How We Do Harm: A Doctor Breaks Ranks About Being Sick in America

Otis Webb Brawley, MD, Paul Goldberg

St. Martin's Publishing Group, Jan 31, 2012 - Business & Economics - 320 pages

A startling and important exposé on the state of medicine, research, and healthcare today by the Chief Medical and Scientific Officer of the American Cancer Society

How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians' provide, insurance companies that don't demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm.

Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs.

Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.

Contents

• Chief Complaint: 3
• More Is Better: 12
• Brawleyism: 19
• Cadillac Care: 29
• Skepticism: 45
• A Wallet Biopsy: 49
• Failure Is the System: 69
• Red Juice: 71
• Tumor Promotion: 91
• Defibrillation: 99
• Palpitation: 105
• Saving Mr Huzjak: 113
• God Is Calling: 127
• FaithBased Medicine: 193
• 19: 211
• Epilogue: 277
• Acknowledgments: 285
• 173: 302

About the author

DR. OTIS BRAWLEY is the chief medical and scientific officer and executive vice president of the American Cancer Society. Dr. Brawley currently serves as professor of hematology, oncology, medicine and epidemiology at Emory University. He is also a CNN medical consultant. He is a graduate of the University of Chicago, Pritzker School of Medicine, and completed a residency in internal medicine at University Hospitals of Cleveland, Case-Western Reserve University, and a fellowship in medical oncology at the National Cancer Institute.

PAUL GOLDBERG is an award-winning investigative reporter who covers oncology for The Cancer Letter, a weekly publication focused on drug development and the politics of cancer. His articles have appeared in The New York Times, The Wall Street Journal, The Washington Post, The Washington Monthly and he has been featured on 60 Minutes, 20/20, CNN and NPR. Goldberg is also the author of two books on the Soviet human rights movement.

Bibliographic information

• Title: How We Do Harm: A Doctor Breaks Ranks About Being Sick in America
• Authors: Otis Webb Brawley, MD, Paul Goldberg
• Publisher: St. Martin's Publishing Group, 2012
• ISBN: 1429941502, 9781429941501
• Length: 320 pages
• Subjects: Biography & Autobiography / Medical (incl. Patients); Business & Economics / Industries / Healthcare; Political Science / Public Policy / Health Care; Social Science / Disease & Health Issues