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The Hospital

Life, Death, and Dollars in a Small American Town

Audiobook
1 of 1 copy available
1 of 1 copy available

An intimate, heart wrenching portrait of one small hospital that reveals the magnitude of America's health care crises.
"With his signature gut-punching prose, Alexander breaks our hearts as he opens our eyes to America's deep-rooted sickness and despair by immersing us in the lives of a small town hospital and the people it serves. " —Beth Macy, bestselling author of Dopesick
By following the struggle for survival of one small-town hospital, and the patients who walk, or are carried, through its doors, The Hospital takes listeners into the world of the American medical industry in a way no audiobook has done before. Americans are dying sooner, and living in poorer health. Alexander argues that no plan will solve America's health crisis until the deeper causes of that crisis are addressed.
Bryan, Ohio's hospital, is losing money, making it vulnerable to big health systems seeking domination and Phil Ennen, CEO, has been fighting to preserve its independence. Meanwhile, Bryan, a town of 8,500 people in Ohio's northwest corner, is still trying to recover from the Great Recession. As local leaders struggle to address the town's problems, and the hospital fights for its life amid a rapidly consolidating medical and hospital industry, a 39-year-old diabetic literally fights for his limbs, and a 55-year-old contractor lies dying in the emergency room. With these and other stories, Alexander strips away the wonkiness of policy to reveal Americans' struggle for health against a powerful system that's stacked against them, but yet so fragile it blows apart when the pandemic hits. Culminating with COVID-19, this audiobook offers a blueprint for how we created the crisis we're in.
A Macmillan Audio production from St. Martin's Press

"A brilliantly imaginative and creative way of telling the story of today's America and the roots of what ails it, through the travails of a small-town hospital. In The Hospital, Brian Alexander does again so well what he did in Glass House—telling the big story from the small place."
Sam Quinones, author of Dreamland: The True Tale of America's Opiate Epidemic

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    • Publisher's Weekly

      Starred review from January 11, 2021
      Journalist Alexander (Glass House) delivers an anguished and incisive look at the struggles of an independent community hospital in northwestern Ohio between March 2018 and August 2020. Alternating boardroom politics and financial details with heartrending stories of uninsured and disadvantaged patients, Alexander documents CEO Phil Ennen’s desperate efforts to keep Community Hospitals and Wellness Centers of Bryan, Ohio, solvent without lowering standards of care. To offer more services and draw patients from neighboring counties, hospital administrators set out to recruit medical professionals from abroad who would be willing to deal with rural Ohio’s cold winters and lack of amenities; meanwhile, CHWC doctors gave patients money for lifesaving prescriptions so they didn't have to wait until payday. Alexander delves into the complicated history of U.S. healthcare and lucidly describes how the Trump administration’s anti-immigration and pro-corporation policies impacted both the hospital’s ability to attract staff and the economic difficulties faced by locals. The story of diabetic Keith Swihart, who undergoes “two amputations, three eye surgeries, and one colonoscopy,” brings home the steep cost of not providing universal health care. Alexander’s in-depth research also makes clear why CHWC and hospitals like it have struggled to deal with the Covid-19 pandemic. This wrenching account brilliantly diagnoses the flaws in America’s healthcare system.

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  • English

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