Written for nonexperts, this is a brisk, engaging history of American healthcare from the advent of Medicare and Medicaid in the 1960s to the impact of the Affordable Care Act in the 2010s. Step by step, Jonathan Engel shows how we arrived at our present convoluted situation, where generic drugs prices can jump 1,000 percent in a day and primary care physicians can lose 20 percent of their income at the stroke of a Congressional pen.

Unaffordable...

"Since the dawn of the digital age, decision-making in finance, employment, politics, health and human services has undergone revolutionary change. Today, automated systems-- rather than humans-- control which neighborhoods get policed, which families attain needed resources, and who is investigated for fraud. While we all live under this new regime of data, the most invasive and punitive systems are aimed at the poor. In Automating Inequality, Virginia...

"On a two-mile stretch of land in New York's East River, a 19th-century horror story was unfolding ... Today we call it Roosevelt Island. Then, it was Blackwell's, site of a lunatic asylum, two prisons, an almshouse, and a number of hospitals. Conceived as the most modern, humane incarceration facility the world had ever seen, Blackwell's Island quickly became, in the words of a visiting Charles Dickens, 'a lounging, listless madhouse.' In the first...

Kids in danger are treated instrumentally to promote the rehabilitation of their parents, the welfare of their communities, and the social justice of their race and tribe--all with the inevitable result that their most precious developmental years are lost in bureaucratic and judicial red tape. It is time to stop letting efforts to fix the child welfare system get derailed by activists who are concerned with race-matching, blood ties, and the abstract...