Announcing the release of my new TED Book, "The Upstream Doctors"

I'm happy to announce that my new TED Book "The Upstream Doctors," is available for download as an e-book today on Kindle, Nook, or from the iBookstore.

I'm also grateful to Paul Farmer, who wrote a compelling essay about the book as well as its afterword.

In the context of growing healthcare costs, ever increasing rates of obesity, diabetes and poverty-related diseases, would it make sense for our doctors and hospitals to work with communities to fix the leaks in our apartments causing mold or the neighborhood designs resulting in food deserts?

In my new TED Book, I argue that the answer to that question is a resounding yes. And it might also be the key to turning our high-cost sick-care system into a high-value health-care system. I argue that it is a health care provider¹s obligation to treat not only the symptoms, but also the social and environmental conditions of everyday life that cause disease.

This book comes at a great time for HealthBegins as we embark on training and equipping even more 'Upstreamists' around the country. I couldn't be prouder to be part of such an ever-inspiring and growing group of clinicians, health advocates, and innovators.

The book can be found at Additional details are below.


The Upstream Doctors: Medical Innovators Track Sickness to Its Source

By Dr. Rishi Manchanda

Afterword by Partners in Health Co-Founder Dr. Paul Farmer

RELEASE DATE: Thursday June 6, 2013

The U.S. spends about $8,000 per person every year on health care, more than any other nation has ever spent. But among all nations, the U.S. ranks 37th in health status. We have a high-cost sick-care system that needs to be transformed into a high-value health care system.

In the latest TED Book, The Upstream Doctors, physician and public health innovator Dr. Rishi Manchanda argues that the key to this transformation lies in embracing and supporting ³upstreamists²‹ doctors, nurses and other clinicians‹ who see that health (like sickness) is more than a chemical equation to be balanced with pills and procedures.

We know asthma can start in the air, diabetes and heart disease partly originate in lifestyle and policy choices, and depression and anxiety can arise from chronic stress related to where we live and work. In The Upstream Doctors, Manchanda shares case studies and personal anecdotes that illustrate how we can create a healthcare system that tackles illness at its root‹ a system that works to improve health where it begins: in the social and environmental conditions of our everyday lives.

Rishi Manchanda is a physician and public health innovator. He is the medical director of a clinic for homeless Veterans in Los Angeles, president and founder of HealthBegins, a startup that helps healthcare deliver better care for patients and communities with social needs, and the founder of RxDemocracy, a nonpartisan healthcare coalition that supports civic engagement.

He was previously the founding Director of Social Medicine at a community clinic in South Central Los Angeles. His work focuses on systems change and innovative methods to improve primary care, the social and environmental conditions that make people sick, and health and human rights.

TED Books is an imprint of short nonfiction works designed for digital distribution. Shorter than traditional books, TED Books run fewer than 20,000 words each ­ long enough to explain a powerful idea, but short enough to be read in a single sitting.

The Upstream Doctors is available on Kindle, Nook, or from the iBookstore. It can be purchased for US$1.99 each. Membership to TED Live comes with a free one-year subscription to TED Books‹allowing the texts to be delivered directly as they are published.

TED Books are also available in multimedia format with embedded audio and video via the free TED Books app for iPhone and iPad.
Find this book and others at:

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