This book is a must read for anyone concerned with the failure of the current system and looking for an alternative.  Colton’s proposal for universal health care is thoroughly explained, including:

  • a description of services provided
  • how we’ll pay for it
  • how it is organized for delivery
  • why it will save consumers money, and
  • how it will ensure standards for quality and clinical effectiveness.

“In this incisive and comprehensive book, David Colton take on the formidable task of explaining how America’s health care system works, why it fails in terms of cost, efficiency and quality of care and why it must be reformed… an invaluable resource …” JILL QUADAGNO, Author, One Nation Uninsured: Why the US Has No National Health Insurance


DAVID COLTON, Ph.D., M.P.A., M.Ed., is a retired health care administrator and retired adjunct professor of health care administration at Mary Baldwin University, Staunton, VA. Research interests, publications, and conference presentations have focused on quality improvement in health care and cultural change in behavioral health care organizations. Dr. Colton created the Checklist for Assessing Organizational Readiness to Reduce Seclusion and Restraint, which has been adopted by a number of organizations in the U.S., Canada, and Europe. He is co-author of the textbook Designing and Constructing Instruments for Social Research and Evaluation. He blogs at