Information

An American Sickness by Elisabeth Rosenthal
  • Title: An American Sickness
  • Subtitle: How Healthcare Became Big Business and How You Can Take It Back
  • Author(s): Elisabeth Rosenthal
  • Publisher: Penguin
  • Year: 2017-04-11
  • ISBN-10: 0698407180
  • ISBN-13: 9780698407183

Summary

An American Sickness” by Elisabeth Rosenthal is a powerful exposé that delves deep into the complex and often bewildering world of healthcare in the United States. In this eye-opening book, Rosenthal, a seasoned medical journalist and physician, unravels the web of greed, inefficiency, and systemic flaws that plague the American healthcare system. Through meticulous research and compelling storytelling, she sheds light on the myriad issues that contribute to exorbitant healthcare costs and often subpar patient outcomes.

One of the central themes of the book is the commodification of healthcare. Rosenthal highlights how healthcare in the U.S. has become a profit-driven industry, where hospitals, pharmaceutical companies, insurance companies, and even some medical professionals prioritize financial gain over patient well-being. She uncovers the exorbitant prices of medical procedures, prescription drugs, and hospital stays, revealing the shocking markups that have become commonplace. Rosenthal argues that this profit motive has led to a system where patients often pay the price through inflated bills and unexpected medical debt.

Rosenthal also examines the role of health insurance in perpetuating the problems of the American healthcare system. She exposes the complexity of insurance plans, the prevalence of high deductibles, and the challenges patients face in navigating their coverage. Additionally, she discusses the influence of pharmaceutical companies on drug pricing and the ways in which the industry prioritizes profits over accessibility to life-saving medications. Through real-life examples and in-depth analysis, Rosenthal demonstrates how these issues contribute to a system that is often more concerned with financial gain than the health and well-being of patients.

In “An American Sickness,” Elisabeth Rosenthal provides a sobering and thought-provoking critique of the American healthcare system. Her book serves as a call to action, urging readers to question the status quo and demand transparency, accountability, and affordability in healthcare. By shedding light on the systemic issues plaguing the system, Rosenthal empowers readers to become informed advocates for change. This book is a must-read for anyone seeking to understand the intricacies of healthcare in the United States and the urgent need for reform to prioritize patients over profits.

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Book Review

"An American Sickness" by Elisabeth Rosenthal - An Incisive Examination of Healthcare in the United States

An American Sickness” by Elisabeth Rosenthal is a compelling and meticulously researched exploration of the intricate and often bewildering world of healthcare in the United States. Drawing on her extensive experience as a medical journalist and physician, Rosenthal dissects the myriad issues plaguing the American healthcare system, exposing a web of profit-driven motives, systemic flaws, and exorbitant costs. Through a combination of in-depth research, real-life examples, and poignant storytelling, Rosenthal offers readers an eye-opening look at the dysfunction and greed that have come to define American healthcare.

One of the book’s central themes is the commodification of healthcare in the United States. Rosenthal astutely demonstrates how the healthcare industry has transformed into a profit-driven machine where financial interests often supersede patient well-being. She unveils the staggering prices attached to medical procedures, prescription drugs, and hospital stays, revealing the shocking markups that have become the norm. Rosenthal cites a multitude of examples, including the case of a $2.7 billion charge for a five-day hospital stay, which exemplifies the astronomical costs that patients can face, often leading to crippling medical debt.

Rosenthal skillfully navigates the convoluted world of health insurance, emphasizing how it compounds the problems within the American healthcare system. She delves into the complexity of insurance plans, the proliferation of high deductibles, and the bureaucratic hurdles patients encounter when attempting to understand their coverage. Through a heartbreaking example of a patient who, despite having insurance, was saddled with a $10,000 bill for a single hospital visit, Rosenthal illustrates how the very insurance system designed to protect patients can sometimes leave them vulnerable to financial ruin.

Pharmaceutical companies also come under Rosenthal’s scrutiny as she investigates the pricing of prescription drugs. She highlights the outrageous markups and price hikes for medications that are essential to patients’ health and well-being. For instance, she describes the story of Martin Shkreli, the notorious figure who raised the price of a life-saving drug by 5,000 percent overnight, causing outrage and illustrating the profit-driven nature of the pharmaceutical industry.

Throughout “An American Sickness,” Rosenthal presents a poignant critique of a system that often prioritizes profit over patients. She reveals the influence of lobbyists and special interest groups in shaping healthcare policy and regulations, resulting in a system that can seem opaque and inaccessible to the average American. Rosenthal’s writing is both compassionate and incisive, shedding light on the human toll of a system that fails to provide affordable, accessible, and equitable care.

In addition to highlighting the problems within the American healthcare system, Rosenthal offers solutions and examples of alternative models from around the world. She underscores the need for transparency in healthcare pricing, a simplified insurance system, and more rigorous oversight of pharmaceutical pricing. Through examples of successful healthcare systems in other countries, she demonstrates that achieving quality healthcare without bankrupting individuals is indeed possible.

An American Sickness” is a clarion call to action. It urges readers to question the status quo, demand transparency and accountability, and become advocates for change. Rosenthal’s book is a powerful tool for empowering individuals to navigate the healthcare system more effectively, make informed decisions, and advocate for policies that prioritize patients over profits.

In conclusion, “An American Sickness” by Elisabeth Rosenthal is a masterful and urgent exploration of the challenges facing the American healthcare system. Through meticulous research and compelling storytelling, Rosenthal exposes the root causes of exorbitant costs, insurance complexities, and pharmaceutical price gouging. Her book serves as a rallying cry for reform, offering a vision of a healthcare system that prioritizes the well-being of patients and ensures access to affordable care for all. It is essential reading for anyone seeking to understand the intricacies of American healthcare and the pressing need for change.

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The alarming statistics are incontrovertible and well-known: the United States spends significantly more on healthcare than any other country, yet our health outcomes are far from the best.

Key Ideas

An American Sickness” by Elisabeth Rosenthal presents several key ideas and insights into the American healthcare system:

  1. Profit-Driven Healthcare One of the central themes of the book is the transformation of healthcare in the United States into a profit-driven industry. Rosenthal argues that the pursuit of profits has led to exorbitant healthcare costs, with hospitals, pharmaceutical companies, insurance companies, and even some medical professionals prioritizing financial gain over patient well-being. This profit motive has resulted in inflated prices for medical procedures, prescription drugs, and hospital stays.

  2. The Complexity of Health Insurance Rosenthal delves into the intricacies of health insurance in the United States. She highlights the complexities of insurance plans, the prevalence of high deductibles, and the challenges patients face in navigating their coverage. The book underscores how insurance, designed to protect patients, often leaves them vulnerable to unexpected and crippling medical bills.

  3. Pharmaceutical Price Gouging The book examines the pharmaceutical industry and the exorbitant prices of prescription drugs. Rosenthal reveals how some pharmaceutical companies engage in price gouging, raising the cost of life-saving medications to astronomical levels. She cites examples of drugs with massive price hikes, emphasizing the financial burden this places on patients.

  4. Lobbyists and Special Interests Rosenthal sheds light on the influence of lobbyists and special interest groups in shaping healthcare policy and regulations. She argues that their involvement has often resulted in a healthcare system that lacks transparency and accountability, making it difficult for ordinary Americans to understand and navigate.

  5. Alternatives and Global Models While critiquing the American system, Rosenthal also explores alternative healthcare models from around the world. She presents examples of successful healthcare systems in other countries that prioritize accessibility, affordability, and quality of care. These global models serve as a contrast to the challenges faced by the American system and offer potential solutions.

  6. Advocacy for Reform “An American Sickness” is a call to action. Rosenthal urges readers to question the status quo, demand transparency in healthcare pricing, advocate for simplified insurance systems, and push for more rigorous oversight of pharmaceutical pricing. She empowers individuals to become informed advocates for change in the healthcare system.

  7. Human Stories Throughout the book, Rosenthal incorporates real-life stories of individuals who have faced the consequences of the American healthcare system’s shortcomings. These stories humanize the issues discussed in the book and illustrate the personal toll that healthcare costs and complexities can take on patients and their families.

In summary, “An American Sickness” offers a comprehensive critique of the American healthcare system, highlighting the profit-driven nature of healthcare, the challenges of health insurance, and the issues surrounding pharmaceutical pricing. It calls for reform and advocates for a healthcare system that prioritizes patients’ well-being and ensures access to affordable and quality care. Rosenthal’s book provides readers with a deep understanding of the complexities and flaws within the American healthcare system while offering potential pathways to improvement.

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Target Audience

An American Sickness” by Elisabeth Rosenthal is targeted at a diverse audience interested in understanding, reforming, or navigating the American healthcare system. This comprehensive exposé is recommended reading for several key audiences:

  • Patients and Healthcare Consumers The book is invaluable for patients and healthcare consumers seeking to navigate the complexities of the American healthcare system. It empowers them with insights into understanding medical billing, insurance claims, and strategies for advocating for affordable and quality care. Patients facing healthcare-related financial challenges will find this book particularly enlightening and actionable.

  • Healthcare Professionals Healthcare professionals, including doctors, nurses, and administrators, can benefit from reading “An American Sickness.” It provides a deeper understanding of the financial and administrative aspects of healthcare, which are often overlooked in clinical training. By grasping the broader healthcare landscape, professionals can better advocate for their patients and engage in discussions about healthcare reform.

  • Policy Advocates and Reformers Advocates and policymakers focused on healthcare reform will find this book to be an essential resource. Rosenthal’s in-depth analysis of the issues plaguing the American healthcare system offers valuable insights for crafting and advocating for effective policy changes. It serves as a rallying cry for those dedicated to improving healthcare accessibility, affordability, and transparency.

  • Students and Researchers Students pursuing degrees in healthcare administration, public health, and related fields will find “An American Sickness” to be a valuable academic resource. Researchers interested in healthcare economics, policy, and ethics will also benefit from the book’s comprehensive exploration of healthcare issues. It provides a strong foundation for scholarly investigation and critical analysis.

  • General Readers and Informed Citizens The book is accessible to general readers and informed citizens concerned about healthcare in the United States. It offers a clear and compelling narrative that sheds light on the complexities of the American healthcare system. In an era where healthcare affects everyone, this book equips readers with knowledge to make informed decisions and engage in important discussions about healthcare reform.

In conclusion, “An American Sickness” by Elisabeth Rosenthal is recommended reading for a broad spectrum of audiences, including patients, healthcare professionals, policy advocates, students, and general readers. It provides a comprehensive and eye-opening account of the challenges within the American healthcare system while offering potential avenues for reform. By empowering readers with knowledge and insights, the book encourages informed engagement with one of the most critical issues facing the nation today: the accessibility, affordability, and quality of healthcare.



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This book review may contain excerpts and references from the reviewed work, used under the doctrine of fair use. The purpose is to provide a critical analysis, commentary, and evaluation of the book. The use of these excerpts is done for non-commercial and educational purposes, aimed at fostering discussion and understanding. The author acknowledges the original copyright holder's rights and asserts that the use of such material is transformative, adding value through the inclusion of informed opinions and insights. This review intends to comply with the principles of fair use under copyright law and does not seek to infringe upon the author's or publisher's rights.


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