Revealing the British coalition government’s plans, this examination demonstrates how a small “policy community” inside and outside the department of health have schemed for 10 years to replace the National Health Service (NHS) with a U.S.-style health care market without informing parliament or the public. While ex-ministers, officials, and the like profit from lucrative positions in private health companies, the population must cope with the increasing health care costs and the diminishing quality of care. With accounts from NHS patients and doctors, the key strategies of implementation are uncovered and the companies involved—their lobby, their businesses, their fortunes, and, in some cases, their crimes—exposed.