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The Hospital: Life, Death, and Dollars in a Small American Town-Brian Alexander

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USA Today's 5 BOOKS NOT TO MISS | The Washington Post's 10 BOOKS TO READ IN MARCH | Fortune's 11 BOOKS TO READ IN MARCH"From the C-suite’s tension-filled strategic planning meetings to life-or-death moments at the bedside, Alexander nimbly and grippingly translates the byzantine world of American health care into a real-life narrative with people you come to care about." —New York Times"Takes readers into the world of the American medical industry in a way no book has done before....details how we’ve created the dilemma we’re in." Fortune"With his signature gut-punching prose, Alexander breaks our hearts as he opens our eyes to America’s deep-rooted sickness and despair by immersing us in the lives of a small town hospital and the people it serves." —Beth Macy, bestselling author of Dopesick By following the struggle for survival of one small-town hospital, and the patients who walk, or are carried, through its doors, The Hospital takes readers into the world of the American medical industry in a way no book has done before. Americans are dying sooner, and living in poorer health. Alexander argues that no plan will solve America’s health crisis until the deeper causes of that crisis are addressed. Bryan, Ohio's hospital, is losing money, making it vulnerable to big health systems seeking domination and Phil Ennen, CEO, has been fighting to preserve its independence. Meanwhile, Bryan, a town of 8,500 people in Ohio’s northwest corner, is still trying to recover from the Great Recession. As local leaders struggle to address the town’s problems, and the hospital fights for its life amid a rapidly consolidating medical and hospital industry, a 39-year-old diabetic literally fights for his limbs, and a 55-year-old contractor lies dying in the emergency room. With these and other stories, Alexander strips away the wonkiness of policy to reveal Americans’ struggle for health against a powerful system that’s stacked against them, but yet so fragile it blows apart when the pandemic hits. Culminating with COVID-19, this book offers a blueprint for how we created the crisis we're in.

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(Review written by Tammy Schoch. This amazon account, and an old Travelocity account, are the only remaining vestiges of shared marital internet accounts with my husband Jim, from a time long ago when households shared one email address, as they also shared one landline phone.)I grew up one mile east of Williams County, in Northwest Ohio, where the Bryan Hospital is located. My family never called it by its proper name. It was known as the Bryan Hospital, and still is to this day. I was taken down memory lane, and also slapped with today’s reality, in reading this book.I’ve lived about half of my adult years in that area, at various times. This book was simultaneously delightful, frustrating, heart-wrenching, and humorous. It was true to life, as judged by my history of having lived and worked in the Four County area as a psychiatric RN in a local hospital, in the regional jail, and in the four county community mental health center. I recognized so many names, places, and businesses mentioned in this book.If anyone needs to better understand what is meant by the social determinants of health, here is the book for you. If anyone is interested in the interplay between politics, religion, healthcare, and culture, this is your book. If anyone believes that the people in charge have it easy, or that the poor bring it on themselves, or that government is a dirty word, or that there are obvious and easy solutions, this book will challenge your misconceptions.I had no choice but to give it 5 stars. This guy needs an honorary doctorate for this book.
Brian Alexander compellingly details the struggles of a small town hospital and tells heartbreaking stories about its residents to illustrate the larger picture of everything that's wrong with America's health care system. American health care is a ponzi scheme. A scam. We all lose, and some lose much more than others.

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