The book climaxes with some unique recommendations for improvement. One is a universal U.S. health care system—or really systems, because a system would be based in each state, allowing for cost-effective comparisons across states. Another is for every citizen to have a Health Assurance Account that can be used for anything related to health, including job training. For the complementary Disease Insurance Account, the ideal is to cover those treatments deemed efficacious, although perhaps Dr. Hadler overemphasizes the value of randomized controlled trials. Although the book falls short of addressing the psychiatric field specifically, much is generalizable to psychiatry, especially community mental health, and Hadler argues for the cost-effectiveness of cognitive-behavioral psychotherapy over psychopharmacology.