The People's Hospital: Hope and Peril in American Medicine | Ricardo Nuila
Where does one go without health insurance, when turned away by hospitals, clinics, and doctors? In The Peoples Hospital, physician Ricardo Nuilas stunning debut, we follow the lives of five uninsured Houstonians as their struggle for survival leads them to a hospital where insurance comes second to genuine care. First, we meet Stephen, the restaurant franchise manager who signed up for his companys lowest priced plan, only to find himself facing insurmountable costs after a cancer diagnosis. Then Christiana young college student and retail worker who cant seem to get an accurate diagnosis, let alone treatment, for his debilitating knee pain. Geronimo, thirty-six years old, has liver failure, but his meager disability check disqualifies him for Medicaidand puts a life-saving transplant just out of reach. Roxana, whos lived in the community without a visa for more than two decades, suffers from complications related to her cancer treatment. And finally, theres Ebonie, a young mother whose high-risk pregnancy endangers her life. Whether due to immigration status, income, or the vagaries of state Medicaid law, all five are denied access to care. For all five, this exclusion could prove life-threatening. Each patient eventually lands at Ben Taub, the county hospital where Dr. Nuila has worked for over a decade. Nuila delves with empathy into the experiences of his patients, braiding their dramas into a singular narrative that contradicts the established idea that the only way to receive good healthcare is with good insurance. As readers follow the movingly rendered twists and turns in each patients story, its impossible to deny that our system is brokenand that Ben Taubs innovative model, which emphasizes people over payments, could help light the path forward.