Narrative Matters--The Book
Narrative Matters:
The Power of the Personal Essay in Health Policy
Edited by Fitzhugh Mullan, Ellen Ficklen, and Kyna Rubin
(Johns Hopkins University Press, 2006)

This anthology brings together the personal stories of patients, physicians, policy makers, and others whose writings humanize discussions and deliberations about health policy. Drawn from the popular "Narrative Matters" column in Health Affairs, the essays epitomize the policy narrative, a new genre of writing that explores health policy through the expression of personal experiences. Forty-six articles focus on such topics as the hard financial realities of medical insurance, AIDS, assisted suicide, marketing drugs, genetic engineering, aging, organ transplants, and ethnic and racial disparities in the health care system. The narratives raise ethical and moral issues that are being studied in many of our nation's medical schools. This compelling collection provides important insight into the human dimensions of health care and health policy.
Reviews
"The power of these narratives shakes the reader, who cannot but apprehend health care from a new, individual perspective and commit him- or herself to make their part of the system better and more sensitive."
--Ezekiel J. Emanuel, M.D., Ph.D.
"To begin to understand the many challenges facing the U.S. health care system, you could spend years in the shadow of doctors, patients, medical students, and legislators. Or you could just read this book. Narrative Matters opens a window into what's happening in American medicine through the minds and pens of those in the middle of it all. At times insightful, depressing, uplifting, and direct, Narrative Matters accomplishes a rare feat--a book as well-written as it is necessary."
--Joshua M. Sharfstein, M.D.,
Baltimore City Commissioner of Health
"Narrative Matters showcases some of health care's most stunning writing. The stories are moving, eloquent, and often unforgettable."
--Atul Gawande, M.D.,
author of Complications: A Surgeon's Notes on an Imperfect Science
"For any reader enthralled by the literature of medicine, these fascinating, compelling, and beautifully written doctor stories were written expressly for you."
--Howard Markel, M.D., Ph.D.,
The University of Michigan Medical School,
author of When Germs Travel and Quarantine!
"Narrative does matter. That’s why these writers are so successful in making the reader feel and respond to their frustration, anger, pain, sadness, confusion, joy, or loving kindness by writing personal narratives of health care. Had they addressed us on a purely intellectual level, we might have developed a clearer idea about how to create a more equitable health care system, but we’d have less motivation, less passion, for the task. Narrative Matters is a splendid achievement. This wonderful collection will make a big difference in the way the reader thinks about many of the important issues facing health care today. I suspect this book will do a great deal to enhance public awareness of the human stories at the center of our U.S. health care system."
--Jack Coulehan, M.D., M.P.H.,
Institute for Medicine in Contemporary Society,
State University of New York at Stony Brook,
and co-editor of Primary Care: More Poems by Physicians
"A doctor kneels on a highway and watches a child die from a completely preventable accident, as the boy's father wails, "Wake up, my son!” A baby dies because of language barriers and bureaucracy in the clinic. A nurse quits in despair, stopped by the system from doing the right thing. A governor makes a wrenching choice between a world-class transplant program and basic care for 600,000 people. If these true stories of needless tragedy don't convince you our health care system is broken, you must have a heart of stone."
--Melvin J. Konner, Ph.D., M.D.,
author of Becoming a Doctor: A Journey of Initiation in Medical School
"Narrative Matters shows how health care policies affect real people. Policy loves charts and statistics. These stories fill in the conflicts, the emotions, the frequent pain and occasional joys of being somewhere on one of those charts. Numbers make no moral demands on us; only faces require a response. In these stories, we see the faces that health care policy is all about."
--Arthur W. Frank, Ph.D.,
University of Calgary,
author of The Wounded Storyteller: Body, Illness, and Ethics and The Renewal of Generosity: Illness, Medicine, and How to Live
"This compilation is unique ... because of its strong relevance to today's health policy ... These narratives matter."
--Galit M. Sacajiu, JAMA
About The Editors
Fitzhugh Mullan, M.D., is Murdock Head Professor of Medicine and Health Policy and professor of pediatrics at the George Washington University; he is a contributing editor at Health Affairs and editor of its "Narrative Matters" section.
Ellen Ficklen was a senior editor at Health Affairs and co-editor of "Narrative Matters."
Kyna Rubin is an independent writer and the former co-editor of "Narrative Matters."
Current Issue
- From the Founding Editor
- Entry Point - Food And Farm Policy
- Employer Coverage's Future
- Many Might Opt For The Exchanges
- How Families Could Forfeit Subsidies
- Medicaid Expansion And The Homeless
- Wide Payment Shifts On Office Visits
- The Cost Of Overtriage
- German Hospitals Improved Mortality Rates
- Better Dental Care For Massachusetts' Poor
- Improving Food Marketing To Children
- View Table of Contents »
- Part Of The Solution: Next Steps In Medication Adherence Policy 04 Oct 2013
- Reminder: Health Affairs October Issue Briefing 03 Oct 2013
- The Latest Health Wonk Review 02 Oct 2013
- CBO’s Long-Term Budget Projections: The Outlook Is Even Worse Than It Looks 02 Oct 2013
- How Will Federal Medicaid Payments To States In 2015 Be Affected By New Personal Income Data? 01 Oct 2013
- How Do You Keep School-Age Children Healthy? Report from a Health Policy Forum 03 Oct 2013
- Getting the Word Out about New York State’s Health Plan Marketplace: One Foundation’s Experience 02 Oct 2013
- MacArthur Genius Grant Recipients Include One Coordinating Care for Complex Patients; Another Confronting Chronic Illnesses in Botswana 27 Sep 2013
- Support across Party Lines for Expanding Services of Nurse Practitioners to Patients: One Finding of TCWF-Field Health Policy Poll 19 Sep 2013
- Four Foundation Leaders Make 100 Most Influential in Healthcare List in Modern Healthcare 17 Sep 2013
- "Health Spending Projections Through 2022" Event September 18, 2013
- The Outlook For Health Spending: The CMS 2012-2022 Projections September 18, 2013
- New study shows some people would be better with government health plan than one from employers September 11, 2013
- Ann E. Yurcek-"Against All Odds: How A Medicaid Waiver Brought Our Critically Ill Daughter Home" Narrative Matters September 09, 2013
- Health Reform Implementation: August 2013 Update August 06, 2013
- Health Spending Projections Through 2022 September 18, 2013
- Health Information Technology Adoption And Use July 09, 2013
- The 'Triple Aim' Goes Global April 11, 2013
- New Era Of Patient Engagement February 06, 2013
- Will Employers Drop Health Insurance Coverage Because Of The Affordable Care Act?
- Annual Medical Spending Attributable To Obesity: Payer-And Service-Specific Estimates
- National Health Expenditure Projections, 2012-22: Slow Growth Until Coverage Expands And Economy Improves
- The Triple Aim: Care, Health, And Cost
- Small Increases To Employer Premiums Could Shift Millions Of People To The Exchanges And Add Billions To Federal Outlays
- Will Employers Drop Health Insurance Coverage Because Of The Affordable Care Act?
- Annual Medical Spending Attributable To Obesity: Payer-And Service-Specific Estimates
- Small Increases To Employer Premiums Could Shift Millions Of People To The Exchanges And Add Billions To Federal Outlays
- The Triple Aim: Care, Health, And Cost
- Hospital Electronic Health Information Exchange Grew Substantially In 2008-12

