The Transformation of American Health Insurance

Few, if any, health care experts can claim the enormous breadth of experience that Troy Brennan can. He tackles how to turn around our health care system with careful attention to the evidence, a scholars sense of balance, and a commitment to honesty. An instant must read for anyone who cares about finding our way to better health care.

— Don Berwick, Institute for Healthcare Improvement

Troyen Brennan is uniquely qualified to write a book explaining how American health care policy has evolved and where it might be going, having been at various times in his career a clinician and physician administrator, and an executive in health insurance, pharmacy benefit management, and retail pharmacy companies. You are sure to learn things about health policy you didnt know. This book has my strongest recommendation.

— Joseph P. Newhouse, Harvard University

Blending insights from a career in the top echelons of medicine, business, and academia, Brennans book is a must-read, exposing how US health insurance has produced a bloated healthcare system and why Medicare for All is not a liberal pipedream but a lifeboat that businesses will embrace.

— Leemore Dafny, Harvard University

A superb description of the government and commercial evolution of the uniquely American health financing, insurance, and delivery system. Troyen Brennan describes the inevitable financial and social trends pushing us toward a more equitable, effective health insurance system. The employer can be an important contributor to a value-based system to improve outcomes and reimbursement. If employers fail, then governments role may continue to expand, hopefully in public and private collaboration.

— Ron Williams, RW2 Enterprises, MIT, author of Learning to Lead