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Reinventing American Health Care
- How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System
- Narrated by: William Dufris
- Length: 11 hrs and 57 mins
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Publisher's Summary
In March 2010 the Affordable Care Act was signed into law. It was the most extensive reform of America's health-care system since at least the creation of Medicare in 1965 and maybe ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown.
Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health-care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own American story, and why reform has bedeviled presidents of the left and right for more than one hundred years.
Emanuel also explains exactly how the ACA reforms are reshaping the health-care system now. He forecasts the future, identifying six megatrends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well informed. Health care has never had a more comprehensive or authoritative interpreter.
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Average Customer RatingsReviews - Please select the tabs below to change the source of reviews.
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- Richard M. Shaner
- 06-02-16
The book lacks integrity
Would you try another book from Ezekiel J. Emanuel and/or William Dufris?
I would not read another book by Ezekiel Emanuel. William Dufris does a nice job narrating the book.
What was most disappointing about Ezekiel J. Emanuel’s story?
I expected a slightly biased review of our healthcare system being that it was authored by an Emanuel. I hoped though that I'd get a good education on the state of healthcare. Unfortunately my experience tells me otherwise. I found the book to be roughly equivalent to getting an education on a topic from a Michael Moore film. There are some interesting points, but you have to be very careful in selecting what to and not to take at face value.
Just one example of a half truth that I ran into and immediately new was wrong. In chapter 4 Emanuel describes Medtronic as having 16.2 billion dollars in sales (which is true for 2014), but then goes on to claim "Medtronics profits are very, VERY high above 60%." Chapter 4 @51:24. In 2014 Medtronic made 3.6 billion dollars on 16.2 billion dollars in sales, a not so shabby 22% profit margin, but FAR FAR from the above 60% claimed in the book. Emanuel never clarifies what profit measure he is using. Moments earlier he mentioned pfizer having roughly 14.7% and mylan having 8.7%. Both of which were "net margins" exactly the same as how I found the 22% stated above. Presumably without clarification he switches to gross margins for Medtronics to make it sound as absurdly high as possible. Unfortunately that does nothing but support my point that he's willing to use half truths to support his point of view.
This is one example of many that I found throughout the book. When you encounter a subject you know well and find misrepresentation being used as a tool, I'm left to wonder about the integrity of the rest of the book.
Would you listen to another book narrated by William Dufris?
Yes he did an excellent job Narrating the book
What reaction did this book spark in you? Anger, sadness, disappointment?
Disappointment and anger. Our country needs someone to be honest about the healthcare system and educate people fairly.
18 people found this helpful
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Overall
- Kelly
- 05-17-15
Informative resource.
Getting the facts on health reform is important. This book serves as an excellent resource to aid in understanding the landscape of health care delivery in the U. S. and the urgent need for reform.
3 people found this helpful
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- Del Lewis-Chia
- 12-25-19
Explanation of How American Healthcare is Evolving
Excellent explanation of how American healthcare is evolving and why. If only our elected representatives would read this book and stop waisting our time and money on ridiculous arguments about the pros and cons of a plan that does not exist: Obamacare. This country needs affordable care fast. We need a starting point for an intelligent conversation and this could be that point.
1 person found this helpful
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- lisa Bee
- 09-06-16
The Best Insight on Healthcare and the ACA
As a Healthcare professional re-entering the Healthcare world now with a focus on Health Insurance, I have read months of literature but this Ebook Had the Most valuable well researched (inside) information on Healthcare reform; the goal of the ACA and How The future of our Healthcare Systems & Structure of pay and teaching of future Healthcare Providers will Tremendously Evolve. Thanks! Alisha Brown
1 person found this helpful
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- surya
- 12-10-18
Informative -> Biased -> Preaching to the choir.
The author starts off with touching stories that hook the reader to learn more and the direction of the book is pretty easy to follow. Set the foundation on why we need to learn the history, understand what has been done, establish what Obamacare sets out to do, clarify what it actually does, highlight issues before, during and after the launch and concluding with overly optimistic targets, tone.
In terms of the history, i give it that it is a compilation of several time periods of healthcare debates in the country but there is no insight that an afternoon of research can't provide. Well, aren't all books compilation of dispersed ideas? Then, the author sets out to highlight the political climate for Obamacare and the compromises that were made and the elements of the law that was finally passed, the legal and technological problems it had to face which definitely gave me a newfound respect to Obamacare.
I thought I had a solid understanding of healthcare industry owing to my coursework and projects in graduate school examining the healthcare industry, but Obamacare is more than individual mandate, coverage of pre-existing conditions. The compromises that were made couldn't be taught in a classroom since practice differs from theory and politics and policy can't be separated.
But, the author fails to explain why this is the best way to address the problems laid out which you might expect from the creator of the plan. Healthcare costs are increasing but the author doesn't establish the justification for a bloated bureaucracy. And towards the end, the author despite all the compromises that were made claims that Obamacare as the panacea of all healthcare problems but it is far from so. All in all, a compilation of ideas but the nuggets of gold ought to be filtered from propaganda.
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- Joel Johnson
- 11-10-17
Best In-depth Look @ Healthcare
This is the best in-depth book I've come across regarding the current transformation of healthcare.
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- veron
- 12-11-16
Excellent
Excellent and succinct review of the Affordable Care Act and USA healthcare system- past, present and the future! Very educative, and highly recommended.
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- John
- 11-07-16
the author is pro ACA
Good information and great history on Healthcare in America. The last chapters were like listening to someone beating a dead horse. The ACA is good and would have been better if the people in charge would have made these hundreds of decisions better. which takes up about a third of the book.
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Story
In March 2010, the Affordable Care Act officially became one of the seminal laws determining American health care. From day one, the law was challenged in court, making it to the Supreme Court four separate times. It transformed the way a 3 trillion dollar sector of the economy behaved and brought insurance to millions of people. It spawned the Tea Party, further polarized American politics, and affected the electoral fortunes of both parties.
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A lot of interesting information about the passage and implementation of the accountable care act, Obama care
- By John E. Downing on 01-31-23
By: Ezekiel J. Emanuel, and others
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An American Sickness
- How Healthcare Became Big Business and How You Can Take It Back
- By: Elisabeth Rosenthal
- Narrated by: Nancy Linari
- Length: 13 hrs and 38 mins
- Unabridged
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Performance
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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.
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Not well balanced
- By Anonymous User on 02-12-18
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Which Country Has the World's Best Health Care?
- By: Ezekiel J. Emanuel
- Narrated by: Rick Zieff
- Length: 16 hrs and 41 mins
- Unabridged
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The US spends more than any other nation, nearly four trillion dollars, on health care. Yet, for all that expense, the US is not ranked number one - not even close. In Which Country Has the World's Best Healthcare? Ezekiel Emanuel profiles 11 of the world's health-care systems in pursuit of the best or at least where excellence can be found.
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Confusing..
- By Cristi on 11-18-20
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Sickening
- How Big Pharma Broke American Health Care and How We Can Repair It
- By: John Abramson
- Narrated by: Kevin Stillwell
- Length: 9 hrs and 17 mins
- Unabridged
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Overall
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The United States spends an excess $1.5 trillion annually on health care compared to other wealthy countries - yet the amount of time that Americans live in good health ranks a lowly 68th in the world. At the heart of the problem is Big Pharma, which funds most clinical trials and therefore controls the research agenda, withholds the real data from those trials as corporate secrets, and shapes most of the information relied upon by health-care professionals. Dr. John Abramson reveals the inside story of how Big Pharma’s relentless pursuit of ever-higher profits corrupts medical knowledge.
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it really was sickening
- By Adrian Garcia on 03-21-23
By: John Abramson
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Prescription for the Future
- The Twelve Transformational Practices of Highly Effective Medical Organizations
- By: Ezekiel J. Emanuel
- Narrated by: David de Vries
- Length: 9 hrs and 10 mins
- Unabridged
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How can America's healthcare system be transformed to provide consistently higher-quality and lower-cost care? Nothing else in healthcare matters more. Prescription for the Future identifies some standout medical organizations that have achieved higher-quality, more patient-focused, and lower-cost care, and from their examples distills 12 transformational practices that could transform the entire healthcare sector.
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The Price We Pay
- What Broke American Health Care - and How to Fix It
- By: Marty Makary MD
- Narrated by: Marty Makary MD
- Length: 9 hrs and 29 mins
- Unabridged
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Overall
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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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Very important book!
- By Wayne on 05-17-21
By: Marty Makary MD
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The Trillion Dollar Revolution
- How the Affordable Care Act Transformed Politics, Law, and Health Care in America
- By: Ezekiel J. Emanuel, Abbe R. Gluck
- Narrated by: Maggi-Meg Reed, Kevin Stillwell, Tiffany Morgan
- Length: 14 hrs
- Unabridged
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Overall
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Performance
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Story
In March 2010, the Affordable Care Act officially became one of the seminal laws determining American health care. From day one, the law was challenged in court, making it to the Supreme Court four separate times. It transformed the way a 3 trillion dollar sector of the economy behaved and brought insurance to millions of people. It spawned the Tea Party, further polarized American politics, and affected the electoral fortunes of both parties.
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A lot of interesting information about the passage and implementation of the accountable care act, Obama care
- By John E. Downing on 01-31-23
By: Ezekiel J. Emanuel, and others
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America's Bitter Pill
- Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System
- By: Steven Brill
- Narrated by: Dan Woren
- Length: 17 hrs and 10 mins
- Unabridged
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Overall
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Performance
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Story
America's Bitter Pill is Steven Brill's much-anticipated, sweeping narrative of how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing - and failing to change - the rampant abuses in the healthcare industry. Brill probed the depths of our nation's healthcare crisis in his trailblazing Time magazine Special Report, which won the 2014 National Magazine Award for Public Interest.
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Great history, questionable solutions
- By Andrew S. Breza on 01-14-15
By: Steven Brill
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Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
- By: Marty Makary
- Narrated by: Robertson Dean
- Length: 7 hrs and 16 mins
- Unabridged
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Overall
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Performance
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Story
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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Everyone should read this book.
- By Julie on 06-11-16
By: Marty Makary
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The Social Transformation of American Medicine
- The Rise of a Sovereign Profession and the Making of a Vast Industry
- By: Paul Starr
- Narrated by: Sean Runnette
- Length: 24 hrs and 5 mins
- Unabridged
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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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Fascinating Survey of Healthcare in Amerixa
- By Rob on 06-24-19
By: Paul Starr
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The Political Determinants of Health
- By: Daniel E. Dawes, David R. Williams - foreword
- Narrated by: David Marantz
- Length: 7 hrs and 37 mins
- Unabridged
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Overall
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Performance
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Story
Reduced life expectancy, worsening health outcomes, health inequity, and declining health-care options - these are now realities for most Americans. However, in a country of more than 325 million people, addressing everyone's issues is challenging. How can we effect beneficial change for everyone so we all can thrive? What is the great equalizer?
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Racism & discrimination Continue
- By Sinustrunz on 05-06-22
By: Daniel E. Dawes, and others
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Deep Medicine
- How Artificial Intelligence Can Make Healthcare Human Again
- By: Eric Topol
- Narrated by: Graham Winton
- Length: 11 hrs and 6 mins
- Unabridged
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Overall
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Performance
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Story
Medicine has become inhuman, to disastrous effect. The doctor-patient relationship - the heart of medicine - is broken: doctors are too distracted and overwhelmed to truly connect with their patients, and medical errors and misdiagnoses abound. In Deep Medicine, leading physician Eric Topol reveals how artificial intelligence can help. AI has the potential to transform everything doctors do, from notetaking and medical scans to diagnosis and treatment, greatly cutting down the cost of medicine and reducing human mortality.
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a must book for all doctors and patients.
- By adva onn on 04-21-19
By: Eric Topol
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Bottle of Lies
- The Inside Story of the Generic Drug Boom
- By: Katherine Eban
- Narrated by: Katherine Eban
- Length: 14 hrs and 26 mins
- Unabridged
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Story
From an award-winning Fortune reporter, an explosive narrative investigation of the generic drug boom that reveals the life-threatening dangers posed by globalization - The Jungle for pharmaceuticals.
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Accurate, Authentic and Genuinely Scary
- By Byzantine Dixie on 05-19-19
By: Katherine Eban
Related to this topic
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The Truth about Obamacare
- By: Sally C. Pipes
- Narrated by: Kevin Foley
- Length: 5 hrs and 32 mins
- Unabridged
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Overall
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Performance
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Story
In The Truth About Obamacare, Sally C. Pipes - president of the Pacific Research Institute and an acknowledged expert on health care reform - reveals what Democrats in Congress and President Barack Obama don't want you to know: Obamacare is even worse than most critics suspect. Debunking the myths that the current administration has touted, Pipes shows exactly what the new health care law will mean for you, your family, your doctor, and your wallet.
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A summary well worth the read
- By W. Max Hollmann on 02-18-11
By: Sally C. Pipes
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Catastrophic Care
- How American Health Care Killed My Father - and How We Can Fix It
- By: David Goldhill
- Narrated by: Dean Sluyter
- Length: 13 hrs and 1 min
- Unabridged
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Overall
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Performance
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Story
In 2007, David Goldhill’s father died from infections acquired in a hospital - one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous - and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness - and how a business that failed so miserably could be paid in full.
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REQUIRED READING FOR EVERYONE
- By G. Sanders on 01-25-13
By: David Goldhill