Unaccountable and over one million other books are available for Amazon Kindle. Learn more



or
Sign in to turn on 1-Click ordering
Sell Us Your Item
For a $2.00 Gift Card
Trade in
More Buying Choices
Have one to sell? Sell yours here
Start reading Unaccountable on your Kindle in under a minute.

Don't have a Kindle? Get your Kindle here, or download a FREE Kindle Reading App.
Sorry, this item is not available in
Image not available for
Color:
Image not available

To view this video download Flash Player

 

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care [Hardcover]

Marty Makary
4.7 out of 5 stars  See all reviews (122 customer reviews)

List Price: $26.00
Price: $17.59 & FREE Shipping on orders over $25. Details
You Save: $8.41 (32%)
o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o
In Stock.
Ships from and sold by Amazon.com. Gift-wrap available.
Want it tomorrow, May 23? Choose One-Day Shipping at checkout. Details

Formats

Amazon Price New from Used from
Kindle Edition $9.43  
Hardcover $17.59  
Paperback $11.28  
Audible Audio Edition, Unabridged $20.95 or Free with Audible 30-day free trial
Rent Your Textbooks
Save up to 70% when you rent your textbooks on Amazon. Keep your textbook rentals for a semester and rental return shipping is free.

Book Description

September 18, 2012
Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why? To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.

Frequently Bought Together

Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care + The Checklist Manifesto: How to Get Things Right
Price for both: $29.36

Buy the selected items together


Editorial Reviews

Review

A New York Times Bestseller

"A startling revelation of the dysfunction deeply embedded in the very culture of American medical practice, problems that health care reform scarcely begins to address."—Peter Boyer, senior correspondent for Newsweek

"A searing indictment from the inside, arguing that the modern health-care industry, unlike almost every other, doesn't disclose its performance or pricing practices to the public and keeps under wraps information about mistakes and substandard quality.”--Laura Landro, The Wall Street Journal

“Makary’s diagnosis is dangerous, damaging secrecy; his therapy is radical transparency…. [Makary’s] argument is powerful…. [he] makes a strong case that the system we have is a disaster for patients.”--Trine Tsouderos, Chicago Tribune Printers Row

"A very readable, thought-provoking book that will be of interest to health-care consumers, providers, and legislators. The problems pointed out and the solutions suggested deserve to be part of a national discussion."— Richard Maxwell, Porter Adventist Hospital Library, Denver, Library Journal

"Makary’s book makes it perfectly clear that data transparency not only allows people to make informed decisions about their health but also nudges hospitals and physicians to be more vigilant and efficient."—Tony Miksanek, Booklist

"You will be a wiser health consumer for reading this book."Michael E Johns, M.D., Chancellor, Emory University

"This thought-provoking guide from a leader in the field is a must-read for M.D.s, and an eye-opener for the rest of us."—Publishers Weekly

"Unaccountable is a gripping story about what’s wrong with the American healthcare system and what we might do to make it better."—Peter Pronovost MD, PhD, Executive Vice-President, Johns Hopkins Hospital

"Every once in a while a book comes along that rocks the foundations of an established order that's seriously in need of being shaken. The modern American hospital is that establishment and Unaccountable is that book."—Shannon Brownlee, author of Overtreated

"A galvanizing book full of shocking truths about the current state of health care."Kirkus Reviews

About the Author

Marty Makary, M.D., M.P.H. is a surgeon at Johns Hopkins Hospital and a professor of Health Policy at the Johns Hopkins School of Public Health. He is a regular medical commentator for CNN and FOX News, and appears weekly on a wide variety of programs to discuss health topics. He is a leading patient-safety researcher and led the World Health Organization effort to develop ways to measure healthcare quality. He tweets @DrMartyMD.

Product Details

  • Hardcover: 256 pages
  • Publisher: Bloomsbury Press; 1 edition (September 18, 2012)
  • Language: English
  • ISBN-10: 1608198367
  • ISBN-13: 978-1608198368
  • Product Dimensions: 6.1 x 0.9 x 9.2 inches
  • Shipping Weight: 12.8 ounces (View shipping rates and policies)
  • Average Customer Review: 4.7 out of 5 stars  See all reviews (122 customer reviews)
  • Amazon Best Sellers Rank: #9,565 in Books (See Top 100 in Books)

More About the Author

Marty Makary is the author of "Unaccountable," a story about modern medicine's dangerous practices and its nascent transparency revolution.

Dr. Makary is a practicing surgeon at Johns Hopkins Hospital and an associate professor of health policy at the Johns Hopkins School of Public Health. A medical commentator for a CNN and FOXNews, he speaks regularly on the sociology of medicine and the future of healthcare. Dr. Makary led the effort of the World Health Organization (WHO) to measure hospital complications and was the first to publish studies on the use of a checklist in surgery. He later worked closely with Dr. Atul Gawande to develop the official WHO checklist. Dr. Gawande credits the co-development of the surgical checklist to Dr. Makary in his best-selling book, "The Checklist Manifesto".

Dr. Makary's research has appeared in the New England Journal of Medicine and numerous other medical journals. He is the recipient of research grants from the Department of Health and Human Services Agency for Healthcare Research and Quality and has written extensively on the subject of patient empowerment in healthcare. He serves in leadership roles at the American College of Surgeons and is the author of "General Surgery Review," a standard textbook used in many medical schools. In 2007, Dr. Makary was named the Mark Ravitch Chair of Gastrointestinal Surgery at Johns Hopkins. His current role is Director of Surgery Quality and Safety at Johns Hopkins. He specializes in cancer surgery and is the Director of the Johns Hopkins Pancreas Islet Transplant Center.

Dr. Makary holds degrees from Bucknell University, Thomas Jefferson University, and Harvard University. He completed his surgical training at Georgetown University and subspecialty training at Johns Hopkins University. He lives in the Washington D.C. area.

Customer Reviews

The transparency that Dr. Makary talks about is what is needed. R. Scott Lorenz  |  35 reviewers made a similar statement
He is reading the book aloud to me as this way we both "get it". John Morse  |  24 reviewers made a similar statement
Very informative, eye-opening, interesting and easy to read. JoAnn Strack, MPH  |  22 reviewers made a similar statement
Most Helpful Customer Reviews
65 of 68 people found the following review helpful
5.0 out of 5 stars A Book That Challenges The Status Quo Of Health Care September 18, 2012
Format:Hardcover
Dr. Marty Makary, a cancer surgeon at the renowned John's Hopkins School of Medicine, has written a provocative, well-researched, and quite scary book that should be read by physicians, nurses, patients, and hospital administrators. Here are some shocking statistics he gives: One in four hospital patients is hurt by a medical mistake. Thirty to forty percent of our health care dollars pays for fraudulent or unnecessary care. Ten to fifteen percent of patients are not given all their options regarding their care. Possibly the most shocking statistic of all: surgeons operate on the wrong body part 40 times per week!

To a physician like myself, these statistics are unfortunately not all that surprising. Medicine is administered by humans, and thus subject to human error. Makary writes that the key to improving health care outcomes (and excess cost) is greater transparency. Basically, doctors and hospitals need to be more open with their complication rates, alternative treatments, and be more willing to prevent bad doctors from practicing medicine. Because doctors and hospitals won't make these changes, the key is patient empowerment.

In that way Makary's book pushes patients to act in their best interests and not accept the status quo. It hearkens back to his contributions with author and medical essayist Atul Gawande in The Checklist Manifesto: How to Get Things Right. In my hospital, as many others around the country, many of his recommendations are, in fact, being instituted such as with the Keystone initiative. I believe Makary makes some great points which should be seriously considered by hospital administrators and physician leaders.

While this book is quite scary to the patient, I think it's important to remind readers that the majority of physicians are competent. Some of the stories of terrible doctors can be extremely terrifying to patients, including the cardiac surgeon whose last six patients died during routine heart surgery. He is not the norm.

If you read this book, I would highly recommend two other books by prominent, caring physicians. They will remind you that the vast majority of doctors practice medicine to help people, not take advantage of the system. The aforementioned Gawande penned the classic Complications: A Surgeon's Notes on an Imperfect Science, which focuses on medical ethics, unusual patient stories, and the inevitable uncertainty of medicine. It is a very worthwhile read.

Anthony Youn, MD authored In Stitches, a sweet, funny, and eye-opening look at the process of becoming a doctor. It's not as alarming as Makary's book, as pensive and serious as Gawande's, but leaves the reader with a sense of hope in the field of medicine. It's a great third book to compliment these two, and will leave you with a smile on your face.

Even if you read it while occupying a hospital bed.
Was this review helpful to you?
35 of 40 people found the following review helpful
5.0 out of 5 stars Persuasive, Engrossing and Empowering September 18, 2012
Format:Hardcover|Amazon Verified Purchase
My question, after reading "Unaccountable," wasn't why Dr. Makary had written such a book, but why another doctor hadn't written this book sooner?

"Unaccountable" is a raw and stark look inside the American medical system. Sucking you in, right from the start, with the true story of HODAD - a renowned surgeon at Harvard - worshiped by his patients, but known to all the residents to be the most dangerous doctor on staff - Dr Makary paints a picture of a medical system that is viewed to be a well-oiled machine, but in actuality, is more like "The Wild West," rampant in medical mistakes and impaired physicians.

Dr. Makary argues that transparency is the key to revolutionizing health care in the U.S., and is, instead, convinced doctors and hospital administrators need to stop their ever-present culture of secrecy. Patients should not walk blindly into hospitals, but have full access to a wealth of data regarding infection rates and surgical complications. According to Dr. Makary, hospitals have little to no incentive to improve these "danger zones," to the detriment of their patients, and only once they are forced to be competitive in their level of patient safety will Americans receive the care they deserve.

Though, a bit disappointed that Dr. Makary did not delve a bit more into the unethical mistakes of the pharmaceutical industry, (perhaps he will take on this issue in his next book) he does horrifyingly discuss how cancer doctors actually make a good deal more money if a patient is prescribed chemo than if he is given an alternative option.

"Unaccountable" is not just for doctors, though, it is imperative they devour every word. Above all, it is a necessary read for everyone who has ever known someone in a hospital, has ever been in a hospital or might someday find themselves a patient in a hospital. I'm fairly certain that doesn't leave anyone out!
Was this review helpful to you?
12 of 12 people found the following review helpful
5.0 out of 5 stars If The Public Only Knew What Really Goes On... October 11, 2012
Format:Kindle Edition|Amazon Verified Purchase
In 'Unaccountable' Dr. Makary discusses how common sense solutions can fix the healthcare system by empowering patients with information to choose where to go for their medical care. The problem is that the health care industry hides and protects bad doctors, bad practices and bad outcomes.

If the public only knew what really goes on, you would be shocked. In my line of work, I am privy to settlements between hospitals and patients who have been harmed. One common element in all these settlements is confidentiality. Nobody can say anything about the lawsuit, the amount of the settlement or anything. How does the withholding of that information help the public? It doesn't.

The transparency that Dr. Makary talks about is what is needed. But changing the way medicine is done in the USA won't happen overnight. I highly recommend that everyone read 'Unaccountable' and if you find this of interest another book along the same lines called 'Getting Over Going Under: 5 Things you Must Know before Anesthesia' by Dr. Barry Friedberg which covers his 20+ year struggle to change just one item in health care, i.e. getting hospitals to use a brain monitor during surgery.

Hats off to both doctors for shedding light on the health care industry's culturally ingrained obfuscation of the truth and resistance to change.
Comment | 
Was this review helpful to you?
Most Recent Customer Reviews
4.0 out of 5 stars The details behind medical discrepancies, and a possible solution.
A close look at the amount of hidden information about health care, including infection rates, outcomes, competence, and pricing. Read more
Published 3 days ago by Lewis T. Fitch
5.0 out of 5 stars Fascinating look at health care
Well written, interesting and very topical. Makary shows some of the big flaws in our health care system. Read more
Published 3 days ago by Ziggy
5.0 out of 5 stars Scarey what we don't know!
This needs to be fixed 1st! Having medical insurance will not fix the bigger problem! Anyone that needs medical care should read this!
Published 3 days ago by christy holsten
5.0 out of 5 stars fascinating read
One of the most honest accounts of the need for greater transparency in medicine. I thoroughly enjoyed the book. Read it in two hours on a flight from DC to TX. Read more
Published 5 days ago by Jennifer Pueschner
5.0 out of 5 stars Very informative
Very good book to read what goes on behind the scenes. It is a real eye opener when it comes to your medical world.
Published 19 days ago by Ruben Torres
4.0 out of 5 stars Must read for patients
Dr. Markay's take on the state of health care is refreshing. It is in the same mindset as Dr Atul Gawande's many books, especially "Better. Read more
Published 19 days ago by Adam Nelson
5.0 out of 5 stars A superb book on medical accountability and transparency
Wow. I'll keep this review short. Everyone, everyone, should read this eye-opening book by this very credible author. Read more
Published 23 days ago by kkkwj
5.0 out of 5 stars Eye opening
Easy to read and comprehensive overview of why the health care business needs to be more like others that Americans use. Read more
Published 23 days ago by LORI M BENCOE
5.0 out of 5 stars Great book for those interested in challenging current healthcare...
Well written, entertaining, informative. Excellent view into the world of healthcare from a physician's perspective. Read more
Published 1 month ago by Brad Beecher`
3.0 out of 5 stars UNACCOUNTABLE
I WAS DISAPPOINTED IN THE BOOK. IT REALLY DIDNT HAVE ANY USEFUL INFORMATION IN IT. I SAW THE DR. MAKARY ON THE DOCTORS & REALLY WHAT THEY DISCUSSED SUMED UP THE ENTIRE BOOK
Published 1 month ago by Lindy Matherly
Search Customer Reviews
Only search this product's reviews


Forums

Search Customer Discussions
Search all Amazon discussions

Start a new discussion
Topic:
First post:
Prompts for sign-in
 






Look for Similar Items by Category