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A hard-hitting plan from a prominent Democratic thinker addresses America's broken health-care system, which remains the biggest domestic policy issue. Millions lack access to medical care due to costs, while many face crippling debt from medical bills. This long-standing problem persists despite being a high priority for citizens. Former Senate Majority Leader Tom Daschle identifies the complexity of health care and the influence of interest groups—doctors, hospitals, insurers, drug companies, researchers, and patient advocates—as key obstacles to reform. Instead of merely highlighting flaws and assigning blame, Daschle presents actionable solutions and a blueprint for addressing the crisis. He proposes a Federal Reserve-like health board that would provide a public framework for a more effective and efficient private health-care system, free from political pressure yet accountable to elected officials and the public. This independent board would establish a single standard of care, significantly impacting all providers and payers, including those in the private sector. After decades of ineffective incremental changes, Daschle emphasizes the need for a comprehensive overhaul of the American health-care system, offering a bold and forward-looking plan to guide us toward a solution.