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March 28, 2023
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v2.1 Reference

Building a Unified American Health Care System

A Blueprint for Comprehensive Reform

A blueprint for comprehensive, science-based health care system reform.

Financial and political pressures on our health care system have negatively impacted individual care and the health system as a whole, an issue that has only become more acute because of the COVID-19 pandemic. In Building a Unified American Health Care System, Gilead I Lancaster, MD, lays out a blueprint for comprehensive health care reform by mapping out a unified system run by health care professionals—not politicians or commercial health insurance companies—that offers universal coverage and access.

Lancaster compares the current arguments for single payer versus commercial health insurance systems with arguments in the early 1900s for a central bank versus regional commercial banks. He then introduces a novel solution: the establishment of a National Medical Board similar to the Federal Reserve System that helped fix the American banking system over a century ago. Along with other innovations, a plan co-created by Lancaster dubbed EMBRACE (Expanding Medical and Behavioral Resources with Access to Care for Everyone) would involve creating a modern, evidence-based health care system, one offering universal coverage for basic needs while allowing for commercial insurance participation. Emphasizing the importance of separating health care from governmental and commercial pressures and incentives, Lancaster explains the need for comprehensive—rather than incremental—reform of the American health care system.

Touching on public health, economics, history, finance, and information technology, this clear-eyed book offers a unique roadmap toward holistically transforming the entire American health care system in ways that improve care for all Americans. It will inspire health care leaders, policy-makers, and other stakeholders to take a good look at our system as a whole and strive for something better.

About the Authors

Gilead I Lancaster, MD, is a cardiologist and the director of non-invasive cardiology at Bridgeport Hospital and an associate clinical professor of medicine at Yale School of Medicine.


"In this readable book, which provides a compelling picture of the failures of the current system, Dr. Lancaster lays out an audacious vision for US health care that would insulate the system from politics and eliminate the current roles of public and private insurance. Engaging with his well-argued ideas will surely spur readers to reconsider the strengths and weaknesses of more mainstream proposals."

- Sherry Glied, Dean, Robert F. Wagner Graduate School of Public Service, New York University

"Insightful and audacious, Gil Lancaster has given us a vision for healthcare reform with transformative potential. This is a book that thinks big."

- Sandro Galea MD, DrPH, Dean, Boston University School of Public Health

"A thoughtful and compelling analysis of the complex, costly, and inefficient collage of public and private health care structures in the United States today. I enthusiastically applaud Dr. Lancaster's prescription for a new American health infrastructure and his innovative ideas on how we can create it. It should be mandatory reading for every policy-maker in the country."

- Tom Daschle, former Senate Majority Leader
Johns Hopkins University Press
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9781421445885 : building-a-unified-american-health-care-system-lancaster-himes-katz
Paperback / softback
March 28, 2023
$39.95 USD

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