In the September 2009 issue of the Atlantic, David Goldhill rocked the health-care world with his compelling account of how bureaucratic American health care killed his father. Now, Goldhill is back with a new book expanding on the topic, published by Knopf, entitled Catastrophic Care: How American Health Care Killed My Father—And How We Can Fix It. What follows is a lightly edited excerpt from the book, in which Goldhill, a life-long Democrat, discusses what a market-oriented universal health-care system might look like.