Margin over Mission: When Private Equity Owns Your Hospital

Author:   James Kelly
Publisher:   Johns Hopkins University Press
ISBN:  

9781421451459


Pages:   256
Publication Date:   13 May 2025
Format:   Hardback
Availability:   Available To Order   Availability explained
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Margin over Mission: When Private Equity Owns Your Hospital


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Overview

An ICU nurse reveals how private equity ownership leads to preventable deaths and negligence in hospitals. In a country where health care is increasingly driven by profit, Margin over Mission exposes the dire consequences of corporate ownership in hospitals. James Kelly, an ICU nurse with over two decades of experience, narrates a gripping account of his final year at Lovelace Women's Hospital in Albuquerque, New Mexico—a year marred by preventable deaths, administrative changes, and the heartbreaking loss of a once-mission-driven institution to the clutches of Wall Street. Kelly's poignant narrative takes readers on an emotional journey through the corridors of a hospital that once stood for community and care but became overshadowed by the relentless pursuit of profit. Through detailed anecdotes and critical analysis, Kelly reveals the stark reality of a health care system compromised by private equity, where decisions prioritize profit margins over the mission of saving lives. Kelly's unique perspective as an ICU nurse provides an insider's look into how private equity is wreaking havoc in hospitals around the country. His story is also a powerful tribute to the countless health care workers who struggle to maintain their integrity and compassion in an increasingly inhumane system that prioritizes money over people.

Full Product Details

Author:   James Kelly
Publisher:   Johns Hopkins University Press
Imprint:   Johns Hopkins University Press
Dimensions:   Width: 15.20cm , Height: 2.30cm , Length: 22.90cm
Weight:   0.499kg
ISBN:  

9781421451459


ISBN 10:   142145145
Pages:   256
Publication Date:   13 May 2025
Audience:   General/trade ,  General
Format:   Hardback
Publisher's Status:   Active
Availability:   Available To Order   Availability explained
We have confirmation that this item is in stock with the supplier. It will be ordered in for you and dispatched immediately.

Table of Contents

Prologue 1. The Covenant 2. Lovelace: 1922–1991 3. Private Equity 4. Ardent: 2001–2020 5. Moral Agency 6. Do No Harm 7. Behind the Curtain 8. I'm Sorry 9. We Know Their Names 10. The 5 Whys 11. One Coyote 12. The Tribe 13. Achilles in Vietnam 14. Promises 15. Pentimento 16. This Failed Practice 17. Coda

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James Kelly, RN (ALBUQUERQUE, NM), is the author of Where Night Is Day: The World of the ICU.

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