topic it is based on. Anorectal malformation is a rare congenital defect that affects one in 5000 babies born. The book does a great job of bringing to light the real-life stories and experiences of patients and their families as they learn to navigate the healthcare system while aiming for the best outcome for their babies. The book gives a platform for raising awareness of birth defects such as anorectal malformations and tries to overcome the stigma associated with them. The book is a great compilation of stories of patients with anorectal malformations and serves as a great resource for other patients faced with a similar diagnosis.

After a young girl from a Hmong refugee family is diagnosed with a severe form of epilepsy, the resulting clash between Western medicine and Eastern spirituality ends in tragedy when she suffers a prolonged seizure that leaves her in a coma. The outcome might have been different if the well-meaning doctors who were desperate to help had approached the family with more understanding of and respect for the Hmong culture. But author Anne Fadiman leaves it to the reader to realize that there are no villains or easy answers in this thought-provoking exploration of the perils of cultural incompetence.

Gawande’s introspective analysis of complex tasks – including modern surgery – is as much a practical handbook as it is a pleasure to read.

The author starts us off in the operating room, making it familiar enough for us to understand how easily mistakes can occur in its controlled chaos. Then, he brings us into airplane cockpits and construction sites to hammer home a simple theme: checklists are a potent antidote to human fallibility.

Although not a ’scientist’ in the classical sense, Gawande puts the lessons he extracts to the test at his own institution, showing how the routine use of checklists can reduce the risk of error.

One prevailing theory about the high cost of U.S. health care compared to other highly developed nations is that the prices charged for goods and services are simply higher in the United States and elsewhere.

Reinhardt is one of the leading proponents of this school of thought and this book summarizes his reasoning on the subject and how to deal with it.

So many history books about medicine in the early modern period focus on London and other English urban centers. Withey’s book allows readers to move beyond the metropolis and glimpse sickness, disease, and medicine in a largely rural setting. It challenges readers to move beyond the concept that rural medicine was dominated by folklore and magic, Wales was not insular or remote but connected to broader medical trends in both Britain and Europe. This book illuminates how the ‘Welsh’ body was perceived: strong, robust, possessed of a hot choleric temperament, and a fondness for toasted cheese. And paints a clear picture of the men who made their living treating these bodies.

Wait, this book isn’t about Africa! No: it’s a biography of Dr. Paul Farmer, a co-founder of the medical humanitarian agency Partners in Health who died in 2022, and who had a major influence on how I, and thousands of others, think about providing healthcare in low-resource settings.

This extremely readable biography of Farmer focuses mostly on his work in Haiti – where Farmer did pioneering work on HIV treatment – and while it’s the other side of the world, it’s a crucial text for rethinking how we understand structural inequalities and access to health care.

The seeds of Farmer’s radical approach were taken by many idealistic medical workers into African HIV programs and indeed when he died, he was in Rwanda, where he co-founded the University of Global Health Equity.

This is an illustrated novel that originated with an actual poison garden created by the Duchess of Northumberland at her estate in northern England.

This garden at Alnwick Castle is full of poisonous plants and served as the setting for scenes in several Harry Potter movies.

The Poison Diaries unfolds like a fable, about a teenage girl, Jessamine, daughter of a poison plant botanist, who must tend to the poison plants by herself. That is, until a boy named Weed appears.

The novel vividly describes the germination of Atropa Belladonna, with its deadly black berries. This beautifully illustrated book about a poison plant gardener is truly enchanting.

This groundbreaking book takes the reader into the forgotten world of eighteenth- and nineteenth-century medicine, especially as it relates to the enslaved peoples of the New World (from the Southern United States to the wider Caribbean). One cannot help but hear the first examples of “race norming” or “adjusting” in Hogarth’s study of how white doctors saw pathology, treatment, and various diseases themselves as affecting different categories of people in different ways. Medicalizing Blackness allows us to see how doctors transformed the New World into an enormous laboratory that not only generated new knowledge, but created structures of surveillance and control that became part and parcel of medical literature and practice.

Did you know that the supposed ‘father of gynecology’ built his practice on horrific medical experiments conducted on African-American and Irish women? Owens’ book exposes how J. Marion Sims’ practice amongst relatively elite white women was built upon procedures that he developed through experimentation on Black and Irish women’s bodies, and particularly a series of experimental surgeries to repair African-American women’s fistulas, which were painful and debilitating tears between the vagina and the bladder or anus that developed during childbirth. Cooper makes a crucial and revealing methodological move by recovering and reframing the lives of the women who were objectified by these experiments.

Chodron approaches the subject of our fears and insecurities with such a gentle touch that it would be hard to read it and not change and grow. I found this book accidentally, and let it sit on my bookshelf for years. I should back up and say that I have a theory about great books: they find you when you’re ready for them. I’m so glad this one found me.

This volume offers a survey of Civil War nurses in both the North and the South. Not only do readers meet individuals like Clara Barton, but readers get an overview of pioneering women in this field, with detailed statistics not found in memoirs.

This journal gives us a look into the experiences of Confederate nurse, Kate Cumming. She was educated and intelligent, but blind to the wrongs of slavery in her passion for the Southern cause. Her experience as a Civil War nurse offers a contrast to those of Union nurses.

During the past twenty years, hundreds of studies have found that practicing medicine with compassion, caring, and good information-sharing brings significantly better empirical results than usual. In short, relational dynamics affect our measurable physical condition. For instance, biopsy wounds and surgical wounds heal faster if the patients receive compassionate care from their doctors and nurses. Similarly, diabetes patients receiving compassionate care are far less likely to develop metabolic complications. These relational findings should revolutionize medicine, especially considering the hefty savings in healthcare costs. For now, though, “Research shows that physicians routinely miss emotional clues from patients and routinely miss 60-90% of opportunities to respond to patients with compassion.” These two doctors write in an enjoyable conversational style, sharing their own stories as well as the irrefutable data.  

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.