Calumet Editions

Saving American Health Care

Restoring Accountability, Autonomy and Patient Privacy

Saving American Health Care describes the origin and evolution of our health care System, revealing the guiding aspirations and remarkable failures that have punctuated our sixty-year journey to our current 5.7 trillion-dollar American health care system. It concludes with the actions needed to return to the ideals that have been the foundation of American health care public policy and law all along: accessibility, quality, altruism, pluralism, information privacy, and individual autonomy. Diehl, who was instrumental in creating in the 1970s, draws on his years of expertise to show us how to bring our health care system back to its core.

The patient-clinician relationship is not incidental to healing—it is its foundation.

—Victor Montori, MD

Description

How did a health-care system built to serve patients become so expensive, fragmented, and difficult to navigate—and what would it take to put patients and clinicians back at its center?

For more than fifty-five years, health care policymaker, regulator, teacher, advocate and trusted advisor, John E. Diehl has worked within the legal and financial architecture of American medicine. In Saving American Health Care, he draws on that firsthand experience to trace how insurance, HMOs, managed care, regulation, corporate interests, and technology transformed the way Americans receive and pay for medical care.

Diehl argues that meaningful reform requires more than another financing scheme. It requires restoring six essential foundations of a successful health-care system: accessible and available services, quality, altruism, meaningful choice, information privacy, and individual autonomy.

Part history, part insider account, and part reform blueprint, Saving American Health Care explores what went wrong, why decades of reform have produced unintended consequences, and how stronger accountability, greater choice, protection of medical privacy, and renewed physician professionalism can help restore trust.

For patients, clinicians, policymakers, health-care leaders, and anyone wondering how American medicine reached this point, Diehl offers both a diagnosis—and a path forward.

Product Details

PublishedSeptember 23, 2026
ImprintWisdom Editions
LanguageEnglish
Print length369
ISBN-13978-1962834858
Dimensions6 x 0.83 x 9 inches

<em>…Saving American Health Care</em> traces Diehl’s work to establish the first legal and regulatory framework for health maintenance organizations; to build the provider structures for that model, and to defend the privacy of health information; and to advance his proposals to uphold the prohibition against the corporate practice of medicine and to restore patient-centered health care. <em>…Saving American Health Care</em> is not merely a memoir. It is a call to defend and renew the legal principles that will protect the moral core of medical practice for the twenty-first century. …The canvas of American health care remains incomplete. <em>Saving American Health Care</em> offers both a record of how it was first drawn and a guide for those who must continue the work.

— Victor Montori, MD. Mayo Clinic, author Why We Revolt

Saving American Health Care presents a vivid and unflinching critique of a costly yet marginally functional system, shaped by disjointed developments over the past 50 years. With remarkable clarity and depth, John Diehl traces the historical forces that have brought us to this moment—revealing not only how we have arrived here but why progress has often been elusive. This work is essential reading for anyone interested or involved in Health Care policy. His analysis, grounded in experience and forward looking in its vision, is both sobering and inspiring.

— R. Edward Howell, Professor

With a rich history in working to reshape America’s health care system, John E. Diehl, in his new book, delivers an important history lesson, reflections on current conditions, and hopeful suggestions for what the future could hold for an improved system.

— Gary Schwitzer, founder of HealthNewsReview.org

…Diehl’s explanation of the vast and never-ending efforts – private and governmental – to finance personal health care services should be required reading for every medical student and resident. And his sampling of anecdotes about the absurdities and tragedies of all this (often involving the abuse of power in the financing function) is a call for reform. Under these circumstances it seems odd that Diehl does not specifically blame anyone for what he calls a failed system. He blames the system. And he calls for system changes intended to re-establish a healthy physician-patient relationship, provide accountability for better outcomes, and greater respect for patients’ and physicians’ rights. From my perspective, Diehl’s work is one in a million.

— Kent Wilson, MD