87 pages • 2 hours read
Elisabeth Rosenthal is a Harvard-educated former physician, former New York Times reporter, and a medical researcher. She eventually pivoted to investigative journalism, which gave her the inspiration to write this book. Both Rosenthal and her father were physicians, which she argues gives her a unique vantage point from which she witnessed massive changes in the healthcare industry. While some may be skeptical of Rosenthal’s ability to be unbiased due to her past career as a doctor, she uses this background to critique her peers and the industry that shaped her. It allows her to break down complex medical jargon for readers who are less well versed in the field. Having served as both doctor and patient, she is able to identify certain dynamics that keep patients less knowledgeable, thus making her belief in individual power all the more potent. As of 2021, Rosenthal is the editor in chief of Kaiser Health News.
In An American Sickness, the American patient is the book’s intended audience. Some of the more complex concepts in Part 1 are grounded by firsthand testimony from American patients, and Rosenthal’s retelling of these accounts makes the material more accessible and humanizes the cause. Rosenthal frequently mentions that almost every American, regardless of differences in political party, career path, or geographical location, experiences setbacks as a result of the healthcare industry. Her testimonials are sourced from people that readers might recognize from their everyday life, whether that be Olga Baker, the concerned mother who was swindled into paying for a surgery her daughter didn’t need, or Hope Marcus, who struggled to pay for a lifesaving drug.
In Part 2, the reader, presumably the average American patient, takes center stage as the book’s main subject. Rosenthal directly addresses the reader, arguing that patients can be empowered to address the system’s problems through information. Many issues with the healthcare system persist because patients are either unaware of their severity or feel helpless to combat them. Patients are an untapped resource for change.
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