The Social Transformation of American Medicine
The Rise of a Sovereign Profession and the Making of a Vast Industry
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The Social Transformation of American Medicine
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Narrated by:
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Sean Runnette
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By:
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Paul Starr
About this listen
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. How did the financially insecure medical profession of the 19th century become a most prosperous one in the 20th century? Why was national health insurance blocked? And why are corporate institutions taking over our medical care system today?
Beginning in 1760 and coming up to the present day, renowned sociologist Paul Starr traces the decline of professional sovereignty in medicine, the political struggles over healthcare, and the rise of a corporate system.
Updated with a new preface and an epilogue analyzing developments since the early 1980s, this new edition of The Social Transformation of American Medicine is a must-listen for anyone concerned about the future of our fraught healthcare system.
©1982 Paul Starr (P)2018 TantorListeners also enjoyed...
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Long but not deep
- By ProfGolf on 05-13-16
By: Derek Bok
-
When Affirmative Action Was White
- An Untold History of Racial Inequality in Twentieth-Century America
- By: Ira Katznelson
- Narrated by: Jonathan Yen
- Length: 8 hrs and 20 mins
- Unabridged
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Overall4.5 out of 5 stars 257
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Performance4.5 out of 5 stars 224
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Story5 out of 5 stars 221
In this "penetrating new analysis" ( New York Times Book Review), Ira Katznelson fundamentally recasts our understanding of 20th century American history and demonstrates that all the key programs passed during the New Deal and Fair Deal era of the 1930s and 1940s were created in a deeply discriminatory manner. Through mechanisms designed by southern democrats that specifically excluded maids and farm workers, the gap between blacks and whites actually widened despite postwar prosperity.
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5 out of 5 stars
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Absolute Must Read
- By Andrew on 01-02-18
By: Ira Katznelson
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The Fourth Revolution
- The Global Race to Reinvent the State
- By: John Micklethwait, Adrian Wooldridge
- Narrated by: Chris Sorensen
- Length: 10 hrs and 5 mins
- Unabridged
-
Overall4 out of 5 stars 98
-
Performance4 out of 5 stars 80
-
Story4 out of 5 stars 77
From the best-selling authors of The Right Nation, a visionary argument that our current crisis in government is nothing less than the fourth radical transition in the history of the nation-state. Dysfunctional government: It' s become a cliché, and most of us are resigned to the fact that nothing is ever going to change. As John Micklethwait and Adrian Wooldridge show us, that is a seriously limited view of things. In fact, there have been three great revolutions in government in the history of the modern world.
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5 out of 5 stars
-
A must read for everyone wondering whats going?
- By Truth-be-told on 03-30-15
By: John Micklethwait, and others
-
American Psychosis
- How the Federal Government Destroyed the Mental Illness Treatment System
- By: E. Fuller Torrey
- Narrated by: Stephen McLaughlin
- Length: 9 hrs and 48 mins
- Unabridged
-
Overall4.5 out of 5 stars 146
-
Performance4 out of 5 stars 127
-
Story4.5 out of 5 stars 127
E. Fuller Torrey's audiobook provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public.
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5 out of 5 stars
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Devastating analysis on US mental health policy!
- By Kevin on 07-13-14
By: E. Fuller Torrey
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Building the New American Economy
- Smart, Fair, and Sustainable
- By: Jeffrey D. Sachs, Bernie Sanders - foreward
- Narrated by: Rudy Sanda
- Length: 4 hrs and 13 mins
- Unabridged
-
Overall4.5 out of 5 stars 40
-
Performance4 out of 5 stars 35
-
Story4.5 out of 5 stars 35
With a nation seemingly more divided than ever, many worry that Americans risk losing ground on solving the complex, interrelated problems the country faces - including rising inequality, the specter of climate change, astronomical health care costs, and economic stagnation. The renowned economist Jeffrey D. Sachs offers a practical approach to move America toward a new consensus: sustainable development.
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5 out of 5 stars
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If only....
- By Baboo TH on 01-24-18
By: Jeffrey D. Sachs, and others
-
Economics for the Common Good
- By: Jean Tirole, Steven Rendell - translator
- Narrated by: Jonathan Davis
- Length: 18 hrs and 54 mins
- Unabridged
-
Overall4.5 out of 5 stars 56
-
Performance4.5 out of 5 stars 44
-
Story4.5 out of 5 stars 42
When Jean Tirole won the 2014 Nobel Prize in Economics, he suddenly found himself being stopped in the street by complete strangers and asked to comment on issues of the day, no matter how distant from his own areas of research. His transformation from academic economist to public intellectual prompted him to reflect further on the role economists and their discipline play in society. The result is Economics for the Common Good, a passionate manifesto for a world in which economics, far from being a "dismal science," is a positive force for the common good.
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4 out of 5 stars
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A Great Overview of the Challenges of Modern Econ
- By Zach Sullivan on 08-06-18
By: Jean Tirole, and others
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The Conscience of a Liberal
- By: Paul Krugman
- Narrated by: Jason Culp
- Length: 9 hrs and 9 mins
- Unabridged
-
Overall4.5 out of 5 stars 518
-
Performance4.5 out of 5 stars 252
-
Story4.5 out of 5 stars 252
America emerged from Franklin Roosevelt's New Deal with strong democratic values and broadly shared prosperity. But for the past 30 years, American politics has been dominated by a conservative movement determined to undermine the New Deal's achievements. Now, the tide may be turning, and in The Conscience of a Liberal Paul Krugman, the world's most widely read economist and one of its most influential political commentators, charts the way to reform.
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5 out of 5 stars
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Great Book!!!
- By carl801 on 12-04-07
By: Paul Krugman
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A Capitalism for the People
- Recapturing the Lost Genius of American Prosperity
- By: Luigi Zingales
- Narrated by: Jonathan Davis
- Length: 11 hrs and 20 mins
- Unabridged
-
Overall4.5 out of 5 stars 64
-
Performance4.5 out of 5 stars 52
-
Story4.5 out of 5 stars 50
Born in Italy, University of Chicago economist Luigi Zingales witnessed firsthand the consequences of high inflation and unemployment - paired with rampant nepotism and cronyism - on a country’s economy. This experience profoundly shaped his professional interests, and in 1988 he arrived in the United States, armed with a political passion and the belief that economists should not merely interpret the world, but should change it for the better.
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4 out of 5 stars
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Enjoyable but a tad predictable.
- By Kevin on 12-24-12
By: Luigi Zingales
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The Third Revolution
- Xi Jinping and the New Chinese State
- By: Elizabeth C. Economy
- Narrated by: Jo Anna Perrin
- Length: 11 hrs and 3 mins
- Unabridged
-
Overall4 out of 5 stars 259
-
Performance4 out of 5 stars 234
-
Story4.5 out of 5 stars 224
Eminent China scholar Elizabeth C. Economy provides an incisive look at the transformative changes underway in China today. Chinese leader Xi Jinping has unleashed a powerful set of political and economic reforms: the centralization of power under Xi himself; the expansion of the Communist Party's role in Chinese political, social, and economic life; and the construction of a virtual wall of regulations to control more closely the exchange of ideas and capital between China and the outside world.
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4 out of 5 stars
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A decent synopsis of Xi Jinping and his polices
- By Yoda on 04-29-19
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A Generation of Sociopaths
- How the Baby Boomers Betrayed America
- By: Bruce Cannon Gibney
- Narrated by: Wayne Pyle
- Length: 14 hrs and 49 mins
- Unabridged
-
Overall4 out of 5 stars 758
-
Performance4.5 out of 5 stars 658
-
Story4 out of 5 stars 657
What happens when a society is run by people who are antisocial? Welcome to baby boomer America. In A Generation of Sociopaths, Bruce Cannon Gibney shows how America was hijacked by the boomers, a generation whose reckless self-indulgence degraded the foundations of American prosperity.
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5 out of 5 stars
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Honest introspection required
- By Niki on 03-31-17
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FDR's Folly
- How Roosevelt and His New Deal Prolonged the Great Depression
- By: Jim Powell
- Narrated by: William Hughes
- Length: 9 hrs and 26 mins
- Unabridged
-
Overall4.5 out of 5 stars 499
-
Performance4.5 out of 5 stars 320
-
Story4.5 out of 5 stars 321
In the minds of historians and the American public alike, Franklin Delano Roosevelt was one of our greatest presidents, not least because he supposedly saved America from the Great Depression. But as historian Jim Powell reveals in this groundbreaking book, Roosevelt's New Deal policies actually prolonged and exacerbated the economic disaster.
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2 out of 5 stars
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Scones for the Tea Party
- By Chiefkent on 06-11-12
By: Jim Powell
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Hostile Takeover
- Resisting Centralized Government's Stranglehold on America
- By: Matt Kibbe
- Narrated by: George Newbern
- Length: 12 hrs and 11 mins
- Unabridged
-
Overall4.5 out of 5 stars 53
-
Performance4.5 out of 5 stars 48
-
Story4.5 out of 5 stars 49
Hostile Takeover is a rebellious challenge to the "upper management" of government, who are choking American prosperity and liberty. Matt Kibbe exposes the privileged collusion of Washington insiders - and maps out a proven plan for how to return power from the self-appointed "experts" back to the people. Dubbed "one of the Tea Party's masterminds" by Newsweek, Kibbe reveals how grassroots citizens can and will check the federal behemoth and restore the American enterprise.
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5 out of 5 stars
-
An amazing book from an interesting perspective
- By Aaron on 12-28-12
By: Matt Kibbe
-
How Are You Going to Pay for That?
- Smart Answers to the Dumbest Question in Politics
- By: Ryan Cooper
- Narrated by: Ryan Cooper
- Length: 8 hrs and 22 mins
- Unabridged
-
Overall4.5 out of 5 stars 40
-
Performance4.5 out of 5 stars 37
-
Story4.5 out of 5 stars 36
How Are You Going to Pay for That? is filled with engaging discussions and detailed strategies that policymakers and citizens alike can use to assail even the most entrenched lines of neoliberal logic and start to undo these long-held misconceptions. Equal parts economic theory, history, and political polemic, this is an essential roadmap for winning the key battles to come.
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3 out of 5 stars
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Yay, Taxes!!!
- By Luvelway on 02-19-24
By: Ryan Cooper
-
The Hidden History of the Supreme Court and the Betrayal of America
- The Thom Hartmann Hidden History Series
- By: Thom Hartmann
- Narrated by: Sean Pratt
- Length: 4 hrs and 15 mins
- Unabridged
-
Overall5 out of 5 stars 134
-
Performance5 out of 5 stars 120
-
Story4.5 out of 5 stars 120
Taking his typically in-depth, historically informed view, Thom Hartmann asks: What if the Supreme Court didn't have the power to strike down laws? According to the Constitution, it doesn't. From the founding of the republic until 1803, the Supreme Court was the final court of appeals, as it was always meant to be. So where did the concept of judicial review start? As so much of modern American history, it began with the battle between the Federalists and Anti-Federalists, and with Marbury v. Madison.
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5 out of 5 stars
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A must read to understand why voting is essential.
- By Brandon WIlliams on 10-05-19
By: Thom Hartmann
-
Supercapitalism
- The Transformation of Business, Democracy, and Everyday Life
- By: Robert B. Reich
- Narrated by: Dick Hill
- Length: 9 hrs and 36 mins
- Unabridged
-
Overall4 out of 5 stars 179
-
Performance4.5 out of 5 stars 67
-
Story4.5 out of 5 stars 69
Since the 1970s, and notwithstanding three recessions, the U.S. economy has soared. American capitalism has been a triumph, and it has spread throughout the world. At the same time, argues the former U.S. secretary of labor, Robert B. Reich, the effectiveness of democracy in America has declined. It has grown less responsive to the citizenry, and people are feeling more and more helpless as a result.
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5 out of 5 stars
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Robert Reich for V.P. (of the U.S.)
- By Horace on 11-07-07
By: Robert B. Reich
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How do we explain our newfound cultural investment in empathy and social justice? For decades, Joseph Campbell had defined our cultural aspirations in The Hero with a Thousand Faces, emphasizing the value of seeking glory and earning immortality. His work became the playbook for Hollywood, with its many male-centric quest narratives. Challenging the models in Campbell's canonical work, Maria Tatar explores how heroines, rarely wielding a sword and deprived of a pen, have flown beneath the radar even as they have been bent on social missions.
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Immerse yourself in the history of medicine - a colorful story of skill, serendipity, trial and error, moments of genius, and dogged determination.
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From the story of the desperate man from 17th-century Amsterdam who grimly cut a stone out of his own bladder to Bob Marley's deadly toe, Under the Knife offers a wealth of fascinating and unforgettable insights into medicine and history via the operating room. What happens during an operation? How does the human body respond to being attacked by a knife, a bacterium, a cancer cell, or a bullet? And, as medical advances continuously push the boundaries of what medicine can cure, what are the limits of surgery?
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Why did a surgeon need a fast horse?
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Now published in five languages, Strange Medicine casts a gimlet eye on the practice of medicine through the ages that highlights the most dubious ideas, bizarre treatments, and biggest blunders. From bad science and oafish behavior to stomach-turning procedures that hurt more than helped, Strange Medicine presents strange but true facts and an honor roll of doctors, scientists, and dreamers who inadvertently turned the clock of medicine backward.
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By Steppe, Desert, and Ocean
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By Steppe, Desert, and Ocean is nothing less than the story of how humans first started building the globalized world we know today. Set on a huge continental stage, from Europe to China, it is a tale covering more than 10,000 years, from the origins of farming around 9000 BC to the expansion of the Mongols in the 13th century AD.
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Remarkable research!
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In this vivid and compelling narrative, the Seven Years' War - long seen as a mere backdrop to the American Revolution - takes on a whole new significance. Relating the history of the war as it developed, Anderson shows how the complex array of forces brought into conflict helped both to create Britain's empire and to sow the seeds of its eventual dissolution. Beginning with a skirmish in the Pennsylvania backcountry involving an inexperienced George Washington, the Iroquois chief Tanaghrisson, and the ill-fated French emissary Jumonville, Anderson reveals a chain of events that would lead to world conflagration.
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A Detailed History
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Extreme Medicine
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Overall4 out of 5 stars 261
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Performance4 out of 5 stars 219
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Little more than 100 years ago, maps of the world still boasted white space: places where no human had ever trod. Within a few short decades the most hostile of the world's environments had all been conquered. Likewise, in the 20th century, medicine transformed human life. Doctors took what was routinely fatal and made it survivable. As modernity brought us ever more into different kinds of extremes, doctors pushed the bounds of medical advances and human endurance. Extreme exploration challenged the body in ways that only the vanguard of science could answer.
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4 out of 5 stars
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EXTREME MEDICINE
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By: Kevin Fong
-
Viruses, Plagues, and History
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- Unabridged
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Overall4.5 out of 5 stars 550
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Performance4.5 out of 5 stars 467
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The story of viruses and humanity is a story of fear and ignorance, of grief and heartbreak, and of great bravery and sacrifice. Michael Oldstone tells all these stories as he illuminates the history of the devastating diseases that have tormented humanity, focusing mostly on the most famous viruses. For this revised edition, Oldstone includes discussions of new viruses like SARS, bird flu, virally caused cancers, chronic wasting disease, and West Nile. Viruses, Plagues, and History paints a sweeping portrait of humanity's long-standing conflict with our unseen viral enemies.
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4 out of 5 stars
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very detailed, but very statistical
- By ekhensel15 on 01-12-19
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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- By: Brendan Reilly
- Narrated by: Rob Shapiro
- Length: 15 hrs and 7 mins
- Unabridged
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Overall4.5 out of 5 stars 2,234
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Performance4.5 out of 5 stars 2,031
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Story4.5 out of 5 stars 2,027
An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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5 out of 5 stars
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Simply Brilliant
- By Jan on 06-20-14
By: Brendan Reilly
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Korea
- The Impossible Country
- By: Daniel Tudor
- Narrated by: James Cameron Stewart
- Length: 13 hrs and 44 mins
- Unabridged
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Overall4.5 out of 5 stars 134
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Performance4.5 out of 5 stars 113
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Story4.5 out of 5 stars 112
Long overshadowed by Japan and China, South Korea is a small country that happens to be one of the great national success stories of the postwar period. From a failed state with no democratic tradition, ruined and partitioned by war, and sapped by a half-century of colonial rule, South Korea transformed itself in just 50 years into an economic powerhouse and a democracy that serves as a model for other countries. With no natural resources and a tradition of authoritarian rule, Korea managed to accomplish a second Asian miracle.
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5 out of 5 stars
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Amazing book
- By Antoine on 12-14-18
By: Daniel Tudor
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Drink
- A Cultural History of Alcohol
- By: Iain Gately
- Narrated by: Matthew Lloyd Davies
- Length: 21 hrs and 36 mins
- Unabridged
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Overall4.5 out of 5 stars 108
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Performance4.5 out of 5 stars 84
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Story4.5 out of 5 stars 84
Drink investigates the history of this Jekyll and Hyde of fluids, tracing mankind's love/hate relationship with alcohol from ancient Egypt to present day. Drink further documents the contribution of alcohol to the birth and growth of the United States, taking in the War of Independence, Pennsylvania Whiskey revolt, slave trade, and failed experiment of national Prohibition. Finally, it provides a history of the world's most famous drinks - and drinkers. Packed with trivia and colorful characters, Drink amounts to an intoxicating history of the world.
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5 out of 5 stars
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Amazing!
- By Ben on 02-23-22
By: Iain Gately
What listeners say about The Social Transformation of American Medicine
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
- David J. Pascoe
- 02-23-24
Wonderful history/sociology of American Medical practice
Starr does an impressive job of translating arcane sociology to mainstream history. Well worth the time…and it takes a long time!
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Overall4 out of 5 stars
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Performance5 out of 5 stars
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Story4 out of 5 stars
- Mikio A. Nihira
- 10-05-20
really expansive but really dense
I last read Dr Starr's book as a college sophomore. it was incredibly satisfying to read it again after practicing surgery for 25 years.
His scholarship and insightful comments are particularly meaningful to me. I strongly recommend this book to help gain an understanding of the context of medical practice in the United States.
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3 people found this helpful
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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
- Dusty
- 07-29-21
Informative but kind of boring
I think it's an important book for every doctor to read BUT I wish there would have been some form of a quick summary at the end. I found myself getting lost at times in the story and how things were moving. I think the time frame would be easier to understand with a physical book. Overall, would definitely recommend. The topic is not my favorite but it was very good information!! Glad I listened to it!
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1 person found this helpful
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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
- CMcA
- 03-12-23
Cogent
Very well documented and the epilogue confirms analysis done decades earlier. Recommended for structure and Conte.
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Overall4 out of 5 stars
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Performance4 out of 5 stars
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Story3 out of 5 stars
- Phil Maychek
- 11-03-22
Chapters don’t align with the physical book’s chapters.
Very interesting and informative, but the chapters on the audiobook don’t align with the chapters in the physical book. Since there are no chapter titles on the audiobook it’s difficult to correspond with group discussion.
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3 people found this helpful
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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
- Rob
- 06-24-19
Fascinating Survey of Healthcare in Amerixa
This book was dense! By that, I mean it was chalk full of important and interesting information but a little challenging to get through at times.
I recommend powering through some of the slower points because they payoff is a wealth of information about one of the most important and confusing aspects of American Life.
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9 people found this helpful
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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
- 07-16-23
Every one should read.
The book clearly points out, how we have gotten to where we are in the land of medicine.
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Overall5 out of 5 stars
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Performance3 out of 5 stars
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Story5 out of 5 stars
- F. Ospina
- 08-24-19
excellent.
excellent overview and analysis of why the US medical system is the way it is and why changing it is such a challenge.
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3 people found this helpful
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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
- john hodapp
- 10-09-23
simply wonderful
should be required reading in every medical school. as a physician none of this was discussed in my training. makes a fascinating if dense read
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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
- Brendan
- 02-05-24
Eye opening view of why our healthcare system is as it is
The history of the US healthcare system discussed in this book should be required reading for healthcare professionals.
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