Table of Contents:
  • Not business as usual
  • Unreliable emergency services
  • An eroding infrastructure
  • Fifteen years lost
  • Handed health care's leftovers
  • Where we are headed
  • Thirty percent waste-or fifty?
  • Poor quality primary care
  • Dangerous hospitals
  • Violation of dignity: the end of life
  • Unnecessary surgery
  • Perverse payment incentives
  • Three pathways to hospital profitability
  • Pharmaceuticals: remarkable innovation, shameless puffery
  • Private health insurance: no added value
  • The end of the employer-based tax subsidy
  • No coverage expansion without cost control
  • A workable plan for reform
  • Establishing standards
  • Prioritizing primary care
  • Reducing spending on hospitals and specialists
  • Positioning of a national medical quality system.