This is an excellent book, especially for anyone who is under the impression that the Affordable Care Act provides the solution to our outdated and dysfunctional healthcare system. Dr Geyman clearly explains the pros and cons of the ACA in a fair and even handed way.
He discusses the goals of the ACA: to provide greater access to healthcare, to contain costs and to improve quality, and measures them against the reality now that we are five years into the program. He points out the ways in which the ACA has helped some, and the ways it has failed the majority. He explores the reasons why the ACA cannot be sustained; one of the most compelling, in my opinion, is that unless we can take the burden of healthcare costs off of companies, we will fall far behind in economic competition with the rest of the world. You would think that most companies would have realized this by now, but strangely it hasn’t happened. We are headed for status as a third rate power.
He has a solution, which has been widely discussed and which the majority of American people support : single payer healthcare. This would be healthcare that is publically funded but privately delivered. In other words, our combined taxes would pay for everyone’s healthcare, eliminating deductibles, co-pays and other causes of bankruptcy.
My only area of disagreement with Dr Geyman is his casual assumption that abortion is a necessary component of healthcare. Abortion is not healthcare; it is the opposite. It is an unnecessary and elective procedure, since it is widely known that abortion is never necessary to save the life of the mother. Americans who are in the womb have as much right to protection as those of us who have made it out. Including abortion as part of Medicare expanded for everyone would add another barrier to its acceptance, since it is unlikely that Christians and other people who value life would agree to their taxes funding it.
Aside from that issue, the book is exceptional: clear and important. It only remains to be seen when our leaders will develop the will to implement the system that every other civilized nation has had for years.
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