Coming in April:
The Cure in Paperback!
"David Gratzer is a practicing psychiatrist who combines firsthand knowledge of medical practice in both his native Canada and the U.S. with an independent point of view and a rare capacity for lucid exposition of complex technical material. . . If you want a well-written, interesting yet authoritative and thorough account of what is wrong with medicine today and how to cure American health care, this is the book for you."
- Milton Friedman,
Nobel Laureate, Economics (from foreword to The Cure)
(Encounter Books, October 2006)
By Dr. David Gratzer, Senior Fellow, Manhattan Institute
With Foreword by Milton Friedman
Unhealthy Combination By Mark Milke, The Weekly Standard, 06-02-07
If the first step toward a cured addiction is to admit the problem, Dr. David Gratzer has given
himself no small task: to convince politicians that their reliance on government interference in
health care hurts more Americans than it helps... the Winnipeg-born-and-trained physician,
who now practices in Toronto and New York, has observed our two systems in detailand the
medical system lauded by the Dean-Clinton-Pelosi axis doesn't look so healthy under his
microscope. In Canada, Soviet-style queues are the norm. The physician himself encountered
horror stories familiar to any mildly informed Canadian...
What's Ailing Health Care? By James C. Capretta, The New Atlantis, Spring 2007
In the past half century, the practice of medicine has been radically transformed by new
techniques and discoveries, but the institutional arrangements for financing and delivering
health care have barely changed at all. This is the obvious yet startling point with which
David Gratzer begins his recent book The Cure, and it is at the heart of the paradox
Gratzer sees in American health care: "Everyone agrees it is the best in the world, but no one
The Right Rx: Dr. David Gratzer Has The Cure By Kathryn Lopez, National Review Online, 02-08-07
There's a sickness in the air and near everyone has some kind of plan or another these days
to both diagnose and treat problems in the American health-care system. Dr. David Gratzer is
among them. A medical doctor and fellow at the Manhattan Institute, he's author of The Cure:
How Capitalism Can Save American Health Care. Dr. Gratzer recently took questions about
health-care politics from NRO editor Kathryn Lopez. . .
No 'crisis' of uninsured, By Mike Rosen, Rocky Mountain News, 1-12-07
If your goal is to lay a political foundation for socialized medicine in this country, what better
way to do it than to create the public impression that we have a vast army of people - even better:
children - who are permanently unable to obtain health insurance. Depending on who's throwing
around the sensationalized figures, that army numbers from 46 million to 59 million. In fact, that
army is AWOL; it doesn't exist in anywhere near those numbers. The National Center for Policy
Analysis and Dr. David Gratzer, in his new book, The Cure, effectively debunk these myths. . .
The wrong prescriptions Orange County Register, Editorial, 12-29-06
Third-party spending is the principal culprit in the escalating price of health care. Dr. David
Gratzer, author of "The Cure: How capitalism can save American health care," calls reliance on
third-party spending, "a formula for more." Rather than rely on more federal - or state - taxes, the
governor should break away from the Nanny State mindset and work to deregulate the industry so market
forces can bring costs under control. As long as someone else pays, the people selling health care,
and the people receiving health care always will demand more. . .
Barone's Bookshelf> By Michael Barone, USNews.com, 11-28-06
Gratzer is a physician and a Canadian whose first book was on Canada's dysfunctional government health
system. . . The Cure is not a long book, but it manages to provide some useful historic
background on how America's healthcare and healthcare-finance systems came to be what
they are. . . Looking back to the introduction of penicillin in 1941, he shows how medicine can do
so much more than it could back when my father was a premed student in college. . . He moves ahead to
the problems caused by two men of undoubted high intellect and political skill, House Ways and Means
Chairman (1958-74) Wilbur Mills and President Richard Nixon. . . . Gratzer hits Mills for his design
of Medicare and Medicaid, passed in 1965, and Nixon for his support of "cost control through
HMOs". . . Gratzer argues that the third way is to increase consumer choice. . .
Prescriptions for Progress By David Salvo, Health Care News, 01-01-07
Dr. David Gratzera widely cited senior fellow at the Manhattan Institutedraws on his
years of experience as a physician in both Canada and the United States to offer several compelling
health care reform strategies in his newest book, The Cure: How Capitalism Can Save American
Health Care. . . Readers unfamiliar with the health care system and the policy debate orbiting
it will appreciate his conversational approach to intricate topics, as will seasoned health
experts looking for a refreshing viewpoint and new ideas. . .
Universal health care: Is the unthinkable now thinkable? By David Limbaugh, Washington Times, 12-25-06
What the system needs is a robust dose of capitalism. No one has done a better job of making
that case than Dr. David Gratzer in his book, "The Cure: How Capitalism Can Save American Health
Care." The late Dr. Milton Friedman endorsed Dr. Gratzer's recommendations in his foreword to
the book. . . Dr. Gratzer says that by reintroducing market forces, "American healthcare will
become cheaper, better, and more accessible for everyone. Capitalism is not the cause of America's
health-care problem. It is the cure.". . .
Have Yourself a Very Healthy Christmas By David Hogberg, American Spectator, 12-08-06
Gratzer is a psychiatrist who grew up in Canada. Having seen Canada's dysfunctional single-payer
system first hand, he notes that Canada is now moving toward more privatization. . . He turns his
critical eye on insurance in America, Medicare and Medicaid, with each chapter showing how government
intervention makes the health care costs more expensive. . . It is ideas like these that will move us
toward a more market-based system of health care and save us from the disaster that is a single-payer system.
The Market and Its Medicine By Stephen Moore, Wall Street Journal, 12-05-06
Dr. Gratzer, a physician from Canada and a fellow at the Manhattan Institute, is painfully aware,
thanks to Canada's single-payer government system, of how inefficient and limited health care can
be when the market is kept almost completely out of the calculation. . . America is clearly at a
crossroads in medical care. Within the next decade we will get either some version of Hillary-care
or more free-market medicine, starting with universally available health savings accounts. Let's
hope that our nation's policy makers read The Cure before they decide. They will learn that the
government route flattens costs only by holding back the pace of technology, artificially
controlling its price and rationing its use. That is not a prescription for better health.
Digging Out of the Health Care Hole By Mark Milke, Western Standard, 12-04-06
WS: The perception among many is that health care in the U.S. in mainly private. What's the
DG: For every dollar spent on health, 45 cents come directly from federal or state
treasuries. The government also provides indirect subsidies for private insurancethe tax break
that employers get who provide health insurance, which is another 10 cents or so out of every
dollar. So the United States is hardly a free market system . . . That's part of the reason
why it's very expensive and unsatisfactory.
A Radical Cure By Sally Pipes, New York Post, 12-03-06
If you find yourself in a room with 10 people this holiday season, eight of them will think
the United States health-care system is riddled with problems, according to a recent survey in
Health Affairs. If you're lucky enough to be at a party with physician, author and policy analyst
David Gratzer, you can be certain that he's among the eight. But a little perspective on health
care is in order, perspective that Gratzer's "The Cure" thankfully provides. . . Anyone interested
in understanding the current state of U.S. health care - or taking an active role in the emerging
health-care debate - ought to head to Amazon and acquire the Gratzer two pack - "The Cure" and his
earlier work "Code Blue." Then they'll be well equipped to understand and add to the emerging debate. . .
Five Questions for David Gratzer, Manhattan Institute Senior Fellow By Alex Wayne, Congressional Quarterly, 11-27-06
[Gratzer's] plan for radical surgery for the nation's health care system, "The Cure: How Capitalism Can Save American Health Care," argues for a reduction in government regulation and giving individuals more responsibility.
Q. Now that Democrats are going to be in charge of Congress, what's the prognosis for the American health care system?
A. The system is fundamentally unsustainable. Insurance premiums doubled from 2000 to 2005. If you think we've got problems today, you ainít seen nothing yet. Health care spending will approach 18 or 19 percent of GDP.
Q. And what's the prognosis for "The Cure" being implemented?
A. Americans are going to have to pick one of three options. Option one, socialized medicine. Option two is managed care. And the only other option I can come up with is what I talk about in my book: capitalism, or free-market reforms. . .
The Doctor's Health Care Cure By Mark Milke, Financial Post, 11-23-06
. . . To pierce through a fortress of misunderstanding on health care, it helps to have ammunition
on facts, along with an understanding of how markets work and why governments often do not.
David Gratzer, a Winnipeg-raised physician who practises in Toronto and New York, is
up to the task. In The Cure: How Capitalism Can Save American Health Care, Dr. Gratzer
argues that getting more Americans covered and with better insurance wont happen if
additional regulation, more interference in insurance choices, and more care is
delivered by government. This is one of our great Canadian myths, that U.S. health care is
all private and the source of its problems. . .
Capitalism to the rescue of our health-care system By Mark Milke, Business in Vancouver, 11-21-06
Many Canadians think our health-care system is tops, just as some Americans believe theirs to be
superior, though for very different reasons. But a new book out from former Winnipeg resident
Dr. David Gratzer tries to explain what's wrong with U.S. and Canadian health care - and how
both countries have similar root problems. . .
The Cure By Jamie Glazov, FrontPageMagazine.com, 11-15-06
"Frontpage Interview's guest today is David Gratzer, a licensed physician in the U.S. and Canada. . . .
. . . FP: What is your prescription to cure the crisis?
Gratzer: In a sentence: we need to reform health care along the lines of individual
choice and competition, as we have the other five-sixth of the general economy. Here are
five simple steps I discuss in The Cure: Make health insurance more like other
types of insurance; Foster competition; Reform Medicaid, using welfare reform as the
template; Revisit Medicare; Address prescription drug prices by pruning the size and
scope of the FDA.
FP: From which quarters in American society would there be opposition to your
suggestions for a cure and why?
Gratzer: Obviously, people who favor a greater role for governmentunions,
academics, health policy analysts, foundationsaren't happily excited about market-based
reforms. I see a bigger obstacle, however: cultural resistance. If American health
care is to be substantively changed, there must be a cultural change. . ."
The Cure for Health Care By Steven D. Laib, J.D. M.S., IntellectualConservative.com, 11-10-06
"...Dr. David Gratzer is bucking the popular cant that government is the only answer. Gratzer is
a medical doctor, licensed in both the United States and Canada. He divides his time between
New York and Toronto, which puts him in a rather unique position to observe the strengths and
weaknesses of both systems first hand... Dr. Gratzer provides us with a detailed outline of his
work, and an explanation of exactly what he is setting out to show. He provides a sketch of
modern medical progress, how health insurance became a fixture in employment benefits, evolution
of the private and government programs, why government programs are in trouble, and concludes
with ideas for using the free market and the informed consumer, to make affordable health care
available to more Americans with less difficulty than our present system allows. What makes
this book most impressive is that the author delivers extremely well on his promise..."
Two nations suffer from a lack of health-care options By Mark Milke, Victoria Times-Colonist, 10-30-06 (Subscription Required)
"Many Canadians think our health-care system is tops just as some Americans believe theirs to be
superior, though for very different reasons. Maybe we're both delusional. And maybe the flaws within
our systems are more similar than we realize as are some prospective remedies. A new book out from a
former Winnipeg resident aims to pop our respective balloons. If you're an American visiting Canada,
sorry, but your bubble goes first. In The Cure, David Gratzer, now a Toronto-New York physician
(who commutes, apparently) tries to explain what's wrong with U.S. health care. . . Gratzer proposes
several reforms, sensibly designed, that point to a way out of Canadian lineups and away from
America's private health care bureaucracies. . . "
Another Form of Health Care By Thomas Donlon, Barron's Magazine, 10-29-06 (Subscription Required)
"In a new book, The Cure: How Capitalism Can Save American Health Care, Gratzer takes on
employer-sponsored health insurance, HMOs, Medicare, Medicaid, state-coverage mandates, the Food
and Drug Administrationand universal government health-care programs based on the models
established in Canada and Europe. He finds them all wanting a good dose of capitalism. The
employer-sponsored health-care system, Medicare, Medicaid and health-maintenance organizations have
different problems, but they all have one problem in common. Somebody else is paying while the patient
has no perception of the price and no reason to care about it. . ."
Health Care Proposal Melds Left and Right St. Paul Pioneer-Press, 10-29-06
"There are lots of people these days who claim to have a simple solution to reform the health care
system. Liberals who can't quite embrace the idea of national health insurance now favor extending the
program for federal government employees to the whole country. And conservatives are gaga over
consumer-driven health care. "In "The Cure: How Capitalism Can Save American Health Care," David
Gratzer, a Canadian psychiatrist and fellow at the libertarian Manhattan Institute, does an artful
job of concisely laying out what ails the U.S. system and how things got to be that way. . ."
Author promises solution, but doesn't deliver By Jeffrey Krasner, Boston Globe, 10-29-06
US Health Care: Gratzer "Gets It" By Aaron Krowne, AutoDogmatic.com, 10-28-06
"David Gratzer hits the nail on the head with his new book, "The Cure: How Capitalism Can Save
American Health Care." Your first hint this guy might be onto something is that the foreward to his
book is written by Milton Friedman. In specific, Gratzer's core insight (which I happen to agree with)
is that the free market in American health care has not failed, for the simple reason that there is no
free market in American health care. . . "
Can Market Forces Cure Health Care Ills? Author: Yes, They Can; He says rising costs can be slowed if consumers are given more power By Peter Benesh, Investor's Business Daily, 10-23-06 (Subscription Required)
IBD: "What do you mean when you say that U.S. health insurance isn't insurance at all?"
Gratzer: ". . . You walk into a supermarket and you're surrounded by prices. But if you walk into a hospital, people can't answer basic questions about pricing. Economically speaking, we've done something terrible with health care. The consequence is high expense and low satisfaction with care. We've overinsured ourselves. It's a basic economic problem. For every dollar spent in the U.S., 14 cents comes out of the pocket of the person receiving the care. That completely distorts the market. If we brought financial decisions closer to the individual you'd see more of a real market develop. . . "
Readings By Steven Pearlstein, Washington Post, 10-22-06
"In The Cure (Encounter Books), David Gratzer, a Canadian psychiatrist and fellow at the
libertarian Manhattan Institute, does an artful job of concisely laying out what ails the U.S.
system and how things got to be that way. And his prescriptions for fixing it are not only
well-reasoned, but also have the political benefit of drawing strands from both liberal and
conservative plans...." - Stephen Pearlstein, Washington Post
"The Cure is a must read for all students of health care policy. Dr. Gratzer correctly
diagnoses the U.S. health care system's problems and proposes workable solutions to fix them. His ideas
will help reign-in costs while, at the same time, preserve necessary incentives for quality-of-life
John F. Cogan, Senior Fellow, The Hoover Institution, Stanford University
"David Gratzers well written book should be in the reading
list of anyone interested in health care reform. In five-sixths of the
U.S economy, we look to markets as an organizing mechanism; in the one-sixth
of the economy represented by health care, public policy has frustrated
markets, with adverse consequences for cost, access, and quality. Gratzers
capitalist manifesto is a shot in the arm; with it, the much thats
right with American health care can grow."
R. Glenn Hubbard, Dean and Russell L. Carson Professor of Finance and
Economics, Columbia Business School; and former Chairman of the Council
of Economic Advisers.
"The caduceus is an apt symbol for medicine, given the bureaucratic
snake pit the American health care system has become. Dr. David Gratzer
skillfully wields Occams razor to shave away the Byzantine rhetoric
and show us that the cure for health care comes in the simplest of formulas
free markets, less government meddling, and a healthy dose of capitalism."
Governor Bill Owens, Colorado
"Dr. David Gratzer is uniquely qualified to diagnose and provide
a treatment regimen for the US health care system's problems. In this
book he performs this function for us, does it with his usual acumen and
clarity. He leads us by the hand through the labyrinth of legal, institutional
and regulatory events that brought to the point where, at least to some,
we are in a health crisis that can only be solved by further movement
away from the market and toward a universal centrally controlled system.
He thoroughly debunks the notion we can improve the US health care system
by becoming more like our neighbors to the North. After taking us there,
he shows us why these same legal, institutional, and regulatory events
are largely responsible for our predicament and that the popular solution
of more of the same is not the answer. He convincingly demonstrates that
the only way out is less regulation of, and more freedom for, the providers
and customers of health care. This book should be read by anyone involved,
or with the hope or potential to be involved, in determining health care
Tom Saving, Director, Private Enterprise Research Center at Texas A&M
"Excellent addition to the emerging call for empowering patients
rather than government bureaucrats with control of the health care dollar,
written by someone with an expert view from the inside!"
Scott W. Atlas, MD, Senior Fellow, Hoover Institution, Professor, Stanford
University School of Medicine
ECW Press, 2002
Code Blue: Reviving Canada's Health Care System
ECW Press, 1999