by people who have no idea what being a doctor really means” and is consequently in danger of “falling from its lofty place in our society to a job on the assembly line, widgets replaced by patients.” Kowey illustrates these failings with a series of stories about the problems encountered by patients experiencing the whole range of medical treatment, from unexpected ER visits to extended care for prolonged conditions. Each history is presented in great detail, followed by a “Case Explanation” and a “Conclusion” in which the author pinpoints the cause of the problems and offers some potential solutions. Readers learn about a Mrs. Lynch, for instance, who began experiencing an irregular, racing heartbeat and underwent an ablation to cauterize the arrhythmic area. But her atrial fibrillation continued, perhaps prolonged by the ablation itself, and Kowey contends that, given her otherwise young and healthy state, the ablation was “inappropriate.” In the case of 75\u002Dyear\u002Dold Mrs. Lopez, the issues are more interpersonal than medical: The hospital staff is coldly indifferent, her discharge is likely early, and the hospital’s “patient experience specialist” seems more concerned with a good rating than anything else. “It is maddening,” the author writes, “that hospital leaders have chosen to spend money foolishly on administrative salaries, worthless marketing, failed initiatives, and ancillary services that bring little value to the routine care of hospitalized patients.” As the percentage of the U.S. population that can afford health care of any kind rapidly shrinks, readers will find these stories of miscommunication and administrative bloat recognizable, and the author’s professional experience gives them extra heft."
