U. S. health care remains in crisis despite the passage of the Affordable Care Act (ACA) in 2010. The markers are serious-29 million still uninsured, 85 million underinsured, soaring costs of health care with no containment in sight, and growing numbers of people forgoing medical care and dying preventable deaths. After failing to repeal the ACA, the Trump administration and GOP have sabotaged it in many ways, such as by allowing insurers to deny coverage based on pre-existing conditions. Private health insurers are ripping us off by administrative overhead and profits six or more times the overhead of not-for-profit public Medicare. Incremental approaches toward health care reform will fail. We need real Medicare for All with comprehensive benefits for all U. S. residents. We can afford it through savings of private insurer costs, negotiated drug prices, and progressive taxes whereby 95 percent of Americans will pay less than they do now for insurance and health care. This book charts the way to real reform based on Democratic control of the House and 70 percent of Americans supporting Medicare for All.