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



This is not the Nutcracker sweet, as passed on by Tchaikovsky and Marius Petipa. No, this is the original Hoffmann tale of 1816, in which the froth of Christmas revelry occasionally parts to let the dark underside of childhood fantasies and fears peek through. The boundaries between dream and reality fade, just as Godfather Drosselmeier, the Nutcracker's creator, is seen as alternately sinister and jolly. And Italian artist Roberto Innocenti gives an errily realistic air to Marie's dreams, in richly detailed illustrations touched by a mysterious light. A beautiful version of this classic tale, which will captivate adults and children alike. (Nutcracker; $35.00; Oct. 28, 1996; 136 pp.; 0-15-100227-4)

Pub Date: Oct. 28, 1996

ISBN: 0-15-100227-4

Page Count: 136

Publisher: Harcourt

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Aug. 15, 1996




An extravaganza in Bemelmans' inimitable vein, but written almost dead pan, with sly, amusing, sometimes biting undertones, breaking through. For Bemelmans was "the man who came to cocktails". And his hostess was Lady Mendl (Elsie de Wolfe), arbiter of American decorating taste over a generation. Lady Mendl was an incredible person,- self-made in proper American tradition on the one hand, for she had been haunted by the poverty of her childhood, and the years of struggle up from its ugliness,- until she became synonymous with the exotic, exquisite, worshipper at beauty's whrine. Bemelmans draws a portrait in extremes, through apt descriptions, through hilarious anecdote, through surprisingly sympathetic and understanding bits of appreciation. The scene shifts from Hollywood to the home she loved the best in Versailles. One meets in passing a vast roster of famous figures of the international and artistic set. And always one feels Bemelmans, slightly offstage, observing, recording, commenting, illustrated.

Pub Date: Feb. 23, 1955

ISBN: 0670717797

Page Count: -

Publisher: Viking

Review Posted Online: Oct. 25, 2011

Kirkus Reviews Issue: Feb. 1, 1955

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