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An increasing number of politicians, policy advocacy groups, and academic economists are touting consumer-driven health care (CDHC) as the solution to America's ailing health-care system, while others believe it's only a fad-one that would inevitably fail if implemented. CDHC advocates argue that patients would be more prudent consumers if they were to purchase health care with their own money. To accomplish this, the advocates propose the widespread use of health savings accounts coupled with high-deductible health insurance plans. They believe consumers should save up for health care, rely on these savings to cover routine health expenses, and use insurance only to meet the costs of catastrophic care. Jost (law, Washington & Lee Univ. Sch. of Law; Health Care Coverage Determinations: An International Comparative Study) carefully investigates the history, evidence, and theory of CDHC, ultimately finding it to be unrealistic and unfair. He argues that CDHC would have an adverse impact on the poor and would be ineffective in controlling the total costs of care. In the last chapter, he proposes alternative ways to reform the nation's health-care system. Jost's arguments are fair, thorough, and convincing; his book is well written and well researched. Recommended for academic libraries only.