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Health Justice Now: Single Payer and What Comes Next
The sun is setting on America's half-century of punishing the sick, and this book promises a bright new dawn for us all.
Single payer healthcare is not complicated: the government pays for all care for all people. It's cheaper than our current model, and most Americans (and their doctors) already want it. So what's the deal with our current healthcare system, and why don’t we have something better?
In Health Justice Now, Timothy Faust explains what single payer is, why we don't yet have it, and how it can be won. He identifies the actors that have misled us for profit and political gain, dispels the myth that healthcare needs to be personally expensive, shows how we can smoothly transition to a new model, and reveals the slate of humane and progressive reforms that we can only achieve with single payer as the springboard.
In this impassioned playbook, Faust inspires us to believe in a world where we could leave our job without losing healthcare for ourselves and our kids; where affordable housing is healthcare; and where social justice links arm-in-arm with health justice for us all. Single payer is the tool—health justice is the goal!
Single payer healthcare is not complicated: the government pays for all care for all people. It's cheaper than our current model, and most Americans (and their doctors) already want it. So what's the deal with our current healthcare system, and why don’t we have something better?
In Health Justice Now, Timothy Faust explains what single payer is, why we don't yet have it, and how it can be won. He identifies the actors that have misled us for profit and political gain, dispels the myth that healthcare needs to be personally expensive, shows how we can smoothly transition to a new model, and reveals the slate of humane and progressive reforms that we can only achieve with single payer as the springboard.
In this impassioned playbook, Faust inspires us to believe in a world where we could leave our job without losing healthcare for ourselves and our kids; where affordable housing is healthcare; and where social justice links arm-in-arm with health justice for us all. Single payer is the tool—health justice is the goal!
272 pages, Paperback
Published August 6, 2019
83 people are currently reading
1621 people want to read
About the author
Timothy Faust
1 book120 followersTimothy "T-Bone" Faust... The $50,000 Dazzler... The name on everyone's lips.
Timothy is the author of Health Justice Now (Melville House, 2019).
Timothy is the author of Health Justice Now (Melville House, 2019).
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Displaying 1 - 30 of 96 reviews
February 7, 2022
Private insurance is a normalized scam.
This polemic against private American insurance is unbalanced but totally justified in its subjectivity and indignation. Faust gives us a truncated yet accurate update of the current privatized system and then explores how that would look against a single payer system. The book is fairly brief but gets the job done and makes the conclusion unassailable: the current system is a scam that kills people.
What Americans currently have is a haphazard system wherein regional insurance monopiles exist that control who they insure, how they will insure them and with the power to pay whatever they would like whenever they would like. The shackle to employment leaves many uninsured and many more underinsured. We live in a system where you pay a premium for the privilege, a co-pay to subsidize your own insurance plan and then a deductible that you must meet to then receive payout. How have we gotten to the point where we think this is normal?
It's not a secret why American healthcare is so expensive: inflated prices from insurance negotiations to service the healthcare and marked up costs to produce the healthcare. Many parties are complicit including Pharma, medical manufactures and their love affair with patent evergreening. If you are un/under-insured you are exposed to these inflated costs. In America, getting sick makes you poor and being poor makes you sick. Nothing about our current system will fix this and in fact will ensure it stays the same.
That main argument that Faust makes for Single Payer is that it will actually cost less, not more. With premiums, deductibles, copays and frequently not receiving payout, Americans pay HUGE amounts in the current system. Going to Single Payer may reduce the private bureaucracy, stop enriching the few at the top and then actually guarantee health insurance for everyone. I think Faust is dreaming a little bit when he says that private insurance employees would just shoe-horn easily into a public industry. This is a pipe dream. Switching to full Single Payer would be incredibly disruptive in ways that I can't imagine.
Is the solution Single Payer, expanding Medicare/Medicaid or more private subsidies? I'm not sure. Maybe a combo or maybe full Single Payer. What is certain is the current system is a scam that leaves millions dying.
This polemic against private American insurance is unbalanced but totally justified in its subjectivity and indignation. Faust gives us a truncated yet accurate update of the current privatized system and then explores how that would look against a single payer system. The book is fairly brief but gets the job done and makes the conclusion unassailable: the current system is a scam that kills people.
What Americans currently have is a haphazard system wherein regional insurance monopiles exist that control who they insure, how they will insure them and with the power to pay whatever they would like whenever they would like. The shackle to employment leaves many uninsured and many more underinsured. We live in a system where you pay a premium for the privilege, a co-pay to subsidize your own insurance plan and then a deductible that you must meet to then receive payout. How have we gotten to the point where we think this is normal?
It's not a secret why American healthcare is so expensive: inflated prices from insurance negotiations to service the healthcare and marked up costs to produce the healthcare. Many parties are complicit including Pharma, medical manufactures and their love affair with patent evergreening. If you are un/under-insured you are exposed to these inflated costs. In America, getting sick makes you poor and being poor makes you sick. Nothing about our current system will fix this and in fact will ensure it stays the same.
That main argument that Faust makes for Single Payer is that it will actually cost less, not more. With premiums, deductibles, copays and frequently not receiving payout, Americans pay HUGE amounts in the current system. Going to Single Payer may reduce the private bureaucracy, stop enriching the few at the top and then actually guarantee health insurance for everyone. I think Faust is dreaming a little bit when he says that private insurance employees would just shoe-horn easily into a public industry. This is a pipe dream. Switching to full Single Payer would be incredibly disruptive in ways that I can't imagine.
Is the solution Single Payer, expanding Medicare/Medicaid or more private subsidies? I'm not sure. Maybe a combo or maybe full Single Payer. What is certain is the current system is a scam that leaves millions dying.
November 4, 2019
As a passionate proponent of Medicare for All, I’ve long been a fan of Tim Faust, a well-known leftist healthcare activist, and have learned a ton from him on Twitter over the years.
In this book, he lays out his entire case for single-payer healthcare, starting from the premise that it is moral, it is necessary and it is achievable. But single-payer, according to Faust, isn’t the only goal, but rather one of the essential steps to reaching true health justice, which extends into everything from food and housing to environmental factors, and is rooted in structural inequalities such as racism, sexism and poverty.
Faust’s style is refreshingly informal. He drops the f-bomb frequently (“you’re being fucked over”), includes hilarious footnotes*, and writes as if he’s speaking to you as a friend. Although he doesn’t talk like the typical lanyard-wearing policy wonk, don’t let that fool you: he knows his shit, and is a leading expert on healthcare policy in America.
Most importantly, he inspires us to reframe our thinking on this issue. We’re so accustomed to proposals that use arbitrary ideals of “pragmatism” and “incrementalism” to convince us to preserve the predatory private insurance industry, that tell us that achieving single-payer healthcare is pie-in-the-sky and unattainable. But Faust shows us that single-payer isn’t unrealistic, that in fact maintaining our current broken system is what is unrealistic. That fighting for single-payer isn’t foolish—no, maintaining the status quo is foolish.
When the status quo is all we know, it’s hard for people to imagine things being another way, but Faust makes the case that single-payer (TRUE single-payer a la Bernie Sanders and Pramila Jayapal, not that bullshit many of the 2020 candidates are selling) is the only moral way forward.
*Here’s my favorite footnote: ”Waffle House gets a lot of shit and none of it is deserved. I don’t care if a fight breaks out. I can get hash browns scattered, smothered, diced, and capped at 4:15 AM on a Wednesday, and that’s America to me. Everyone who works there deserves a union, a pension, and the same kind of respect we afford doctors and judges. Everyone else deserves this, too.”
In this book, he lays out his entire case for single-payer healthcare, starting from the premise that it is moral, it is necessary and it is achievable. But single-payer, according to Faust, isn’t the only goal, but rather one of the essential steps to reaching true health justice, which extends into everything from food and housing to environmental factors, and is rooted in structural inequalities such as racism, sexism and poverty.
Faust’s style is refreshingly informal. He drops the f-bomb frequently (“you’re being fucked over”), includes hilarious footnotes*, and writes as if he’s speaking to you as a friend. Although he doesn’t talk like the typical lanyard-wearing policy wonk, don’t let that fool you: he knows his shit, and is a leading expert on healthcare policy in America.
Most importantly, he inspires us to reframe our thinking on this issue. We’re so accustomed to proposals that use arbitrary ideals of “pragmatism” and “incrementalism” to convince us to preserve the predatory private insurance industry, that tell us that achieving single-payer healthcare is pie-in-the-sky and unattainable. But Faust shows us that single-payer isn’t unrealistic, that in fact maintaining our current broken system is what is unrealistic. That fighting for single-payer isn’t foolish—no, maintaining the status quo is foolish.
When the status quo is all we know, it’s hard for people to imagine things being another way, but Faust makes the case that single-payer (TRUE single-payer a la Bernie Sanders and Pramila Jayapal, not that bullshit many of the 2020 candidates are selling) is the only moral way forward.
*Here’s my favorite footnote: ”Waffle House gets a lot of shit and none of it is deserved. I don’t care if a fight breaks out. I can get hash browns scattered, smothered, diced, and capped at 4:15 AM on a Wednesday, and that’s America to me. Everyone who works there deserves a union, a pension, and the same kind of respect we afford doctors and judges. Everyone else deserves this, too.”
October 10, 2019
Healthcare in the United States is complicated. Okay, that’s an understatement. Anyone who can hear the words ‘premium’, ‘deductible’, and ‘co-pay’ without developing a twitch probably hasn’t navigated the process of obtaining coverage in the U.S.
Fortunately, author Timothy Faust is a more than capable guide for this topsy-turvy subject. Even setting aside his advocating for a single payer healthcare system, Faust has the remarkable ability to boil down difficult concepts into understandable terms. What’s more, he does it succinctly, relying on making his case as simple as possible. The result is one of the most accessible looks at American healthcare in recent years—perhaps ever.
That’s not to suggest that Faust skimps on the facts in favor of ease. Rather, he meticulously observes where the current system is, how it got that way, and what can be done to fix it. And there are plenty of issues—though Faust miraculously keeps this from skewing into a simple list of healthcare ills. From the tangled mass that is Medicare to the constraint of employer-sponsored plans to rampant overbilling, Faust tackles them all and somehow remains both wickedly funny and optimistic: there’s a solution in single payer.
And while there will be continued political battles over single payer, it’s hard to argue when Faust cedes control of the narrative from his own research and lets stories from everyday Americans take over. Again and again, individuals who have suffered due to arbitrary rules, under-insurance, or no insurance open up, sharing personal details from their healthcare nightmares. These stories and their repercussions are heartbreaking, but they’re the human face of an inhuman system.
Through meticulous research and a healthy dose of incisive hope, Faust makes his case.
Note: I received a free ARC of this book through Edelweiss.
Review also posted at https://pluckedfromthestacks.wordpres...
Fortunately, author Timothy Faust is a more than capable guide for this topsy-turvy subject. Even setting aside his advocating for a single payer healthcare system, Faust has the remarkable ability to boil down difficult concepts into understandable terms. What’s more, he does it succinctly, relying on making his case as simple as possible. The result is one of the most accessible looks at American healthcare in recent years—perhaps ever.
That’s not to suggest that Faust skimps on the facts in favor of ease. Rather, he meticulously observes where the current system is, how it got that way, and what can be done to fix it. And there are plenty of issues—though Faust miraculously keeps this from skewing into a simple list of healthcare ills. From the tangled mass that is Medicare to the constraint of employer-sponsored plans to rampant overbilling, Faust tackles them all and somehow remains both wickedly funny and optimistic: there’s a solution in single payer.
And while there will be continued political battles over single payer, it’s hard to argue when Faust cedes control of the narrative from his own research and lets stories from everyday Americans take over. Again and again, individuals who have suffered due to arbitrary rules, under-insurance, or no insurance open up, sharing personal details from their healthcare nightmares. These stories and their repercussions are heartbreaking, but they’re the human face of an inhuman system.
Through meticulous research and a healthy dose of incisive hope, Faust makes his case.
Note: I received a free ARC of this book through Edelweiss.
Review also posted at https://pluckedfromthestacks.wordpres...
August 11, 2019
This is one of the best books I have read this year.
If you've spent any considerable time in the disjointed, vicious, callous system that we know as the American health care system, as I have, some of what is outlined in this book will already be familiar to you: the bizarre ad-hoc means through which this dysfunctional system has been pieced together, the deep-seated inhumanity endemic to its internal logic, and its debilitating effects on both individual patients and the broader body politic.
But this book does so much more than pull back the veil on the system's fetid rot. It vivisects the bad actors who have allowed it to grow into what it is—the health insurance CEOs, the feckless politicians lining their pockets with industry profits, the health care providers who have consolidated operations to maximize profits rather than ensuring good health outcomes for their patients—while making a strong argument that a single-payer health care model is the only real way forward to ameliorate these problems in this country.
Just as strongly as the book condemns these bad actors, so too does it condemn the limited imagination of many Democratic politicians who have sold us on the idea that a "compromise" market-based solution is as good as we can get. It does so by laying out the groundwork for a framework of "health justice," which sees a single-payer program as the first stepping stone in a broader fight for a more just and equitable world. It dismantles our country's stupid, pathological obsession with solving all problems through market-based solutions while providing a cohesive, inspiring alternative.
If you've ever had to ration medication because you're not able to afford the co-pay on a refill, you need to read this book. If you've ever opened up an email from corporate HR letting you know that your health insurance premium is going up another couple hundred bucks a month, for which you're on the hook, you need to read this book. Even if you've been fortunate enough to mostly receive good care but still find yourself in terror of the possibility of losing your insurance through a layoff or other forces beyond your control, as I have, you need to read this book.
If you've spent any considerable time in the disjointed, vicious, callous system that we know as the American health care system, as I have, some of what is outlined in this book will already be familiar to you: the bizarre ad-hoc means through which this dysfunctional system has been pieced together, the deep-seated inhumanity endemic to its internal logic, and its debilitating effects on both individual patients and the broader body politic.
But this book does so much more than pull back the veil on the system's fetid rot. It vivisects the bad actors who have allowed it to grow into what it is—the health insurance CEOs, the feckless politicians lining their pockets with industry profits, the health care providers who have consolidated operations to maximize profits rather than ensuring good health outcomes for their patients—while making a strong argument that a single-payer health care model is the only real way forward to ameliorate these problems in this country.
Just as strongly as the book condemns these bad actors, so too does it condemn the limited imagination of many Democratic politicians who have sold us on the idea that a "compromise" market-based solution is as good as we can get. It does so by laying out the groundwork for a framework of "health justice," which sees a single-payer program as the first stepping stone in a broader fight for a more just and equitable world. It dismantles our country's stupid, pathological obsession with solving all problems through market-based solutions while providing a cohesive, inspiring alternative.
If you've ever had to ration medication because you're not able to afford the co-pay on a refill, you need to read this book. If you've ever opened up an email from corporate HR letting you know that your health insurance premium is going up another couple hundred bucks a month, for which you're on the hook, you need to read this book. Even if you've been fortunate enough to mostly receive good care but still find yourself in terror of the possibility of losing your insurance through a layoff or other forces beyond your control, as I have, you need to read this book.
May 7, 2021
If I could label one book as absolutely essential right now, it's this book. I opened this book knowing American healthcare was broken, but doubting single-payer – I now am fully, enthusiastically, existentially in support of single payer. This book is inspiring, entertaining, heartbreaking, infuriating, and doesn't require any background understanding of American healthcare. All you need to know is that we're currently fucked, we're being abused by corporations for profit, and we need to build a new compassionate and inclusive system–and Faust points out what we need to do to do that. I already know I'm going to be recommending this book to everyone!!!
October 14, 2019
Wonderfully impassioned explainer, cleanly organized. Makes a thorny and barbarous topic pretty clear - plenty of endnote citations support the arguments, while the footnotes are relatively sarcastic (could’ve done without them, but I’m sure the more informal tone appeals to plenty). Spoiler alert right here with the book’s last sentences: “my friends — single-payer is moral. Single-payer is necessary. Single-payer is achievable. Solidarity now, solidarity forever.”
September 20, 2019
What can I say... I know Tim, I've seen him in action, and this book captures him and his passion so well. It is infectious. You cannot deny his arguments— the spring forth from a seemingly boundless wellspring of compassion and love within him. We need Health Justice NOW! And this book is a roadmap to attain it...
March 15, 2020
122 pages in, and I am having difficulty finishing this book. There's a salient different between "progressive" and "aggressive," and I am finding that Faust's writing is crossing the line into the latter descriptor.
I am by no means a health policy expert, but my interest in the field was first piqued by "Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America" (written by Donald Barr), a comprehensive account of the health care landscape in which the ACA was first introduced. The read made me an ACA proponent, however I still wished that the ACA could have been more far-reaching, and I lamented what might happen if it were revoked entirely. With that came a semi-close following of American health care and a vested interest in what the 2020 candidates would bring to the table on the subject.
I picked up this book hoping to develop more of an academic understanding of Medicare-for-All and to walk away with points that I could thoughtfully share with my friends, family, and peers. What I instead found was a book that, in trying to be accessible, dilutes very nuanced policy and defames opposing lines of thought. Such slander like that found on many of the book's pages precisely contributes to the political polarization that has gotten America into the mess that it is currently in.
Repeatedly labeling the corporate America as filled with crooks, monsters, or, my favorite, "perverts" makes Faust come across as more of a fourth grade bully than as an esteemed journalist. His points are incredibly valid, and he raises important arguments, but I found myself scouring the endnotes section for his referenced sources so that I could learn about these arguments without continuous interruption by his incisive rhetoric.
The core facts of this book are burrowed beneath either excessive name-calling or lofty repetition of the ideal that we should all receive quality health care regardless of ability to pay. The latter is obviously what we should strive for––that I do not disagree with. But to make it all seem so simple and thereby not devote sufficient page space to the decades-long political and legal framework upon which we would try to instate such an ideal is an injustice in and of itself. If we want to engage in meaningful dialogue on this subject, the audience reading Faust's writing needs to see the full picture.
I am by no means a health policy expert, but my interest in the field was first piqued by "Introduction to U.S. Health Policy: The Organization, Financing, and Delivery of Health Care in America" (written by Donald Barr), a comprehensive account of the health care landscape in which the ACA was first introduced. The read made me an ACA proponent, however I still wished that the ACA could have been more far-reaching, and I lamented what might happen if it were revoked entirely. With that came a semi-close following of American health care and a vested interest in what the 2020 candidates would bring to the table on the subject.
I picked up this book hoping to develop more of an academic understanding of Medicare-for-All and to walk away with points that I could thoughtfully share with my friends, family, and peers. What I instead found was a book that, in trying to be accessible, dilutes very nuanced policy and defames opposing lines of thought. Such slander like that found on many of the book's pages precisely contributes to the political polarization that has gotten America into the mess that it is currently in.
Repeatedly labeling the corporate America as filled with crooks, monsters, or, my favorite, "perverts" makes Faust come across as more of a fourth grade bully than as an esteemed journalist. His points are incredibly valid, and he raises important arguments, but I found myself scouring the endnotes section for his referenced sources so that I could learn about these arguments without continuous interruption by his incisive rhetoric.
The core facts of this book are burrowed beneath either excessive name-calling or lofty repetition of the ideal that we should all receive quality health care regardless of ability to pay. The latter is obviously what we should strive for––that I do not disagree with. But to make it all seem so simple and thereby not devote sufficient page space to the decades-long political and legal framework upon which we would try to instate such an ideal is an injustice in and of itself. If we want to engage in meaningful dialogue on this subject, the audience reading Faust's writing needs to see the full picture.
June 9, 2022
I read this book because I heard the author interviewed on a podcast and when I finished reading I went back to re-listen to the interview. That was the 14th episode and they’re now on episode 290 something. This bodes very poorly for all the other books I’ve added to my to-read from interviews on podcasts. By this projection I’ll get to books added this week in about 2025. However, that being said I am so glad I read this now instead of when it came out! I got so much more out of it than I would have back then.
Health insurance is always on my mind since I’ve reached the big age of 26. I’m very fortunate that I didn’t have to think about it all that much because I was able to be on my parent’s plan until this year. I’m woefully undereducated on the subject. Picking a plan distressed me so much; I didn’t know the difference between a premium and a deductible, I didn’t know what tier to choose, it was all incomprehensible to me. As soon as I hit 26 I started making even minor decisions based around my fear of ever needing healthcare and not being able to pay for it. I haven’t even been to a doctor in like 2 years but you never know what can happen!
This book does a great job of laying out in simple terms what insurance is, what the different types of plans are and why they suck in unique ways, the ways it fucks people over, debunking some proposed alternatives, and positing what Faust thinks an effective alternative could be. All of the subsections have had volumes written on them, so by necessity the book is giving an overall skim. It’s written very clearly and simply so that you can read it without a degree in public health policy. He managed to make health finance interesting and digestible. I think some people may not like the jokey twitter/podcaster vibe, which is definitely fair, but as a source of information I found it very useful. Single payer could not work on a state by state basis because of huge differences in state’s wealth and health. It would have to be a federal system that put everyone in the country in the same risk pool. Faust explains why it would be cheaper for everyone and better for basically everyone except the insurance companies and for profit hospitals.
In the last section Faust lays out the ways in which healthcare as we understand it, as in visiting a doctor or hospital, is inadequate to the task of making a healthier population. Even for “preventative care”. By the time someone goes to the doctor, it’s already too late in many cases. To get maternal mortality rates down, intervention needs to happen before a pregnancy does. It’s great if they can see a doctor regularly throughout a pregnancy, but their home environment, lifestyle habits, income etc are all going to have an impact on the future baby’s health. Not to mention racial biases causing subpar care, eg black patient’s pain not being taken seriously. Faust posits that single payer would help mitigate these problems because with a shared risk pool, there is a financial incentive to make the population healthier meaning there is incentive to reduce all these disparities leading to poor health outcomes. As it is, most people will stay with an insurance plan for a short time until they switch jobs and are bounced to another plan. Therefore, companies have no incentive to invest in patient’s long term health because they’ll just get pingponged to the next company. It’s like playing hot potato. Sadly we’re a nation that loves to be cruel and inefficient. But there are places like Cuba, where the doctors make home visits to see how the patient’s lifestyle impacts their health, proving that these models work.
This is all nominally so simple and obvious. Of course your health is worse if you don’t have access to stable housing and good nutrition. Duh! The obviousness is what makes it so frustrating. I had a friend who worked at a non-profit and expressed frustration that their org always got funding and grants to do studies about things that any idiot could tell you, like the aforementioned conclusion about poverty and health. All this grant money and nonprofits and think tanks spent coming to these conclusions that we all fucking know!!! It’s such a waste!!! But, as I said, we live in a cruel and inefficient country. Insurance companies’ thirst for profit is obviously one major reason that the terrible system we have in place remains in place, but the second reason is discussed less in the book and more on the pod.
The podcast talked about how medicare for all would be such a boon for the labor movement. This is something else I wouldn’t have understood as intimately had I read/listened two (3? time flies. I also spiraled thinking about how completely different things are now compared to 2019) years ago before getting involved in union organizing. Fear of losing their health insurance was probably the main thing that kept people from supporting the union. (Even though they won't but the fear was enough). If we didn’t have our (& our loved ones) literal health tethered to our employer, we would have so much more leverage. Worrying about health care costs/access to health insurance controls so much of my life decision making, like my partner and I are gonna have to sit down within the next couple months and figure out what’s cheaper, to get her on my insurance as a domestic partner or to have her go on medicaid? I’ve also seen how insurance complicates divorce. And I am someone who is privileged in that I am generally healthy/able bodied and my family would be able to assist me if I were ever in a serious crisis. The way covid has been handled shows where the priorities lie, it’s so hard not to be a doomer. It’s very shortsighted of the nation to ensure that the population is increasingly sick, aging, mentally ill, etc, but profit is God!
Health insurance is always on my mind since I’ve reached the big age of 26. I’m very fortunate that I didn’t have to think about it all that much because I was able to be on my parent’s plan until this year. I’m woefully undereducated on the subject. Picking a plan distressed me so much; I didn’t know the difference between a premium and a deductible, I didn’t know what tier to choose, it was all incomprehensible to me. As soon as I hit 26 I started making even minor decisions based around my fear of ever needing healthcare and not being able to pay for it. I haven’t even been to a doctor in like 2 years but you never know what can happen!
This book does a great job of laying out in simple terms what insurance is, what the different types of plans are and why they suck in unique ways, the ways it fucks people over, debunking some proposed alternatives, and positing what Faust thinks an effective alternative could be. All of the subsections have had volumes written on them, so by necessity the book is giving an overall skim. It’s written very clearly and simply so that you can read it without a degree in public health policy. He managed to make health finance interesting and digestible. I think some people may not like the jokey twitter/podcaster vibe, which is definitely fair, but as a source of information I found it very useful. Single payer could not work on a state by state basis because of huge differences in state’s wealth and health. It would have to be a federal system that put everyone in the country in the same risk pool. Faust explains why it would be cheaper for everyone and better for basically everyone except the insurance companies and for profit hospitals.
In the last section Faust lays out the ways in which healthcare as we understand it, as in visiting a doctor or hospital, is inadequate to the task of making a healthier population. Even for “preventative care”. By the time someone goes to the doctor, it’s already too late in many cases. To get maternal mortality rates down, intervention needs to happen before a pregnancy does. It’s great if they can see a doctor regularly throughout a pregnancy, but their home environment, lifestyle habits, income etc are all going to have an impact on the future baby’s health. Not to mention racial biases causing subpar care, eg black patient’s pain not being taken seriously. Faust posits that single payer would help mitigate these problems because with a shared risk pool, there is a financial incentive to make the population healthier meaning there is incentive to reduce all these disparities leading to poor health outcomes. As it is, most people will stay with an insurance plan for a short time until they switch jobs and are bounced to another plan. Therefore, companies have no incentive to invest in patient’s long term health because they’ll just get pingponged to the next company. It’s like playing hot potato. Sadly we’re a nation that loves to be cruel and inefficient. But there are places like Cuba, where the doctors make home visits to see how the patient’s lifestyle impacts their health, proving that these models work.
This is all nominally so simple and obvious. Of course your health is worse if you don’t have access to stable housing and good nutrition. Duh! The obviousness is what makes it so frustrating. I had a friend who worked at a non-profit and expressed frustration that their org always got funding and grants to do studies about things that any idiot could tell you, like the aforementioned conclusion about poverty and health. All this grant money and nonprofits and think tanks spent coming to these conclusions that we all fucking know!!! It’s such a waste!!! But, as I said, we live in a cruel and inefficient country. Insurance companies’ thirst for profit is obviously one major reason that the terrible system we have in place remains in place, but the second reason is discussed less in the book and more on the pod.
The podcast talked about how medicare for all would be such a boon for the labor movement. This is something else I wouldn’t have understood as intimately had I read/listened two (3? time flies. I also spiraled thinking about how completely different things are now compared to 2019) years ago before getting involved in union organizing. Fear of losing their health insurance was probably the main thing that kept people from supporting the union. (Even though they won't but the fear was enough). If we didn’t have our (& our loved ones) literal health tethered to our employer, we would have so much more leverage. Worrying about health care costs/access to health insurance controls so much of my life decision making, like my partner and I are gonna have to sit down within the next couple months and figure out what’s cheaper, to get her on my insurance as a domestic partner or to have her go on medicaid? I’ve also seen how insurance complicates divorce. And I am someone who is privileged in that I am generally healthy/able bodied and my family would be able to assist me if I were ever in a serious crisis. The way covid has been handled shows where the priorities lie, it’s so hard not to be a doomer. It’s very shortsighted of the nation to ensure that the population is increasingly sick, aging, mentally ill, etc, but profit is God!
February 27, 2020
If you're an American who hasn't had a big, stressful, confusing, maddening healthcare bill or insurance kerfuffle, I really believe it's just a matter of time. Our system is b r o k e n. This book outlines how we got to this point, why it matters, and what to do about it.
I feel like it might seem like it's biased to some, but the bias is towards people not dying because they have to ration their insulin or going bankrupt because they had cancer so I'm good with the bias!
I feel like it might seem like it's biased to some, but the bias is towards people not dying because they have to ration their insulin or going bankrupt because they had cancer so I'm good with the bias!
August 15, 2019
The American healthcare system as it stands is a baffling, grotesque and cruel monster.
This book manages to be both hopeful and humorous despite tackling subject matter that's often rage-inducing (if not downright depressing).
If you want a compelling case for single-payer, look no further. You'll get a few good wrestling references as an added bonus.
This book manages to be both hopeful and humorous despite tackling subject matter that's often rage-inducing (if not downright depressing).
If you want a compelling case for single-payer, look no further. You'll get a few good wrestling references as an added bonus.
October 9, 2019
Health Justice Now, covers much what you would expect it to from the title. It spoke to the ways our culture systematically keeps people poor and sick and they ways that single payer could help lessen some of that suffering. I learned about the myriad ways that we keep people from living their fullest lives and the way in which Faust's idea of single payer would work. I enjoyed the substance of the book but I found the tone lacking. I get that this was supposed to be a FUN book, accessible to anyone who has an interest in the current lack of healthcare in America but it felt forced and the footnotes were just too much sometimes. Overall, I enjoyed hearing the author speak about single payer much more than reading this book.
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March 12, 2021Part of me thinks that the inherent cruelty in our for-profit insurance system(s) in America warrants most of the smugness in this book, but then the other part of me was going to chuck the book against the wall if I had to read one more absurd footnote.
But besides that, I found the moral arguments for a single payer system too strong to not find this book valuable. It ended in a hopeful way that I really enjoyed, and made me excited about the possibilities of progress for the future. Especially after spending like 200 pages detailing how many people have suffered and are currently suffering under the policies of the health insurance industry.
But besides that, I found the moral arguments for a single payer system too strong to not find this book valuable. It ended in a hopeful way that I really enjoyed, and made me excited about the possibilities of progress for the future. Especially after spending like 200 pages detailing how many people have suffered and are currently suffering under the policies of the health insurance industry.
January 25, 2020
If you can look past a few bad words and some cheeky commentary, this is an excellent and informative book!
March 13, 2020
Beautifully argued in plain and moral terms. Filled me with anger and hope. Good job, crulge.
February 16, 2023
Health Justice Now is like the Kama Sutra, but instead of sex positions it’s like the 101 ways you’re getting fucked by the healthcare industry. Another difference is that I have not read the Kama Sutra and I have read Health Justice Now, though it did take me 5 months to finish. 5 months to finish? Talk about tantric!
October 2, 2021
Everyone in America should have to read this book
April 21, 2024
You don’t need to read this book to know that privatized healthcare is a scam. Just ask anyone you know what their experience is with healthcare and the costs that come with it.
You do need to read this book to have a fundamental understanding of how we can move forward. We are a country that is riddled with issues, created by corporate greed, and being aware of how we can better our community through advocating for healthcare justice is so important.
You do need to read this book to have a fundamental understanding of how we can move forward. We are a country that is riddled with issues, created by corporate greed, and being aware of how we can better our community through advocating for healthcare justice is so important.
November 27, 2019
Essential reading for anyone who has ever been insured or uninsured, sick or well, or experienced the fucked up system of for-profit healthcare in the United States. (In other words, everyone should read this book!)
March 21, 2021
This book is a great crash course by a leftist into the workings of the healthcare insurance system. The main argument is for a single payer (universal) healthcare system. I think he does a good job of outlining the basic requirements of what that should mean in practice and ways in which the language has been coopted to present a solution which is not capital F Free for everyone.
One of the most interesting parts of the book to me is the historical perspective which notes that the rise of health insurance didn't begin until the 60s and has developed haphazardously and piecemeal since.
I have a stronger grasp now on what some of the confusing lingo surrounding healthcare and insurance mean and have more facts to confirm the known reality that the healthcare system is fucked. This book is a fast and easy read, and I have a google doc PDF of it if you want me to share with you!
One of the most interesting parts of the book to me is the historical perspective which notes that the rise of health insurance didn't begin until the 60s and has developed haphazardously and piecemeal since.
I have a stronger grasp now on what some of the confusing lingo surrounding healthcare and insurance mean and have more facts to confirm the known reality that the healthcare system is fucked. This book is a fast and easy read, and I have a google doc PDF of it if you want me to share with you!
September 7, 2019
This book went off on too many issues for me. I liked Bernie Sanders book better but this great book little for describing single-payer and how it would look.
December 27, 2019
"So the question to me is not: can we afford this? It's not even: can we afford not to afford this? It's: this wealth has been stolen from us; this wealth has been stolen from the people of Earth; are we not entitled to collectively benefit from it? Otherwise - when the companies come whispering ruby promises of prosperity, when they drain our land and exhaust our labor, when they disappear to some other place where they can do the same thing cheaper - are we just to clutch our children and suffer silently through the night?"
At some point, about 2 years ago now, I stumbled into becoming a single-payer healthcare activist. It's helpful to surround yourself with all the arguments and facts swirling around out there and luckily there is no shortage of that on the issue of healthcare; single-payer is something we've been trying to do in this country for a long time. I picked up Health Justice Now by Timothy Faust hoping to find a healthcare activist bible, an ultimate collection of, as Faust himself puts it, "nerd shit".
To be clear, Faust delivers on plenty of nerd shit. Health Justice Now outlines our current healthcare system and everything that's wrong with it, what our solutions are for fixing it, and asks us to imagine what might come to pass if our country ever gets its act together on healthcare.
What impressed me so much about this book was how simple its prescription (heh) for our gigantic failure is. Faust argues that human beings are messy and sick, that we will always be messy and sick, and that we (as a S O C I E T Y) should just give them healthcare, no questions asked. What's more, we should stop trying to strive for this magical system where we pinpoint resources at a select few deserving individuals:
"Thus, the dream of a private insurer is a large and uneventuful customer base. A risk-less risk pool. A million cutomers who pay their premiums every month and who never get hepatitis or get into car accidents or get other expernsive conditions. But this corporate-utopian vision doesn't reflect the way illnes works: there are simply always going to be a bunch of people who get sick or who need expensive care. Because the insurer doesn't have the ability to make sick people well, or to prevent illness or accidents in its customers, and absent the ability to just imagine away the customers who cause most of the medical costs, all the private insurer can do is find ways to kick out sick customers, or coerce them into leaving"
This is where Health Justice Now begins to reshape political philosophy. Faust isn't only able to prove that universal programs like single-payer are more effective using his cadre of "nerd shit", he's able to argue that they're more compassionate and humanizing. He helps you understand what making something a "human right" actually means.
I'll admit, I took for granted what making something human right means. But thanks to Faust's reminder in Health Justice Now, I don't think we've made nearly enough things human rights. Our attempt at only delivering social good to those we imagine deserve it has given way to disastrous experiments in means-testing, austerity, and a great forgetting of large swaths of the American public that don't seem to fit our narrative.
I did not imagine that, at the end of this book, I would be reshaping my understanding of justice to encompass all people. Shaking every preconception of conditional inclusion in a just society and jumping up and down after finishing it screaming "an obstacle to one is an obstacle to all". But here we are! Health Justice Now is life-affirming and has the propensity to be very influential to your world view. Read it.
At some point, about 2 years ago now, I stumbled into becoming a single-payer healthcare activist. It's helpful to surround yourself with all the arguments and facts swirling around out there and luckily there is no shortage of that on the issue of healthcare; single-payer is something we've been trying to do in this country for a long time. I picked up Health Justice Now by Timothy Faust hoping to find a healthcare activist bible, an ultimate collection of, as Faust himself puts it, "nerd shit".
To be clear, Faust delivers on plenty of nerd shit. Health Justice Now outlines our current healthcare system and everything that's wrong with it, what our solutions are for fixing it, and asks us to imagine what might come to pass if our country ever gets its act together on healthcare.
What impressed me so much about this book was how simple its prescription (heh) for our gigantic failure is. Faust argues that human beings are messy and sick, that we will always be messy and sick, and that we (as a S O C I E T Y) should just give them healthcare, no questions asked. What's more, we should stop trying to strive for this magical system where we pinpoint resources at a select few deserving individuals:
"Thus, the dream of a private insurer is a large and uneventuful customer base. A risk-less risk pool. A million cutomers who pay their premiums every month and who never get hepatitis or get into car accidents or get other expernsive conditions. But this corporate-utopian vision doesn't reflect the way illnes works: there are simply always going to be a bunch of people who get sick or who need expensive care. Because the insurer doesn't have the ability to make sick people well, or to prevent illness or accidents in its customers, and absent the ability to just imagine away the customers who cause most of the medical costs, all the private insurer can do is find ways to kick out sick customers, or coerce them into leaving"
This is where Health Justice Now begins to reshape political philosophy. Faust isn't only able to prove that universal programs like single-payer are more effective using his cadre of "nerd shit", he's able to argue that they're more compassionate and humanizing. He helps you understand what making something a "human right" actually means.
I'll admit, I took for granted what making something human right means. But thanks to Faust's reminder in Health Justice Now, I don't think we've made nearly enough things human rights. Our attempt at only delivering social good to those we imagine deserve it has given way to disastrous experiments in means-testing, austerity, and a great forgetting of large swaths of the American public that don't seem to fit our narrative.
I did not imagine that, at the end of this book, I would be reshaping my understanding of justice to encompass all people. Shaking every preconception of conditional inclusion in a just society and jumping up and down after finishing it screaming "an obstacle to one is an obstacle to all". But here we are! Health Justice Now is life-affirming and has the propensity to be very influential to your world view. Read it.
February 22, 2020
I picked up Health Justice Now on the recommendation of a few friends, who have been inspired by its text and using the energy it generates in a reader to begin organizing their social networks. These friends spoke about it and its author vauntingly, and given a few spare moments at a party, trivia, twitter, etc. would pivot to it as a concrete way to learn more about Medicare for All (M4A), the single-payer healthcare plan written by Sen Bernie Sanders. After reading it myself, I can understand why.
The book does its job: it informs the reader about the current-state of American “healthcare” (or as Faust usually notes, the system of privatized insurance and pharmaceutical manufacturers who offer healthcare services with profit motive). It provides light historical context about how healthcare evolved as a concept under Bismarck, how it became widespread in the US after WWII, and how it has since continually mutated in an attempt to maintain private corporations as the primary coordinators of care. It explains the basic differences between the different players in the industry: insurers, pharmaceutical companies, care providers/hospitals. It also provides context on recent efforts to reform the system—notably detailing the ACA, aka Obamacare. The book informs a reader. It’s well organized and is written in a way that feels accessible, even if you are someone who has never been forced in brutal fashion to educate themselves in the painful process of acquiring and maintaining healthcare coverage in the US (i.e. students, young people under the age of twenty-six, the privileged—in employment and/or health). That education alone makes the book a worthwhile read.
But what truly makes Health Justice Now an important read—one worth evangelizing, lending, talking about after your done—is the rhetorical skill, deep passion, and haunting prose with which Faust writes. I was surprised to find not a dry text, but one that bursts with life, invective, and solidarity. Faust constantly weaves the lived experience into his lessons: that of his childhood friends, those who he’s met in the course of his speeches across the US, and his very own struggles with health. He spits at the companies and persons who have purposefully created laberintine systems that are designed to cause the unhealthy to fail, and fall further into debt and death. He calls for action from those who have been depressed and beaten—and those who are luckily enough not to, providing concrete examples of successful to provide light at the end of what is a horrifically long and dark tunnel. He strikes out at those whose pursuit of self-interest has killed and is killing countless Americans: whether those safely perched at the top of body-hungry companies, or those politicians whose aim at reforms is woefully inadequate. I particularly enjoyed moments in which Faust encountered a target for hate, someone who’s inaction/lack of human empathy has caused fellow citizens to die or fall into deep debt. It was these moments in the books that his prose and activism sung together. (Describing Maine Gov LePage he calls him a “human tumor in a suit jacket,” lol)
Faust writes with burning drive that is contagious. His breadth of coverage is impressive considering the book is only slightly over 200 pages, and though the human stories contained in the book can be depressing, Faust turns them over in a way that inspires the reader to action. I found it an important read, as we’re approaching the 2020 season, and will certainly be joining the chorus of my friends who call for others to read it, and act.
The book does its job: it informs the reader about the current-state of American “healthcare” (or as Faust usually notes, the system of privatized insurance and pharmaceutical manufacturers who offer healthcare services with profit motive). It provides light historical context about how healthcare evolved as a concept under Bismarck, how it became widespread in the US after WWII, and how it has since continually mutated in an attempt to maintain private corporations as the primary coordinators of care. It explains the basic differences between the different players in the industry: insurers, pharmaceutical companies, care providers/hospitals. It also provides context on recent efforts to reform the system—notably detailing the ACA, aka Obamacare. The book informs a reader. It’s well organized and is written in a way that feels accessible, even if you are someone who has never been forced in brutal fashion to educate themselves in the painful process of acquiring and maintaining healthcare coverage in the US (i.e. students, young people under the age of twenty-six, the privileged—in employment and/or health). That education alone makes the book a worthwhile read.
But what truly makes Health Justice Now an important read—one worth evangelizing, lending, talking about after your done—is the rhetorical skill, deep passion, and haunting prose with which Faust writes. I was surprised to find not a dry text, but one that bursts with life, invective, and solidarity. Faust constantly weaves the lived experience into his lessons: that of his childhood friends, those who he’s met in the course of his speeches across the US, and his very own struggles with health. He spits at the companies and persons who have purposefully created laberintine systems that are designed to cause the unhealthy to fail, and fall further into debt and death. He calls for action from those who have been depressed and beaten—and those who are luckily enough not to, providing concrete examples of successful to provide light at the end of what is a horrifically long and dark tunnel. He strikes out at those whose pursuit of self-interest has killed and is killing countless Americans: whether those safely perched at the top of body-hungry companies, or those politicians whose aim at reforms is woefully inadequate. I particularly enjoyed moments in which Faust encountered a target for hate, someone who’s inaction/lack of human empathy has caused fellow citizens to die or fall into deep debt. It was these moments in the books that his prose and activism sung together. (Describing Maine Gov LePage he calls him a “human tumor in a suit jacket,” lol)
Faust writes with burning drive that is contagious. His breadth of coverage is impressive considering the book is only slightly over 200 pages, and though the human stories contained in the book can be depressing, Faust turns them over in a way that inspires the reader to action. I found it an important read, as we’re approaching the 2020 season, and will certainly be joining the chorus of my friends who call for others to read it, and act.
April 14, 2021
If you have any questions about Federal Universal Single Payer healthcare, its necessity, feasibility, or otherwise, read this book. Faust is a compelling writer and his facility with the subject matter is on full display. He leaves nothing on the table and you walk away with no further questions. If you care about the future wellbeing of people who reside in America, read this book. Full stop.
Edit: seeing the few less than 4 star reviews complaining about a lot of dumb crap like "I wish the book was more technical" or "Faust is right but he was too mean about it." If your take away from the book was that if only we were nicer then we'd be more successful, then, to put it nicely, you have very poor reading comprehension. If your take away from the book was that it needed to focus more on the specifics of the political framework of the proposed policy, then you just got the wrong book.
From the summary on the back of the book: "Single payer healthcare is not complicated: the government pays for all care for all people."
Edit: seeing the few less than 4 star reviews complaining about a lot of dumb crap like "I wish the book was more technical" or "Faust is right but he was too mean about it." If your take away from the book was that if only we were nicer then we'd be more successful, then, to put it nicely, you have very poor reading comprehension. If your take away from the book was that it needed to focus more on the specifics of the political framework of the proposed policy, then you just got the wrong book.
From the summary on the back of the book: "Single payer healthcare is not complicated: the government pays for all care for all people."
February 20, 2020
This is the great and wicked trick that has been played on us. We’ve been browbeaten into viewing healthcare as a transaction between a customer and an insurance company, or an insurance company and a hospital, instead of a relationship between a person, their body, their community, and their doctor. That’s perverted. We have mistaken the profit motives of companies for healthcare. This book makes no apologies for its clear hatred of our current Frankenstein healthcare system or its equally clear bias towards the implementation of single-payer healthcare system. It cites (and marshals) several studies and articles to make its argument, and to humanize the costs of the current system with wrenching anecdotes of people fucked over by the current not-quite-system. The book is written in a conversational, casually profane tone (I appreciated its reference to the "gaping, pestilent anus of the titanic pharmaceutical-industrial scam"). I don't really remember these studies and articles; what lingers for me is the sense of outrage and anguish over the injustice perpetrated against American people, against the poorest and brownest and most vulnerable of us; the sense of hidden dots being connected that underpin the massive asynchrony of our healthcare infrastructure. I fully believe his description of our system as this lumbering, misshapen, accidental accretion of market vulnerabilities; that insurance companies are inherently incapable of addressing our healthcare crisis. I agree with him that single-payer would lower costs, and even if it doesn't, who cares as long as we're taking care of people? And I admire his commitment--fully justified--to single-payer as a first step, a stepping-stone from which we can start to address the real crisis--the ~social determinants of health~. I finished this book and felt angrier, and smarter, and more inspired than I have in a while.
January 17, 2020
As an American going to the doctor in Germany I’ve almost gotten used to the ease of the health system here, but I clearly recall the first time I tried to pay after a doctor’s visit and seeing the receptionist laugh and say “oh, you must be American!” The health system as it stands today in the US is a national disgrace, and this is well documented in this overview of the current ills of the system, some of the real life horror stories that are being played out, and the kind of system that could be implemented were there only sufficient political will to do so. At the current rate, that seems a remote possibility with the entrenched interests and the American electorate seemingly fine with using the ballot box every 4 years to take one small step forward and then 2 back. The proposals here are sound, but as the book is an impassioned overview there’s not enough detail, and it stands as a rough guide. Still it’s hard to find too many faults in what the proposals laid out are. I likely can’t return to the US any time soon as the health care industry is a major reason, but for now I continue to partake in a much better health system similar to every other health care system in the developed world.
January 11, 2020
I expected this to be an argument for single payer, but it is a lot more than that.
Everyone knows our health system is a disaster (or at least everyone who isn't a politician or insurance executive) and Faust conveys the breadth of the disaster in detail that is both heart-rending and enraging. He gives us clear explanations of how our over-complicated system works, alongside moving personal stories of the toll that system is taking on us.
But this isn't wonkery about insurance. It's a passionate call to completely rethink the way we define healthcare. Medicare for All/Single Payer is just the start. Faust argues we cannot achieve health justice without reforming huge swathes of our society, from the environment, to food, to housing.
Most of all, it's a passionate call for us to rise up against those who are profiting from our misery and to see that an injury to one is an injury to all.
Everyone knows our health system is a disaster (or at least everyone who isn't a politician or insurance executive) and Faust conveys the breadth of the disaster in detail that is both heart-rending and enraging. He gives us clear explanations of how our over-complicated system works, alongside moving personal stories of the toll that system is taking on us.
But this isn't wonkery about insurance. It's a passionate call to completely rethink the way we define healthcare. Medicare for All/Single Payer is just the start. Faust argues we cannot achieve health justice without reforming huge swathes of our society, from the environment, to food, to housing.
Most of all, it's a passionate call for us to rise up against those who are profiting from our misery and to see that an injury to one is an injury to all.
October 6, 2019
I went into this expecting to be outraged but not surprised, validated but not hopeful. When I set the book down, I was all four. I knew or was familiar with a lot of the content but still often blurted out, "that didn't even occur to me!" and, "is THAT what it is?" but mostly rude words in exasperation because I am both angry and emotionally exhausted. This book was really well researched, the footnotes were helpful and funny at times, and the book's message was presented in a fresh and new way. I'm poor,born disabled, queer and Jewish. The odds were never in my favor. No matter how I tell myself when I finally get a job, things will turn around, they won't. Until a lot of systems change, I'm stuck. This book reminded me there are others like me and I'm not endlessly whining. It helped and taught me a lot. I'm so glad I read it.
March 12, 2020
Faust makes the moral and economic argument for single payer healthcare and other important reforms to American society. His writing is clear, cogent, and entertaining.
This book is great to hand to anyone who has bought the moronic propaganda against single payer healthcare, if they can actually read. It also gives plenty of statistics and examples that you can use when discussing the topic with those same people.
Finally, Health Justice Now is an extremely emotional read for anyone who is sick, has a friend or family member who is sick or has died because of our evil, for-profit healthcare system, or anyone who has a smidgen of empathy for their fellow human beings. I literally laughed and cried and felt existential dread while reading this book.
I cannot recommend this book enough. Get it. Read it. Pass it on!
This book is great to hand to anyone who has bought the moronic propaganda against single payer healthcare, if they can actually read. It also gives plenty of statistics and examples that you can use when discussing the topic with those same people.
Finally, Health Justice Now is an extremely emotional read for anyone who is sick, has a friend or family member who is sick or has died because of our evil, for-profit healthcare system, or anyone who has a smidgen of empathy for their fellow human beings. I literally laughed and cried and felt existential dread while reading this book.
I cannot recommend this book enough. Get it. Read it. Pass it on!
November 4, 2019
While I believe this author has done thorough research, speaking and presentations nationwide, his use of expletives to punctuate his point turn me off to his message. While that might emphasis a point in speech, it has no place whatsoever in written argument. Where is his editor?
The premise of Health Justice that is Single Payer and Free to All is a dream worth pursuing.
The fractured care and coverage we get (or not get) today is so inadequate at so many levels. Affordable Health Care & other plans compensate insurance companies, rather than meet the needs of the American citizen. The system needs a complete and radical overhaul and the ideas posed within may be just the thing.
The premise of Health Justice that is Single Payer and Free to All is a dream worth pursuing.
The fractured care and coverage we get (or not get) today is so inadequate at so many levels. Affordable Health Care & other plans compensate insurance companies, rather than meet the needs of the American citizen. The system needs a complete and radical overhaul and the ideas posed within may be just the thing.
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