作品简介

　　看病也可以讨价还价？美国医疗产业如何变成一门巨大且浪费的生意？诊断美国卫生保健体系疾患的良心之作，曾在美国国会引起轩然大波。

　　过度治疗、价格欺诈、掠夺性收费、中间商赚差价……是什么导致了天价医疗账单？为何美国医疗价格不透明？理想的医疗体系又该是怎样的？一本书读懂盘根错节的美国医药行业。

　　美国国家医学院院士、顶尖医学学府约翰斯·霍普金斯医院讲席教授马蒂·马卡里，以外科医生的严谨、作家的犀利，反思医疗适当性问题。

　　《纽约时报》畅销书、美国商业记者协会年度商业图书奖；唐金陵、王兴、阿图·葛文德、卡斯·桑斯坦等中外知名医学专家、学者诚意推荐。

　　如今，大约每5个美国人中就有1人背负医疗债务，本该是基本权利的卫生保健，在美国却日益成为奢侈品：穷人看病贵、看病难，企业主负担重，利益相关方却赚得盆满钵满……医药行业如何从为弱势群体谋福利的助人行业，衍变成一座巨大的生意场？约翰斯·霍普金斯医院外科医生、卫生政策教授马卡里游历美国各地，聆听现场故事并结合自身经验和研究，为我们揭开谜底。

　　为榨取高额利润，过度检查、诊断和治疗随处可见；价格欺诈、中间商、一系列捉摸不透的金钱游戏也正在为医疗泡沫添砖加瓦。作为卫生保健透明化的倡导者，马卡里从社会正义的角度理解“健康”问题，展开了对医疗乱象和制度不端的尖锐批评，参与医生和患者教育，深入思考如何控制医疗资源浪费，并带动医生团队为了患者的利益而采取行动。

　　本书被《福布斯》杂志总编辑史蒂夫·福布斯誉为“每个美国人的必读之书”。

　　马蒂·马卡里（Marty Makary），约翰斯·霍普金斯医院外科医生、卫生政策教授，美国国家医学院院士，《华尔街日报》《今日美国》医生意见领袖。提出的外科手术安全清单得到过世界卫生组织的采纳。曾发表大量关于公共卫生弱势群体、卫生保健成本和质量科学的研究成果。曾任世界卫生组织“安全手术，挽救生命”项目领导。著作《无人有责》（Unaccountable）荣登《纽约时报》畅销书榜。

　　译者：潘驿炜，北京大学理学博士，研究方向为医学史、科学技术与社会，业余从事医学科普翻译。译有《病床边的陌生人：法律与生命伦理学塑造医学决策的历史》（2020）、《病患悖论：为什么“过度”医疗不利于你的健康？》（2020）、《重来也不会好过现在：成年人的哲学指南》（2019）等。

Introduction of works

Can the doctor also bargain? How did American health care become such a huge and wasteful business? A work of conscience to diagnose the ills of the US health care system caused an uproar on Capitol Hill.

Overtreatment, price gouging, predatory fees, middlemen making the difference... What causes sky-high medical bills? Why US healthcare prices aren't transparent What would be the ideal healthcare system? A book to understand the tangled world of American medicine.

Marty Makary, a member of the US National Academy of Medicine and a professor at Johns Hopkins Hospital, a top medical institution, reflects on the issue of medical appropriateness with the rigor of a surgeon and the sharpness of a writer.

New York Times bestseller, American Association of Business Journalists Business Book of the Year Award; Tang Jinling, Wang Xing, Atul Gawande, Cass Sunstein and other well-known medical experts and scholars at home and abroad sincerely recommend.

Today, about one in five Americans has medical debt, and health care, which should be a basic right, is increasingly becoming a luxury in the United States: expensive and difficult for the poor, burdensome for business owners, and lucrative for stakeholders. How did the pharmaceutical industry evolve from a helping industry for the benefit of vulnerable groups into a huge business? Makary, a surgeon and professor of health policy at Johns Hopkins Hospital, travels across the United States, listening to live stories and combining his own experience and research to answer the questions.

Excessive testing, diagnosis and treatment are common to extract high profits; Price gouging, middlemen and a series of shadowy money games are also contributing to the healthcare bubble. As an advocate for transparency in health care, Makary understands "health" issues from a social justice perspective, has developed a sharp critique of medical chaos and institutional failings, engaged in physician and patient education, thought deeply about how to control waste in health care, and led physician teams to take action for the benefit of patients.

The book has been described by Steve Forbes, editor-in-chief of Forbes magazine, as "a must-read for every American."

Marty Makary is a surgeon and professor of health policy at Johns Hopkins Hospital, a member of the National Academy of Medicine, and a Wall Street Journal and USA Today Physician opinion leader. The proposed surgical safety checklist has been adopted by the World Health Organization. He has published extensive research on public health vulnerable populations, health care costs, and quality science. He led the World Health Organization's "Safe Surgery Saves Lives" program. His book "Unaccountable" is a New York Times bestseller.

Translator: Pan Yiwei, Ph.D., Peking University. His research interests include medical history, Science, Technology and Society. Strangers at the Bedside: The History of Law and BioEthics Shaping Medical Decision Making (2020) and The Patient Paradox: Why 'Too Much' Medicine Is Bad for Your Health. (2020), "Not Better Than Now: A Philosophical Guide for Adults" (2019), and more.