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The Great American Drug Deal
- A New Prescription for Innovative and Affordable Medicines
- Narrado por: Sean Pratt
- Duración: 8 h y 27 m
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Resumen del Editor
Developing life-changing drugs is risky and expensive, but that’s not what makes them unaffordable.
Drug pricing is a staple of every news cycle and political debate. And while we’ve struggled for decades to agree on solutions that serve all patients without jeopardizing the invention of new medicines, many Americans suffer because they can’t afford the drugs they need. Do we really have to choose between affordability and innovation?
In The Great American Drug Deal, scientist and industry expert Peter Kolchinsky answers this question with a decisive "no". The pharmaceutical industry’s commitment to creating new lifesaving drugs destined to become inexpensive generics can be balanced by the healthcare system’s commitment to making those drugs affordable for all patients - a biotech social contract.
Through deep research and compelling stories of breakthroughs and breakdowns, Kolchinsky presents solutions for striking a balance that are bold yet realistic and tackle today’s most pressing questions, including:
- Why doesn’t insurance make drugs affordable?
- How can we prevent price-jacking of older drugs?
- Why are drugs more expensive in America than elsewhere?
- How can we guarantee that all medicines eventually go generic so they are only temporarily expensive?
- What systemic failures led to the opioid crisis, and how can we prevent the next one?
The Great American Drug Deal offers clear-eyed scrutiny of all players in the industry and examines vital ideas for closing loopholes, encouraging investment, dealing with bad actors, and educating consumers. It’s time we resolve to support patients and fuel discoveries that ease suffering now and for generations to come.
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General4.5 out of 5 stars 56
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Narración:4.5 out of 5 stars 48
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Historia4.5 out of 5 stars 49
A coauthor of the New York Times bestselling guide to Social Security Get What's Yours authors an essential companion to explain Medicare, the nation's other major benefit for older Americans. Learn how to maximize your health coverage and save money.
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2 out of 5 stars
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Very Negative and Overwhelming
- De A.C.W. en 04-08-20
De: Philip Moeller
-
Where Does It Hurt?
- An Entrepreneur's Guide to Fixing Health Care
- De: Jonathan Bush, Stephen Baker
- Narrado por: Patrick Lawlor
- Duración: 7 h y 21 m
- Versión completa
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General4.5 out of 5 stars 144
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Narración:4.5 out of 5 stars 113
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Historia4.5 out of 5 stars 115
A bold new remedy for the sprawling and wasteful health care industry. In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices.
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2 out of 5 stars
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No critical thinking
- De Steve from MD en 07-31-14
De: Jonathan Bush, y otros
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The Price We Pay
- What Broke American Health Care - and How to Fix It
- De: Marty Makary MD
- Narrado por: Marty Makary MD
- Duración: 9 h y 29 m
- Versión completa
-
General5 out of 5 stars 897
-
Narración:5 out of 5 stars 778
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Historia5 out of 5 stars 772
One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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5 out of 5 stars
-
Very important book!
- De Wayne en 05-17-21
De: Marty Makary MD
-
Phishing for Phools
- The Economics of Manipulation and Deception
- De: George A. Akerlof, Robert J. Shiller
- Narrado por: Bronson Pinchot
- Duración: 7 h y 11 m
- Versión completa
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General4 out of 5 stars 347
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Narración:4 out of 5 stars 298
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Historia4 out of 5 stars 297
Ever since Adam Smith, the central teaching of economics has been that free markets provide us with material well-being, as if by an invisible hand. In Phishing for Phools, Nobel Prize-winning economists George Akerlof and Robert Shiller deliver a fundamental challenge to this insight, arguing that markets harm as well as help us. As long as there is profit to be made, sellers will systematically exploit our psychological weaknesses and our ignorance through manipulation and deception.
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4 out of 5 stars
-
Useful for a certain audience, but ...
- De Philo en 02-29-16
De: George A. Akerlof, y otros
-
The Social Transformation of American Medicine
- The Rise of a Sovereign Profession and the Making of a Vast Industry
- De: Paul Starr
- Narrado por: Sean Runnette
- Duración: 24 h y 5 m
- Versión completa
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General4.5 out of 5 stars 109
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Narración:4.5 out of 5 stars 89
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Historia4.5 out of 5 stars 90
Considered the definitive history of the American healthcare system, The Social Transformation of American Medicine examines how the roles of doctors, hospitals, health plans, and government programs have evolved over the last two and a half centuries. Updated with a new preface and an epilogue analyzing developments since the early 1980s, this new edition is a must-listen for anyone concerned about the future of our fraught healthcare system.
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5 out of 5 stars
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Fascinating Survey of Healthcare in Amerixa
- De Rob en 06-24-19
De: Paul Starr
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The Great Escape
- Health, Wealth, and the Origins of Inequality
- De: Angus Deaton
- Narrado por: Matthew Brenher
- Duración: 12 h y 13 m
- Versión completa
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General4.5 out of 5 stars 249
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Narración:4.5 out of 5 stars 204
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Historia4.5 out of 5 stars 204
The world is a better place than it used to be. People are healthier, wealthier, and live longer. Yet the escapes from destitution by so many has left gaping inequalities between people and nations. In The Great Escape, Angus Deaton - one of the foremost experts on economic development and on poverty - tells the remarkable story of how, beginning 250 years ago, some parts of the world experienced sustained progress, opening up gaps and setting the stage for today's disproportionately unequal world.
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1 out of 5 stars
-
not worth listening
- De Kyung en 04-26-20
De: Angus Deaton
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The Great Reversal
- How America Gave Up on Free Markets
- De: Thomas Philippon
- Narrado por: Walter Dixon
- Duración: 10 h y 1 m
- Versión completa
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General4.5 out of 5 stars 139
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Narración:4.5 out of 5 stars 107
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Historia4.5 out of 5 stars 107
Why are cellphone plans so much more expensive in the United States than in Europe? It seems a simple question. But the search for an answer took Thomas Philippon on an unexpected journey through some of the most complex and hotly debated issues in modern economics. Ultimately, he reached a surprising conclusion: American markets, once a model for the world, are giving up on healthy competition.
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4 out of 5 stars
-
Eye-opening, but better as a book - a must-READ
- De Ash en 11-29-19
De: Thomas Philippon
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Deaths of Despair and the Future of Capitalism
- De: Anne Case, Angus Deaton
- Narrado por: Kate Harper
- Duración: 11 h y 38 m
- Versión completa
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General4.5 out of 5 stars 181
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Narración:4.5 out of 5 stars 146
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Historia4.5 out of 5 stars 146
Life expectancy in the United States has recently fallen for three years in a row - a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year - and they're still rising. Case and Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class.
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2 out of 5 stars
-
So many words, so little insight
- De Trebla en 03-22-20
De: Anne Case, y otros
-
The Prosperity Paradox
- How Innovation Can Lift Nations out of Poverty
- De: Clayton M. Christensen, Efosa Ojomo, Karen Dillon
- Narrado por: Mike Chamberlain
- Duración: 9 h y 37 m
- Versión completa
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General4.5 out of 5 stars 376
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Narración:4.5 out of 5 stars 307
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Historia4.5 out of 5 stars 303
Clayton M. Christensen, the author of such business classics as The Innovator’s Dilemma and the New York Times best-seller How Will You Measure Your Life, and coauthors Efosa Ojomo and Karen Dillon reveal why so many investments in economic development fail to generate sustainable prosperity and offers a groundbreaking solution for true and lasting change.
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2 out of 5 stars
-
Simplistic, lack of insights
- De D. Cameron en 05-24-21
De: Clayton M. Christensen, y otros
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The HPV Vaccine on Trial
- Seeking Justice for a Generation Betrayed
- De: Mary Holland, Kim Mack Rosenberg, Eileen Iorio
- Narrado por: Caroline Slaughter
- Duración: 13 h y 41 m
- Versión completa
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General5 out of 5 stars 54
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Narración:5 out of 5 stars 46
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Historia5 out of 5 stars 47
Cancer strikes fear in people’s hearts around globe. So the appearance of a vaccine to prevent cancer - as we are assured the human papillomavirus (HPV) vaccine will - seemed like a game-changer. Since 2006, over 80 countries have approved the vaccine, with glowing endorsements from the world’s foremost medical authorities. Bringing in over $2.5 billion in annual sales, the HPV vaccine is a pharmaceutical juggernaut. Yet scandal now engulfs it worldwide. The HPV Vaccine on Trial is a shocking tale, chronicling the global efforts to sell and compel this alleged miracle.
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5 out of 5 stars
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Outstanding Investigative Book!
- De Barbara Loeppke en 10-02-19
De: Mary Holland, y otros
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Super Crunchers
- Why Thinking-by-Numbers Is the New Way to Be Smart
- De: Ian Ayres
- Narrado por: Michael Kramer
- Duración: 7 h y 34 m
- Versión completa
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General4 out of 5 stars 850
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Narración:4.5 out of 5 stars 273
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Historia4 out of 5 stars 275
Today, number crunching affects your life in ways you might never imagine. In this lively and groundbreaking new audiobook, economist Ian Ayres shows how today's best and brightest organizations are analyzing massive databases at lightening speed to provide greater insights into human behavior. They are the Super Crunchers.
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5 out of 5 stars
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Great book on
- De Jon en 01-31-08
De: Ian Ayres
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Economics for the Common Good
- De: Jean Tirole, Steven Rendell - translator
- Narrado por: Jonathan Davis
- Duración: 18 h y 54 m
- Versión completa
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General4.5 out of 5 stars 55
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Narración:4.5 out of 5 stars 43
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Historia4.5 out of 5 stars 41
When Jean Tirole won the 2014 Nobel Prize in Economics, he suddenly found himself being stopped in the street by complete strangers and asked to comment on issues of the day, no matter how distant from his own areas of research. His transformation from academic economist to public intellectual prompted him to reflect further on the role economists and their discipline play in society. The result is Economics for the Common Good, a passionate manifesto for a world in which economics, far from being a "dismal science," is a positive force for the common good.
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4 out of 5 stars
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A Great Overview of the Challenges of Modern Econ
- De Zach Sullivan en 08-06-18
De: Jean Tirole, y otros
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Power and Prediction
- The Disruptive Economics of Artificial Intelligence
- De: Ajay Agrawal, Joshua Gans, Avi Goldfarb
- Narrado por: Tom Beyer
- Duración: 10 h y 7 m
- Versión completa
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General4.5 out of 5 stars 78
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Narración:4.5 out of 5 stars 69
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Historia4.5 out of 5 stars 69
In their bestselling first book, Prediction Machines, eminent economists Ajay Agrawal, Joshua Gans, and Avi Goldfarb explained the simple yet game-changing economics of AI. Now, in Power and Prediction, they go deeper, examining the most basic unit of analysis: the decision. The authors explain that the two key decision-making ingredients are prediction and judgment, and we perform both together in our minds, often without realizing it.
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5 out of 5 stars
-
Inspire system thinking with informative examples
- De Lucy A. Pithecus en 11-16-22
De: Ajay Agrawal, y otros
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The White Man's Burden
- Why the West's Efforts to Aid the Rest Have Done So Much Ill and So Little Good
- De: William Easterly
- Narrado por: Mike Chamberlain
- Duración: 14 h y 35 m
- Versión completa
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General4.5 out of 5 stars 78
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Narración:4.5 out of 5 stars 68
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Historia4.5 out of 5 stars 68
In his previous book, The Elusive Quest for Growth, William Easterly criticized the utter ineffectiveness of Western organizations to mitigate global poverty, and he was promptly fired by his then-employer, the World Bank. The White Man's Burden is his widely anticipated counterpunch - a brilliant and blistering indictment of the West's economic policies for the world's poor.
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4 out of 5 stars
-
A Bit Repetitive
- De Amazon Customer en 04-27-19
De: William Easterly
-
Saving Normal
- An Insider’s Revolt Against out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life
- De: Allen Frances MD
- Narrado por: Paul Boehmer
- Duración: 11 h y 53 m
- Versión completa
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General4.5 out of 5 stars 122
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Narración:4.5 out of 5 stars 103
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Historia4.5 out of 5 stars 103
In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: Stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation.
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5 out of 5 stars
-
Right on the money
- De Mentecuerpo en 03-29-19
De: Allen Frances MD
-
The Undercover Economist
- De: Tim Harford
- Narrado por: Robert Ian Mackenzie
- Duración: 10 h y 6 m
- Versión completa
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General4 out of 5 stars 538
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Narración:4 out of 5 stars 324
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Historia4 out of 5 stars 322
Author of the extremely popular "Dear Economist" column in Financial Times, Tim Harford reveals the economics behind everyday phenomena in this highly entertaining and informative book. Can a book about economics be fun to read? It can when Harford takes the reins, using his trademark wit to explain why it costs an arm and a leg to buy a cappuccino and why it's nearly impossible to purchase a decent used car.
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4 out of 5 stars
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Everyone needs to know this.
- De Paul Norwood en 04-24-06
De: Tim Harford
-
Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
- De: Marty Makary
- Narrado por: Robertson Dean
- Duración: 7 h y 16 m
- Versión completa
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General4.5 out of 5 stars 234
-
Narración:4.5 out of 5 stars 203
-
Historia4.5 out of 5 stars 205
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.
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5 out of 5 stars
-
Everyone should read this book.
- De Julie en 06-11-16
De: Marty Makary
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For Blood and Money
- Billionaires, Biotech, and the Quest for a Blockbuster Drug
- De: Nathan Vardi
- Narrado por: Rob Shapiro
- Duración: 8 h y 33 m
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General4.5 out of 5 stars 184
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Narración:4.5 out of 5 stars 155
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Historia4.5 out of 5 stars 154
For Blood and Money tells the little-known story of how an upstart biotechnology company created a one-in-a-million cancer drug and how the core team—denied their share of the profits—went and did it again. In this epic saga of money and science, veteran financial journalist Nathan Vardi explains how the invention of two of the biggest cancer drugs in history became (for their backers) two of the greatest Wall Street bets of all time.
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5 out of 5 stars
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Must-read for biotech enthusiasts and scientists
- De Anonymous User en 03-16-23
De: Nathan Vardi
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The Truth About the Drug Companies
- How They Deceive Us and What to Do About It
- De: Marcia Angell
- Narrado por: Kate Reading
- Duración: 7 h y 14 m
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General4.5 out of 5 stars 171
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Narración:4.5 out of 5 stars 100
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Historia4.5 out of 5 stars 98
In this explosive expose of the drug companies and how they are ripping us off, Marcia Angell, M.D., a doctor, medical journalist, and a former editor of the respected New England Journal of Medicine, reveals the many ways in which the pharmaceutical industry has moved away from its original purpose of finding and producing useful new drugs.
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4 out of 5 stars
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Pronunciation
- De Greg en 05-22-07
De: Marcia Angell
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From Breakthrough to Blockbuster
- The Business of Biotechnology
- De: Donald L. Drakeman, Lisa N. Drakeman, Nektarios Oraiopoulos
- Narrado por: Chris Andrew Ciulla
- Duración: 7 h y 1 m
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General4.5 out of 5 stars 9
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Narración:4.5 out of 5 stars 6
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Historia4.5 out of 5 stars 6
Beginning in the 1970s, several scientific breakthroughs promised to transform the creation of new medicines. As investors sought to capitalize on these Nobel Prize-winning discoveries, the biotech industry grew to thousands of small companies around the world. Each sought to emulate what the major pharmaceutical companies had been doing for a century or more, but without the advantages of scale, scope, experience, and massive resources. From Breakthrough to Blockbuster focuses on both the companies themselves and the broader biotech ecosystem that supports them.
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2 out of 5 stars
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Nothing to learn for pharma professionals
- De Anonymous User en 09-12-23
De: Donald L. Drakeman, y otros
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Drugs, Money, and Secret Handshakes
- The Unstoppable Growth of Prescription Drug Prices
- De: Robin Feldman
- Narrado por: Randye Kaye
- Duración: 4 h y 49 m
- Versión completa
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General3.5 out of 5 stars 6
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Narración:3 out of 5 stars 5
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Historia3.5 out of 5 stars 6
In the warped world of prescription drug pricing, generic drugs can cost more than branded ones, old drugs can be relaunched at astronomical prices, and low-cost options are shut out of the market. In Drugs, Money and Secret Handshakes, Robin Feldman shines a light into the dark corners of the pharmaceutical industry to expose a web of shadowy deals in which higher-priced drugs receive favorable treatment and patients are channeled toward the most expensive medicines.
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5 out of 5 stars
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Amazing and a must read book
- De Megan en 03-17-22
De: Robin Feldman
-
The Price We Pay
- What Broke American Health Care - and How to Fix It
- De: Marty Makary MD
- Narrado por: Marty Makary MD
- Duración: 9 h y 29 m
- Versión completa
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General5 out of 5 stars 897
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Narración:5 out of 5 stars 778
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Historia5 out of 5 stars 772
One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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5 out of 5 stars
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Very important book!
- De Wayne en 05-17-21
De: Marty Makary MD
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An American Sickness
- How Healthcare Became Big Business and How You Can Take It Back
- De: Elisabeth Rosenthal
- Narrado por: Nancy Linari
- Duración: 13 h y 38 m
- Versión completa
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General4.5 out of 5 stars 984
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Narración:4.5 out of 5 stars 864
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Historia4.5 out of 5 stars 863
It is well documented that our health-care system has grave problems, but how, in only a matter of decades, did things get this bad? Dr. Elisabeth Rosenthal doesn't just explain the symptoms; she diagnoses and treats the disease itself. Rosenthal spells out in clear and practical terms exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship, explaining step by step the workings of a profession sorely lacking transparency.
-
3 out of 5 stars
-
Not well balanced
- De Anonymous User en 02-12-18
-
For Blood and Money
- Billionaires, Biotech, and the Quest for a Blockbuster Drug
- De: Nathan Vardi
- Narrado por: Rob Shapiro
- Duración: 8 h y 33 m
- Versión completa
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General4.5 out of 5 stars 184
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Narración:4.5 out of 5 stars 155
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Historia4.5 out of 5 stars 154
For Blood and Money tells the little-known story of how an upstart biotechnology company created a one-in-a-million cancer drug and how the core team—denied their share of the profits—went and did it again. In this epic saga of money and science, veteran financial journalist Nathan Vardi explains how the invention of two of the biggest cancer drugs in history became (for their backers) two of the greatest Wall Street bets of all time.
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5 out of 5 stars
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Must-read for biotech enthusiasts and scientists
- De Anonymous User en 03-16-23
De: Nathan Vardi
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The Truth About the Drug Companies
- How They Deceive Us and What to Do About It
- De: Marcia Angell
- Narrado por: Kate Reading
- Duración: 7 h y 14 m
- Versión completa
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General4.5 out of 5 stars 171
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Narración:4.5 out of 5 stars 100
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Historia4.5 out of 5 stars 98
In this explosive expose of the drug companies and how they are ripping us off, Marcia Angell, M.D., a doctor, medical journalist, and a former editor of the respected New England Journal of Medicine, reveals the many ways in which the pharmaceutical industry has moved away from its original purpose of finding and producing useful new drugs.
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4 out of 5 stars
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Pronunciation
- De Greg en 05-22-07
De: Marcia Angell
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From Breakthrough to Blockbuster
- The Business of Biotechnology
- De: Donald L. Drakeman, Lisa N. Drakeman, Nektarios Oraiopoulos
- Narrado por: Chris Andrew Ciulla
- Duración: 7 h y 1 m
- Versión completa
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General4.5 out of 5 stars 9
-
Narración:4.5 out of 5 stars 6
-
Historia4.5 out of 5 stars 6
Beginning in the 1970s, several scientific breakthroughs promised to transform the creation of new medicines. As investors sought to capitalize on these Nobel Prize-winning discoveries, the biotech industry grew to thousands of small companies around the world. Each sought to emulate what the major pharmaceutical companies had been doing for a century or more, but without the advantages of scale, scope, experience, and massive resources. From Breakthrough to Blockbuster focuses on both the companies themselves and the broader biotech ecosystem that supports them.
-
2 out of 5 stars
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Nothing to learn for pharma professionals
- De Anonymous User en 09-12-23
De: Donald L. Drakeman, y otros
-
Drugs, Money, and Secret Handshakes
- The Unstoppable Growth of Prescription Drug Prices
- De: Robin Feldman
- Narrado por: Randye Kaye
- Duración: 4 h y 49 m
- Versión completa
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General3.5 out of 5 stars 6
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Narración:3 out of 5 stars 5
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Historia3.5 out of 5 stars 6
In the warped world of prescription drug pricing, generic drugs can cost more than branded ones, old drugs can be relaunched at astronomical prices, and low-cost options are shut out of the market. In Drugs, Money and Secret Handshakes, Robin Feldman shines a light into the dark corners of the pharmaceutical industry to expose a web of shadowy deals in which higher-priced drugs receive favorable treatment and patients are channeled toward the most expensive medicines.
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5 out of 5 stars
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Amazing and a must read book
- De Megan en 03-17-22
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The Price We Pay
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- De: Marty Makary MD
- Narrado por: Marty Makary MD
- Duración: 9 h y 29 m
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General5 out of 5 stars 897
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Narración:5 out of 5 stars 778
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Historia5 out of 5 stars 772
One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
-
5 out of 5 stars
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Very important book!
- De Wayne en 05-17-21
De: Marty Makary MD
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An American Sickness
- How Healthcare Became Big Business and How You Can Take It Back
- De: Elisabeth Rosenthal
- Narrado por: Nancy Linari
- Duración: 13 h y 38 m
- Versión completa
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General4.5 out of 5 stars 984
-
Narración:4.5 out of 5 stars 864
-
Historia4.5 out of 5 stars 863
It is well documented that our health-care system has grave problems, but how, in only a matter of decades, did things get this bad? Dr. Elisabeth Rosenthal doesn't just explain the symptoms; she diagnoses and treats the disease itself. Rosenthal spells out in clear and practical terms exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship, explaining step by step the workings of a profession sorely lacking transparency.
-
3 out of 5 stars
-
Not well balanced
- De Anonymous User en 02-12-18