Saturday, October 31, 2015

Doctored: The Disillusionment of an American Physician

Doctored: The Disillusionment of an American Physician by Sandeep Jauhar, 268 pages.

Jauhar, who chronicled the beginning of his career in his 2008 book, Intern, here recounts what he sees as the decline in the morale and intellectual climate in his profession. Working as a specialist in heart failure at Long Island Jewish hospital, Jauhar finds that, because of all the changes in healthcare and payment plans over the last several years, he and his family cannot quite afford the life they thought they could on a cardiologist's salary. Many of the medical professionals Dr. Jauhar encounters, especially those who had their hearts set on getting wealthy, become burnt out or resort to complicated, and from the patients point of view, unnecessary, schemes to increase the amount earned per patient seen. Jauhar himself tries several different extracurricular workflows that he hopes will keep him afloat without compromising his ethics too much.
While Jauhar himself read the audio of his first book, Patrick McCarthy reads this one, and while he does an adequate job, the change in voice is a bit jarring.
Jauhar is a very good writer, but he tells a sort of  a grim and dispiriting tale.



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