We take our medicines on faith. We assume our doctors are well-informed, our drug companies scrupulous, our FDA diligent—and our medications safe. All too often we're wrong. Just how wrong is documented in this critically acclaimed portrait of the international pharmaceutical industry by one of our most highly respected investigative journalists. According to the Journal of the American Medical Association (JAMA), adverse drug reactions are the fourth leading cause of death in America. Reactions to prescription and over-the-counter medications kill far more people annually than all illegal drug use combined. Stephen Fried's wife took a pill for a minor infection—and ended up in the emergency room. Some drug reactions go away in a few hours or days. Diane's did not. This emotionally wrenching experience launched Fried into a five-year examination of the entire pharmaceutical industry, the most profitable legal business in the world. Rigorously documented, Bitter Pills is a full-scale portrait of pill making and pill taking in America today, presented through the powerful human drama of doctors, patients, drug companies, the FDA, and government regulators as they war for control of our medicine cabinets.

NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK • “A tour de force . . . a comprehensive and suitably furious guide to the political landscape of American healthcare . . . persuasive, shocking.”—The New York Times America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation. But by chance America’s Bitter Pill ends up being much more—because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare “policy” rethinks it from a hospital gurney—and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury. Praise for America’s Bitter Pill “An energetic, picaresque, narrative explanation of much of what has happened in the last seven years of health policy . . . [Brill] has pulled off something extraordinary.”—The New York Times Book Review “A thunderous indictment of what Brill refers to as the ‘toxicity of our profiteer-dominated healthcare system.’ ”—Los Angeles Times “A sweeping and spirited new book [that] chronicles the surprisingly juicy tale of reform.”—The Daily Beast “One of the most important books of our time.”—Walter Isaacson “Superb . . . Brill has achieved the seemingly impossible—written an exciting book about the American health system.”—The New York Review of Books

This report on the relationship between health problems and the sale of medicines in the Third World concludes with a call for greater international control of pharmaceutical sales and promotion.

"Medical treatment of elderly people is not working. Worse, it is often harmful. Clear, hard-hitting, and authoritative, A Bitter Pill investigates why the medical system - from its one-size-fits-all prevention strategy to hospital stays that don't benefit anyone - is failing old people who are in fragile health and what we can do about it." --Book Jacket.

No one weaves a story as well as beloved New York Times bestselling author Fern Michaels. In the latest in the Sisterhood series, a team of unscrupulous doctors is profiting from others’ distress—but these loyal friends know just the cure . . . For the Sisterhood, there’s a special satisfaction that comes with helping a friend in need, especially when it’s someone as dear as Charlotte Hansen. Myra Rutledge’s childhood friend has spent tens of thousands of dollars on remedies to boost longevity. But far from improving her health, the medications seem to be destroying it. Myra becomes suspicious of the trio of doctors in charge of the program, especially once the Sisterhood’s investigations reveal that one patient has died, and another lapsed into a coma. While those in their care suffer, the three doctors—located in London, Aspen, and New York—all enjoy indulgent lifestyles and extravagant toys. But justice is always the best medicine—and no one dispenses it better than the Sisterhood . . .

Long the scourge of developing countries, fake pills are now increasingly common in the United States. The explosion of Internet commerce, coupled with globalization and increased pharmaceutical use has led to an unprecedented vulnerability in the U.S. drug supply. Today, an estimated 80% of our drugs are manufactured overseas, mostly in India and China. Every link along this supply chain offers an opportunity for counterfeiters, and increasingly, they are breaking in. In 2008, fake doses of the blood thinner Heparin killed 81 people worldwide and resulted in hundreds of severe allergic reactions in the United States. In 2012, a counterfeit version of the cancer drug Avastin, containing no active chemotherapy ingredient, was widely distributed in the United States. In early 2013, a drug trafficker named Francis Ortiz Gonzalez was sentenced to prison for distributing an assortment of counterfeit, Chinese-made pharmaceuticals across America. By the time he was arrested, he had already sold over 140,000 fake pills to customers. Even when the U.S. system works, as it mostly does, consumers are increasingly circumventing the safeguards. Skyrocketing health care costs in the U.S. have forced more Americans to become "medical tourists" seeking drugs, life-saving treatments and transplants abroad, sometimes in countries with rampant counterfeit drug problems and no FDA. Bitter Pills will heighten the public's awareness about counterfeit drugs, critically examine possible solutions, and help people protect themselves. Author Muhammad H. Zaman pays special attention to the science and engineering behind both counterfeit and legitimate drugs, and the role of a "technological fix" for the fake drug problem. Increasingly, fake drugs affect us all.

On the edge of the Chicago medical district, the Harrison School for Exceptional Youth looks like a castle in a snow globe. Janina has been there since she was ten years old, and now she's fourteen. She feels so safe inside its walls that she's afraid to leave. Devante's parents bring him there after a tragedy leaves him depressed and suicidal. Even though he's in a different place, he can't escape the memories that come flooding back when he least expects them. Dr. Gail Thomas comes to work there after quitting her medical residency. Frustrated and on the verge of giving up on her dreams, she sees becoming a counselor as her last chance to put her skills to the test. When he founded the school, Dr. Lutkin designed its unique environment to be a place that would change the students' lives. He works hard as the keeper of other people's secrets, though he never shares any of his own. But everything changes late in the winter of 1994 when these four characters' lives intersect in unexpected ways. None of them will ever be the same.