In this strident, necessary, meticulously researched book Michael Fine shows how the Covid-19 pandemic has thrown the costly failure of the American health care system into bold relief. At over 850,000 deaths and climbing, the US had more deaths than any other nation in the world, and one of the highest per capita death rates. On Medicine as Colonialism reveals how medicine and health care have become not only antithetical to health but tools of colonialism, that are being used to deconstruct democracy itself.