Section 1: What we got -- Insurance -- Uninsurance -- Public insurance -- Private insurance -- The perverse relationship between you and your insurer -- Cost -- Some wonderful examples of bloated costs -- "Skin in the Game": Punishing people for getting sick -- The Affordable Care Act -- The most dangerous place -- Section 2: What we want -- What is single-prayer? -- How can we afford it? -- What might it look like? -- What isn't single-prayer -- State-based single-payer, a la "Healthy California" -- Medicare advantage -- "Medicare extra for all" / public option -- The "Buy-Ins" -- Arbitrary European countries -- Monsters big and small -- Section 3: What lies beyond -- The social determinants of health -- Housing -- food -- More social determinants of health -- Houston jails as warehouses for the sick -- Health justice -- The structural determinants of health -- Racism -- Sexism -- Poverty -- Babyland -- Caught in the web: Our experiences with American healthcare -- Chronic illness -- Survivors of violence -- Disability -- Race and health -- Opioids -- Trans health -- Maternal health -- Medical costs -- Abortion -- Immigrants -- Poverty -- Mental health -- Providers -- Work -- Section 4: What we do -- What hasn't worked -- What will work