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Dr. Alejandro Badia has been in the trenches with our broken healthcare system since 1989.

Dr. Badia's book healthcare from the trenches

"IT’S TIME FOR EVERY AMERICAN TO UNDERSTAND AND BE EDUCATED ABOUT THE ROOT CAUSES OF OUR HEALTHCARE CRISIS AND DEMAND MEANINGFUL REFORM"

THE U.S. HEALTHCARE SYSTEM IS IN CRISIS

Americans are facing serious problems – skyrocketing healthcare costs, a lack of patient access, and inefficient delivery. Now with the frightening COVID-19 pandemic that is further taxing our healthcare system – and our economy – these issues are amplified. Despite all the political debates and media coverage on healthcare policy and reform, there is always one glaring omission: feedback from the people in the trenches – the doctors and other healthcare professionals who provide care to the patients.

THIS IS A LIFE AND DEATH MATTER AND PEOPLE ARE DYING BECAUSE OF A FLAWED SYSTEM

Americans are facing serious problems – skyrocketing healthcare costs, a lack of patient access, and inefficient delivery. Now with the frightening COVID-19 pandemic that is further taxing our healthcare system – and our economy – these issues are amplified. Despite all the political debates and media coverage on healthcare policy and reform, there is always one glaring omission: feedback from the people in the trenches – the doctors and other healthcare professionals who provide care to the patients.

Who's Reading Our Book?

Real solutions from a Doctor with experience:

Book Reviews:

Greg F : A Physician's Review
Reviewed in the United States on April 8, 2023
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"Healthcare from the Trenches" offers an insightful account of the challenges facing the U.S. healthcare system from the perspectives of both providers and patients. Written by a seasoned healthcare professional spending over 30 years of practice helping patients in South Florida, the book offers a rare and raw glimpse into the inner workings of the industry, highlighting the complex barriers that make it difficult to provide quality care.
Paul Bettinger, MD: Dr. Badia is spot on with his book, "Healthcare from the Trenches"
Reviewed in the United States on April 8, 2023
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t's about time a physician publicly spoke out about the real state of US healthcare (from a doctor's point of view). Dr. Badia and I were orthopaedic residents together at NYU, and then I did a hand surgery fellowship at the Mayo Clinic. We share similar experiences and opinions. Alex provides an excellent and comprehensive summary of the obstacles, challenges, disillusionment, and inequities that we, as physicians, face on a daily basis when practicing medicine in the 21st century. The subtle "provider" in quotes points toward the disrespect that physicians endure, despite our extensive education and training... Read Full Review on Amazon
Kaitlin Martinez: Who needs to read this book? Everyone who wants to put “care” back into health care!
Reviewed in the United States on July 2, 2020
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Dr. Badia’s “Insider account” on US healthcare “From The Trenches” details not only his journey to becoming an orthopedic specialist in the healthcare industry, but how his time working in hospitals, then running his own private practice has given him insight into some of the bigger picture issues in US healthcare like: reliance on hospitals for non-emergency situations, overcrowding in hospitals that lead to long wait times for patients and doctors, insurance hurdles that keep doctors from being reimbursed, and patients from seeking more affordable preventative care and the list goes on…I know it’s a lot, but if you really want an in-depth look at our healthcare system, I encourage you to pick it up... Read Full Review on Amazon
Karl-Julius Müller: A future clinician's review of Healthcare from Trenches
Reviewed in the United States on January 9, 2021
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The book Healthcare from the Trenches, written by hand-surgeon Alejandro Badia, MD, is a critical and timely reflection on the problematics of the American healthcare system, which are now accentuated due to the COVID-19 pandemic. Skyrocketing costs in health insurance and medical treatments, and ethically flawed legal practices are some examples that denote how the healthcare system has become a profitable business more than a moral deed. In response, Dr. Badia materializes his unmasked concern about the deteriorating relationship between patients and physicians, which has been immensely affected by the interference of insurance companies... Read Full Review on Amazon
Douglas Loran: Truly a must read for anyone interested in a better understanding of our broken healthcare system!
Reviewed in the United States on September 24, 2022
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This book sat on my desk for some time before I was able to dive in, but once I did I did not want to put it down. Working in the medical industry as a medical device distributor for the past 20 years. Also, working for one of the largest healthcare organizations in America. I have seen the madness from the inside. Dr. Badia should be praised for his willingness to put himself out there. Physicians, especially surgeons, are slaves to a system that forces them to work longer and harder for less take-home pay, a government and legal system that just continually beats them into submission, and a public that only cares when they need the service of a highly skilled surgeon and they can’t be found. I fear for the future of our healthcare system and can only hope that more healthcare professionals step out of the shadow and come forward to help steer this broken system in a new direction. As Dr. Badia quoted in his book, a statement made by one of our greatest presidents. “The best way to predict the future is to create it” Abraham Lincoln You have my support Dr. Badia, and I look forward to your next chapter. Douglas Loran... Read Full Review on Amazon
Katherine Lopez: Enlightening, detailed, and well-written
Reviewed in the United States on July 13, 2020
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In “Healthcare from the Trenches,” Dr. Alejandro Badia gives a doctor’s perspective on the broken healthcare system in the United States. Chronicling his life, education, and finally interaction with the healthcare of the U.S., the reader gets a firsthand look at how an energetic young medical student can become jaded from the tireless battling with insurance companies. Dr. Badia begins his book by describing how becoming a doctor was in his blood, and while he knew the challenges he would face in medical school, residency, and beyond, he was not prepared for how challenging it would be to give proper care while being able to paid for his work through insurance companies and our labyrinthine system... Read Full Review on Amazon
Daily Reader: A view in to what is really going on in U.S. healthcare system
Reviewed in the United States on April 1, 2021
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As someone who works in an area related to healthcare, I was peripherally aware of some of the issues that are contributing to the broken “healthcare” system in the U.S. However, this book really opened my eyes to the current reality. I always appreciate hearing examples, compared to a strictly theoretical discussion, and this book has many real-life examples of the perverse financial incentives, micro-managing regulations, stagnating bureaucracy, and profit-skimming by insurers that have come to completely control the relationship between the physician and the patient (except in certain specialties like cosmetic surgery), and place barriers to doing what the physician decides would be best for the patient. I think most readers will be shocked to read about examples of how little money many physicians actually receive for their services from insurance companies. I was also surprised to learn how common physician burn-out has become... Read Full Review on Amazon
Tarik M. Husain:
Reviewed in the United States on April 1, 2021
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As someone who works in an area related to healthcare, I was peripherally aware of some of the issues that are contributing to the broken “healthcare” system in the U.S. However, this book really opened my eyes to the current reality. I always appreciate hearing examples, compared to a strictly theoretical discussion, and this book has many real-life examples of the perverse financial incentives, micro-managing regulations, stagnating bureaucracy, and profit-skimming by insurers that have come to completely control the relationship between the physician and the patient (except in certain specialties like cosmetic surgery), and place barriers to doing what the physician decides would be best for the patient. I think most readers will be shocked to read about examples of how little money many physicians actually receive for their services from insurance companies. I was also surprised to learn how common physician burn-out has become... Read Full Review on Amazon
Tarik M. Husain: Another Surgeon’s Review
Reviewed in the United States on February 20, 2023
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This book was a no holds barred evaluation of the deficiencies in our healthcare system, and specifically how the insurance companies tend to tie us surgeons hands behind our backs with the complicated authorizations and appeals. It also addresses patient access limitations... Read Full Review on Amazon
Joseph McGinley, MD, PhD: An important account discussing truths in our healthcare system
Reviewed in the United States on October 14, 2022
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Dr. Badia is a thoughtful leader in orthopedics. His take on integrating new advancements into his practice as a key way to improve patients outcomes is both admirable and critical. His assessment of the challenges of new tech clearly come from someone in the day to day fight. Additionally, OrthoNow represents a true answer to the eliminating the "doctor shuffle" patients experience. It is a way for patients to enter the system getting the right treatment and right referral from the start. This point of entry into the system is a game charger for patients and the ultimate care they receive. Creating this one stop orthopedic center ensures patients get the appropriate care by the appropriate doctors all while reducing costs. Kudos to Dr. Badia for his advocacy and care for patients. He is truly moving the needle in changing the standard of care... Read Full Review on Amazon
Kate Doyle: A brutally honest look at our broken healthcare system.
Reviewed in the United States on April 5, 2021
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“Healthcare From The Trenches: An Insider Account Of The Complex Barriers of U.S. Healthcare From The Providers and Patients’ Perspective” in an insightful account of the broken American healthcare system written by orthopedic surgeon Dr. Alejandro Badia. The behind the scenes look at healthcare in America was an eye opener for sure. We hear about the system in the media but we don’t really get an idea of the extent of it. Through his experience in the healthcare field, Dr. Badia explains what is wrong with the system. He points out that many of the most critical decisions of a patient’s care are not actually made by licensed physicians, but by insurance employees possessing no medical training, or special knowledge of the diseases or conditions they are judging. Doctors have a hard time treating patients when their treatment plans are consistently being shot down by insurance companies due to cost. New treatments are denied, medicines go unapproved and an “non-medical expert” chooses what the doctors can do for a patient.... Read Full Review on Amazon
Kit Callahan: WOW - An Intriguing and Terrifying Crisis Highlighted
Reviewed in the United States on April 5, 2021
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Quite simply - this book is terrifying in the best way possible. It’s not telling the story of a Zombie Apocalypse, or some far-fetched reality, but rather is explaining the current reality - which may be just as scary as zombies. That may be a bit of an exaggeration, but after reading this book I was left in awe at the systematic - which, as Dr. Badia mentions, may have been completely avoided - scale of this issue - not to mention a much deeper appreciation for my local physician. Going into a read like this, I certainly expected one of those dreaded thesis papers that I already need to read far too much.... Read Full Review on Amazon
David Vine, D.D.S.: A fascinating Medical journey that relates to all of us
Reviewed in the United States on November 29, 2020
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Dr. Alejandro Badia’s book “ Healthcare From the Trenches” is a fascinating book that illustrates the enormous effort and ongoing challenges necessary to become a specialized orthopedic surgeon and attempt to successfully navigate the business of medicine. This rigorous educational process applies to all those that acquire an MD degree. The grueling long term academic requirements necessary to acquire medical certification in Dr. Badia’s field ( approximately 14 years ) is a challenge and feat that few can achieve... Read Full Review on Amazon
Alexis Carter: Healthy take on our current situation
Reviewed in the United States on April 3, 2021
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As someone who is not involved in the medical field or well-versed in its intricacies- Healthcare From The Trenches quickly brings me up to speed. Seriously, going in with a fresh mind and a few Google searches will help understand the content. Doctor Alejandro Badia explains that the practice of medicine has gotten more strenuous, complicated, and overbearing with 3rd party members (looking at you, insurance.) He has the passion as a medical worker to want to help people and improve their lives while having to fix the system. We know as consumers and patients how it is, and the kind doctor shows the other side of the story. Analyze each section of the book (there are 3.) The author talks about choosing and being a doctor, the federal government in healthcare, and a synopsis of the current situation we are facing. As Americans we can study other healthcare models and work to incorporate them here! If every other first world country is doing something, and it is working, we should 100% work towards that goal here. The people and their health should come first. This book is an amazing study during the times we live in. Unfortunately, this pandemic is not the first and will not be the last. Doctor Alejandro Badia did the right thing by producing this content and showing it to the average person to start this dire discussion. This is very well written!... Read Full Review on Amazon
Omar M Khateeb:  A must have for anyone in healthcare
Reviewed in the United States on August 28, 2021
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Dr Badia’s book is a must have for anyone in healthcare or entering the industry. The first part shares his story which gives insights into the culture of medicine and what it’s like when you go through training. It provides the context needed to understand its history and culture. The second part goes into why healthcare is broken and how it got there. This is a difficult subject to write on as it’s complicated and dense. Badia masterfully simplifies it and puts it into context that anyone can grab. More importantly, he provides cohesive strategies as to how to fix it and does so with the sharp wit surgeons are known for. The book is further strengthened as it isn’t just Badia’s take on healthcare as he interviewed numerous physicians, nurses and other healthcare professionals to make a cohesive strategy on how it needs to be fixed. I first read this as an ebook but quickly purchased the physical copy so I have it in my library... Read Full Review on Amazon
Omar M Khateeb:  A must have for anyone in healthcare
Reviewed in the United States on August 28, 2021
Read More
Dr Badia’s book is a must have for anyone in healthcare or entering the industry. The first part shares his story which gives insights into the culture of medicine and what it’s like when you go through training. It provides the context needed to understand its history and culture. The second part goes into why healthcare is broken and how it got there. This is a difficult subject to write on as it’s complicated and dense. Badia masterfully simplifies it and puts it into context that anyone can grab. More importantly, he provides cohesive strategies as to how to fix it and does so with the sharp wit surgeons are known for. The book is further strengthened as it isn’t just Badia’s take on healthcare as he interviewed numerous physicians, nurses and other healthcare professionals to make a cohesive strategy on how it needs to be fixed. I first read this as an ebook but quickly purchased the physical copy so I have it in my library... Read Full Review on Amazon
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