New York Times Bestseller
“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
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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About the Author
Marty Makary, M.D., M.P.H. is a surgeon at Johns Hopkins Hospital and a professor of Health Policy at the Johns Hopkins School of Public Health. He is an advocate for health care innovation, writing in The Wall Street Journal and USA Today. He has written extensively on organizational culture, the science of measuring quality in medicine, and health care reform. Dr. Makary is principle investigator of a Robert Wood Foundation Grant to lower health care costs in the U.S. by creating physician-endorsed measures of appropriate medical care and directs the national “Improving Wisely” project to reduce waste in medicine. He is the author of the bestselling book Mama Maggiea book about a Nobel prize nominee, and the forthcoming The Price We Pay. He speaks nationally on disruptive innovation in health care.
Table of Contents
Part I Some Random Doctor
1 Dr. Hodad and the Raptor 9
2 Danger Zones 21
3 The New York Experiment 35
4 The Supersurgeon and the Shah 49
5 "How I Like to Do It" 57
6 Navigating the System 75
7 Tap the Power of Patient Outcomes 83
Part II The Wild West
8 Impaired Physicians 95
9 Medical Mistakes 113
10 Ask Before You Give 129
11 Eat What You Kill 137
12 The All-American Robot 153
Part III Transparency Time
13 Drivers of Culture 163
14 Healthonomics 181
15 Candid Cameras 193
16 A New Generation for Honest Medicine 201
17 What Accountability Looks Like 209