The People's Hospital

Hope and Peril in American Medicine

“Nuila’s storytelling gifts place him alongside colleagues like Atul Gawande.” —Los Angeles Times

This “compelling mixture of health care policy and gripping stories from the frontlines of medicine” (The Guardian) explores the question: where does an uninsured person go when turned away by hospitals, clinics, and doctors?

Follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital that prioritizes people over profit.

Stephen, a restaurant franchise manager, signed up for his company’s lowest priced plan, only to find himself facing insurmountable costs after a cancer diagnosis. Christian is a young college student and retail worker who can’t seem to get an accurate diagnosis, let alone treatment, for his debilitating knee pain. Geronimo, thirty-six years old, has liver failure, but his meager disability check disqualifies him for Medicaid—and puts a life-saving transplant just out of reach. Roxana, who’s lived in the community without a visa for more than two decades, suffers from complications related to her cancer treatment. And, finally, there’s Ebonie, a young mother whose high-risk pregnancy endangers her life.

Whether due to immigration status, income, or the vagaries of state Medicaid law, all five are denied access to care. For all five, this exclusion could prove life-threatening.

Each patient eventually lands at Ben Taub, the county hospital where Dr. Nuila has worked for over a decade. Nuila delves with empathy into the experiences of his patients, braiding their dramas into a singular narrative that contradicts the established idea that the only way to receive good health care is with good insurance.

As readers follow the moving twists and turns in each patient’s story, it’s impossible to deny that our system is broken—and that Ben Taub’s innovative model, where patient care is more important than insurance payments, could help light the path forward.

Reseñas de la Crítica

"Physician Ricardo Nuila brings the full extent of his passion for people to his narration of his experiences with American healthcare. A doctor on staff at Ben Taub Hospital in Houston, Nuila saw firsthand the destructive aspects of for-profit healthcare and how often those who were truly suffering would end up in his public hospital when it was almost too late. Examining the history and current issues of the American healthcare system, this audiobook is a tough listen. Nuila embraces his emotions as he tells personal stories of real-life cases. What results is a powerful audiobook that leaves the listener both fascinated and horrified by what is happening to those who cannot access healthcare in our first-world nation."

Beautiful and heartfelt

As a nurse who has worked in a safety hospital I found this to be an incredibly moving description.
It would be a fabulous book for anyone entering the medical field or anyone who doesn’t understand how fragile the system really is.

Amazing

The author captured the problems in healthcare so well with specificity and compassion - what a gift. A must listen, a call to act.

Excellent!

Being a retired physician myself, the author is spot on in describing the issues and problems with our current healthcare system. The United States is in the midst of a healthcare crisis due to the corporatization of the healthcare industry. I can tell you from the trenches that no one on the inside of healthcare is happy with the current system. As the author points out, public hospitals remain the last stop for the many desperate patients discarded by the for-profit healthcare system. This beautifully written book describes the complexities and the many failures of the current system. I wish more Americans were aware of the issues as so well described in this book. Hopefully, public pressure will drive politicians to reform our broken healthcare system!

This book allows for optimism

Well written and read. Provided hope for something better while acknowledging the current ills

We must not look away.

After reading this book, my eyes, mind and heart are open to the desperate need for change in our medical system.