---
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title: "The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care"
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# The Creative Destruction of Medicine: How the Digital Revolution Will Create Better Health Care

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How genomics, big data, and digital technology are revolutionizing every aspect of medicine, from physical exams to drug prescriptions to organ transplants “ The Creative Destruction of Medicine should be required reading by all physicians and in all medical schools. It is simply that good.” — Forbes Technology dominates our lives, and personal genomics is revolutionizing biology. But despite the availability of technologies that can provide virtual, personalized health care at lower cost, the medical community has resisted change. In The Creative Destruction of Medicine , Eric Topol—one of the nation's top physicians—calls for consumer activism to demand innovation and the democratization of medical care. Now with a new postscript addressing the unfolding health care revolution, The Creative Destruction of Medicine is the definitive account of the coming disruption of medicine, written by the field's leading voice.

Review: Key Reading for Those Who Deal With Medicine, Patients Especially - This book merits five stars for content. I'd have shaved one away, because this was NOT an easy book to read. The topic, however, is so important that we'll leave a full array. In any event, if your life intersects with medicine in a major way, read it. Dr. Topol is an eminent cardiologist, geneticist, and medical researcher. Here, he argues that the practice of medicine is on the brink of massive structural change. The title attributes this to the digital revolution, but the book is at least as much about the impact of the science of genetics. The combination of these two will produce a medical approach far more closely targetted to the individual, far more precise, and -- ulimately -- far cheaper. A great deal of what Dr. Topol says is very informative and very convincing. Some of it is so "gee whiz" as to be offputting, and some of it sounds like science fiction. Much of what sounds like science fiction, however, is already in development. And some of it is already moving into current practice -- by patients as well as by doctors. This is very important reading for those who have heavy contact with the healthcare system. One of Dr. Topol's key points is that as information becomes much more readily available, patients will have to take on more responsibility for their own care -- no one doctor can make all the right decisions in every area, and no one knows a patient like the patient him or herself. There is a lot in this book that's essential knowledge for those with serious conditions (or those who are helping those with serious conditions). The rather horrifying chapter on medical errors stands out, but there is much, much more. My only problem with the book is that I found it a tough read. That's not so much because it was over-technical. The one instance in which that may be true is the section on the role of genomics in medicine, but that is a hard thing to explain, and not part of the general medical knowledge base -- Dr. Topol notes that at the last report, only 2 out of 150 U.S. medical schools had "more than a brief, cursory curriculum" devoted to genomics beyond simple Mendelian traits. My problem was with the overall approach, which is to throw lots and lots and LOTS of information at the reader, without enough explanation or linking together. Stylistic issues, however, should not deter readers: there's so much very important stuff in this book that it's worth a bit of a slog. Moreover, the readability problem may be with this (elderly) reviewer. Two generally favorable reviews didn't seem to find it a problem. See the Wall Street Journal review at [...]at [...] Anyway, read it.
Review: The Creative Destruction of Medicine - Given all the havoc that has beset the medical market it is no surprise that Topol has called this a "Creative Destruction of Medicine". The medical system in place from (say) the mid-20th century forward, will not be able to handle the continual flow of retiring baby boomers, let alone senior citizens with ever increasing life expectancies. Like so many promises made over the past years, in its present form medicine will not be able to afford to honor the Medicare entitlement. So the current system must be replaced it with something else that will work. The only good news is that the cost of medicine can be greatly reduced through the aggressive introduction of advanced cutting-edge technology. Topol provides examples of where the injection of a little technology can substantively improve medicine, and at the same time do so at reduced costs. We might be seeing what others in the past have called "inflection points", where radical improvements and changes lead to measurably better patient outcomes. Changes on the cusp, are by no means painless. In the future you personally will be unlikely to get nearly as much one-on-one time with your doctor. Instead you will be seen by other medical professionals like physician assistants, nurse practitioners, and technologists of all stripes . In writing this, I remember the days when my dentist actually cleaned my teeth (!). Now a hygienist tends to that, with the dentist stopping by to take a quick look and shake hands. It would seem the dentists got to the answer faster than medical doctors were able to: Delegate anything and everything you can to less expensive staff so you can see more patients and reap the rewards of an expanded practice.

## Features

- Used Book in Good Condition

## Technical Specifications

| Specification | Value |
|---------------|-------|
| Best Sellers Rank | #1,288,377 in Books ( See Top 100 in Books ) #221 in Medical Informatics (Books) #507 in Biotechnology (Books) #1,116 in Health Care Delivery (Books) |
| Customer Reviews | 4.4 out of 5 stars 426 Reviews |

## Images

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## Customer Reviews

### ⭐⭐⭐⭐⭐ Key Reading for Those Who Deal With Medicine, Patients Especially
*by A***S on December 4, 2012*

This book merits five stars for content. I'd have shaved one away, because this was NOT an easy book to read. The topic, however, is so important that we'll leave a full array. In any event, if your life intersects with medicine in a major way, read it. Dr. Topol is an eminent cardiologist, geneticist, and medical researcher. Here, he argues that the practice of medicine is on the brink of massive structural change. The title attributes this to the digital revolution, but the book is at least as much about the impact of the science of genetics. The combination of these two will produce a medical approach far more closely targetted to the individual, far more precise, and -- ulimately -- far cheaper. A great deal of what Dr. Topol says is very informative and very convincing. Some of it is so "gee whiz" as to be offputting, and some of it sounds like science fiction. Much of what sounds like science fiction, however, is already in development. And some of it is already moving into current practice -- by patients as well as by doctors. This is very important reading for those who have heavy contact with the healthcare system. One of Dr. Topol's key points is that as information becomes much more readily available, patients will have to take on more responsibility for their own care -- no one doctor can make all the right decisions in every area, and no one knows a patient like the patient him or herself. There is a lot in this book that's essential knowledge for those with serious conditions (or those who are helping those with serious conditions). The rather horrifying chapter on medical errors stands out, but there is much, much more. My only problem with the book is that I found it a tough read. That's not so much because it was over-technical. The one instance in which that may be true is the section on the role of genomics in medicine, but that is a hard thing to explain, and not part of the general medical knowledge base -- Dr. Topol notes that at the last report, only 2 out of 150 U.S. medical schools had "more than a brief, cursory curriculum" devoted to genomics beyond simple Mendelian traits. My problem was with the overall approach, which is to throw lots and lots and LOTS of information at the reader, without enough explanation or linking together. Stylistic issues, however, should not deter readers: there's so much very important stuff in this book that it's worth a bit of a slog. Moreover, the readability problem may be with this (elderly) reviewer. Two generally favorable reviews didn't seem to find it a problem. See the Wall Street Journal review at [...]at [...] Anyway, read it.

### ⭐⭐⭐⭐ The Creative Destruction of Medicine
*by D***U on August 16, 2015*

Given all the havoc that has beset the medical market it is no surprise that Topol has called this a "Creative Destruction of Medicine". The medical system in place from (say) the mid-20th century forward, will not be able to handle the continual flow of retiring baby boomers, let alone senior citizens with ever increasing life expectancies. Like so many promises made over the past years, in its present form medicine will not be able to afford to honor the Medicare entitlement. So the current system must be replaced it with something else that will work. The only good news is that the cost of medicine can be greatly reduced through the aggressive introduction of advanced cutting-edge technology. Topol provides examples of where the injection of a little technology can substantively improve medicine, and at the same time do so at reduced costs. We might be seeing what others in the past have called "inflection points", where radical improvements and changes lead to measurably better patient outcomes. Changes on the cusp, are by no means painless. In the future you personally will be unlikely to get nearly as much one-on-one time with your doctor. Instead you will be seen by other medical professionals like physician assistants, nurse practitioners, and technologists of all stripes . In writing this, I remember the days when my dentist actually cleaned my teeth (!). Now a hygienist tends to that, with the dentist stopping by to take a quick look and shake hands. It would seem the dentists got to the answer faster than medical doctors were able to: Delegate anything and everything you can to less expensive staff so you can see more patients and reap the rewards of an expanded practice.

### ⭐⭐⭐⭐⭐ Great for young doctors and those in medical care
*by K***. on April 22, 2012*

While I would recommend this book to anyone, I would say it is an especially important, honest, and inspiring book for young doctors, nurses, and researchers. For doctors, the medical care that we learn, practice, and preach is shaped so much by research and guidelines that we barely understand or question. I couldn't agree more that patients, caregivers, healthcare workers, and policy-makers need to be better armed with information to make confident knowledgeable decisions about the new directions that healthcare will take. Through technology, there is a lot of hope and potential to bridge the divides in medicine and engage more voices, which have previously been left out of the healthcare conversation. There is also great potential to make healthcare more efficient and patient-centered. I agree that doctors and patients of the future should strive to tailor prevention, health, and treatment on the individual level. Dr. Topol's book contains a very rich analysis of the current literature, but through an engaging and passionate writing style that reflects his excitement about genomics and medicine. While he uses examples of current innovations, devices, and forward-thinking companies that show potential to improve health, I am impressed that he takes an unbiased, honest, and informative approach to provide us with the best resources and knowledge worth thinking about.

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