The Cost of Cutting: A Surgeon Reveals the Truth Behind a Multibillion-Dollar Industry

“Surgeon Ruggieri tutors readers on the economic forces that make the surgical theater tick. Ruggieri is a fine storyteller, which is a good thing, for although he peppers the book with dramatic anecdotes from his practice, his real exploration focuses on the financial side of the medical equation… Top-shelf instruction on the mechanics of the medical economy.”—Kirkus Reviews “A vital conversation about money in medicine that we have not had, but desperately need to have. A deeply personal and powerful analysis with sweeping implications for addressing waste in medicine. Dr. Ruggieri challenges why healthcare continues to have an expensive carve-out to the same accountably principles that govern other industries. He offers serious ways to cut waste and increase value by making medicine more patient-centered, more efficient, and more transparent.”—Marty Makary MD, Johns Hopkins surgeon and author of UnaccountablePraise for Confessions of a Surgeon “Honest and angry, this cutting memoir by a midcareer surgeon feels like an act of penitence.”—Booklist“Looks hard at a profession that is changing in ways that Ruggieri does not always find to be positive…[a] look into a corner of medicine we seldom see.”—Providence Journal