A thoroughly convincing, mobilizing, and supremely optimistic call to action for medical industry reform.



A discourse on the need for improved patient-centered health care.

Montori, a Mayo Clinic physician and clinical researcher, sternly criticizes the shortcomings of the contemporary medical establishment and discusses the barriers in place that prevent patients from accessing the compassionate, effective treatment that they deserve. His nonprofit organization, The Patient Revolution, was founded in 2016 to advance and promote more thoughtful and careful clinical care, and all the proceeds from sales of this book will support its work. Its tenets are fully represented in the text, which aims to draw attention to the benefits of a doctor-patient relationship that is built on personalized communication and unhurried professionalism. “Industrial healthcare is killing the healer’s soul,” Montori writes, and his proactive, multipart work moves through varying aspects of modern health care while taking direct aim at the problems plaguing it. In a series of illuminating and provocative essays and patient profiles, the author draws on positive and negative field observations from his own medical training in Peru and from his clinical practice in the United States. He spotlights an illogical patient prescription system that he says “fails the stress test of kindness”; how hospital accounting departments partner with agencies to pressure patients for payment; and how executive corruption scandals have fractured industry reputations. All of these aspects dehumanize patients, Montori notes, and systematically cause the overall deterioration of medical-care consortiums. Perhaps the most indicting and distressing chapter is one on corporate avarice. The author cites greed as the motivating principle in modern health care, writing that the industry “has shifted its focus from patient care and instead has honed in on achieving goals that are industrial and financial.” Money is the primary focus now, he insists, with industry establishments enticing consumers with advertisements and promises of results that play on their hopes, fears, and primal insecurities. Not one to shy away from provocative declarations, Montori openly accuses pharmaceutical and medical device companies of extortion, and, in laymen’s terms, he tells how their profit-over-patient concept operates. He also incorporates patient stories from his own practice as a diabetes physician which effectively shows how consumers manage chronic ailments in addition to the struggles and demands of modern life. Many things get lost as patients rush into and out of doctors’ offices, Montori asserts, including patients’ personal lives, support for self-care, and even baseline humanity—all in an effort to increase efficiency and profit margins. As one possible solution among many others, the author advocates for what he calls “minimally disruptive care,” promoting easily accessible programs with continuous, coordinated services. On the whole, Montori’s treatise is both manageably sized and authoritatively written, and it delivers a powerful, revolutionary manifesto. It includes curative action items to abolish what the author sees as the incidental cruelty of medical care. Readers who are similarly frustrated with the state of the American health care industry will find an ally and a sympathetic voice in Montori’s work.

A thoroughly convincing, mobilizing, and supremely optimistic call to action for medical industry reform.

Pub Date: Oct. 5, 2017

ISBN: 978-0-9993948-1-6

Page Count: 120

Publisher: The Patient Revolution

Review Posted Online: Nov. 9, 2017

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Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis...



Privately published by Strunk of Cornell in 1918 and revised by his student E. B. White in 1959, that "little book" is back again with more White updatings.

Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis (whoops — "A bankrupt expression") a unique guide (which means "without like or equal").

Pub Date: May 15, 1972

ISBN: 0205632645

Page Count: 105

Publisher: Macmillan

Review Posted Online: Oct. 28, 2011

Kirkus Reviews Issue: May 1, 1972

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Noted jazz and pop record producer Thiele offers a chatty autobiography. Aided by record-business colleague Golden, Thiele traces his career from his start as a ``pubescent, novice jazz record producer'' in the 1940s through the '50s, when he headed Coral, Dot, and Roulette Records, and the '60s, when he worked for ABC and ran the famous Impulse! jazz label. At Coral, Thiele championed the work of ``hillbilly'' singer Buddy Holly, although the only sessions he produced with Holly were marred by saccharine strings. The producer specialized in more mainstream popsters like the irrepressibly perky Teresa Brewer (who later became his fourth wife) and the bubble-machine muzak-meister Lawrence Welk. At Dot, Thiele was instrumental in recording Jack Kerouac's famous beat- generation ramblings to jazz accompaniment (recordings that Dot's president found ``pornographic''), while also overseeing a steady stream of pop hits. He then moved to the Mafia-controlled Roulette label, where he observed the ``silk-suited, pinky-ringed'' entourage who frequented the label's offices. Incredibly, however, Thiele remembers the famously hard-nosed Morris Levy, who ran the label and was eventually convicted of extortion, as ``one of the kindest, most warm-hearted, and classiest music men I have ever known.'' At ABC/Impulse!, Thiele oversaw the classic recordings of John Coltrane, although he is the first to admit that Coltrane essentially produced his own sessions. Like many producers of the day, Thiele participated in the ownership of publishing rights to some of the songs he recorded; he makes no apology for this practice, which he calls ``entirely appropriate and without any ethical conflicts.'' A pleasant, if not exactly riveting, memoir that will be of most interest to those with a thirst for cocktail-hour stories of the record biz. (25 halftones, not seen)

Pub Date: May 1, 1995

ISBN: 0-19-508629-4

Page Count: 224

Publisher: Oxford Univ.

Review Posted Online: May 20, 2010

Kirkus Reviews Issue: March 1, 1995

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