Peter Boland’s More Health. Less Healthcare critiques the U.S. healthcare system as expensive, inequitable, and ineffective. Despite massive spending, the nation’s health outcomes are poor due to racial disparities, wasteful practices, and a focus on treating illness rather than preventing it. Boland argues that health equity—ensuring everyone has a fair chance to be healthy—is both a moral obligation and an economic necessity.

The book highlights how up to 46% of healthcare spending is wasteful, while only a small fraction goes toward prevention. Boland emphasizes the need to redirect funds to address social drivers of health like housing, food, and transportation, which account for most health outcomes.

COVID-19 exposed the system’s failures, with marginalized communities suffering disproportionately. Boland calls for systemic reform: payment tied to outcomes, community-based care, and investment in prevention. Advancing health equity, he argues, is essential not just for justice—but for national resilience and prosperity.