In just over 100 pages, this book uniquely simplifies the complex workings of the American health care system and compares costs and outcomes to systems in other developed nations. Inequities and shortcoming are factually evaluated. Working backwards from the goal of Health Assurance for All, it makes a compelling case for change. Various options are objectively evaluated including single payer, a public option and expansion of the Affordable Care Act. The author has created an easy-to-digest resource for policymakers, the public and students. It is a "go to' resource for health care policy.Congressman James McGovern comments: "I enjoyed working with Mike in his days as a hospital and community leader in my District. My colleagues in Congress and I have been working for years on the goal of bringing quality, affordable care to all Americans. This book is unique and successful in simplifying the maze of our healthcare system and the many proposals for change. I highly recommend it to anyone who wants to understand the many complicated and often interrelated ideas out there about changing our system for the better."According to Massachusetts Senator, Michael Rodrigues, "This is an incredible tool for my colleagues in the Massachusetts Legislature as we consider changes to achieve "health assurance" for our constituents. The tone, style, and balance are so characteristic of Mike's values which I admired when he was a community leader and CEO of an outstanding hospital in the SouthCoast region of our state."