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In June 2009, Wendell Potter made national headlines with his scorching testimony before the Senate panel on health care reform. This former senior vice president of CIGNA explained how health insurers make promises they have no intention of keeping, how they flout regulations designed to protect consumers, and how they skew political debate with multibillion-dollar public relations campaigns designed to spread disinformation.

American democracy has become coin operated. Special interest groups increasingly control every level of government. The necessity of raising huge sums of campaign cash has completely changed the character of politics and policymaking, determining what elected representatives stand for and how they spend their time.