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The Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone 1st Edition

by Vivian Lee MD (Author)
4.6 4.6 out of 5 stars 236 ratings
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It may not be a quick fix, but this concrete action plan for reform can create a less costly and healthier system for all.

Beyond the outrageous expense, the quality of care varies wildly, and millions of Americans can’t get care when they need it. This is bad for patients, bad for doctors, and bad for business.

In The Long Fix, physician and health care CEO Vivian S. Lee, MD, cuts to the heart of the health care crisis. The problem with the way medicine is practiced, she explains, is not so much who’s paying, it’s what we are paying for. Insurers, employers, the government, and individuals pay for every procedure, prescription, and lab test, whether or not it makes us better―and that is both backward and dangerous.

Dr. Lee proposes turning the way we receive care completely inside out. When doctors, hospitals, and pharmaceutical companies are paid to keep people healthy, care improves and costs decrease. Lee shares inspiring examples of how this has been done, from physicians’ practices that prioritize preventative care, to hospitals that adapt lessons from manufacturing plants to make them safer, to health care organizations that share online how much care costs and how well each physician is caring for patients.

Using clear and compelling language, Dr. Lee paints a picture that is both realistic and optimistic. It may not be a quick fix, but her concrete action plan for reform―for employers and other payers, patients, clinicians, and policy makers―can reinvent health care, and create a less costly, more efficient, and healthier system for all.

Previous page
  1. ISBN-10
    1324006676
  2. ISBN-13
    978-1324006671
  3. Edition
    1st
  4. Publisher
    W. W. Norton & Company
  5. Publication date
    May 26, 2020
  6. Language
    English
  7. Dimensions
    6.3 x 1.1 x 9.3 inches
  8. Print length
    304 pages
  9. See all details
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Editorial Reviews

Review

"In The Long Fix, Vivian Lee M.D. crisply diagnoses the imperative to repair America’s health care system and offers understandable principles as a guide. She lights a path forward by applying lessons and observations from her unique experiences as a physician, health system leader, and now technology executive. This book matters to patients and their families. It matters to Americans who care about the economic future of our nation. It especially matters to government leaders and health care executives we depend on to find strategies that work for everyone."
― Michael O. Leavitt, former governor of Utah and former Secretary of Health and Human Services

"This is a well-researched and thoughtful book from one of our nation’s leaders in healthcare reform. Dr. Lee has written a practical guide with actionable solutions for policymakers, healthcare providers, and patients―a must-read!"
― Dr. Leana S. Wen, visiting professor at George Washington University, former president and CEO of Planned Parenthood, and former Baltimore city health commissioner

"Deeply researched, clearly written, and with a wealth of examples and colorful anecdotes, The Long Fix is necessary reading for anyone seeking to understand―and, more importantly, repair―our ailing healthcare system. Few people have the breadth and depth of Vivian Lee’s experience, and her pragmatic, results-oriented approach offers a compelling and convincing blueprint for doctors, health care professionals, patients, and legislators, on both sides of the aisle."
― Eric Schmidt, former CEO of Google

"Dr. Lee has drawn upon her extensive experience and a wide range of physician and administrator colleagues to provide a deep understanding of the ailments plaguing the US health care system, accompanied with practical suggestions for how to remedy them. An excellent overview of the problems and potential solutions."
― Robert S. Kaplan, Senior Fellow, Marvin Bower Professor of Leadership Development, emeritus, Harvard Business School

"Dr. Lee’s book is an insightful diagnostic look at what is not working in American medicine, and why, that is made compelling by her succinct, practical recommendations for what each of us―policy-maker, consumer, physician/health professional, and payer―can do now to realize the person-centered, high value health care system we all so long for."
― Karen DeSalvo, chief health officer, Google Health and former US national coordinator for health information technology

"A health professional turns an experienced eye toward sensible, ground-level actions to make medical care better and cheaper."
― Kirkus

"Lee speaks with authority.... Especially in light of the coronavirus emergency, Lee’s call for everyone to play a role in ‘the Long Fix’ rings true."
― Booklist

"Relevant to all who provide or receive health care in America."
― Library Journal

About the Author

Vivian S. Lee, MD, PhD, MBA, has been a practicing physician, scientist, and health care administrator for more than two decades. Now president of health platforms at Verily (Alphabet’s health company), she divides her time between Boston, New York, and San Francisco.

Product details

  • Publisher ‏ : ‎ W. W. Norton & Company; 1st edition (May 26, 2020)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 304 pages
  • ISBN-10 ‏ : ‎ 1324006676
  • ISBN-13 ‏ : ‎ 978-1324006671
  • Item Weight ‏ : ‎ 1.05 pounds
  • Dimensions ‏ : ‎ 6.3 x 1.1 x 9.3 inches
  • Customer Reviews:
    4.6 4.6 out of 5 stars 236 ratings

About the author

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Vivian S. Lee

Vivian S. Lee

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Vivian S. Lee, M.D., Ph.D., M.B.A, is President of Health Platforms at Verily Life Sciences, an Alphabet company whose mission is to apply digital solutions that enable people enjoy healthier lives. A passionate champion of improving health in the U.S. and worldwide, she works closely with Verily’s clinical and engineering teams to develop products and platforms that support the successful transformation of health systems to value and advance the co-production of health with patients, their caregivers, and communities. She also serves as a Senior Lecturer at Harvard Medical School and Massachusetts General Hospital, and a Senior Fellow at the Institute for Healthcare Improvement. In 2019, she was ranked #11 among the Most Influential People in Healthcare (Modern Healthcare). Lee is the author of "The Long Fix", a book that provides solutions and tips for healthcare reform. Find out more about Dr. Lee at vivianleemd.com

You can find her on Twitter at @vivianleemd

Customer reviews

4.6 out of 5 stars
4.6 out of 5
236 global ratings

Top reviews from the United States

Davis Liu
5.0 out of 5 stars Wow. Must read. Amazing insights which offers solutions for ensuring better health care.
Reviewed in the United States on September 21, 2020
Verified Purchase
Dr. Vivian Lee has done a miraculous job in writing an easy to understand and very engaging book on the challenges facing the US health care system to ensure affordability, accessibility, and consistent high quality care. This is a must read for anyone wishing to understand how the US health care system got started, how did it become what it is today, and what is needed to make it better.

Through and full of insightful perspectives from experts in health care from the public sector and private sector as well as memorable one-liner quotes and anecdotes, it ends each chapter asking each responsible party in health care - payers (insurers, employers), patients, physicians, health care providers, and policy makers, what each should do to enable a better future.

I appreciate the enormous difficulty in explaining the US health care system that accounts for 1/5 of the US GDP and I also admire how masterfully Dr. Lee does so. It’s her unique perspective as a clinician, a researcher, a health care leader both at the academic medical center University of Utah Health and also technology company Verily that allows her to holistically see the US health care system as a whole from multiple perspectives and data points from the 30,000 foot level to that of individual doctor and patient encounter.

I tell you, as someone who has been a patient advocate since 2004, as a primary care doctor since 2000, who has been fortunate enough to meet with and learn from extraordinary health care leaders and business leaders through my tenure at Kaiser Permanente, if there was only one book you had to read on the US health care system, this is the one to get you up to speed quickly with its candor about the current status quo and that offers the optimism and solutions of a better future only if we actively choose to do it - it is this book, the Long Fix: Solving America's Health Care Crisis with Strategies that Work for Everyone.
4 people found this helpful
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suzanne masciantonio
5.0 out of 5 stars Totally engaging, easy to read and strikingly provocative
Reviewed in the United States on August 9, 2020
Verified Purchase
Dr. Lee tackles one of the most complex and daunting challenges facing us: improving our health care system. Her views are supported by evidence and her range of understanding of clinical, macro/micro economic and political/social forces in play is impressive. Written for the total spectrum of readers from lay person to expert, she narrates with a wonderfully engaging voice that maintains the reader's interest across a comprehensive landscape of relevant issues. Dr. Lee has created an extremely engaging and interesting approach to get her points across, filled with entertaining references and to-dos for each stakeholder. Like many others have opined: this is a highly enjoyable and refreshing MUST read!
3 people found this helpful
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Tara
5.0 out of 5 stars Good-Faith discussions on how to improve outcomes in Healthcare
Reviewed in the United States on February 28, 2022
Verified Purchase
It's self-evident healthcare is an incredibly complex part of each of our lives. Both political parties agree something is fundamentally broken, though you will not hear good-faith arguments on how to improve it. The answers are hard, incentives are deeply entrenched and the major players in healthcare have little incentive to change how things are done. Dr. Vivian Lee mines the complexity and brings forward objectives and goals for stakeholders across healthcare, including the patient. If you're interested in easy answers, you'd be better off looking for magic beans and listening to politicians. This book holds a guide to the real work and the real payoff for the US Healthcare system to achieve better outcomes for less cost.
One person found this helpful
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Rachelle D Huitink
5.0 out of 5 stars Clarity about America’s healthcare catastrophe
Reviewed in the United States on July 23, 2022
Verified Purchase
Well-written, easy-to-read analysis of the breakdown in America’s healthcare system with proposed solutions. It’s easy to see we need change, but it’s hard to see why we got to where we are. This book is a must read for those who desire to implement change in our broken system or are in a position to make a difference.
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P Suchan
5.0 out of 5 stars A must read for anyone who cares about healthcare or wants to fix it!
Reviewed in the United States on July 8, 2020
Verified Purchase
Whether you know nothing about the US healthcare system or have worked in the industry your entire career, there is something everyone can learn from this book. It is practical, optimistic and the stories are truly fascinating. I highly recommend this book for anyone who wants to learn about how healthcare is provided and paid for today and how we can make it better.
One person found this helpful
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Joanne
5.0 out of 5 stars Thoughtful and Thorough Approach to Addressing Health Care Challenges in America
Reviewed in the United States on July 10, 2020
Verified Purchase
It is obvious that health care in America is broken; we spend significantly more than all developed countries on healthcare but our outcomes are among the worst of any developed nation. Many of the potential policy solutions that could potentially solve this problem become highly politicized and therefore have little chance of getting through a highly divided Congress. In "The Long Fix" Dr. Lee offers common-sense solutions to various problems with many of problems with the health care system that seem like they could win broad bipartisan approval. She also offers specific steps that each player in the health care system (patients, providers, policymakers) can take to advocate for better care. A must read for anyone who is interested in making the health care system better.
3 people found this helpful
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