A psychiatrist with forty years of clinical practice and thirty-four years as medical director makes a diagnosis and writes a prescription. The diagnosis: American healthcare is unsustainable because it is optimized for the wrong output, and the wrong output is built into the structure. The prescription: a constitutional rebuild, establishing the floor that every other developed country built decades ago. The book traces the failure with specificity — Alec Smith dead at twenty-six from insulin he could not afford, 146 rural hospital closures, the Supreme Court's refusal in DeShaney and Castle Rock to recognize state duty to the citizen — and provides a map for what other countries have decided and how the United States might decide differently. The floor was never built. It is time to build it.
A psychiatrist with forty years of clinical practice and thirty-four years as medical director makes a diagnosis and writes a prescription. The diagnosis: American healthcare is unsustainable because it is optimized for the wrong output, and the wrong output is built into the structure. The presc...