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How We Do Harm: A Doctor Breaks Ranks About Being Sick in America
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Review
"Dr. Brawley is a premier academic oncologist and a minority doctor in the nation's largest inner city hospital. "How We Do Harm" places in stark contrast the health care resources available to the rich and the poor, the insured and the uninsured, the white community and the community of color . He makes the cogent point that more testing, screening, and interventions available to the rich does not always mean better medical care ." --Bruce Chabner, MD, Director of Clinical Research, Massachusetts General Hospital Cancer Center"Otis Brawley is one of America's truly outstanding physician scientists. In How We Do Harm, he challenges all of us-- physicians, patients, and communities-- to recommit ourselves to the pledge to 'do no harm.'" --David Satcher, Former Surgeon General of the United States, Director, Satcher Health Leadership Institute, Morehouse School of Medicine"Sweeping, honest and brave . . . "How We Do Harm" dazzles with a wealth of scientific insight, but its genius lies in the author's recounting of individual patient stories that illuminate the dark underbelly of medicine's missteps. Brawley does not shrink from revealing medicine's warts, butthis book offers much more. It is a triumph of humanity and clarity in which oncology becomes a Rorschach for the practice of American medicine. You will finish this arresting book reluctantly, with a new appreciation of what American medicine could be." --Harriet A .Washington, author of "Deadly Monopolies: The Shocking Corporate Takeover of"My friend and colleague Otis Brawley has written a raw and honest portrayal of our health care system. There are certain to be special interest organizations and medical groups that take issue with Dr.Brawley's conclusions, but few can argue with the scientific rigor he has demonstrated in writing this book. Otis is the go- to oncologist I send so many patients to see, because he is not only a great doctor, but also a compassionate man. As we discuss the transformation of health care in this country, put Dr. Brawley's book at the top of your list." --Sanjay Gupta, Associate Chief of Neurosurgery Grady Memorial Hospital, Chief Medical Correspondent, CNN"Otis Brawley is one of America's truly outstanding physician scientists. In How We Do Harm, he challenges all of us-- physicians, patients, and communities-- to recommit ourselves to the pledge to 'do no harm.'" --David Satcher, Former Surgeon General of the United States, Director, Satcher Health Leadership Institute, Morehouse School of Medicine"Sweeping, honest and brave . . . "How We Do Harm" dazzles with a wealth of scientific insight, but its genius lies in the author's recounting of individual patient stories that illuminate the dark underbelly of medicine's missteps. Brawley does not shrink from revealing medicine's warts, butthis book offers much more. It is a triumph of humanity and clarity in which oncology becomes a Rorschach for the practice of American medicine. You will finish this arresting book reluctantly, with a new appreciation of what American medicine could be." --Harriet A .Washington, author of "Deadly Monopolies: The Shocking Corporate Takeover of Life Itself and the Consequences for Your Health and Our Medical Future "and" Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present" "Dr. Brawley is a premier academic oncologist and a minority doctor in the nation's largest inner city hospital. "How We Do Harm
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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. He 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. PAUL GOLDBERG is an award-winning investigative reporter who covers oncology for The Cancer Letter, a weekly publication focused on drug development and the politics of cancer. His articles have appeared in The New York Times, The Wall Street Journal, The Washington Post, The Washington Monthly and he has been featured on 60 Minutes, 20/20, CNN and NPR. Goldberg is also the author of two books on the Soviet human rights movement.
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Product details
Paperback: 320 pages
Publisher: St. Martin's Griffin; Reprint edition (October 30, 2012)
Language: English
ISBN-10: 1250015766
ISBN-13: 978-1250015761
Product Dimensions:
6 x 0.9 x 8.2 inches
Shipping Weight: 1.2 pounds (View shipping rates and policies)
Average Customer Review:
4.7 out of 5 stars
226 customer reviews
Amazon Best Sellers Rank:
#51,161 in Books (See Top 100 in Books)
I knew the pharmaceutical industry is all about profits. But I didn't know just how greedy and disgustingthe medical profession is. We are at the mercy of a healthcare system that just runs on profits andlet's patients already in terrible distress meet the end of their lives with no guidance. We needto get Medicare for All legislature enacted as soon as possible. We need drive down the cost ofdrugs. We above all need more doctors like Dr. Brawley to come out and tell us what is going on.The lobbyists have a stranglehold on congress and the doctors have a monetary incentive to ignorescientific data and give treatments that are dangerous if not deadly. Read this book. It should bemandatory reading for all Medical students.
I had the privilege of working with Otis during part of his training at the National Cancer Institute at a time that policies on PSA and mammography screening were being newly scrutinized with respect to risk/benefit. The notion that screening might actually do more harm than good was seen as absolute heresy and I fondly remember the wonder and amazement in Otis' eyes as he unraveled to me just how this counter-intuitive idea could be so. Twenty years later, the truths I learned from Otis back then are still not widely appreciated among patients, indeed even doctors more sadly. I eagerly snatched this book up not only because I knew Otis and expected a riveting review of healthcare but because my experience in pharmaceutical development has led me to participate unintentionally in some of the perverse systems of conflicts of interest that characterize our healthcare system. I am at a personal watershed and this book is a strong antidote for what ails me, i.e. I feel emboldened to take my career in the direction of a solution rather than continue to contribute to the problem. Written for the general audience, We Do Harm breaks the ranks of legions of doctors who are invested in perpetuating a broken but remunerative healthcare system by introducing specific and by no means isolated instances where patients have been harmed. This book is at once disparaging of blind trust of one's physician and optimistic in that some stars like Otis and microcosms like Grady Memorial can and do avoid patient-disadvantaged conflicts of interest. This book provides evidence and motivation for every person in every role they engage in in the healthcare system: patient, consumer, provider, insurer, politician. No one can escape the relevance and import of the key message of this book that "more" is not always "better." Until such time, if ever, that our healthcare system operates under transparency, this is a must read for all. That means you! Now! It can't wait! I am a believer that healthcare quality will come from the bottom up and not the top down and this book exemplifies this spirit; read it and be empowered to ask the hard questions as to who is motivated to provide what care and at what personal gain.
Dr. Brawley (excuse me, Otis) has written a book about the kind of things doctors say to each other, but not out loud and certainly not for publication. The contrast of healthcare for the overprivileged to the lack of care for the underserved (and the sea of confusion for those in-between) should not exist in the United States, and yet it does. That so much of this happens in the care of people with cancer is really unforgivable. Many will be unhappy with the author, but many more will have to agree that he is indeed telling the truth -- and doing so in a way that is compulsively readable. Otis knows how to get your attention and weave a tale that points out the things you should be seeing. He does not claim to have the answers and is free with admitting his own missteps along the way. I already sent a copy to my niece who is a 2nd year resident at an inner-city hospital and told her to be sure to pass it around once she has read it.
I could not put this book down. I would say this is a must read for anyone that might get or who has cancer. Also anyone who has a chronic health problem should put this book in their library.I think Dr. Brawley gives compelling examples that illustrate how our health care systen is broken.Read this book!This is an excellent book unless you are a quack, a greed driven doctor or drug rep. Dr.Brawley points out that we should not waste valiable tax money or even insurance money on unproven cures or on drugs that cost 10-20 times as much as a proven drug. All medical care should be research based, rational and above all "do no harm".I hate to tell you this, but we as a country cannot afford to waste massive amounts of money anymore. If we don't get serious about health care it will break the country. We cannot afford to transfer wealth to quack doctors or for procedures that don't work. A spinal fusion costs about $80,000 yet 80% of the research says it does no good and it does a lot of harm. Is this any way to run a health care system?If you don't believe Dr. Brawley read the research for yourself.Use a little of your time to dig and see if he is telling the truth.A lot of the raw research is locked up tight and hard to access and not easy for a lay person to understand. We must rely on honest doctors like Dr. Brawley to tell us the truth about our healthcare systemThe chapters on the "PSA" test for prostate cancer were shocking to say the least.All the examples about the breast cancer problems are on point. My wife went through this several years ago and thank goodness we had a doctor whose first words were us was " I don't give any treatment that has not been through a double blind study."We feel like my wife received excellent treatment without receiving too much treatment. Too much can be as bad as too litttle as Dr. Brawley states.Dr. Brawley points out through his examples that "raw greed" on the part of hospitals, doctors and drug companies has layed waste to our health care system.The economic incentives are all on the side of more care not appropriate care. There is a vast difference between the two.Thank you Dr. Brawley.
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