As a physician who dabbles in health care policy, I was familiar with Bush's appalling record on health, but I didn't realize (until this book) that these failings--crony appointments, backwards policies that do not help the vast majority of the country, misplaced priorities--were so pervasive. Since this book, as we have watched blatant lies on Medicare prescription drug, the gutting of clean air (new source review), the systematic fleecing of America's middle class for the benefit of the wealthy few, and the failure of our foreign policy in Iraq, Ivins's insightful wit becomes almost prophetic.
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