Statement of the problem: American exceptionalism in health care and the emergence of the great unsustainable compromise -- The emergence of the new era of reform -- The theoretical foundations for health care as a social right of citizenship -- A principled critique of the aca and the aca in an evolutionary perspective -- A principled approach to radical health-care finance reform -- A principled approach to essential health- care delivery system reforms -- Assessing health- care system performance against the four core aims of health- care policy -- Issues and considerations.

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