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Introduction 1
A Contrarian View 10
What's Wrong with Reform 24
The Roots of America's Health Care System 45
Health "Insurance" 61
Moving Forward 69
Stepping-Stone 1 Dignified, Fair, and Universal 77
Stepping-Stone 2 Why Health Care is so Expensive 97
Stepping-Stone 3 Managing Hypercomplexity 121
Stepping-Stone 4 Quality 140
Stepping-Stone 5 Systems of Care 162
Stepping-Stone 6 Paying for Health Care 181
Putting it All Together 207
Twenty Years Later 225
Epilogue 245
Acknowledgments 249
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