Where Does It Hurt?

by Jonathan Bush

First published 2014

Jonathan Bush examines America's $2.7 trillion healthcare system and finds it broken. The athenahealth cofounder draws from his experience as a New Orleans ambulance driver, army medic, and entrepreneur who launched a birthing startup in San Diego. When that business nearly failed, his team created software that became athenahealth, now serving over fifty thousand medical providers nationwide. Bush argues that government regulations protect expensive incumbents while slowing innovation. He points to emerging disruptors like Florida birthing centers and West Virginia urgent care facilities that prioritize efficiency and customer service. Digital startups equip providers and patients with apps to access medical data and control care. Bush contends that focused, profit-driven competitors can chip away at hospital dominance by offering routine procedures at lower costs. He envisions patients making informed choices about their care and payment while accepting more responsibility for their health. The book offers a plan for transforming healthcare through new business models, payment systems, and technologies that give patients greater control and enhance doctor-patient relationships.

Genres: medical, business, non-fiction, health

Vibes: fast-paced, intimate, thought-provoking

Tropes: disruptive-innovation, underdog

Setting: America, New Orleans, San Diego, Florida, West Virginia

Period: 21st-century

240 pages · Hardcover · Portfolio

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