Mark Vonnegut MD has been a pediatrician for over 30 years. He is the author of the books The Eden Express: A Memoir of Insanity, Just Like Someone Without Mental Illness Only More So, and most recently The Heart of Caring: A Life in Pediatrics. His new book is a collection of observations from his life treating children in the American healthcare system. In it, he shows how the for-profit private insurance industry has destroyed doctors' ability to provide effective care for patients, and he explains what he sees as necessary for doctors to treat patients well. His book is both an aggressive indictment of a profit-driven system and a vision for compassionate, empathetic care. Dr. Vonnegut shows that to reconstruct our healthcare system, we will need single-payer financing, but we will also need a form of medicine that centers the needs and feelings of patients, and in which medical care is administered free of meddlesome bureaucracy and out of a genuine desire to help people get better. In this conversation, Current Affairs editor in chief Nathan J. Robinson and online editor Lily Sánchez (who herself happens to be a pediatrician) discuss Dr. Vonnegut's hopes for a humane alternative to the contemporary practice of medicine. Edited by Tim Gray.