Vital Conversations

The health-care system in the United States is by far the most expensive in the world, yet its outcomes are decidedly mediocre in comparison to those of other countries. Poor communication between doctors and patients, Dennis Rosen argues, is at the heart of this disparity, a pervasive problem that damages not only the well-being of the patient but also the integrity of the health-care system and society as a whole. Drawing upon research in biomedicine, sociology, and anthropology and integrating personal stories from his medical practice in three different countries (and as a patient), Rosen shows how important good communication between physicians and patients is to the provision of high-quality - and less-expensive - care.