The Present Illness (Martin F. Shapiro)

Health care reform efforts are difficult to achieve and have been historically undermined by their narrow scope. In The Present Illness, Martin F. Shapiro, MD, PhD, MPH, weaves together history, sociology, extensive research, and his own experiences as a physician to explore the broad range of afflictions impairing US health care and explains why we won't be able to fix the system without making significant changes across society.

Author:: Martin F. Shapiro
Narrator:: Generated
Content:: Unabridged (chapter list)
Length:: 13:19 h
Format:: MP3 download (485 MB)
Language:: English
Publisher:: Johns Hopkins University Press (2024)
Genre:: Medical
Rating:

Tags:: No tags

01 - Chapter 1	0:25	1 MB
02 - Chapter 2	0:25	1 MB
03 - Chapter 3	6:55	3 MB
04 - Chapter 4	22:13	13 MB
05 - Chapter 5	2:36	1 MB
06 - Chapter 6	52:57	31 MB
07 - Chapter 7	2:12	1 MB
08 - Chapter 8	85:50	52 MB
09 - Chapter 9	1:58	1 MB
10 - Chapter 10	53:24	31 MB
11 - Chapter 11	2:05	1 MB
12 - Chapter 12	73:56	45 MB
13 - Chapter 13	69:10	42 MB
14 - Chapter 14	2:03	1 MB
15 - Chapter 15	49:12	29 MB
16 - Chapter 16	3:22	1 MB
17 - Chapter 17	75:51	47 MB
18 - Chapter 18	1:45	1 MB
19 - Chapter 19	37:36	23 MB
20 - Chapter 20	2:19	1 MB
21 - Chapter 21	48:34	29 MB
22 - Chapter 22	61:39	37 MB
23 - Chapter 23	1:41	1 MB
24 - Chapter 24	28:42	17 MB
25 - Chapter 25	1:41	1 MB
26 - Chapter 26	37:46	22 MB
27 - Chapter 27	1:33	1 MB
28 - Chapter 28	25:15	15 MB
29 - Chapter 29	3:05	1 MB
30 - Chapter 30	28:20	17 MB
31 - Chapter 31	3:59	2 MB
32 - Chapter 32	10:15	5 MB
33 - Chapter 33	0:22	1 MB

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Summary

With a sharp eye and ready humor, Shapiro dissects the ways all groups participating—clinicians and their organizations, medical schools and their faculty, hospitals and clinical corporations, scientists and the National Institutes of Health, insurers and manufacturers, governments and their policies, and also patients and the public—shape and reinforce a dysfunctional system. Shapiro identifies three major problems stymieing reform: commodification of care; values, expectations, unmet needs, attitudes, and personal limitations of participants; and toxic relationships and communication among these groups.

Shapiro lays out a sweeping agenda of concrete actions to address the many factors contributing to the system's failings. Highlighting the interconnectedness of both the problems and potential solutions, he warns that piecemeal reform efforts will continue to be undermined by those who believe they have something to gain from the status quo. Although overhauling our health care system is daunting, Shapiro nonetheless concludes that we must push forward with a far more comprehensive effort in all sectors of health care and throughout society to create a system that is humane, effective, and just.

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