Margin over Mission

When Private Equity Owns Your Hospital

James Kelly

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Hardback

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English

Johns Hopkins University Press
18 February 2025

Public health & preventive medicine; Health systems & services; Medicolegal issues

An ICU nurse reveals how private equity ownership leads to preventable deaths and negligence in hospitals.

In a country where health care is increasingly driven by profit, Margin over Mission exposes the dire consequences of corporate ownership in hospitals. James Kelly, an ICU nurse with over two decades of experience, narrates a gripping account of his final year at Lovelace Women's Hospital in Albuquerque, New Mexico—a year marred by preventable deaths, administrative changes, and the heartbreaking loss of a once-mission-driven institution to the clutches of Wall Street.

Kelly's poignant narrative takes readers on an emotional journey through the corridors of a hospital that once stood for community and care but became overshadowed by the relentless pursuit of profit. Through detailed anecdotes and critical analysis, Kelly reveals the stark reality of a health care system compromised by private equity, where decisions prioritize profit margins over the mission of saving lives.

Kelly's unique perspective as an ICU nurse provides an insider's look into how private equity is wreaking havoc in hospitals around the country. His story is also a powerful tribute to the countless health care workers who struggle to maintain their integrity and compassion in an increasingly inhumane system that prioritizes money over people.

By: James Kelly
Imprint: Johns Hopkins University Press
Country of Publication: United States
Dimensions: Height: 229mm, Width: 152mm, Spine: 23mm
Weight: 499g
ISBN: 9781421451459
ISBN 10: 142145145X
Pages: 256
Publication Date: 18 February 2025
Audience: General/trade , ELT Advanced
Format: Hardback
Publisher's Status: Active

James Kelly, RN (ALBUQUERQUE, NM), is the author of Where Night Is Day: The World of the ICU.