-
Where Does It Hurt?
- An Entrepreneur's Guide to Fixing Health Care
- Narrated by: Patrick Lawlor
- Length: 7 hrs and 21 mins
- Categories: Business & Careers, Business Development & Entrepreneurship
Add to Cart failed.
Add to Wish List failed.
Remove from wishlist failed.
Adding to library failed
Follow podcast failed
Unfollow podcast failed
Audible Premium Plus
$14.95 a month
Buy for $19.59
No default payment method selected.
We are sorry. We are not allowed to sell this product with the selected payment method
Listeners also enjoyed...
-
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
-
Overall
-
Performance
-
Story
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.
-
-
Well Researched, Outlined, and Presented
- By Craig Schorling on 06-17-17
-
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
-
Overall
-
Performance
-
Story
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.
-
-
Everyone needs to read or listen to Dr. Makary
- By Bob Bacheler on 02-08-20
By: Marty Makary MD
-
The Patient Will See You Now
- The Future of Medicine Is in Your Hands
- By: Eric Topol MD
- Narrated by: Eric Michael Summerer
- Length: 11 hrs and 16 mins
- Unabridged
-
Overall
-
Performance
-
Story
In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, examines what he calls medicine's "Gutenberg moment". Much as the printing press liberated knowledge from the control of an elite class, new technology is poised to democratize medicine. In this new era, patients will control their data and be emancipated from a paternalistic medical regime in which "the doctor knows best."
-
-
Optimistic outlook on the future of medical care
- By Wayne on 11-01-15
By: Eric Topol MD
-
Deep Medicine
- How Artificial Intelligence Can Make Healthcare Human Again
- By: Eric Topol
- Narrated by: Graham Winton
- Length: 11 hrs and 6 mins
- Unabridged
-
Overall
-
Performance
-
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.
-
-
A Terrific journey in to most pertinent aspects and future of medicine
- By Kiku on 04-25-19
By: Eric Topol
-
Priced Out
- The Economic and Ethical Costs of American Health Care
- By: Uwe E. Reinhardt, Paul Krugman - Foreword by, William H. Frist - Foreword by
- Narrated by: Bob Souer
- Length: 4 hrs and 13 mins
- Unabridged
-
Overall
-
Performance
-
Story
Uwe Reinhardt was a towering figure and moral conscience of health care policy in the United States and beyond. Famously bipartisan, he advised presidents and Congress on health reform and originated central features of the Affordable Care Act. In Priced Out, Reinhardt offers an engaging and enlightening account of today's US health care system, explaining why it costs so much more and delivers so much less than the systems of every other advanced country, why this situation is morally indefensible, and how we might improve it.
-
-
A great book for someone who studies healthcare and economics
- By Samuel on 06-03-19
By: Uwe E. Reinhardt, and others
-
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
-
Overall
-
Performance
-
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.
-
-
Must read/listen
- By Joseph on 02-28-15
By: Steven Brill
-
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
-
Overall
-
Performance
-
Story
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.
-
-
Well Researched, Outlined, and Presented
- By Craig Schorling on 06-17-17
-
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
-
Overall
-
Performance
-
Story
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.
-
-
Everyone needs to read or listen to Dr. Makary
- By Bob Bacheler on 02-08-20
By: Marty Makary MD
-
The Patient Will See You Now
- The Future of Medicine Is in Your Hands
- By: Eric Topol MD
- Narrated by: Eric Michael Summerer
- Length: 11 hrs and 16 mins
- Unabridged
-
Overall
-
Performance
-
Story
In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, examines what he calls medicine's "Gutenberg moment". Much as the printing press liberated knowledge from the control of an elite class, new technology is poised to democratize medicine. In this new era, patients will control their data and be emancipated from a paternalistic medical regime in which "the doctor knows best."
-
-
Optimistic outlook on the future of medical care
- By Wayne on 11-01-15
By: Eric Topol MD
-
Deep Medicine
- How Artificial Intelligence Can Make Healthcare Human Again
- By: Eric Topol
- Narrated by: Graham Winton
- Length: 11 hrs and 6 mins
- Unabridged
-
Overall
-
Performance
-
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.
-
-
A Terrific journey in to most pertinent aspects and future of medicine
- By Kiku on 04-25-19
By: Eric Topol
-
Priced Out
- The Economic and Ethical Costs of American Health Care
- By: Uwe E. Reinhardt, Paul Krugman - Foreword by, William H. Frist - Foreword by
- Narrated by: Bob Souer
- Length: 4 hrs and 13 mins
- Unabridged
-
Overall
-
Performance
-
Story
Uwe Reinhardt was a towering figure and moral conscience of health care policy in the United States and beyond. Famously bipartisan, he advised presidents and Congress on health reform and originated central features of the Affordable Care Act. In Priced Out, Reinhardt offers an engaging and enlightening account of today's US health care system, explaining why it costs so much more and delivers so much less than the systems of every other advanced country, why this situation is morally indefensible, and how we might improve it.
-
-
A great book for someone who studies healthcare and economics
- By Samuel on 06-03-19
By: Uwe E. Reinhardt, and others
-
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
-
Overall
-
Performance
-
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.
-
-
Must read/listen
- By Joseph on 02-28-15
By: Steven Brill
-
The American Health Care Paradox
- Why Spending More Is Getting Us Less
- By: Elizabeth H. Bradley, Lauren A. Taylor, Harvey V. Fineberg
- Narrated by: Emily Durante
- Length: 8 hrs and 18 mins
- Unabridged
-
Overall
-
Performance
-
Story
In The American Health Care Paradox, Bradley and Taylor illuminate how narrow definitions of health care, archaic divisions in the distribution of health and social services, and our allergy to government programs combine to create needless suffering in individual lives, even as health care spending continues to soar. They tell us how, and why, the US health care system developed as it did; examine the constraints on, and possibilities for, reform; and profile inspiring new initiatives from around the world.
By: Elizabeth H. Bradley, and others
-
The Digital Doctor
- Hope, Hype, and Harm at the Dawn of Medicine's Computer Age
- By: Robert Wachter
- Narrated by: Benjamin Wachter
- Length: 11 hrs and 7 mins
- Unabridged
-
Overall
-
Performance
-
Story
While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare's ills. But medicine stubbornly resisted computerization - until now. Over the past five years, thanks largely to billions of dollars in federal incentives, health care has finally gone digital.
-
-
Important
- By N. Martin on 04-15-15
By: Robert Wachter
-
Better
- A Surgeon's Notes on Performance
- By: Atul Gawande
- Narrated by: John Bedford Lloyd
- Length: 7 hrs and 34 mins
- Unabridged
-
Overall
-
Performance
-
Story
The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
-
-
Fascinating and Well Read
- By L. M. Roberts on 05-23-10
By: Atul Gawande
-
The Creative Destruction of Medicine
- How the Digital Revolution Will Create Better Health Care
- By: Eric Topol
- Narrated by: Dick Hill
- Length: 12 hrs and 39 mins
- Unabridged
-
Overall
-
Performance
-
Story
Until very recently, if you were to ask most doctors, they would tell you there were only two kinds of medicine: the quack kind, and the evidence-based kind. The former is baseless, and the latter based on the best information human effort could buy. Well, Eric Topol isn't most doctors, and he suggests you entertain the notion of a third kind of medicine, one that will make the evidence-based state-of-the-art stuff look scarcely better than an alchemist trying to animate a homunculus in a jar.
-
-
Very interesting, but in someways very naive.
- By richie rich & the deuterostomes on 01-25-15
By: Eric Topol
-
Reframing Healthcare: A Roadmap for Creating Disruptive Change
- By: Zeev E. Neuwirth MD
- Narrated by: Zeev E. Neuwirth MD
- Length: 7 hrs and 9 mins
- Unabridged
-
Overall
-
Performance
-
Story
Dr. Zeev Neuwirth wrote Reframing Healthcare for leaders and organizations interested in understanding what the disrupters in healthcare are doing and, more to the point, for those who want to be the disrupters rather than the disrupted. This audiobook is a step-by-step guide for leadership teams that are intent on improving healthcare at an accelerated pace. It’s written for healthcare organizations that wish to thrive in a customer-centric, community-oriented, value-based healthcare system.
-
-
Great content and resources
- By Galen on 07-12-19
-
How Doctors Think
- By: Jerome Groopman M.D.
- Narrated by: Michael Prichard
- Length: 10 hrs and 27 mins
- Unabridged
-
Overall
-
Performance
-
Story
On average, a physician will interrupt a patient describing her symptoms within 12 seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong: with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
-
-
Disappointing
- By Audiophile on 05-13-07
-
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
-
Overall
-
Performance
-
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.
-
-
Accurate, Authentic and Genuinely Scary
- By Byzantine Dixie on 05-19-19
By: Katherine Eban
-
Being Mortal
- Medicine and What Matters in the End
- By: Atul Gawande
- Narrated by: Robert Petkoff
- Length: 9 hrs and 3 mins
- Unabridged
-
Overall
-
Performance
-
Story
In Being Mortal, best-selling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending. Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit.
-
-
Required Reading!
- By Jeffrey on 10-13-14
By: Atul Gawande
-
Which Country Has the World's Best Health Care?
- By: Ezekiel J. Emanuel
- Narrated by: Rick Zieff
- Length: 16 hrs and 41 mins
- Unabridged
-
Overall
-
Performance
-
Story
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.
-
-
Confusing..
- By Cristi on 11-18-20
-
Post Corona
- From Crisis to Opportunity
- By: Scott Galloway
- Narrated by: Scott Galloway
- Length: 5 hrs and 39 mins
- Unabridged
-
Overall
-
Performance
-
Story
The COVID-19 outbreak has turned bedrooms into offices, pitted young against old, and widened the gaps between rich and poor, red and blue, the mask wearers and the mask haters. Some businesses woke up to find themselves crushed under an avalanche of consumer demand. Others scrambled to escape obliteration. But as New York Times best-selling author Scott Galloway argues, the pandemic has not been a change agent so much as an accelerant of trends already well underway. In Post Corona, he outlines the contours of the crisis and the opportunities that lie ahead.
-
-
Where is the PDF?
- By elan on 12-29-20
By: Scott Galloway
-
The Checklist Manifesto
- How to Get Things Right
- By: Atul Gawande
- Narrated by: John Bedford Lloyd
- Length: 6 hrs and 9 mins
- Unabridged
-
Overall
-
Performance
-
Story
We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies - neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist.
-
-
Riveting!
- By Tad Davis on 01-11-10
By: Atul Gawande
-
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
-
Overall
-
Performance
-
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.
-
-
Everyone should read this book.
- By Julie on 06-11-16
By: Marty Makary
Publisher's Summary
A bold new remedy for the sprawling and wasteful health care industry. Where else but the doctor's office do you have to fill out a form on a clipboard? Have you noticed that hospital bills are almost unintelligible, except for the absurdly high dollar amount? Why is it that technology in other industries drive prices down, but in health care it's the reverse? And why, in health care, is the customer so often treated as a mere bystander - and an ignorant one at that? The same American medical establishment that saves lives and performs wondrous miracles is also a $2.7 trillion industry in deep dysfunction. And now, with the Affordable Care Act (Obamacare), it is called on to extend full benefits to tens of millions of newly insured. You might think that this would leave us with a bleak choice - either to devote more of our national budget to health care or to make do with less of it. But there's another path.
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.
You’ll learn how:
- Well-intended government regulations prop up overpriced incumbents and slow the pace of innovation.
- Focused, profit-driven disrupters are chipping away at the dominance of hospitals by offering routine procedures at lower cost.
- Scrappy digital start-ups are equipping providers and patients with new apps and technologies to access medical data and take control of care.
- Making informed choices about the care we receive and pay for will enable a more humane and satisfying health care system to emerge.
Bush's plan calls for Americans not only to demand more from providers but also to accept more responsibility for our health, to weigh risks and make hard choices - in short, to take back control of an industry that is central to our lives and our economy.
Critic Reviews
More from the same
What listeners say about Where Does It Hurt?
Reviews - Please select the tabs below to change the source of reviews.
-
Overall
-
Performance
-
Story
- Steve from MD
- 07-31-14
No critical thinking
In the introduction he states that our health care system is expensive and not as good at delivering results as other countries. His conclusion is to introduce free market economics as the solution. So the answer to fixing the only health care system which operates on free market principles is to double down. We operate in a free market he might not like the market or the rules since he failed at running his first business.
He harps on several points but does not seem to have any knowledge of the realities.
1. Overpriced hospitals. Here he is confused by costs vs charges. Hospitals are required by law to care for all patients regardless of their ability to pay. Since at many emergency departments over a third of all patients do not pay. So the hospital must raise charges to cover these patients. As specialty hospitals grow taking away paying patients this only makes it worse. Hospitals are struggling throughout the country. Many are closing or selling themselves because they can not survive.
2. Customer satisfaction is bad because there is no free market. If you look at press ganey the largest surveyor of patient satisfaction doctors and hospitals are doing great. Over 90 percent of hospitals and 99 percent of doctors score over 4 on a 5 point scale. Much better than Airlines which have been deregulated and are more free market or restaurants as a group.
3. There is no innovation. This is just looking at the facts he wants and ignoring all others. there has been great innovation. Pick a specialty cardiology has gone from 2 weeks bed rest for myocardial infarction to stents in 90 minutes from arrival. We have better tests to find heart attacks. Surgery has gone from large incisions to laparoscopic and in some cases robotic.
4. If only people could choose things would be better. This is nonsense. When someone is sick they rely on doctors to help guide them. Also many would say that they do not feel spending 100$ more on a meal which might increase there chance of enjoyment of the meal by 1% is clearly not worth it to them however, spending money on a better chance to survive an illness? They would spend that. Also look at all the money spent on alternative medicine. Here people have the freedom to choose and they choose options that offer no benefit. The National Institute of Alternative medicine just completed a 10 year review and found no evidence to support use of anything tested as alternative medicine.
5 Choices are needed in insurance. Health insurance is not like cable TV. I do not know which illness I am going to get this year. I am sure if I do not want ESPN today I will not want it later this year. People will opt out of lots of choices then when they become ill they get covered by the either the government or the hospitals that provide the service. We removed the moral hazard. I am not advocating not treating people I am saying that if we are arguing for free markets you are arguing for letting people suffer because of their choices which we do not do.
I do agree with him when he talks about information, reducing overhead and getting rid of fee for service. A free market tries to maximize one thing and that is profit. If it can do it my delivering expensive less effective health care it will as it has proven. So eliminating fee for service is a start. Going to a single payer is another good step. Less paperwork and back office support is needed with a single payer. However, these will not reduce lawsuits which contribute to costs of healthcare. Doctors win about 90% of malpractices cases so most cases are about poor outcomes not medical care. The free market would say if we can make money by suing we will sue. Many cases are settled to avoid the years of pretrial and trial costs which only encourages more lawsutis.
4 people found this helpful
-
Overall
-
Performance
-
Story
- Jorge Rojas
- 08-27-18
Data?
Unfortunately data is not all it takes. Great ideas but misguided. Should have interviewed more prating physicians not only administrators.
-
Overall
-
Performance
-
Story
- Steve
- 12-05-17
Superb and Informative Reading
Has the drive and data of Tom Peters’ Liberation Management and the soul of Tracy Kidder’s Soul of a New Machine. Thank you.
-
Overall
-
Performance
-
Story
- HB
- 06-25-16
Really enjoyed this book
Appreciated very much that the candid though biased approach of the book. Unique point of views articulated very well about different parts of the industry.
Provides a great guide for innovation for the next few years.
-
Overall
-
Performance
-
Story
- Dave deBronkart
- 04-15-16
if this ain't JBush, nothing is. Spot on.
I found myself saying "Exactly!" over and over. Same as Gawande said about Bob Wachter's "Digital Doctor," which I also love. Bush is crazy and right.
Note - in a different industry (typesetting) I was disrupted 30 years ago (by desktop publishing), so I know the signs and I know how incumbents can't see it coming. Power to the users!
-
Overall
-
Performance
-
Story
- Peter
- 03-12-16
Very thought provoking
I am very involved in health care IT and I have to say this was an excellent book. Very accurate and thought provoking.