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The Hospital
- Life, Death, and Dollars in a Small American Town
- Narrado por: Nick Landrum
- Duración: 14 h y 51 m
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Resumen del Editor
An intimate, heart-wrenching portrait of one small hospital that reveals the magnitude of America’s health care crises.
“With his signature gut-punching prose, Alexander breaks our hearts as he opens our eyes to America’s deep-rooted sickness and despair by immersing us in the lives of a small town hospital and the people it serves." (Beth Macy, bestselling author of Dopesick)
By following the struggle for survival of one small-town hospital, and the patients who walk, or are carried, through its doors, The Hospital takes listeners into the world of the American medical industry in a way no audiobook has done before. Americans are dying sooner, and living in poorer health. Alexander argues that no plan will solve America’s health crisis until the deeper causes of that crisis are addressed.
Bryan, Ohio's hospital, is losing money, making it vulnerable to big health systems seeking domination and Phil Ennen, CEO, has been fighting to preserve its independence. Meanwhile, Bryan, a town of 8,500 people in Ohio’s northwest corner, is still trying to recover from the Great Recession. As local leaders struggle to address the town’s problems, and the hospital fights for its life amid a rapidly consolidating medical and hospital industry, a 39-year-old diabetic literally fights for his limbs, and a 55-year-old contractor lies dying in the emergency room. With these and other stories, Alexander strips away the wonkiness of policy to reveal Americans’ struggle for health against a powerful system that’s stacked against them, but yet so fragile it blows apart when the pandemic hits. Culminating with COVID-19, this audiobook offers a blueprint for how we created the crisis we're in.
A Macmillan Audio production from St. Martin's Press
"A brilliantly imaginative and creative way of telling the story of today's America and the roots of what ails it, through the travails of a small-town hospital. In The Hospital, Brian Alexander does again so well what he did in Glass House - telling the big story from the small place." (Sam Quinones, author of Dreamland: The True Tale of America's Opiate Epidemic)
Reseñas de la Crítica
“With his signature gut-punching prose, Alexander breaks our hearts as he opens our eyes to America’s deep-rooted sickness and despair by immersing us in the lives of a small town hospital and the people it serves.“ (Beth Macy, best-selling author of Dopesick)
“In this clear-eyed biography of a community hospital, Brian Alexander offers a powerful indictment of the American health care system. The Hospital will break your heart.” (Andrea Pitzer, author of One Long Night)
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- Versión completa
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General
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Historia
Nobody who works hard should be poor in America, writes Pulitzer Prize-winner David Shipler. Clear-headed, rigorous, and compassionate, he journeys deeply into the lives of individual store clerks and factory workers, farm laborers and sweat-shop seamstresses, illegal immigrants in menial jobs and Americans saddled with immense student loans and paltry wages. They are known as the working poor.
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Textbook Perfect Discussion of the Problem
- De Cynthia en 07-28-12
De: David K. Shipler
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Changing the Way We Die
- Compassionate End-of-Life Care and the Hospice Movement
- De: Sheila Himmel, Fran Smith
- Narrado por: Coleen Marlo
- Duración: 6 h y 49 m
- Versión completa
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There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- De Debra S. Long en 06-16-18
De: Sheila Himmel, y otros
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A Good Provider Is One Who Leaves
- One Family and Migration in the 21st Century
- De: Jason DeParle
- Narrado por: Fred Sanders
- Duración: 11 h y 44 m
- Versión completa
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When Jason DeParle moved into the Manila slums with Tita Comodas and her family three decades ago, he never imagined his reporting on them would span three generations and turn into the defining chronicle of a new age - the age of global migration. In a monumental book that gives new meaning to "immersion journalism", DeParle paints an intimate portrait of an unforgettable family as they endure years of sacrifice and separation, willing themselves out of shantytown poverty into a new global middle class.
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Excellent and Important
- De Booklover en 03-22-20
De: Jason DeParle
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Fulfillment
- Winning and Losing in One-Click America
- De: Alec MacGillis
- Narrado por: Danny Gavigan
- Duración: 12 h y 22 m
- Versión completa
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Alec MacGillis’ Fulfillment is not another inside account or exposé of our most conspicuously dominant company. Rather, it is a literary investigation of the America that falls within that company’s growing shadow. As MacGillis shows, Amazon’s sprawling network of delivery hubs, data centers, and corporate campuses epitomizes a land where winner and loser cities and regions are drifting steadily apart, the civic fabric is unraveling, and work has become increasingly rudimentary and isolated.
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Missing some important angles
- De D. Zimmerle en 08-19-21
De: Alec MacGillis
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A Bittersweet Season
- Caring for Our Aging Parents - And Ourselves
- De: Jane Gross
- Narrado por: Kate Reading
- Duración: 15 h y 35 m
- Versión completa
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In telling the intimate story of caring for her aged and ailing mother, Jane Gross offers indispensable, and often surprising, advice for the rapidly increasing number of adult children responsible for aging parents. Gross deftly weaves the specifics of her personal experience with a comprehensive resource for effectively managing the lives of one's own parents while keeping sanity and strength intact.
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Exceptional, thought-provoking, liberating!
- De Anne en 08-10-11
De: Jane Gross
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Glass House
- The 1% Economy and the Shattering of the All-American Town
- De: Brian Alexander
- Narrado por: Bob Souer
- Duración: 11 h y 7 m
- Versión completa
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General
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Historia
The Anchor Hocking Glass Company, once the world's largest maker of glass tableware, was the base on which Lancaster's society was built. As Glass House unfolds, bankruptcy looms. With access to the company and its leaders, and Lancaster's citizens, Alexander shows how financial engineering took hold in the 1980s, accelerated in the 21st century, and wrecked the company.
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What really happened to the American Dream?
- De Bill en 05-10-17
De: Brian Alexander
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Doctored
- The Disillusionment of an American Physician
- De: Sandeep Jauhar
- Narrado por: Patrick Lawlor
- Duración: 10 h y 38 m
- Versión completa
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Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.
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Frank, inside perspective on the follies of unintended consequences in medical reform
- De Jared T Wilsey en 02-25-18
De: Sandeep Jauhar
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Teeth
- The Story of Beauty, Inequality, and the Struggle for Oral Health in America
- De: Mary Otto
- Narrado por: Suehyla El'Attar
- Duración: 9 h y 37 m
- Versión completa
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Teeth takes listeners on a disturbing journey into America's silent epidemic of oral disease, exposing the hidden connections between tooth decay and stunted job prospects, low educational achievement, social mobility, and the troubling state of our public health.
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Content everyone should know; dismal narration
- De Elaine en 08-04-17
De: Mary Otto
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The Desperate Hours
- One Hospital's Fight to Save a City on the Pandemic's Front Lines
- De: Marie Brenner
- Narrado por: Kirsten Potter
- Duración: 15 h y 41 m
- Versión completa
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In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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Way too much politics
- De Josh en 07-18-22
De: Marie Brenner
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The Unwinding
- An Inner History of the New America
- De: George Packer
- Narrado por: Robert Fass
- Duración: 18 h y 4 m
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In The Unwinding, George Packer, author of The Assassins’ Gate: America in Iraq, tells the story of the United States over the past three decades in an utterly original way, with his characteristically sharp eye for detail and gift for weaving together complex narratives. The Unwinding portrays a superpower in danger of coming apart at the seams, its elites no longer elite, its institutions no longer working, its ordinary people left to improvise their own schemes for success and salvation.
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Can't understand the low ratings!
- De Janet Pittman Henley en 05-27-13
De: George Packer
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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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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.
- De Julie en 06-11-16
De: Marty Makary
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Mitch, Please!
- How Mitch McConnell Sold Out Kentucky (and America Too)
- De: Matt Jones, Chris Tomlin - contributor
- Narrado por: Matt Jones, Chris Tomlin
- Duración: 17 h y 30 m
- Versión completa
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They say all politics is local. In 2020, Mitch McConnell will have served five full terms as a US Senator. Thirty years. The Senate Majority leader's power is as undeniable as it is infuriating, and the people of Kentucky have had enough. Led by Matt Jones, they (and they alone) have the power to oust him from office. How did Jones, a local boy turned attorney turned sports radio host come to shine the brightest light on McConnell's ineptitude?
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Amazing
- De Danielle Purcell en 04-10-20
De: Matt Jones, y otros
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American Overdose
- The Opioid Tragedy in Three Acts
- De: Chris McGreal
- Narrado por: Dan Woren
- Duración: 11 h y 55 m
- Versión completa
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The opioid epidemic has been described as "one of the greatest mistakes of modern medicine." But calling it a mistake is a generous rewriting of the history of greed, corruption, and indifference that pushed the US into consuming more than 80 percent of the world's opioid painkillers. Journeying through lives and communities wrecked by the epidemic, Chris McGreal reveals not only how Big Pharma hooked Americans on powerfully addictive drugs but the corrupting of medicine and public institutions that let the opioid makers get away with it.
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An important read
- De Macmom4 en 02-18-19
De: Chris McGreal
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Where You Are Is Not Who You Are
- A Memoir
- De: Ursula Burns
- Narrado por: Ursula Burns
- Duración: 7 h y 39 m
- Versión completa
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The first Black female CEO of a Fortune 500 company looks back at her life and her career at Xerox, sharing unique insights on American business and corporate life, the workers she has always valued, racial and economic justice, how greed is threatening democracy, and the obstacles she’s conquered being Black and a woman.
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Relatable story, flaws and all
- De Anonymous User en 01-06-22
De: Ursula Burns
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Glass House
- The 1% Economy and the Shattering of the All-American Town
- De: Brian Alexander
- Narrado por: Bob Souer
- Duración: 11 h y 7 m
- Versión completa
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General
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Narración:
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Historia
The Anchor Hocking Glass Company, once the world's largest maker of glass tableware, was the base on which Lancaster's society was built. As Glass House unfolds, bankruptcy looms. With access to the company and its leaders, and Lancaster's citizens, Alexander shows how financial engineering took hold in the 1980s, accelerated in the 21st century, and wrecked the company.
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What really happened to the American Dream?
- De Bill en 05-10-17
De: Brian Alexander
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Sickening
- How Big Pharma Broke American Health Care and How We Can Repair It
- De: John Abramson
- Narrado por: Kevin Stillwell
- Duración: 9 h y 17 m
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General
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Historia
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.
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Great info, but I’m confused…
- De Iread en 04-04-22
De: John Abramson
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The Emergency
- A Year of Healing and Heartbreak in a Chicago ER
- De: Thomas Fisher
- Narrado por: Ta-Nehisi Coates, Thomas Fisher
- Duración: 7 h y 50 m
- Versión completa
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General
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Narración:
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Historia
As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives.
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Meh
- De chel_c42 en 03-29-22
De: Thomas Fisher
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The Hospital
- De: Barbara O'Hare
- Narrado por: Charlie Sanderson
- Duración: 8 h y 43 m
- Versión completa
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General
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Narración:
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Historia
Barbara was 12 when she was admitted to the psychiatric hospital Aston Hall in 1971. From a troubled home, she'd hoped she would find sanctuary there. But during her stay, Barbara was systematically drugged and abused by its head physician, Dr Kenneth Milner. Somehow, eventually, she started to campaign for answers. This is a shocking account of how vulnerable children were preyed upon by the doctor entrusted with their care.
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Horrific childhood. Almost too bad to believe.
- De Suzy L. en 01-04-19
De: Barbara O'Hare
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The People's Hospital
- Hope and Peril in American Medicine
- De: Ricardo Nuila MD
- Narrado por: Ricardo Nuila MD
- Duración: 10 h y 53 m
- Versión completa
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General
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Narración:
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Historia
Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The People’s Hospital, physician Ricardo Nuila’s stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care.
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Niche perspective
- De Kathleen Garcia en 05-07-23
De: Ricardo Nuila MD
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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
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General
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Narración:
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Historia
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!
- De Wayne en 05-17-21
De: Marty Makary MD
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Glass House
- The 1% Economy and the Shattering of the All-American Town
- De: Brian Alexander
- Narrado por: Bob Souer
- Duración: 11 h y 7 m
- Versión completa
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General
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Narración:
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Historia
The Anchor Hocking Glass Company, once the world's largest maker of glass tableware, was the base on which Lancaster's society was built. As Glass House unfolds, bankruptcy looms. With access to the company and its leaders, and Lancaster's citizens, Alexander shows how financial engineering took hold in the 1980s, accelerated in the 21st century, and wrecked the company.
-
-
What really happened to the American Dream?
- De Bill en 05-10-17
De: Brian Alexander
-
Sickening
- How Big Pharma Broke American Health Care and How We Can Repair It
- De: John Abramson
- Narrado por: Kevin Stillwell
- Duración: 9 h y 17 m
- Versión completa
-
General
-
Narración:
-
Historia
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.
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-
Great info, but I’m confused…
- De Iread en 04-04-22
De: John Abramson
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The Emergency
- A Year of Healing and Heartbreak in a Chicago ER
- De: Thomas Fisher
- Narrado por: Ta-Nehisi Coates, Thomas Fisher
- Duración: 7 h y 50 m
- Versión completa
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General
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Narración:
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Historia
As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives.
-
-
Meh
- De chel_c42 en 03-29-22
De: Thomas Fisher
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The Hospital
- De: Barbara O'Hare
- Narrado por: Charlie Sanderson
- Duración: 8 h y 43 m
- Versión completa
-
General
-
Narración:
-
Historia
Barbara was 12 when she was admitted to the psychiatric hospital Aston Hall in 1971. From a troubled home, she'd hoped she would find sanctuary there. But during her stay, Barbara was systematically drugged and abused by its head physician, Dr Kenneth Milner. Somehow, eventually, she started to campaign for answers. This is a shocking account of how vulnerable children were preyed upon by the doctor entrusted with their care.
-
-
Horrific childhood. Almost too bad to believe.
- De Suzy L. en 01-04-19
De: Barbara O'Hare
-
The People's Hospital
- Hope and Peril in American Medicine
- De: Ricardo Nuila MD
- Narrado por: Ricardo Nuila MD
- Duración: 10 h y 53 m
- Versión completa
-
General
-
Narración:
-
Historia
Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The People’s Hospital, physician Ricardo Nuila’s stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care.
-
-
Niche perspective
- De Kathleen Garcia en 05-07-23
De: Ricardo Nuila MD
-
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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General
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Narración:
-
Historia
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!
- De Wayne en 05-17-21
De: Marty Makary MD
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Lo que los oyentes dicen sobre The Hospital
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- Brent Rieman
- 04-16-21
interesting listen
Interesting listen. The narrator needs to learn how to pronounce some of the cities correctly, most notibly Lima
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- TK Bridgeman
- 05-28-21
amazing insight into the American Pathology
great book that provides an incredible look into the conditions that lower american life expectancy and increase cost
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- KATHLEEN ROBERTS
- 04-10-21
Wow! Makes you really think about our HC system
Grew up in Ohio and used to work for a local hospital in Ohio. Wow have things change. I love the way the author weaves the socioeconomic maladies of our county with that of the Bryan hospital. Thoroughly written and researched. Unfortunately the narrator should have spent a little time in Ohio and learned how to pronounce some of our Senator and city names.
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- Bentley S. Davis
- 04-20-21
Everyone should read this book
This book is so very important and explains a lot of the problems in healthcare and our society at large. My only criticism is the narrator's mispronunciation of some Ohio specific words. Still, I am recommending this book to everyone.
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- Bruce Jugan
- 06-22-21
Must read
Well written, well read audible book. I learned much about the complexities of the health care system. Sadly, the author’s assumption that a single payer government run insurance plan as the panacea to solve all that is wrong, seems simplistic and naive. Systems like Kaiser Permanente, Imtermountain Health, and others show that integrated health care delivery systems which include insurance plans work to reduce cost and improve quality.
Still the book is a must read.
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- Nora
- 11-25-23
A facinating look at the failure if American health care
I started this book thinking I would learn about the struggles that have lead to the closures of so many rural hospitals. I did get that view, but I learned even more about hoe badly our healthcare system is failing the American public.
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- Russell Thomas
- 05-19-21
The unfortunate story of real medicine in America
I have been practicing real medicine for the past 35 years. This book is a truthful look at the inner workings of any rural hospital in America today. It characterizes the difficulties that these facilities have been providing care to a population in significant need and the difficulty in competing against Megacenter whose only interest is in profit margin. It should serve us a wake up call for everyone
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- AdamSmithwick
- 04-26-21
Slanted, but still great book
I respect this author greatly for the time dedication he put into researching these stories. The money-side of the hospital business is very accurately portrayed. The struggle the remaining rural hospital managers holding their shops together with both hands is real, as well as the constant pressure of health system takeovers and monopolostic, anti-trust behavior.
The financial hardship stories are heart wrenching. I'm a grown man, and I had to stop a half dozen times to cry at unforgiving series of tragedies and bad fortune that befell some of the unlucky poor patients in rural, northwest Ohio. Thank you for helping us understand how bad this has gotten.
The strong political slant was unnecessary, but I understand why he included it. The book is still great without the political jabs.
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- Cwestlake
- 05-12-21
Listen now!
This book shares important truths about the American healthcare system. This book is long over due.
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- Shmuel M
- 11-29-23
What’s gone wrong with American healthcare
As a physician in an independent community hospital that was eventually absorbed into another larger system I could identify with much of this story. The stories of the individuals related here are heart breaking and bring to light the crisis we face in this country regarding health care and its associated costs
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