American Health Care

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.

In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white "ladies". Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities.

Still Not Safe is the story of the rise of the patient - safety movement - and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization. Physician Robert Wears and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to the emergence of market trends that challenged the place of doctors in the larger medical ecosystem.

In 1932, the US Public Health Service recruited 623 African American men from Macon County, Alabama, for a study of "the effects of untreated syphilis in the Negro male". For the next 40 years - even after the development of penicillin, the cure for syphilis - these men were denied medical care for this potentially fatal disease.

In 1900, the U.S. sent three doctors to Cuba to discover how yellow fever was spread. There, they launched one of history's most controversial human studies. Compelling and terrifying, The American Plague depicts the story of yellow fever and its reign in this country - and in Africa, where even today it strikes thousands every year. With "arresting tales of heroism," it is a story as much about the nature of human beings as it is about the nature of disease.

Between 1927 and 1979, more than 8,000 people were involuntarily sterilized in five hospitals across the state of Virginia. From this plain and terrible fact springs Elizabeth Catte's Pure America, a sweeping, unsparing history of eugenics in Virginia, and by extension the United States.

The first full-length biography of the Civil War surgeon who, over the course of the war’s bloodiest battles - from Antietam to Gettysburg - redefined military medicine.

Jonathan Letterman was an outpost medical officer serving in Indian country in the years before the Civil War, responsible for the care of just hundreds of men. But when he was appointed the chief medical officer for the Army of the Potomac, he revolutionized combat medicine over the course of four major battles - Antietam, Fredericksburg, Chancellorsville, and Gettysburg - that produced unprecedented numbers of casualties.

In the midst of our hectic, overscheduled lives, caring for the soul is imperative. Now, more than ever, we need to pause - intentionally - and encounter the Divine. Soul care director Barbara Peacock illustrates a journey of prayer, spiritual direction, and soul care from an African American perspective. She reflects on how these disciplines are woven into the African American culture and lived out in the rich heritage of its faith community.

Health disparities have remained stubbornly entrenched in the American health care system - and in Just Medicine Dayna Bowen Matthew finds that they principally arise from unconscious racial and ethnic biases held by physicians, institutional providers, and their patients.

Over the past three decades, the once-efficient American health care system has evolved into a complex maze of monopolies and a racket of bureaucratic checks, approvals, denials, roadblocks, and detours. This shift has created a massive and at times redundant workforce that frustrates patients, as well as physicians, nurses, and administrative staff. Health care costs the United States more than $11,000 for each person in the country each year - more than double what it costs in most Western European countries to deliver equal or even better care.

Popular progressive radio host and New York Times best-selling author Thom Hartmann reveals how and why attempts to establish affordable universal healthcare in the United States have been thwarted and what we can do to finally make it a reality.

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.

Americans spend more money on health than people anywhere else in the world. And what do they get for it? Statistically, not much. Americans today live shorter, less healthy lives than citizens of other rich countries. The problem, Sandro Galea argues, is that Americans focus on the wrong things. Well is a radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America.

For decades, researchers have chased a pharmaceutical cure for memory loss. But despite the fact that no disease-modifying biotech treatments have emerged, new research suggests that dementia rates have actually declined in the United States and Western Europe over the last decade. Why is this happening? And what does it mean for brain health in the future?

African American Slave Medicine offers a critical examination of how African American slaves' medical needs were addressed during the years before and surrounding the Civil War. Drawing upon ex-slave interviews conducted during the 1930s and 1940s by the Works Project Administration (WPA), Dr. Herbert C. Covey inventories many of the herbal, plant, and non-plant remedies used by African American folk practitioners during slavery.

Navigating the complexities of the American healthcare system can be a daunting task for any medical professional, but it presents unique challenges for foreign medical graduates. "Guide to the American Healthcare System for the Foreign Medical Graduate" is an essential resource designed to demystify these challenges and provide a comprehensive roadmap to success.

Every catastrophe has a beginning. For the opioid crisis in America, the seed was a drug called OxyContin. First hailed as a miracle drug for severe pain in the early 1990s, OxyContin went on to ignite a plague of addiction and death across America. Equal parts crime thriller, medical detective story and business exposé, Pain Killer is the origin story of the opioid crisis, a hard-hitting look at how a supposed wonder drug became the trigger for a national tragedy.

The American health-care system is failing us. It is a frustratingly complex, opaque, and unaffordable system that results in suboptimal care and a deterioration of the welfare of the majority of American families. The experience of the past few decades and the recent ravaging pandemic has shown us that doing more of the same is not going to deliver us from this dilemma. But there is hope. There is a way to create a more accessible, consumer-friendly, safer, and affordable system of care for all of us.

Living with a chronic, progressive neurological disease (MS), a geologist explores some of the confounding questions of our time. The difference between wellness and illness, the different, but complementary roles modern science and alternative traditions like naturopathy play in healing, the potholed approach to accessibility and affordability of health care in our great country, the role of resilience and opportunity in answering the time honored question each of us ask: "Just who am I?" 

Life expectancy in the United States has recently fallen for three years in a row - a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year - and they're still rising. Case and Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class.