Book excerpt: This book gives the reader a look at the complicated U.S. health care system through the eyes of a consumer. It explores two key questions: Why, with all of the resources that have been devoted to solving the health care crisis, does the situation continue to deteriorate? And, what, exactly, could be done differently this time to turn the situation around? The author examines obstacles that have stood in the way of health care reform in the past - including politics, government red tape, profit-driven providers, moneyed lobbyists and special interest groups and even, our own consumer "entitlement mentality" - and challenges the reader to envision a scenario in which innovation in health care might be possible. The author argues that consumers are the key to forward progress on health care: we'll only see consumer-driven solutions when enough people demand them. This book is a challenge to consumers to speak up and hold our leaders in the medical community, the government and corporate America accountable for developing solutions that work for us. Susan M. Finley is a small business owner and marketing strategist. She began her career as a bank product manager, and in 1994 co-founded Michaelson Kelbick Partners Inc. (MKP), a firm specializing in marketing and communications for the financial services industry. Over the course of a decade, the agency managed marketing communications for some of the largest bank mergers in recent history. In 2003, she left MKP (now renamed mkp communications, inc.). Her knowledge and understanding of the complicated U.S. health care financing system comes from a three-year research and consulting project, started in the hopes of serving as a catalyst for consumer-driven changes in health care. She lives in North Carolina, where she and her husband have recently founded Finley and Finley, LLC, to continue their research on potential avenues for innovation in the health care and financial services industries.