Well: What We Need to Talk About When We Talk About Health

ISBN : 9780190916831

Sandro Galea
304 ページ
140 x 210 mm
  • Agencycal argument for how health has little to do with medicine — and how America gets it wrong
  • Authored by a preeminent voice in American public health and healthcare, a former immigrant and Doctors Without Borders physician, now the youngest dean of a school of public health in the U.S.
  • Offers explanation for why people in the U.S., despite spending more on health than any other country, remain less healthy and live shorter lives than people in other rich nations
  • Goes beyond standard conversations about health (e.g., diet, activity, lifestyle, healthcare) to make a compelling scientific case that America's social structure is unhealthy
  • The first book to consider how the fabric of the United States — its history, wealth, politics, and inequality — contributes to shorter, less healthy lives
  • Highly relevant to current conversations around healthcare reform, environmental deregulation, the implications of tax reform, welfare and entitlement programs, and immigration
  • Written in a personal and accessible voice, it marks the arrival of an essential new perspective on American health and medicine

In WELL, physician Sandro Galea examines what Americans miss when they fixate on healthcare: health. 

Americans spend more money on health than people anywhere else in the world. And what do they get for it? Statistically, not much. Americans today live shorter, less healthy lives than citizens of other rich countries, and these trends show no signs of letting up.
The problem, physician Sandro Galea argues, is that Americans focus on the wrong things when they think about health. Our national understanding of what constitutes "being well" is centered on medicine — the lifestyles we adopt to stay healthy, the insurance plans and prescriptions we fall back on when we're not. And while all these things are important, they've not proven to be the difference between healthy and unhealthy on the large scale. 
Well is a radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America. Galea argues that the country's failing health is a product of the society and culture Americans have built for ourselves — not just in lifestyle, but in the separations entrenched across the spectrum of American experience. 
A deeply affecting work that is at once rigorous and personal, Well ushers a new understanding of the problems and promise of health in America.


Chapter 1. Past
Chapter 2. Money
Chapter 3. Power
Chapter 4. Politics
Chapter 5. Place
Chapter 6. People
Chapter 7. Love and Hate
Chapter 8. Compassion
Chapter 9. Knowledge
Chapter 10. Humility
Chapter 11. Freedom
Chapter 12. Choice
Chapter 13. Luck
Chapter 14. The Many
Chapter 15. The Few
Chapter 16. The Public Good
Chapter 17. Fairness and Justice
Chapter 18. Pain and Pleasure
Chapter 19. Death
Chapter 20. Values


Sandro Galea, MD, DrPH, is Dean and Robert A. Knox Professor at the Boston University School of Public Health. He is a physician and epidemiologist who has previously held academic and leadership positions at Columbia University, University of Michigan, and the New York Academy of Medicine. He has published more than 750 scientific journal articles, 50 chapters, and 13 books, and his research has been featured extensively in current periodicals and newspapers. Galea holds a medical degree from the University of Toronto and graduate degrees from Harvard University and Columbia University. Galea was named one of Time's epidemiology innovators and has been listed as one of the "World's Most Influential Scientific Minds" by Thomson Reuters.

"A deeply affecting work from one of the important and innovative voices in American health and medicine. Well shows how healthcare and society are reflections of one another — and how central human qualities like empathy and compassion must be if both are going to thrive." — Arianna Huffington, Founder of HuffPost and Founder & CEO of Thrive Global