Read before you buy
Read a free chapter.
Open the 22-page reader excerpt, including the Prelude and Introduction, directly on this page.
Follow the money. See the system clearly.
A plain-language guide to the incentives, gatekeepers, and administrative machinery shaping American care.
What the book examines
Costs without clarity
Why identical care can carry dramatically different prices.
The administrator explosion
How paperwork and insurance friction consume resources without improving health.
Care delayed or denied
How prior authorization and financial barriers reshape medical decisions.
A plan readers can use
Compare proven systems, understand the trade-offs, and leave with practical ways to protect your family and advocate for reform.
Written by Garrett Evan Soames, DMSc, PA-C
Author, medical provider, and policy advocate.
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