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Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care

door Marty Makary

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1386198,915 (4.1)4
"Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling 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 ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why?To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system"--… (meer)
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Read.
This.
Book.
Now.

You will thank me at some point... whether it's before you have a c-section, an emergency appendectomy, back surgery in 40 years, etc. Although hopefully, by the end of 40 years, things will have changed.

This gives you information about the way insurance and medicine are mismanaged to your detriment. Ask your friends in healthcare what they honestly think about their job, their clinic, their Drs. and, if they trust you, they will confirm much of this information.*

*One thing I think that he missed was the fact that many employment contract clauses at clinics stipulate that negative speak from employees at the clinic/hospital about physicians and other healthcare professionals can be grounds for dismissal. ( )
  OutOfTheBestBooks | Sep 24, 2021 |
Sometimes you hurry through a book because your TBR pile is the size of K2. I read this within one day. But towards the end, I began to realize how wonderful this book is, it is certainly as good as the effort of his contemporary Dr. Gawande. They apparently collaborated on checklists. Robots, business pressures, lack of critiques and accountability, lagging performance behind the aviation sector, etc. are all handled in a very readable manner. It's not a new book anymore, but it's a good one. ( )
  Sandydog1 | May 25, 2019 |
Excellent book. I appreciate the results of Marty's research. It is refreshing for someone to provide an honest and patient centric perspective on the current medical system. I agree that accountability is the key to improvement. I hope that his perspective will be adopted. ( )
  GlennBell | Feb 5, 2014 |
The painful reality of what has been historically tolerated in healthcare and a clarion call to transparency as one of the solutions ( )
  shanksmd | Jan 12, 2013 |
A profoundly disturbing "inside look" at America's health care system, but also a hopeful call for more transparency, accountability, and patient-oriented treatment. Much of the book is difficult to read, as Makary recounts horror stories from his career and reveals the dirty little secrets that hospitals don't want you to find out. His suggestions, though, are almost all based on pure common sense and seem as though they'd save a great number of lives. ( )
1 stem JBD1 | Jun 17, 2012 |
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"Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling 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 ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why?To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system"--

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