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Checking America’s Pulse 
Malcolm Gladwell Discusses 
Health Care in America with Forbes
In Malcolm Gladwell’s latest 
book David and Goliath, the 
New York Times bestselling 
author applies the fable of 
the ma...
The Interview 
With the release of his book, Malcolm 
Gladwell sat down for a rare interview 
with Forbes contributor Robe...
The Affordable Care Act 
Gladwell comes out the gate stating his 
feelings about the Affordable Care Act 
are mixed, in th...
KNOW THE FACTS 
34.9 percent of American adults are 
obese, according to the Journal of 
American Medicine. 
Conditions re...
The High Price of Innovation 
Gladwell believes it’s hard to compare 
American health care to other systems, 
such as his ...
The Malpractice System 
KNOW THE FACTS 
According to a study in the 
New England Journal of 
Medicine, by the age of 65, 
...
Government Regulations 
Gladwell sees government regulations as 
strong in some areas, and over-bearing 
in others. He poi...
In discussing care over a lifetime, Gladwell says individual needs and type of 
care considering the patient’s age and ove...
Contact Us 
Forensic Psychiatric Associates Medical 
Corporation (fpamed) provides expert 
medical testimony on mental hea...
Image Attributions 
Slide 2: Image courtesy of Pop!Tech and Kris Krug through Flickr Creative Commons 
https://flic.kr/p/5...
Summary 
With the release of his latest book, 
Malcolm Gladwell sat down with 
Forbes to discuss a range of topics on 
Ame...
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http://www.fpamed.com/ | With the release of his latest book, Malcolm Gladwell sat down with Forbes to discuss a range of topics on American health care, including the Affordable Care Act, the malpractice system, and end-of-life care. These are the highlights from the interview.

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Checking America’s Pulse with Malcolm Gladwell

  1. 1. Checking America’s Pulse Malcolm Gladwell Discusses Health Care in America with Forbes
  2. 2. In Malcolm Gladwell’s latest book David and Goliath, the New York Times bestselling author applies the fable of the man versus the giant to today’s social structures and institutions, and in one instance, a single physician attending to children suffering from a deadly type of leukemia versus the set medical structures. In the end, the physician bucked the notion that his lack of authority made him disadvantaged, but rather, gave him the firsthand experience to develop a successful treatment for childhood leukemia. Malcolm Gladwell
  3. 3. The Interview With the release of his book, Malcolm Gladwell sat down for a rare interview with Forbes contributor Robert Pearl to get his take on health care in America. Known for his astute insight into society, politics, and government, Gladwell did not disappoint with views covering a wide range of topics on the intricacies that make up American health care. Here are the highlights from the interview.
  4. 4. The Affordable Care Act Gladwell comes out the gate stating his feelings about the Affordable Care Act are mixed, in that he believes the Act’s intentions are in the right place, however, he is concerned if this is the right approach – considering America’s many challenges with health care delivery. Gladwell suggests a system that values innovation for health care delivery. This type of innovation, he points out, would have to start at the bottom.
  5. 5. KNOW THE FACTS 34.9 percent of American adults are obese, according to the Journal of American Medicine. Conditions relating to obesity, such as heart disease and stroke, are prevalent causes of preventable death, states research from the National Heart, Lung and Blood Institute. When it comes to Americans maintaining good health, Gladwell sees the issue as twofold: 1. There are very few incentives in the current system to motivate people to live more healthily. 1. There are also few incentives for physicians to encourage healthier lifestyles to patients in a fee-for-service model. As Gladwell sees it, the government is in the position to cultivate a system that makes healthy living easier and puts the focus on preventative measures. America’s Health Habits
  6. 6. The High Price of Innovation Gladwell believes it’s hard to compare American health care to other systems, such as his native Canada. The U.S. has the unique position of being an advanced medicine pioneer, which comes with a high economic burden for developing such technology. Gladwell also points to America’s social dynamics that need to be considered within the system. A country with a large standing army, and violent past, America has an obligation to properly serve its veterans, as well as incorporate the underclass into the health care system.
  7. 7. The Malpractice System KNOW THE FACTS According to a study in the New England Journal of Medicine, by the age of 65, nearly a hundred percent of physicians in high-risk specialties had faced a claim of malpractice; for low-risk specialties, it was estimated at 75 percent. Gladwell suggests the current malpractice system does not adequately serve the people involved since errors are often directly related to the delivery of health care, not just the individual physician. His solution? Gladwell suggests we better compensate those who suffer from errors and address the breakdown in the system as a whole, not just the singular error by any one individual. KNOW THE FACTS Not just open heart surgeons are subjects of malpractice claims, psychologists and psychiatrists are susceptible too. A forensic psychiatrist may be called in as an expert witness or consultant in claims of psychotherapeutic or psychological/psychiatric malpractice.
  8. 8. Government Regulations Gladwell sees government regulations as strong in some areas, and over-bearing in others. He points to the stringent regulations for nursing-home care and says the care is still not substantially good. It could be, he says, because the human element – the compassion – is being squelched under all the regulations. On the other hand, he points to regulations within pharmaceutical manufacturing, which he says should be voluminous in detail and not left to any one individual's discretion. The process should be streamlined and factories must be inspected and investigated routinely.
  9. 9. In discussing care over a lifetime, Gladwell says individual needs and type of care considering the patient’s age and overall health should always be examined. KNOW THE FACTS According to a study in the Journal of the American Medical Association, the percentage of Medicare beneficiaries who died in hospice from 2000 to 2009 substantially increased from 21.6 percent to 42.2 percent, respectively. Gladwell describes end-of-life care focusing on dignity, compassion, and attentive nurses, while the focus on a young person in a car accident would be a much more aggressive approach. One way to look at it is, different resources and practices for different stages of life. For example, aggressive interventions may not be in the best interest of elderly patients who have long since suffered from a multitude of ailments. Living with Dignity
  10. 10. Contact Us Forensic Psychiatric Associates Medical Corporation (fpamed) provides expert medical testimony on mental health issues. Fpamed professionals research medical records, legal documents, interviews and more to provide accurate, compelling testimony for plaintiff and defense clients. For expert mental health witnesses who know their science and understand how to explain information for laypeople, fpamed's reputation is unparalleled. For more information on forensic psychiatry and fpamed’s services, please visit www.fpamed.com or call (415) 388-8040.
  11. 11. Image Attributions Slide 2: Image courtesy of Pop!Tech and Kris Krug through Flickr Creative Commons https://flic.kr/p/5wds2h Sources All Slides: Forbes interview by Robert Pearl http://www.forbes.com/sites/robertpearl/2014/03/06/malcolm-gladwell-on-american-health- care-an-interview/ Slide 4: Obesity statistics http://www.cdc.gov/obesity/data/adult.html Slide 6: Malpractice statistics http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204310/ Slide 8: Hospice statistics http://jama.jamanetwork.com/article.aspx?articleid=1568250
  12. 12. Summary With the release of his latest book, Malcolm Gladwell sat down with Forbes to discuss a range of topics on American health care, including the Affordable Care Act, the malpractice system, and end-of-life care. These are the highlights from the interview.
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http://www.fpamed.com/ | With the release of his latest book, Malcolm Gladwell sat down with Forbes to discuss a range of topics on American health care, including the Affordable Care Act, the malpractice system, and end-of-life care. These are the highlights from the interview.

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