The author has raised excellent points on the subject of health care economics. The book is generally useful. His attempt to formulate strategies and philosophy of the health care system are very good.
No technical arguments on the medical technology subject. This could have been a positive addition. He could have compared use of the low cost ultrasound to the very expensive MRI in some overlapping applications or CT to MRI. More rational use of PET CT.
I would love to hear a comparison between the low cost of gamma radiation therapy to hyper costly proton therapy in non-exclusive applications. An ironic example is use of protons to treat prostate cancer where the much lower cost IMRT is routine.
The audio reader did not do a good job. His style of breaking or almost laughing was quite distracting to me. To be fair, stating numbers is a difficult task.