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How We Do Harm: A Doctor Breaks Ranks about Being Sick in Americaby Otis Webb Brawley
Synopses & Reviews
How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians provide, insurance companies that dont demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm.
Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs.
Brawleys personal history - from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.
A startling and important exposé on the state of medicine, research, and healthcare today.
Dr. Otis Brawley is the chief medical and scientific officer of the American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. In How We Do Harm he exposes the underbelly of healthcare today—the under treatment of the poor, the overtreatment of the rich, the financial conflicts of interests physicians face, insurance that doesnt demand the best (or even cheapest) care, and a pharmaceutical behemoth concerned with selling drugs, not providing health.
How We Do Harm is a call for rational care, drawn from results-based, scientifically reproducible treatments and protocols based on science, and not the new, hot drug. Guided by the maxim he learned in Jesuit high school, “say what you know, what you dont know, and what you believe—and label it accordingly,” Dr. Brawley believes skepticism should be the mainstream. Dr. Brawleys personal history serves as a window into an experienced and passionate view of medicine and the
politics of treatment.
About the Author
DR. OTIS BRAWLEY is the chief medical and scientific officer and executive vice president of the American Cancer Society. Dr. Brawley currently serves as professor of hematology, oncology, medicine and epidemiology at Emory University. He is also a CNN medical consultant. H e is a graduate of the University of Chicago, Pritzker School of Medicine, and completed a residency in internal medicine at University Hospitals of Cleveland, Case-Western Reserve University, and a fellowship in medical oncology at the National Cancer Institute.
A graduate of Duke University, PAUL GOLDBERG covers oncology for The Cancer Letter, a weekly e-newsletter covering drug development and the politics of cancer. He is a lauded investigative reporter on the pharmaceutical and biotechnology industries, and a former reporter for the Wichita Eagle and the Reston Connection. Goldberg is the author and co-author of four previous books.
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