From the back cover: American health care reform has been attempted by numerous presidents for over 100 years. To date every reform has been blocked by powerful interests in favor of the status quo. Stories of pure human tragedy and suffering have been unable to alter this situation. Single Payer Solution approaches health care reform as a business issue. The American free market normally disposes of failed business models without a care. The health insurance industry's administrative costs are out of control and the industry continually attempts to ration care to improve profits. Today, private health insurance barely resembles a traditional insurance product. How has the health insurance industry managed to survive?