The Citizen Patient: Reforming Health Care for the Sake o... and over one million other books are available for Amazon Kindle. Learn more
  • List Price: $28.00
  • Save: $6.47 (23%)
FREE Shipping on orders over $35.
Only 17 left in stock (more on the way).
Ships from and sold by
Gift-wrap available.
The Citizen Patient: Refo... has been added to your Cart
+ $3.99 shipping
Condition: Used: Good
Have one to sell? Sell on Amazon
Flip to back Flip to front
Listen Playing... Paused   You're listening to a sample of the Audible audio edition.
Learn more
See all 2 images

The Citizen Patient: Reforming Health Care for the Sake of the Patient, Not the System (H. Eugene and Lillian Youngs Lehman) Hardcover – April 1, 2013

See all 7 formats and editions Hide other formats and editions
Amazon Price New from Used from
"Please retry"
"Please retry"
$10.82 $6.49

Temple Talks about Autism and Sensory Issues by Dr. Temple Grandin
Temple Talks about Autism and Sensory Issues by Dr. Temple Grandin
Check out the newest book by Dr. Temple Grandin. Learn more
$21.53 FREE Shipping on orders over $35. Only 17 left in stock (more on the way). Ships from and sold by Gift-wrap available.

Frequently Bought Together

The Citizen Patient: Reforming Health Care for the Sake of the Patient, Not the System (H. Eugene and Lillian Youngs Lehman) + Rethinking Aging: Growing Old and Living Well in an Overtreated Society + The Last Well Person: How to Stay Well Despite the Health-Care System
Price for all three: $59.32

Buy the selected items together

Editorial Reviews


Dr. Hadler's knowledge of conflicts endemic in U.S. health care is unparalleled. . . . A home run when. . . . [Hadler's] examples are so clear and his integrity impeccable such that even his critics have to admire his pluck.--New York Journal of Books

This book takes the reader inside the pharmaceutical and health insurance industries, across borders, and, finally, where the healing actually takes place: inside the doctor's office.--Carolina Alumni Review

This is a fascinating and timely look at American health care and the healthcare business in the United States.--Nursing Standard

An eye-opener for those not privy to what goes on inside the once-hallowed halls of hospitals and health-care systems. It's also chock-full of information for citizens who
want to take charge of their health for their own sake. Hadler's suggestions aren't radical; rather, they're rational: evidence-based medicine, stringent medical device licensing guidelines, and restoration of the physician-client partnership, among others.--ForeWord Reviews

This well-written, timely book will interest health sciences students, health care practitioners and policy makers, and laypersons. Recommended. Lower-division undergraduates and above; general readers.--Choice

Hadler offers a thoroughly researched argument that the American health-care system is largely profit driven and entails costs unmatched by those of other industrialized nations. . . . Hadler also offers attainable solutions.--Library Journal


Dr. Hadler illuminates the inconvenient truths that prevent real reform and offers bold new directions. He pulls back the veil to reveal the ignorance that surrounds most modern concepts of health care and disease, shows that our efforts--in both time and dollars--have been misguided, and offers an alternative path that is simple and at odds with conventional thinking.--Larry Van Horn, associate professor of economics and management, Vanderbilt University|Doctors should read this book and examine their motives and their consciences. Anyone who thinks they might ever become a patient should also use it to understand the hidden agendas at work in medicine--which might not necessarily be in their best interests!--Lois Rogers, international healthcare commentator, former Sunday Times London health and social affairs editor|The true promise of modern medicine will only be achieved when every person is prepared to participate as an informed patient and an intelligent citizen. This book does more to achieve that goal than any I have read.--Daniel D. Federman, M.D., Dean Emeritus for Clinical Education, Harvard Medical School|Sweeping in scope. Dr. Hadler's prescription for reform is radical and compassionate and could dramatically improve the health of every citizen while simultaneously saving vast sums of money." --Jeanne Lenzer, medical investigative journalist|The insights and visions that Hadler presents merit serious study not only by the general public but also by all doctors who share his deep-seated commitment to genuinely patient-centered and properly science-informed health care.--O. S. Miettinen, Department of Epidemiology, Biostatistics, and Occupational Health and Department of Medicine, McGill University|Dr. Hadler's admonition must be heeded; medical care will not improve until patients improve it. His persuasive portrayal of how the medical system abdicates its responsibility to individual patients will urge you to reclaim your role in the future of health care.--Robert McNutt M.D., professor of medicine, Rush University, and contributing editor, Journal of the American Medical Association|A tour de force. Compelling and extremely well-informed. Hadler offers important new insights.--Mark Hall, professor of law and public health, Wake Forest University|An informed critique and evaluation of the current U.S. health-care system with creative suggestions as to how it can be restructured for the benefit of patients. Hadler's views are always interesting, original, and provocative.--Arthur Rubenstein, M.D., Perelman School of Medicine, University of Pennsylvania|Blending best science, sound ethics, compassionate clinical care, and economic realism, Hadler exhorts patients to take control of their own health and health system to save the United States from fiscal disaster.--George D. Lundberg, M.D., former editor in chief (1982-1999), Journal of the American Medical Association

Best Books of the Month
Best Books of the Month
Want to know our Editors' picks for the best books of the month? Browse Best Books of the Month, featuring our favorite new books in more than a dozen categories.

Product Details

  • Series: H. Eugene and Lillian Youngs Lehman
  • Hardcover: 264 pages
  • Publisher: The University of North Carolina Press; 1 edition (April 1, 2013)
  • Language: English
  • ISBN-10: 1469607042
  • ISBN-13: 978-1469607047
  • Product Dimensions: 9.5 x 6.6 x 1 inches
  • Shipping Weight: 1.2 pounds (View shipping rates and policies)
  • Average Customer Review: 4.4 out of 5 stars  See all reviews (9 customer reviews)
  • Amazon Best Sellers Rank: #487,262 in Books (See Top 100 in Books)

More About the Author


Nortin M. Hadler, MD

Dr. Hadler is a graduate of Yale College and The Harvard Medical School. He trained at the Massachusetts General Hospital, the National Institutes of Health, and the Clinical Research Centre in London. He was certified a Diplomate of the American Boards of Internal Medicine, Rheumatology, Allergy & Immunology and Geriatrics. He joined the faculty of the University of North Carolina in 1973 and was promoted to Professor of Medicine and Microbiology/Immunology in 1985. He serves as Attending Rheumatologist at the University of North Carolina Hospitals.
He has lectured widely, including many named lectureships, and is a frequent commentator for the print and broadcast media. He has garnered multiple awards and served lengthy Visiting Professorships in England, France, Israel and Japan. He was selected as an Established Investigator of the American Heart Association and has been elected to membership in the American Society for Clinical Investigation and the National Academy of Social Insurance. He has been elevated to Master of the American College of Physicians and the American College of Rheumatology and is a Fellow of the American College of Occupational and Environmental Medicine.
The molecular biology of hyaluran and the immunobiology of peptidoglycans were the focus of his early investigative career to be superseded by his fascination with what he initially termed "industrial rheumatology." For 30 years he has been a student of "the illness of work incapacity"; over 200 papers and 12 books bear witness to this interest. He has detailed the various sociopolitical constraints imposed by many nations to the challenges of applying disability and compensation insurance schemes to such predicaments as back pain and arm pain in the workplace. He has dissected the fashion in which medicine turns disputative and thereby iatrogenic in the process of disability determination, whether for back or arm pain or a more global illness narrative such as is labeled "fibromyalgia." He is widely regarded for his critical assessment of the limitations of certainty regarding medical and surgical management of the regional musculoskeletal disorders. The third edition of his monograph, Occupational Musculoskeletal Disorders, was published by Lippincott Williams & Wilkins in 2005 and provides a ready resource as to his thinking on the regional musculoskeletal disorders.
In the past decade, he turned his critical razor to much that is considered contemporary medicine at its finest. His assaults on medicalization and overtreatment appear in many editorials and commentaries and 4 recent monographs:
McGill-Queens University Press published The Last Well Person. How to stay well despite the health-care system in 2004 (paperback 2007). UNC Press published Worried Sick. A prescription for health in an overtreated America (2008, paperback 2012), Stabbed in the Back. Confronting back pain in an overtreated society (2009), and Rethinking Aging. Growing old and living well in an overtreated society (2011). A fifth book, Citizen Patient, is in press and scheduled for release early in 2013. Les Presses de l'Université Laval / Les Éditions de l'IQRC is the publisher of French translations: Le Dernier des Bien Portants (2008), Malades d'inquiétude (2010), Poignardé dans le dos (2011) - won Prix Prescrire in 2012, and Repenser le vieillissement (2012, in press).

Customer Reviews

4.4 out of 5 stars
Share your thoughts with other customers

Most Helpful Customer Reviews

12 of 12 people found the following review helpful By Chenango on June 16, 2013
Format: Hardcover Verified Purchase
Medicine is a field of technological marvels: laparoscopic surgery which reduces the trauma of complex repairs inside the body; magnetic resonance imaging making it possible to see minute anatomical details of our organs; genetic breakthroughs that are opening frontiers of opportunity to predict illness and create novel treatments. Surely, Medicine has come a long way from the folly of useless and often harmful treatments of the past such as bleeding, or more recently, an entire generation of kids subjected to unnecessary surgery for removal of tonsils. Hasn't it?

Not according to a new book, entitled The Citizen Patient (University of North Carolina Press, 2013):it is a tour de force that leaves one's faith and confidence in our Medical system deeply shaken.
With exquisite precision the book skewers the morass that is today's American health care system. It spares no one: doctors, medical educators, insurers, medical journalists, professional medical journals, societies such as the American Cancer Society, medical associations (modern day guilds in his view), the pharmaceutical industry, Medicare, the FDA, hospitals, the National Institute of Health, and our most esteemed non profit institutions that run our medical schools. Even the "reformers" who come up with what he calls "Orwellian monikers such as `patient-centered, `accountable', and `medical home'" are exposed.

The author, Nortin M. Hadler, M.D., is not easily dismissed as a rash firebrand, a scold or a crank. He was trained at Harvard Medical School, did a residency at Massachusetts General Hospital, and he has been a faculty member of the UNC Medical School for over 40 years. He has published over 100 articles in peer reviewed journals as well as several books.
Read more ›
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again
10 of 12 people found the following review helpful By Fred Amir on April 21, 2013
Format: Hardcover
I am big fan of Dr. Hadler's work. As a physician who has made it his life's work to help and heal, he refuses to accept any compensation from the pharmaceutical companies and strives to clarify the line between evidence-based medicine and useless treatments and screenings.

Of course, useless treatments are not always harmless. For example, Dr. Hadler mentions, as he has in his previous books, that there is no evidence that angioplasty works any better than medications, yet this act of violence against patients may cause death. Unfortunately, that was exactly what happened to my father.

He was a healthy, active, vibrant 82 year old with no chronic illness who worked out with weights regularly and was in excellent shape.

When he complained of chest pain, he was taken to the emergency room. At the ER the angiogram showed one blocked artery, known as the "Widow maker," At that point angioplasty was done and a stent was placed in his artery. During the procedure his heart stopped twice and he passed away.

This is what Dr. Hadler is trying to prevent by writing and educating us all. This is what he calls "Type II Medical Malpractice," where a useless procedure is considered standard medical practice.

In Citizen Patient he gives us a brief history of how our medical system evolved, the many vested interests involved, what is an evidence-based medicine, and how the proposals to reform the system are only helping the existing system and not the patient.

It is an eye-opening book that I believe every citizen, especially elected officials, must read so that they can understand the medical system and get involved in reforming it for the sake of the patient. So take action and mail a copy to your congressperson, senators, and other elected officials ro send the Kindle edition to their email.
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again
3 of 3 people found the following review helpful By JtomGolfer on June 23, 2013
Format: Kindle Edition Verified Purchase
Despite Dr. Hadler's deployment of academician language which will fog the eyes and brains of the many people whose education level stopped at high school, this enlightening treatise goes the distance to instruct and convince the public that, when dealing with issues of one's personal health, the "caveat emptor" guide fits all sizes. Thankfully, the book is well-researched and indexed, and my iPad's dictionary kept me in the game for the entire book. Should anyone write a rebuttal to Dr. Hadler, perhaps a national debate is in order.
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again
2 of 2 people found the following review helpful By E. Harvey Estes, Jr. on October 9, 2014
Format: Hardcover Verified Purchase
This is an important and well written book, and I have rated it with four stars instead of five, because of two faults, which in no way detract from Dr. Hadler's message. I recommend it highly. The faults: 1)it is a bit pedantic, and would benefit from a consultation with some of the world's best experts in matching medical writing with the literacy of the intended audience, who work at Dr. Hadler's institution, the University of North Carolina. The second, and most important fault is that he has missed precisely identifying the most fundamental defect in the US health care system, which underlies most of the defects he highlights. In 1965, as Medicare and Medicaid were being hotly debated, the authors of these key bills and President Johnson made a key concession, which they judged as necessary for passage through Congress. They wrote into these acts a REQUIREMENT that the federal government pay the "usual, customary, and reasonable" (UCR) amount for the services purchased by patients under these acts. Doesn't sound too onerous, does it? But think again! It prohibits any bargaining for the price of any medical care. Not too bad for the then-prevalent charge of about $10 for an "office visit" to a physician (the most frequent service billed by physicians, then and now). In fact, it has restrained this charge over the years. But move ahead in time to the physician who invents a new surgical technique. For this new technique, there IS no usual, customary and reasonable charge. This is the first one! This surgeon (or more likely, the chief financial officer of his department in an academic medical center) can charge any amount he dares! He can reason that the procedure has required months and years of development.Read more ›
Comment Was this review helpful to you? Yes No Sending feedback...
Thank you for your feedback. If this review is inappropriate, please let us know.
Sorry, we failed to record your vote. Please try again

Set up an Amazon Giveaway

Amazon Giveaway allows you to run promotional giveaways in order to create buzz, reward your audience, and attract new followers and customers. Learn more
The Citizen Patient: Reforming Health Care for the Sake of the Patient, Not the System (H. Eugene and Lillian Youngs Lehman)
This item: The Citizen Patient: Reforming Health Care for the Sake of the Patient, Not the System (H. Eugene and Lillian Youngs Lehman)
Price: $21.53
Ships from and sold by