America spends more on health care than any other wealthy nation—and yet millions of Americans struggle to afford care, medical debt remains widespread, and our health outcomes often lag behind those of countries spending far less.

So what happened?

Did American health care simply become too complicated? Did insurance companies become too powerful? Did hospitals become too corporate? Did politicians fail us?

Or did something much bigger happen?

Something changed in American political and economic thinking beginning in the early 1980s—and according to Harvard health-policy professor and former Massachusetts legislator John E. McDonough, that transformation fundamentally reshaped American health care.

His new book, America's Wrong Turn, argues that the rise of neoliberalism, deregulation, consolidation, and shareholder-driven economics created a health-care system that increasingly rewards financial performance rather than human health.

Today, we're going back to the moment when America took that wrong turn—and asking the most important question of all:

Can we find our way back?

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