Showing titles in Policy & Administration

Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life.

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.

Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients.

In Patient Zero, Richard A. McKay presents a carefully documented and sensitively written account of the life of Gaetan Dugas, a gay man whose skin cancer diagnosis in 1980 took on very different meanings as the HIV/AIDS epidemic developed - and who received widespread posthumous infamy when he was incorrectly identified as patient zero of the North American outbreak.

As revelatory as Atul Gawande’s Being Mortal, physician and award-winning author Louise Aronson’s Elderhood is an essential, empathetic look at a vital but often disparaged stage of life. For more than 5,000 years, 'old' has been defined as beginning between the ages of 60 and 70. That means most people alive today will spend more years in elderhood than in childhood, and many will be elders for 40 years or more. Yet at the very moment that humans are living longer than ever before, we’ve made old age into a disease.

Upon it's first publication 20 years ago, And The Band Played On was quickly recognized as a masterpiece of investigatve reporting. An international best seller, a nominee for the National Book Critics Circle Award, and made into a critically acclaimed movie, Shilts' expose revealed why AIDS was allowed to spread unchecked during the early 80's while the most trusted institutions ignored or denied the threat. One of the few true modern classics, it changed and framed how AIDS was discussed.

The NHS is at crisis point. In the 75 years since it was founded on the dream of making healthcare accessible to everyone, its principles have been chipped away at and disregarded by successive political leaders.

Each week, people read about new and exciting cancer drugs. Some of these drugs are truly transformative, offering major improvements in how long patients live or how they feel. But what is often missing from the popular narrative is that, far too often, these new drugs have marginal or minimal benefits. Some are even harmful.

Mistakes can be fatal—this reality is all too familiar in the healthcare industry. Do you want better clinical outcomes, fewer errors, increased productivity, and highly reliable patient care? High Reliability Healthcare offers some actionable tips from the safest and most reliable industry ever: the nuclear navy. For over seventy-five years, the nuclear navy has operated highly enriched nuclear reactors with sailors in their twenties at the helm and has never experienced an accident.

What Is a Doctor? is a vital contribution to the ongoing debate about how we maintain an NHS that is both fit for purpose and free. Using stories and case studies from across his thirty-year career as a GP, Dr Phil Whitaker offers insight into the medical movements, political interference and societal changes that have transformed the role of doctor over the past three decades.

Through five editions, The 36-Hour Day has been an essential resource for families who love and care for people with Alzheimer disease. Whether a person has Alzheimer disease or another form of dementia, he or she will face a host of problems. The 36-Hour Day will help family members and caregivers address these challenges and simultaneously cope with their own emotions and needs. Featuring useful takeaway messages and informed by recent research into the causes of and the search for therapies to prevent or cure dementia, this edition includes new information.

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.

Shortly before his 44th birthday, John Diamond received a call from the doctor who had removed a lump from his neck. Having been assured for the previous 2 years that this was a benign cyst, Diamond was told that it was, in fact, cancerous.

Before Bill Gates became an expert on climate science, he was known as one of the few who studied pandemics—how they start, how they spread, how they can be controlled. He warned us years ago in a now-famous TED Talk of their arrival in our future. The future, of course, is now, and now is when we have to plan against a next one. How to Prevent the Next Pandemic is a clear and upbeat plan of what every country, every government leader and every individual can do in order to help prevent another pandemic.

In most fields the consequences are limited, but in healthcare they can be fatal. Every week in England, there are 150 avoidable deaths. Most tragedies are treated as 'inevitable' when in fact they could be prevented simply and cheaply if we were better at learning from mistakes. By committing to a profession where the consequences of a mistake can be life or death, people in healthcare are braver than most of us.

In the pursuit of possible links between childhood vaccines, intestinal inflammation, and neurologic injury in children, Wakefield lost his job in London’s Royal Free Hospital, his country of birth, his career, and his medical license. A recent General Medical Council ruling stated that he was “dishonest, irresponsible and showed callous disregard for the distress and pain of children.” Maligned by the medical establishment and mainstream media, Wakefield endeavors to set the record straight.

Over the past 50 years, rates of autoimmunity and chronic disease have exploded. In this provocative book, Dr. Thomas Cowan argues for a direct causal relationship to a corresponding increase in the number of vaccines American children typically receive. The goal of these vaccines is precisely what we’re now seeing in such abundance among our chronically ill children: the provocation of immune response. Cowan looks at emerging evidence that certain childhood illnesses are actually protective of disease later in life.

Since its birth in 1948, the powers that be have chipped away at the NHS. Now, Britain's best-loved institution is under greater threat than ever, besieged by a deadly combination of underfunding, understaffing and the predatory private sector. In the wake of the pandemic, we have come to accept a 'new normal' of permanent crisis and years-long waiting lists. But, as Gavin Francis reveals in this short, vital book - it doesn't have to be this way, and until recently, it wasn't.

Is HRT unsafe? Should you avoid giving peanut butter to small children? Blind Spots uncovers how inaccurate research drives medical myths which can spark public health crises. Modern medicine shines when it draws on good scientific studies. But when medicine is led by dogmatic groupthink, it's everyday people who fall victim. Blind Spots examines the latest research to reveal the truths essential to our health.

Everyone knows how hard it can be to maintain a healthy diet. But what if some of the decisions we make about what to eat are beyond our control? Is it possible that food is addictive, like drugs or alcohol? And to what extent does the food industry know, or care, about these vulnerabilities? In Hooked, Pulitzer Prize-winning investigative reporter Michael Moss sets out to answer these questions and to find the true peril in our food.