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The People's Hospital
- Hope and Peril in American Medicine
- Narrated by: Ricardo Nuila MD
- Length: 10 hrs and 53 mins
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Publisher's summary
“Nuila’s storytelling gifts place him alongside colleagues like Atul Gawande.”—Los Angeles Times
This “compelling mixture of health care policy and gripping stories from the frontlines of medicine” (The Guardian) explores the question: where does an uninsured person go when turned away by hospitals, clinics, and doctors?
Here, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital that prioritizes people over profit. First, we meet Stephen, the restaurant franchise manager who signed up for his company’s lowest priced plan, only to find himself facing insurmountable costs after a cancer diagnosis. Then Christian—a young college student and retail worker who can’t seem to get an accurate diagnosis, let alone treatment, for his debilitating knee pain. Geronimo, thirty-six years old, has liver failure, but his meager disability check disqualifies him for Medicaid—and puts a life-saving transplant just out of reach. Roxana, who’s lived in the community without a visa for more than two decades, suffers from complications related to her cancer treatment. And finally, there’s Ebonie, a young mother whose high-risk pregnancy endangers her life. Whether due to immigration status, income, or the vagaries of state Medicaid law, all five are denied access to care. For all five, this exclusion could prove life-threatening.
Each patient eventually lands at Ben Taub, the county hospital where Dr. Nuila has worked for over a decade. Nuila delves with empathy into the experiences of his patients, braiding their dramas into a singular narrative that contradicts the established idea that the only way to receive good health care is with good insurance. As listeners follow the moving twists and turns in each patient’s story, it’s impossible to deny that our system is broken—and that Ben Taub’s innovative model, where patient care is more important than insurance payments, could help light the path forward.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
Critic reviews
"Physician Ricardo Nuila brings the full extent of his passion for people to his narration of his experiences with American healthcare. A doctor on staff at Ben Taub Hospital in Houston, Nuila saw firsthand the destructive aspects of for-profit healthcare and how often those who were truly suffering would end up in his public hospital when it was almost too late. Examining the history and current issues of the American healthcare system, this audiobook is a tough listen. Nuila embraces his emotions as he tells personal stories of real-life cases. What results is a powerful audiobook that leaves the listener both fascinated and horrified by what is happening to those who cannot access healthcare in our first-world nation." (AudioFile Magazine)
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The history of Iceland began 1,200 years ago, when a frustrated Viking captain and his useless navigator ran aground in the middle of the North Atlantic. Suddenly, the island was no longer just a layover for the Arctic tern. Instead, it became a nation whose diplomats and musicians, sailors and soldiers, volcanoes and flowers, quietly altered the globe forever. How Iceland Changed the World takes readers on a tour of history, showing them how Iceland played a pivotal role in events as diverse as the French Revolution, the Moon Landing, and the foundation of Israel.
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Brilliant
- By Ian D. Jones on 06-01-21
By: Egill Bjarnason
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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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Fragmented
- A Doctor's Quest to Piece Together American Health Care
- By: Ilana Yurkiewicz MD
- Narrated by: Ilana Yurkiewicz MD
- Length: 7 hrs and 29 mins
- Unabridged
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There's an unspoken assumption when we go to see a doctor: the doctor knows our medical story and is making decisions based on that story. But reality often falls short. Medical records vanish when we switch doctors. Critical details of life-saving treatment plans get lost in muddled electronic charts. The doctors we see change according to specialty, hospital shifts, or an insurer's whims. In this gripping narrative from medicine's front lines, Ilana Yurkiewicz reveals how a system that doesn't talk to itself puts insupportable burdens on physicians, patients, and caregivers.
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A sad reflection of the struggles physicians face in America
- By Christian Abreu on 03-15-24
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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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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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Users
- By: Colin Winnette
- Narrated by: Justin Price
- Length: 6 hrs and 7 mins
- Unabridged
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Miles, a lead creative at a midsize virtual reality company known for its "original experiences," has engineered a new product called The Ghost Lover. Wildly popular from the outset, the "game" is simple: a user's simulated life is almost identical to their reality, except they're haunted by the ghost of an ex-lover. However, when a shift in the company's strategic vision puts The Ghost Lover at the center of a platform-wide controversy, Miles becomes the target of user outrage, and starts receiving a series of anonymous death threats.
By: Colin Winnette
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Twelve Patients
- Life and Death at Bellevue Hospital
- By: Eric Manheimer
- Narrated by: Eric Manheimer
- Length: 13 hrs and 11 mins
- Unabridged
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In the spirit of Oliver Sacks Awakenings and the TV series House, Dr. Eric Manheimer's Twelve Patients is a memoir from the medical director of Bellevue Hospital that uses the plights of 12 very different patients - from dignitaries at the nearby UN, to supermax prisoners from Riker's Island, to illegal immigrants, and Wall Street tycoons - to illustrate larger societal issues.
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Awesome Book
- By Lynne on 08-06-12
By: Eric Manheimer
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The Viral Underclass
- The Human Toll When Inequality and Disease Collide
- By: Steven W. Thrasher
- Narrated by: Dr. Jonathan M. Metzl, Steven W. Thrasher
- Length: 9 hrs and 26 mins
- Unabridged
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Having spent a ground-breaking career studying the racialization, policing, and criminalization of HIV, Dr. Thrasher has come to understand a deeper truth at the heart of our society: that there are vast inequalities in who is able to survive viruses and that the ways in which viruses spread, kill, and take their toll are much more dependent on social structures than they are on biology alone.
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Enlightening and Inspiring
- By Lisa R. on 03-10-24
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What Patients Say, What Doctors Hear
- By: Danielle Ofri MD
- Narrated by: Ann Richardson
- Length: 9 hrs and 8 mins
- Unabridged
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Despite modern medicine's infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion's share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to "make their case" to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements.
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Newbie review follows. Be ware
- By Dennis Adler on 09-15-17
By: Danielle Ofri MD
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Waiting to Be Arrested at Night
- A Uyghur Poet's Memoir of China's Genocide
- By: Tahir Hamut Izgil, Joshua L. Freeman - introduction translator
- Narrated by: Greg Watanabe
- Length: 7 hrs and 40 mins
- Unabridged
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One by one, Tahir Hamut Izgil's friends disappeared. The Chinese government's brutal persecution of the Uyghur people had continued for years, but in 2017 it assumed a terrifying new scale. The Uyghurs, a predominantly Muslim minority group in western China, were experiencing an echo of the worst horrors of the twentieth century, amplified by China's establishment of an all-seeing high-tech surveillance state. Over a million people have vanished into China’s internment camps for Muslim minorities.
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Waiting to be arrested
- By Johnson Kottaram on 09-10-23
By: Tahir Hamut Izgil, and others
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If I Betray These Words
- Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First
- By: Wendy Dean, Simon Talbot
- Narrated by: Wendy Dean
- Length: 9 hrs and 57 mins
- Unabridged
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Offering examples of how to make medicine better for the healers and those they serve, If I Betray These Words profiles clinicians across the country who are tough, resourceful, and resilient, but feel trapped between the patient-first values of their Hippocratic oath and the business imperatives of a broken healthcare system. If I Betray These Words confronts the threat and broken promises of moral injury—what it is; where it comes from; how it manifests; and who’s fighting back against it. We need better healthcare—for patients and for the workforce. It’s time to act.
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Dust bowl
- By Doc on 04-12-23
By: Wendy Dean, and others
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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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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…
- By Iread on 04-04-22
By: John Abramson
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In Shock
- My Journey from Death to Recovery and the Redemptive Power of Hope
- By: Dr. Rana Awdish
- Narrated by: Dr. Rana Awdish, Teri Schnaubelt
- Length: 9 hrs and 2 mins
- Unabridged
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In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training, instantly lays bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
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Read this book!
- By CT on 11-08-17
By: Dr. Rana Awdish
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With the End in Mind
- Dying, Death, and Wisdom in an Age of Denial
- By: Kathryn Mannix
- Narrated by: Elizabeth Carling, Kathryn Mannix
- Length: 11 hrs and 47 mins
- Unabridged
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Modern medical technology is allowing us to live longer and fuller lives than ever before. But with changes in the way we understand medicine come changes in the way we understand death. Once a familiar and gentle process, death has come to be something from which we shy away, preferring to fight it desperately than to accept its inevitability. Palliative care has a long tradition in Britain, where Dr. Kathryn Mannix has practiced it for 30 years. In this book, she shares beautifully crafted stories from a lifetime of caring for the dying.
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Wonderful book!
- By Randall Roth on 01-29-18
By: Kathryn Mannix
What listeners say about The People's Hospital
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Patricia Gonzales
- 05-11-23
Ben Taub Nurse
Thank you to the author. While working there for 25 yrs I often told our PR reps they should market the hospital by telling what we do. We turn no one away. This is a perfect documentation of that.
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- LMH
- 09-08-23
A Must Read
This is a must read for anyone needing health care in the US. With immense heart Nuila looks at what’s wrong and how it can be fixed.
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- Amazon Customer
- 12-18-23
Important book
Every one in America who uses healthcare should read this book. It should be required reading for every politician. I thank the author for writing it
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- Denia
- 04-19-23
yes!
i love this book, finished it in a weekend. everything about is real, and puts a bit of hope to everyone story.
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- Frank Elvin
- 06-15-23
Excellent book.
I learned more about the US health (and insurance) system from this book than from any other source. The inhumanity of the US system as described in thus book is unbelievable. It’s inefficiency and high cost defy logic. Surely we can come up with a better system at lower cost
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- tkweaver
- 09-12-23
Outstanding Book
Everyone needs to read this to get a better understanding of how health care in America works and how it should work. Required reading!
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- mary
- 07-12-23
Beautiful and heartfelt
As a nurse who has worked in a safety hospital I found this to be an incredibly moving description.
It would be a fabulous book for anyone entering the medical field or anyone who doesn’t understand how fragile the system really is.
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- Laura
- 06-28-23
Amazing
The author captured the problems in healthcare so well with specificity and compassion - what a gift. A must listen, a call to act.
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- Michael
- 04-26-24
Excellent!
Being a retired physician myself, the author is spot on in describing the issues and problems with our current healthcare system. The United States is in the midst of a healthcare crisis due to the corporatization of the healthcare industry. I can tell you from the trenches that no one on the inside of healthcare is happy with the current system. As the author points out, public hospitals remain the last stop for the many desperate patients discarded by the for-profit healthcare system. This beautifully written book describes the complexities and the many failures of the current system. I wish more Americans were aware of the issues as so well described in this book. Hopefully, public pressure will drive politicians to reform our broken healthcare system!
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- Marc Estriplet
- 04-18-23
This book allows for optimism
Well written and read. Provided hope for something better while acknowledging the current ills
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