Economist Helene Jorgensen thought she had good health insurance, until she got really sick. Having survived both her illness and her direct dealings with hospitals, laboratories and insurance companies, she has written a bluntly critical account of her experiences, both economic and medical, titled Sick and Tired.

In her analysis of the American employer-based heath insurance model, which Jorgensen describes its development as a fluke of history.

That, in turn, fostered the development of the current “fee for service” medical system, which Jorgensen sees as vulnerable to corruption, and horribly wasteful.

Coming from a European perspective, the Danish economist shares in the general distain for a health care system that excludes millions of citizens. But she says the reform measures most widely under discussion in Washington would do little to fix a deeply flawed system.