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Known in health care circles for his ability to fix ailing hospitals, David Shulkin was originally brought into government by President Obama, in an attempt to save the broken Department of Veterans Affairs. When President Trump made him the first VA secretary without military experience-a fact Dr. Shulkin first learned from his television-he was as shocked as anyone.

Yet this surprise was trivial compared to what Shulkin encountered as the VA secretary: a team of political appointees devoted to stopping anyone — including the secretary himself — who stood in the way of privatising the organisation. In this uninhibited memoir, Shulkin opens up about why the government has long struggled to get good medical care to military veterans and how the current government has stopped even trying. This is a book about the commitment we make to the people who risk their lives for our country, how and why we’ve failed to honour it and why the new administration is making things worse than they’ve ever been.