Stephen J. Dubner characterizes the United States as having a bizarre healthcare system because it is the only wealthy nation that does not provide a nationalized system.

“I think the answer is I'm not gonna say what's better or worse I think the answer is it is bizarre that the United States is the only rich country in the world that a doesn't have a national health care system”

The US healthcare system is currently burdened by systemic issues like predatory pricing and lack of transparency that necessitate a shift toward honest and fair pricing.

“If we can tackle each of those subjects in one book in a way that people can walk away and say oh now I understand how a PBM or a Pharmacy Benefit manager works I try to give an example explaining it like somebody's selling girl-scout cookies and how the money flows”