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Here Be Dragons

One Man's Quest to Make Healthcare More Accessible & Affordable

ebook
1 of 1 copy available
1 of 1 copy available

Putting "Retail" into Medicine

Here Be Dragons is the true story of what happens when you are bold enough to try to transform a hidebound, multi-trillion-dollar industry. Today, millions of people benefit every day from accessible, affordable healthcare at walk-in clinics close to their homes. They are open seven days a week, with extended weekday hours, and provide high-quality basic healthcare at reasonable prices that are transparently posted. In 2020-21, almost everyone in the United States benefited from the access to COVID-19 testing and vaccinations that these clinics provided.

But retail clinics did not emerge without a fight. They faced strong opposition from the medical establishment, overly restrictive government regulations, and skeptical third-party payers. They also faced consumers who were conditioned to believe that quality healthcare could only be delivered in in an office or a hospital on someone else's schedule and without having any idea of its cost.

Physician practices and hospitals continue to play indispensable roles in patient care, but the massive U.S. healthcare system has not proven to be accessible or affordable enough for many patients and third-party payers. The system needed to be disrupted, and Web Golinkin was one of a relatively small number of people who have been able to do it.

However, this is not a book about unbridled success. Like many hero's journeys, Web's story is filled with bumps, bruises, and a few dragons along the way. Web began his journey by focusing on health information, starting the first 24-hour Cable TV network dedicated to health, America's Health Network, which was eventually sold to Fox. He then helped to revolutionize healthcare with RediClinic, which placed medical clinics inside drug, grocery and big box stores and was later sold to Rite Aid. Most recently, Web was CEO of FastMed, one of the nation's largest and fastest growing operators of urgent care clinics.

The fact that retail clinics are now a permanent part of the healthcare landscape is evidence of success, but getting to this point has been a wild and frequently very rough ride that challenged all the passion, endurance and street-smarts Web could muster at every step along the way.

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  • Reviews

    • Publisher's Weekly

      December 18, 2023
      This revolutionary debut from Golinkin confronts the healthcare crisis in the United States, reflecting on how a country of such size and power has so limited its citizens’ access to healthcare: "when ranking these large countries according to five categories—one of which is ‘access to care’—the United States ranks dead last," Golinkin shares. He details his decades-long, uphill battle to “retailize” healthcare and make it convenient, fast, and affordable, by developing urgent care and walk-in clinics through his own companies, and offers insights into the lessons he learned along the way. Golinkin’s story is as inspirational as it is enlightening, highlighting the ups and downs of entrepreneurship alongside his radical efforts to save America’s healthcare system.
      Golinkin drops jewels of wisdom for readers throughout this accessible guide, starting with his own circuitous journey to finding his true passion and covering the career uncertainties that plagued him en route—like the stiff competition from other quick retail clinics and the battles he endured to convince established insurers to sign off on his new healthcare concepts. Golinkin’s trailblazing is compelling to see, as he recounts his first notion to launch small medical clinics inside big box retailers and shares the arduous work it took to make that idea a reality across the nation.
      In many ways, Golinkin’s guide is a behind-the-scenes montage of the processes involved in starting a business, from conception to development to the countless steps in between. Eschewing the idea of unbridled success, Golinkin instead offers readers a passionate, but realistic, blueprint for hard won accomplishments: “ is the story of how things really go when you are crazy enough to try to effect significant change in a multi-trillion-dollar industry” he writes. This inspirational story will resonate with any dreamers, business leaders, or entrepreneurs who have a goal to impact the world through professional success.
      Takeaway: Revelatory guide to fashioning a business dream into reality.
      Comparable Titles: Elisabeth Rosenthal's An American Sickness, John Torinus, Jr's The Company That Solved Health Care.

      Production grades
      Cover: A-
      Design and typography: A
      Illustrations: N/A
      Editing: A
      Marketing copy: A

    • Kirkus

      In this memoir, a man recounts his extraordinary success as a serial entrepreneur and his attempts to provide affordable health care. Golinkin contends that passion is a necessary component of leadership. He didn't discover his life's true passion--to make health care more accessible and affordable--until after he graduated from Harvard in 1974. While working for Reeves Communications, a producer of television shows, he became intoxicated with the idea of creating health-related programming and started his own company, American Medical Communications, in order to bring his dream to life. In the early '90s, with the Mayo Clinic as his partner, he launched America's Health Network, a cable enterprise devoted to wellness and medical issues, which he sold to Fox in 1998. In search of a new challenge and motivated to change a stagnant health care industry, he started RediClinic, an urgent care provider housed in stores such as Rite Aid, Walgreens, and Walmart. The obstacles to success he faced were extraordinary--stiff competition, a difficult business model with high fixed costs, a lumbering economy, and astonishingly prohibitive regulatory restrictions, all lucidly explained by the author, who writes in unfailingly clear prose. Over 35 years, he would serve as the CEO of six companies, including FastMed, another urgent care provider, and would accomplish the seemingly impossible--make a genuine difference in a massive, impossibly complicated, and slow-shifting industry. Golinkin's accomplishments are quite impressive, and he limns a uniquely edifying view of the health care industry. He's not a doctor or a "health policy wonk," but rather a self-professed "capitalist" looking to make key improvements while amassing money. But he recounts the financial histories of his ventures in minute detail, a tendency that will eventually tax the attention of many readers. In addition, the lessons he draws are conventional--leaders should be passionate, maintain a work-life balance, and "find good people and help them grow." His reflections on the inadequacies of the U.S. health care industry are far more intellectually rigorous; for example, he suggests that costs could be restrained if providers were guaranteed reimbursement for services rendered via "video, digital, telephonic, and even some forms of print communication," an innovative recommendation. Still, readers will wish the author spent more time ruminating on these vital issues rather than the financial aspects of his businesses. An engrossing but uneven account about a health care mission.

      COPYRIGHT(2023) Kirkus Reviews, ALL RIGHTS RESERVED. (Online Review)

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Languages

  • English

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