by Marty Makary
medical education, here
medical procedures, shoppability, here
medical procedures, unnecessary. see also appropriateness measures and guidelines
for appendicitis, here, here
ballooning, here, here, here
blood transfusions, here
Carlsbad Medical Center, here
consensus recommendations, here
convincing patients to have, here, here
cost of, here, here
costs of, here
C-sections, here, here
globally, here
income from, here
justifying, here
leg arteries/peripheral artery disease, here
patient stories, here
predatory screenings practices for, here, here, here(f), here(f), here
profit-driven, here(f)
statistics, here, here, here
stenting, here, here
thyroid cancer surgery, here
medical procedures, unnecessary, data collection to improve. see also appropriateness measures and guidelines
breast surgery reexcision/lumpectomy reexcision, here
chemotherapy prior to cancer death, here
colon polyp removal in screening colonoscopies, here
C-sections, here, here
dental care, here
duty to inform physicians, here
end of life care, here
hemorrhoid banding, here
measuring overuse, here
mitral valve operations, here
Mohs surgery, here
“no evident to support” fallacy, here
pattern data for, here
pediatric surgeries, here
radiation prior to cancer death, here
randomized trials, here
scheduling two procedures, here, here
spine surgery, here
stenting, here
vascular procedures, here
medical tests, unnecessary, here
medical vocabulary, here
Medicare
air ambulance reimbursement rates, here, here, here, here
hospital profitability and, here
markups surpassing, here
Mohs surgery project savings, here
peer comparison program, here
quality measurement, here
medicine
business model, here, here
honesty in, here
Mexico, here
middle management, here
minorities, predatory health care, here
mitral valve operations, here
Mohs surgery, here
my patients are sicker argument, here, here
nudges, here
occupational therapy, here
opioid prescriptions, here
out-of-network costs, here, here, here, here, here
pain management, here
patient privacy, here
patients
convincing to have unnecessary procedures, here, here
financial responsibility of, here, here
informed patient practices, here
my patients are sicker argument, here, here
responsibility for costs of treatment, here
payment plans, here, here
pediatric surgeries, here
peripheral artery disease, here, here(f), here(f), here
pharmaceutical industry
drug pricing, here
drug shortages, here
pharmacists, contractual gagging, here
pharmacy benefit managers (PBMs)
contractual gagging, here
copays, here
Girl Scout cookie analogy, here
mail order medications, here
pharmacies owned by, here
rebates, here
reforms, here
spread schemes, here, here
physical therapy, here, here, here
physicians, outlier, here. see also appropriateness measures and guidelines
prescriptions
costs of unnecessary, here
culture of, here
customer overpayments, here
mail order, here
opioid, here
shopping for, here
statistics, here
statistics for unnecessary, here
unnecessary, here
Preventive Services Task Force, here
price gouging
air ambulance costs, here, here
hospitals, here, here, here
medical procedures, unnecessary, here
nonprofit hospitals, here
price quotes, availability of, here, here
price transparency, here
air ambulance services, here, here
Columbus Community Hospital, here
health insurance brokers, here
legislating, here
potential impact of, here, here
Surgery Center of Oklahoma, here
profit margins, hospital, here
Pronovost, Peter, here
public health, global, here
public health crises, here, here
quality, here, here
radiation prior to cancer death, here
repricing industry, here
Restoring Medicine Project, here
ridesharing services, here
safe harbor exemption, here, here
screening practices, predatory, here, here, here(f), here(f), here
skin cancer, here
spinal surgery, here, here
spread pricing model, here, here
statins, here
stenting, here, here, here
sticker prices, inflated, here
surgical checklist, here
surprise bills, here, here
thyroid cancer, here
treatment guidelines, recommended, here
turnover rates, hospital, here
vascular screening centers, here, here, here
vascular surgery, unnecessary, here
wealth gap, here
WHO, here, here
workers, undocumented, here
workplace wellness industry
beginnings, here
cautions, here
disrupting the, here
genetic testing, here
misinformation provided, here
statistics, here
workplace wellness programs
ACA and the, here
economic impact, here
effectiveness, here
legal concerns, here
returns on investment, here
Safeway story, here
A NOTE ON THE AUTHOR
Marty Makary, MD, MPH, is a surgeon and Professor of Health Policy at Johns Hopkins and a leading voice for physicians in the Wall Street Journal and USA Today. He was the lead author of the articles introducing a surgical checklist, later adapted by the WHO, and has published extensively on public health vulnerable populations, health care costs, and quality science. He served in leadership at the WHO Safe Surgery Saves Lives project and is a member of the National Academy of Medicine. The author of the New York Times bestseller Unaccountable, he lives in the Washington, D.C., area.
Also Available from Marty Makary
Unaccountable:
What Hospitals Won’t Tell You and How Transparency Can Revolutionize Health Care
A New York Times bestseller
The bestselling, powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken health care system.
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 h
andwriting.
Over the past 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.
“Every once in a while a book comes along that rocks the foundations of an established order that’s seriously in need of being shaken. The modern American hospital is that establishment and Unaccountable is that book.” —Shannon Brownlee, author of Overtreated
“Marty Makary offers a searing indictment from the inside.” —The Wall Street Journal
“An eye-opening look at the culture of medicine. And it’s not pretty.” —CNN
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First published in the United States 2019
Copyright © Martin Makary, MD, 2019
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage or retrieval system, without prior permission in writing from the publishers.
This a work of nonfiction. However, the names and identifying characteristics of certain individuals have been changed to protect their privacy, and dialogue has been reconstructed to the best of the author’s recollection.
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ISBN: HB: 978-1-63557-411-1; eBook: 978-1-63557-412-8
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