What a fair and rational health system would look like

The costs and consequences of America's fragmented and profit-driven health system have reached unsustainable levels. Far too much is spent on redundant bureaucracy, and on medical interventions that are either unproven or have been shown to be ineffective, while millions of people lack coverage for basic cost-effective health care. The current level of corporate influence on research, education, and dissemination of scholarly work is unacceptable. It is high time that we design and deliver government-mandated health insurance that makes evidence-based cost-effective health care universally accessible. All comparable nations achieve better outcomes with fewer resources using this model. We can too.