The Long Fix
Solving America's Health Care Crisis with Strategies That Work for Everyone
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The Long Fix
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Narrated by:
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Charles Constant
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By:
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Vivian Lee
About this listen
In The Long Fix, physician and health-care CEO Vivian S. Lee, MD, cuts to the heart of the health-care crisis. The problem with the way medicine is practiced, she explains, is not so much who's paying, it's what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better - and that is both backward and dangerous.
Dr. Lee proposes turning the way we receive care completely inside out. When doctors, hospitals, and pharmaceutical companies are paid to keep people healthy, care improves and costs decrease. Lee shares inspiring examples of how this has been done, from physicians' practices that prioritize preventative care, to hospitals that adapt lessons from manufacturing plants to make them safer, to health-care organizations that share online how much care costs and how well each physician is caring for patients.
Using clear and compelling language, Dr. Lee paints a picture that is both realistic and optimistic. It may not be a quick fix, but her concrete action plan for reform - for employers and other payers, patients, clinicians, and policy makers - can reinvent health care, and create a less costly, more efficient, and healthier system for all.
©2020 Vivian S. Lee (P)2020 KaloramaListeners also enjoyed...
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- Unabridged
-
Overall4.5 out of 5 stars 253
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Performance4.5 out of 5 stars 222
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Story4.5 out of 5 stars 224
Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's best-selling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last 10 years, neither error rates nor costs have come down, despite scientific progress.
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5 out of 5 stars
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Everyone should read this book.
- By Julie on 06-11-16
By: Marty Makary
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Where Does It Hurt?
- An Entrepreneur's Guide to Fixing Health Care
- By: Jonathan Bush, Stephen Baker
- Narrated by: Patrick Lawlor
- Length: 7 hrs and 21 mins
- Unabridged
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Overall4.5 out of 5 stars 144
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Performance4.5 out of 5 stars 113
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Story4.5 out of 5 stars 115
A bold new remedy for the sprawling and wasteful health care industry. In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices.
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2 out of 5 stars
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No critical thinking
- By Steve from MD on 07-31-14
By: Jonathan Bush, and others
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Reinventing American Health Care
- How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System
- By: Ezekiel J. Emanuel
- Narrated by: William Dufris
- Length: 11 hrs and 57 mins
- Unabridged
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Overall4 out of 5 stars 143
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Performance4.5 out of 5 stars 126
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Story4 out of 5 stars 125
Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health-care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own American story, and why reform has bedeviled presidents of the left and right for more than one hundred years.
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2 out of 5 stars
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The book lacks integrity
- By Richard M. Shaner on 06-02-16
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Get What's Yours for Medicare
- Maximize Your Coverage, Minimize Your Costs
- By: Philip Moeller
- Narrated by: James Foster
- Length: 7 hrs and 27 mins
- Unabridged
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Overall4.5 out of 5 stars 56
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Performance4.5 out of 5 stars 48
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Story4.5 out of 5 stars 49
A coauthor of the New York Times bestselling guide to Social Security Get What's Yours authors an essential companion to explain Medicare, the nation's other major benefit for older Americans. Learn how to maximize your health coverage and save money.
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2 out of 5 stars
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Very Negative and Overwhelming
- By A.C.W. on 04-08-20
By: Philip Moeller
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Less Medicine, More Health
- 7 Assumptions That Drive Too Much Medical Care
- By: H. Gilbert Welch
- Narrated by: L. J. Ganser
- Length: 8 hrs and 18 mins
- Unabridged
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Overall5 out of 5 stars 102
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Performance5 out of 5 stars 91
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Story4.5 out of 5 stars 91
The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated - and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
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4 out of 5 stars
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The truth will set you free
- By Rene B Milner on 04-01-16
By: H. Gilbert Welch
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The Problem of Alzheimer's
- How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
- By: Jason Karlawish
- Narrated by: Jason Karlawish, Jonathan Todd Ross
- Length: 13 hrs and 41 mins
- Unabridged
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Overall5 out of 5 stars 36
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Performance4.5 out of 5 stars 28
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Story5 out of 5 stars 28
In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. Sixteen million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their 70s and 80s, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis.
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5 out of 5 stars
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A must read
- By kara kuntz on 05-20-21
By: Jason Karlawish
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Overall4.5 out of 5 stars 62
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Performance4.5 out of 5 stars 51
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Story4.5 out of 5 stars 49
Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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5 out of 5 stars
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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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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Overall4.5 out of 5 stars 114
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Performance4.5 out of 5 stars 93
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Story4.5 out of 5 stars 94
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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5 out of 5 stars
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Fascinating Survey of Healthcare in Amerixa
- By Rob on 06-24-19
By: Paul Starr
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The HPV Vaccine on Trial
- Seeking Justice for a Generation Betrayed
- By: Mary Holland, Kim Mack Rosenberg, Eileen Iorio
- Narrated by: Caroline Slaughter
- Length: 13 hrs and 41 mins
- Unabridged
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Overall5 out of 5 stars 58
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Performance5 out of 5 stars 50
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Story5 out of 5 stars 51
Cancer strikes fear in people’s hearts around globe. So the appearance of a vaccine to prevent cancer - as we are assured the human papillomavirus (HPV) vaccine will - seemed like a game-changer. Since 2006, over 80 countries have approved the vaccine, with glowing endorsements from the world’s foremost medical authorities. Bringing in over $2.5 billion in annual sales, the HPV vaccine is a pharmaceutical juggernaut. Yet scandal now engulfs it worldwide. The HPV Vaccine on Trial is a shocking tale, chronicling the global efforts to sell and compel this alleged miracle.
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5 out of 5 stars
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Outstanding Investigative Book!
- By Barbara Loeppke on 10-02-19
By: Mary Holland, and others
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Teeth
- The Story of Beauty, Inequality, and the Struggle for Oral Health in America
- By: Mary Otto
- Narrated by: Suehyla El'Attar
- Length: 9 hrs and 37 mins
- Unabridged
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Overall4 out of 5 stars 275
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Performance4.5 out of 5 stars 243
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Story4 out of 5 stars 245
Teeth takes listeners on a disturbing journey into America's silent epidemic of oral disease, exposing the hidden connections between tooth decay and stunted job prospects, low educational achievement, social mobility, and the troubling state of our public health.
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4 out of 5 stars
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Content everyone should know; dismal narration
- By Elaine on 08-04-17
By: Mary Otto
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A Bittersweet Season
- Caring for Our Aging Parents - And Ourselves
- By: Jane Gross
- Narrated by: Kate Reading
- Length: 15 hrs and 35 mins
- Unabridged
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Overall4.5 out of 5 stars 84
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Performance4.5 out of 5 stars 73
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Story4.5 out of 5 stars 75
In telling the intimate story of caring for her aged and ailing mother, Jane Gross offers indispensable, and often surprising, advice for the rapidly increasing number of adult children responsible for aging parents. Gross deftly weaves the specifics of her personal experience with a comprehensive resource for effectively managing the lives of one's own parents while keeping sanity and strength intact.
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5 out of 5 stars
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Exceptional, thought-provoking, liberating!
- By Anne on 08-10-11
By: Jane Gross
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How Healing Works
- Get Well and Stay Well Using Your Hidden Power to Heal
- By: Wayne Jonas MD
- Narrated by: Ray Porter
- Length: 11 hrs and 28 mins
- Unabridged
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Overall4.5 out of 5 stars 55
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Performance5 out of 5 stars 48
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Story5 out of 5 stars 48
Drawing on 40 years of research and patient care, Dr. Wayne Jonas explains how 80 percent of healing occurs organically and how to activate the healing process. In How Healing Works, Dr. Wayne Jonas lays out a revolutionary new way to approach injury, illness, and wellness. Dr. Jonas explains the biology of healing and the science behind the discovery that 80 percent of healing can be attributed to the mind-body connection and other naturally occurring processes. Jonas details how the healing process works and what we can do to facilitate our own innate ability to heal.
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5 out of 5 stars
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AWESOME !
- By Paula on 08-06-18
By: Wayne Jonas MD
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The Nordic Theory of Everything
- In Search of a Better Life
- By: Anu Partanen
- Narrated by: Abby Craden
- Length: 10 hrs and 28 mins
- Unabridged
-
Overall4.5 out of 5 stars 1,013
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Performance4.5 out of 5 stars 873
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Story4.5 out of 5 stars 867
Moving to America in 2008, Finnish journalist Anu Partanen quickly went from confident, successful professional to wary, self-doubting mess. She found that navigating the basics of everyday life - from buying a cell phone and filing taxes to education and childcare - was much more complicated and stressful than anything she encountered in her homeland. At first she attributed her crippling anxiety to the difficulty of adapting to a freewheeling new culture. But as she got to know Americans better, she discovered they shared her deep apprehension.
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4 out of 5 stars
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A non-radical perspective on two societies
- By kwdayboise (Kim Day) on 06-20-17
By: Anu Partanen
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Super Crunchers
- Why Thinking-by-Numbers Is the New Way to Be Smart
- By: Ian Ayres
- Narrated by: Michael Kramer
- Length: 7 hrs and 34 mins
- Unabridged
-
Overall4 out of 5 stars 849
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Performance4.5 out of 5 stars 273
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Story4 out of 5 stars 275
Today, number crunching affects your life in ways you might never imagine. In this lively and groundbreaking new audiobook, economist Ian Ayres shows how today's best and brightest organizations are analyzing massive databases at lightening speed to provide greater insights into human behavior. They are the Super Crunchers.
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5 out of 5 stars
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Great book on
- By Jon on 01-31-08
By: Ian Ayres
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Power and Prediction
- The Disruptive Economics of Artificial Intelligence
- By: Ajay Agrawal, Joshua Gans, Avi Goldfarb
- Narrated by: Tom Beyer
- Length: 10 hrs and 7 mins
- Unabridged
-
Overall4.5 out of 5 stars 100
-
Performance4.5 out of 5 stars 88
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Story4 out of 5 stars 88
In their bestselling first book, Prediction Machines, eminent economists Ajay Agrawal, Joshua Gans, and Avi Goldfarb explained the simple yet game-changing economics of AI. Now, in Power and Prediction, they go deeper, examining the most basic unit of analysis: the decision. The authors explain that the two key decision-making ingredients are prediction and judgment, and we perform both together in our minds, often without realizing it.
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5 out of 5 stars
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Inspire system thinking with informative examples
- By Lucy A. Pithecus on 11-16-22
By: Ajay Agrawal, and others
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How Doctors Think
- By: Jerome Groopman M.D.
- Narrated by: Michael Prichard
- Length: 10 hrs and 27 mins
- Unabridged
-
Overall4 out of 5 stars 749
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Performance4 out of 5 stars 393
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Story4.5 out of 5 stars 394
On average, a physician will interrupt a patient describing her symptoms within 12 seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong: with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
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3 out of 5 stars
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Disappointing
- By Audiophile on 05-13-07
What listeners say about The Long Fix
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- Amazon Customer
- 02-23-22
Must read for all in healthcare!
Fantastic book that takes a deep dive into healthcare finance, IT, and more. It is a must read for anyone in healthcare.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- Camille
- 03-22-23
Pay for Performance Healthcare
This is an in depth look at problems with the current healthcare system in the US. It’s well written and covers a lot of ongoing problems related to cost and outcomes. The author offers solutions that are business oriented, and talks about how many of them have already been implemented to a limited degree by specific organizations. I’d recommend this to anyone trying to get a grip on healthcare in the US, especially from the point of view of developing policy or trying to understand what your organization can do better.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- Amazon Customer
- 04-13-21
succinct and realistic
Lee provides excellent real world examples and practical guidance to reinforce her proposed possibilities for a better health system for all.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- Galen
- 10-20-20
Wide view and great knowledge
The number of important topics discussed in this book was vast and the recommended actions reasonable. I’m going to have to listen again with pen in hand, or break down and buy a printed copy to highlight and solidify my understanding of several topics.
Thank you for a great book on healthcare and the long view of the pitfalls and ways to potential fix it.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- JJ
- 12-17-22
Great content to understand health care reform
Dr. Lee provides important insights on the current state of health care, and its potential future if we are willing to chart a specified course.
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Overall5 out of 5 stars
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Performance5 out of 5 stars
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Story5 out of 5 stars
- ndr
- 01-29-24
Concise with good content
Comprehensive and yet concise coverage of issues in US healthcare. Good intro read. Highly recommended book
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Overall2 out of 5 stars
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Performance1 out of 5 stars
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Story3 out of 5 stars
- Sara K
- 10-16-20
Unsatisfactory narration
This could have been perfect material for an audio book. However, the narration is very unsatisfactory. Narrator reads in a constant, monotone voice (making me wonder is it a computer reading), with no intonation differences signaling beginning or end of a chapter. The voice does not even read out the chapter title. Very unfortunate. Regarding the content, some book chapters are more of an accounting laundry list than actionable takeaways. For time and money better spent, check out the author’s appearance in the Hidden Brain podcast.
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1 person found this helpful