Showing titles in Policy & Administration

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.

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."

Science doesn't speak for itself. Neck-deep in work that can be messy and confounding and naïve in the ways of public communication, scientists are often unable to package their insights into the neat narratives that the public requires. Enter celebrities, advocates, lobbyists, and the funders behind them, who take advantage of scientists' reluctance to provide easy answers, flooding the media with misleading or incorrect claims about health risks. In Bad Advice, Paul A. Offit shares hard-earned wisdom on the dos and don'ts of battling misinformation.

The coronavirus pandemic has devastated lives and livelihoods around the world - and continues to do so. These personal tragedies will, and must, be told and heard. There is, however, also a truthful and objective scientific narrative to be written about how the virus played out and how the world set about dealing with it. Spike is that story - from the inside. Its author, Jeremy Farrar, is one of the UK's leading scientists and a - member of the SAGE emergency committee.

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.

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.

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.

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.

Over the past two decades, medical and therapeutic approaches to transgender patients have changed radically, from treating a supposed pathology to offering gender-affirming care. Based on ethnographic fieldwork in New York City and Buenos Aires, Care without Pathology moves across the Americas to show how trans- health activists have taken on the project of depathologization.

Since its foundation in 1948, the NHS has been a cornerstone of British life—we are born into it, we are looked after by it, and quite often we die in it. From the sexual revolution of the '60s to the first test tube baby, from the Mental Health Act to the Coronavirus crisis, it has made history again and again—shaping our society and culture. But the NHS has also become a battleground for some of the fiercest political contests of our time; perceived as a national treasure that needs to be preserved at all costs, and as a lumbering piece of state machinery in need of renovation.

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.

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.

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.

Building on the foundation laid by Moshe Feldenkrais, Thomas Hanna's groundbreaking work completely redefines the body's potential for withstanding decline. His gentle program for the mind and body proves once and for all that so many problems we accept as inevitable over time - chronic stiffness, bad back, chronic pain, fatigue, and, at times, even high blood pressure - need never occur if we maintain conscious control of nerve and muscle, replacing Sensory-Motor Amnesia with Sensory-Motor Awareness.

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.

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.

Is your healthcare organization spending too much time on strategy—with too little to show for it? If you read (or listen to) nothing else on strategy, listen to these ten articles. We've combed through hundreds of Harvard Business Review articles and selected the most important ones for healthcare professionals to help you catalyze your organization's strategy development and execution.

Regarded as one of the finest journalists of her generation, Mamie Baird Magnusson's whole life was a celebration of words - words that she fought to retain in the grip of a disease which is fast becoming the scourge of the 21st century. Married to writer and broadcaster Magnus Magnusson, they had five children of whom Sally is the eldest.

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.

Kate never expected to become a home care worker. But when she left her senior role in the NHS, burnt-out and disheartened, she thought caring for people in their own homes would be a simpler job. But despite being determined not to become too involved with her 'customers', she soon found herself developing firm friendships, forging deep connections and bearing witness to the extraordinary drama to be found in ordinary lives. With energy, compassion and clarity her memoir gives an astonishing insight into this unsung profession, and into the hidden lives of the housebound and infirm.