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Sep 18, 2026
acx
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84 min 12,952 words 100 comments 69 likes
Two psychiatrists conduct an adversarial review of Adam Kay's 'This Is Going To Hurt,' debating whether his NHS memoir represents institutional failure causing PTSD or a self-inflicted martyr complex, while examining the book's comedy, structure, and impact on healthcare discourse. Longer summary
This book review examines Adam Kay's 'This Is Going To Hurt,' a medical memoir documenting his career as an NHS obstetrician from 2004-2010, written as an adversarial collaboration between two psychiatrists: one who sees it as a textbook case of moral injury and PTSD, and another who views Kay as suffering from a martyr complex. The review explores the book's comedic brilliance, analyzes accusations of misogyny, and ultimately argues that the book documents the systematic institutional failure that broke a competent doctor rather than representing a heroic escape from dysfunction. Shorter summary
Jan 27, 2022
acx
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59 min 9,034 words 205 comments 52 likes podcast (60 min)
Scott Alexander compiles reader comments on healthcare systems in various countries, discussing economics, drug pricing, and personal experiences. Longer summary
This post is a collection of reader comments on healthcare systems in various countries, focusing on the US, Germany, Netherlands, UK, Australia, Switzerland, and several others. It covers topics like drug pricing, healthcare economics, and personal experiences with different systems. The post is structured into four main sections: comments on US healthcare, discussions on drug pricing and subsidies, explanations of why healthcare economics are unique, and detailed accounts of healthcare systems in specific countries. Shorter summary
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