First of all, the listing of this book on Goodreads has the page count wrong. There are 349 pages not 258. That needs to be changed. I found this book very interesting. I didn't know too much about the healthcare industry and this book really explains how health insurance came about, how hospitals and physicians have evolved and why healthcare costs have gone way up. He also explains how the Affordable Care Act (Yes, that is the name not Obamacare), and how it affects people, companies, physicians and hospitals. I like the concept of actually making the healthcare field accountable especially hospitals. I also like the idea of hospitals being more of a critical care facility instead of being the place where everyone goes to get help. I'm lucky I'm healthy but when I went through cancer treatment I now wonder did my doctor prescribe expensive drugs because there was more of a kickback or did I get what was best for me. I even see that now when a foot doctor said no to the generic brand of a cream that did the same thing as the expensive stuff, which was not covered by my insurance and the compound pharmacist said I could do a payment plan. I said no thank you and have gone holistic. If the ACA can help regulate the healthcare industry and make everyone accountable and lower costs, I'm all for it. I think we should be more of a proactive society towards are health and no reactive. If you want to understand the ACA a little bit more before deciding it is crap when you don't know all the facts, then pick up this book. Now if they could regulate the food industry, get all the sugar and high fructose corn syrup out of processed foods, our country would be a little healthier. ( )