The Cost of Care
How Four Nurses Put Patients First in a Profit-Driven System
$46.80
- Hardcover
256 pages
- Release Date
29 December 2026
Summary
In the vein of Alexandra Robbins’s The Teachers, this gripping, intimate story of four nurses in four different US healthcare centers shows that not all parts of the system are broken and offers a roadmap to find and give better care.
Theresa Brown worked as an oncology nurse for years before finally burning out—but instead of leaving the healthcare system behind entirely, she sought out places where it’s actually working. She embedded with nurses in four key areas of care th…
Book Details
| ISBN-13: | 9781643757391 |
|---|---|
| ISBN-10: | 1643757393 |
| Author: | Theresa Brown |
| Publisher: | Workman Publishing |
| Imprint: | Algonquin Books |
| Format: | Hardcover |
| Number of Pages: | 256 |
| Release Date: | 29 December 2026 |
| Weight: | 380g |
| Dimensions: | 24mm x 150mm x 230mm |

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Critics Review
”[Brown] seamlessly blends memoir, on the ground reporting, and health policy, making complex systemic problems accessible without sacrificing nuance. It’s a deeply humane portrait of what American medicine can become when compassion–not profit–guides care.”
–Publishers Weekly, STARRED REVIEW
“As an antidote to burnout from a busy nursing career in the profiteering US health care system, Theresa Brown sought out islands of caring for real world patients. Like an anthropologist, she brings us into four places providing great care. A magnificent insider account that everyone should read.” –Eric Manheimer, MD, author of Twelve Patients: Life and Death at Bellevue Hospital
“Compelling, eye-opening, and deeply necessary, The Cost of Care is both a searing indictment of the brutal financial machinery of American medicine, and a celebration of the extraordinary people keeping humanity alive within it. We need this book.” –Angela Amar, Dean of Nursing at New York University
“In a world where much of what we hear about our medical system is negative, The Cost of Care balances those real-life challenges with inspiring stories of how health care can be done right.” –Damon Tweedy, MD, New York Times-bestselling author of Black Man in a White Coat
“Read this brilliant book to imagine a better future. Theresa Brown’s deep and powerful reporting on nurses illuminates exactly how our broken health care system could instead be humane, functional and even beautiful. Brown vividly brings to life the evidence-based, human-centered care that nurses provide and shows how much hope, promise, and practicality can be found in that practice. Brown’s argument is a big one: A different world is possible when care is centered.” –Sarah DiGregorio, author of Taking Care
“Reading this book is a salve for those broken-hearted by how American healthcare has changed, and for the nurses and doctors who feel swallowed up by a profit-driven system that does not seem to serve anybody. Creating deeply compassionate, personally fulfilling healthcare is possible, and the stories within this book inspire a call to action for us all.” –Mary Fariba Afsari, MD, author of Labor
“Theresa Brown captures what every nurse knows but rarely sees reflected on the page: even in a healthcare system that often feels impossible, there are people quietly changing lives every single day. The Cost of Care is compassionate, honest, and deeply hopeful without ever looking away from the system’s flaws… a reminder of why so many of us chose this profession in the first place.” –Hadley Vlahos, RN, New York Times-bestselling author of The In-Between
“Theresa Brown wades into the dysfunctional mess that is the American healthcare system, and, against all odds, diagnoses the possibility of hope. With a bracing combination of unsparing honesty and stubborn optimism, Brown uncovers models of humane and effective care that are hidden in plain sight. This book is both a reckoning and a revelation.” –Danielle Ofri, MD, PhD, author of The Body Knows How to Die
Theresa Brown
Theresa Brown, RN, author of the New York Times bestseller The Shift, has been a contributor to the New York Times. Her writing appears on CNN.com and in the American Journal of Nursing, the Journal of the American Medical Association, and the Pittsburgh Post-Gazette. She has been a guest on MSNBC Live and NPR’s Fresh Air. Her first book was Critical Care, and during what she calls her past life, she received a PhD in English from the University of Chicago. She lectures nationally and internationally on issues related to nursing, health care, and end of life.
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