
Marty Makary, M.D. provides dozens of examples of how average Americans overpay for health care. Markary supplies ample evidence that we are being over-tested, over-medicated, and over-operated on. The Price We Pay opens with a story about a traveling clinic that would provide “free” diagnostic testing for common aliments like high blood pressure, diabetes, and heartburn at churches around the country. One of the questions the staff would ask of participants was “Do you have leg pain?” Just about 100% of the answers were “Yes.” The clinic staff would then refer them to surgeons who “sold” the idea of stents in leg arteries to “cure” the pain. The result was a $25,000 operation that provided minimal relief from pain.
Makay claims the opioid crisis resulted from over-medicating patients. Studies show that 15 opioid pills were sufficient for most post-operative patients to manage pain. But doctors prescribed 60 opioid pills. Makay suggests we can fix our health care system by providing transparency on pricing for starters. Why should a hip replacement operation cost $30,000 in Pennsylvania and $80,000 in New York City? The variance in prices is one of the biggest medical scams today. I learned a lot about current medical practices. But I always knew medicine was not just a profession but a business. The Price We Pay proves that convincingly. GRADE: A
TABLE OF CONTENTS:
Preface ix
Part I Gold Rush
1 Health Fair 1
2 Welcome to the Game 15
3 Carlsbad 36
4 Two Americas 52
5 The Ride 70
Part II Improving Wisely
6 Woman in Labor 89
7 Dear Doctor 99
8 Scaling Improvement 111
9 Opioids like Candy 127
10 Overtreated Patients like Me 139
Part III Redesigning Health Care
11 Starting from Scratch 153
12 Disruption 167
13 Buying Health Insurance 177
14 Pharmacy Hieroglyphics 191
15 4K Screens 205
16 Diagnosis: Overwellnessed 215
17 The Words We Use 227
18 What We Can Do 237
Acknowledgments 247
Notes 249
Index 261










