Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's best-selling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting.
Over the last 10 years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why? To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.
©2012 Marty Makary, MD (P)2013 Tantor
"Makary's book makes it perfectly clear that data transparency not only allows people to make informed decisions about their health but also nudges hospitals and physicians to be more vigilant and efficient." (Booklist)
This is an important book that reveals our health care system's dark side. There is a culture of secrecy, greed and manipulation among our hospitals and healthcare professionals. Some are worse and some are better. This book is a call to action for change. It also offers very good information for patients who want to evaluate their care now. It provides some tools to help people choose doctors and hospitals. I found the information useful and feel hopeful for continued improvement.
This is an groundbreaking and crucial work of non-fiction. You think you know how doctors and hospitals work. You don't. Were you aware that hospitals own chemo drugs and set the prices? Did you know they pay doctors kickbacks to use this chemo, the more the better? Did you realize executives at Children's Hospitals fly first class and are paid multimillions out of money you donated for sick children? The author is a Johns Hopkins surgeon with impeccable credentials. This isn't an overblown scare tactic of a book. It's the truth and you need to read it.
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