This book offers an insight into what has been happening to America over the past three decades or so that is close to genius. It is written with the descriptive style of a gifted novelist but tragically, it is not fiction. America - so like us but so, so different. The American psyche is enigmatic and seemingly, the more one knows the less one understands. Perhaps it is the country's pioneer roots and the self selecting nature of the 300 million descendants of the original immigrants who had the courage to seek a better life in a 'new world', but it is their very qualities, which made America, that now seem to be working against it. To me, those 300 million souls appear to have confused competing for a better life with competing against each other. America's physical isolation and its people's widespread lack of knowledge about the rest of the world, with their susceptibility to believing in the thoughts of others, whether a religion, an advertisement or the persuasions of an interest group, has left the nation prey to a self interested political class that is itself controlled by an even more self interested business elite. What other nation can suffer such widespread medical problems for lack of healthcare but still get angry at the suggestion of a healthcare system similar to the rest of the civilised western world? Perhaps because Americans appear reluctant to think for themselves they believe it would make them communists since they have swallowed hook, line and sinker the propaganda of the medical industry which, to preserve its privileged position, has told them universal healthcare is 'socialised medicine'. America has a painful time ahead if it is to develop successfully into an advanced 21st century state. The trouble is, the rest of the world will have an equally painful time whilst it makes that adjustment.