Review: Better Now by Danielle Martin

Author: Danielle Martin
Title: Better Now: Six Big Ideas to Improve Health Care for All Canadians
Format/Source: ebook/Netgalley
Published: 10 January 2017
Publisher: Allen Lane
Length: 368 pages
Genre: Non-fiction
Why I Read: Browsing NetGalley; topic I’m interested in
Rating: ★★★½
GoodReads | Indigo | IndieBound

I received a complimentary copy from the publisher via NetGalley in exchange for my honest review.

DR. DANIELLE MARTIN see the challenges in our health care system every day. As a family doctor and a hospital vice president, she observes how those deficiencies adversely affect patients. And as a health policy expert, she knows how to close those gaps. A passionate believer in the value of fairness that underpins the Canadian health care system, Dr. Martin is on a mission to improve medicare. In Better Now, she shows how bold fixes are both achievable and affordable. Her patients stories and her own family s experiences illustrate the evidence she presents about what works best to improve health care for all. Better Now outlines Six Big Ideas to bolster Canada s health care system. Each one is centred on a typical Canadian patient, making it clear how close to home these issues strike.

A few days ago, I came across an expose by the CBC’s The Fifth Estate on “The High Cost of Pharmaceuticals: Canada’s Big Drug Problem.” A lot of what that investigation discussed sounded familiar. I had just read all about it in this book, Better Now. I had originally decided to read this book because I thought it would a good supplement to the books I had read last year – books by life and death professionals (ex. family doctor, crematorium technician) about their work and how to improve their field through anecdotal stories about their patients and their own personal lives (is that specific enough? haha).  As described above, Better Now, written by a family doctor who believes ‘in the value of fairness that underpins the Canadian health care system’, presents the following ‘Six Big Ideas’ to improve the system:

1. Ensure relationship-based primary health care for every Canadian
2. Bring prescription drugs under Medicare
3. Reduce unnecessary tests and interventions
4. Reorganize health care delivery to reduce wait times and improve quality
5. Implement a basic income guarantee
6. Scale up successful solutions across the country.

This book turned out to be even more personally relevant than I expected. I am currently searching for a new family doctor, as I found my old one unsatisfactory. I couldn’t pintpoint exactly why, but after reading about these ideas and some of the issues with our system, I see my relationship with my previous doctor reflected in them.  Idea #5 surprised me in a good way. I appreciated how Dr. Martin considers the bigger picture and explores social factors, especially in ideas #5 and #6. Her proposals are indeed ‘big ideas’. She acknowledges the potential difficulties in implementing them, but also presents them as actionable realities. She strikes an appropriate balance between support for the current healthcare system and addressing its shortcomings, which can be improved upon. One area she doesn’t explicitly address is the education of medical professionals, which is an area I imagine could use some changes.

Better Now is written in an accessible style, with straightforward prose. These are complex ideas, but there isn’t too much technical jargon or infodump – just enough so the reader can understand the ideas being presented. This is a short book and therefore largely a starting point. If one concept intrigues you, Martin provides many resources for further reading at the end of the book.

The Bottom Line:

Is it too trite of me to say ‘I recommend this book to any Canadian’? I could say, ‘I recommend this book to any Canadian with a stake in our healthcare system’ – well, isn’t that the same thing? But seriously, if you have any interest or care for your healthcare, check out this book.

Further Reading:

• Author’s Twitter
• Book website
• “The doctor on a mission to heal medicare” @ The Star
• “Toronto doctor who gave U.S. Senator a lesson on healthcare outlines her ‘6 big ideas’ for Canada” @ CTV News Health