An American Sickness

An American Sickness (CHES)

This course is only for CHES practitioners registered with NCHEC

It is time for a very serious discussion about how to change our entire dysfunctional healthcare system. Written by a physician who was a reporter for 22 years with the New York Times! 

Congress’ discussion should not be on how to pay for this broken system, but instead how to transition to a system that is not bloated and exploited beyond recognition.


Rosenthal unveils the irrationality, indifference, harmfulness, and downright unfairness of the American healthcare system, which can often seem driven more by profit than by caring and compassion. - E.J. Emanuel, MD, PhD, Chair of Dept. of Medical Ethics, U of PA

An authoritative account of the distorted financial incentives that drive medical care in the U.S. - The Washington Post  

I liked how relevant it is. Healthcare at exorbitant costs affects us all of at some point. I also liked the practical advice in Part 2. I liked everything about it. – Jennifer A.  3/22

14-hour Program I.D. #SS114228_AS14  CHES 14 hours / MCHES 2.5 hours

Elizabeth Rosenthal, MD
Course Expiration Date: Jan-18-2027
Course Performance Indicators: 1.5.1, 2.1.2, 2.2.2, 3.3.1, 3.2.6, 4.1.2
Product Name

Book Only (1580)

Regular price $18.00 $18.00

14 CE Online Test (2082CHES)

Regular price $122.00

14 CE Book & Online Test (2084CHES)

Regular price $135.00

Book Details

Author Elizabeth Rosenthal, MD
Year Published 2017
Edition 1st Edition
Publisher Penguin
ISBN 978-1-59420-675-7
Format Paperback
Page Count 416
CDR Activity Numbers
  • 14 CE Online Test: 180966
  • 14 CE Book & Online Test: 180966

Course Objectives

CHES Competencies:

1.4  Analyze relationships among behavioral, environmental, and other factors that influence health

4.1.2 Identify and analyze factors that impact health

7.1.1 Identify current and emerging issues that may influence health and health education

7.3.1 Analyze the impact of existing and proposed policies on health

7.3.4 Assess the impact of existing systems on health

MCHES Competencies:

5.1.13 Apply ethical principles when managing financial resources

7.3.7 Identify factors that influence decision makers

Upon completion of this course, a person will be able to:

1. Describe four changes that occurred at U.S. hospitals to make them more profit-oriented.

2. List four ways hospitals and physicians have created increased income for themselves through insurance and fees.

3. Name two economic safeguards that Medicare uses to reduce overcharging and improve patient care by hospitals.

4. Identify two government acts or amendments that made drugs safer and more effective.

5. Describe three reasons why pharmaceutical costs are so much higher in the U.S. than other developed countries.

6. Discuss three reasons costs for laboratory tests are so much higher than before.

7. Identify approximately what percentage of U.S. personal debt on credit cards in 2014 was from medical bills?

8. Discuss three measures one can take or replay to patients as ways to reduce health care costs.

Recommended For...

Certified Health Education Specialist (CHES)

Why We Chose This Book

The U.S. healthcare system is broken, over-priced, not patient-centered, and in need of a major overhaul. This is a highly regarded book by an extremely qualified author who is both a physician and writer who has interviewed thousands of people in healthcare over the past almost three decades. She knows of what she writes.

About the Author

Elizabeth Rosenthal, MD, holds a medical degree from Harvard Medical School, trained in internal medicine, and she worked as an ER physician. For twenty-two years she was a reporter and senior writer at the New York Times and now she is editor in chief of Kaiser Health News, focusing on health and health policy.