In The Ethics of Universal Health Insurance, Alex Rajczi shows how defenders of universal health insurance can address the ethical issues raised by these objections and make the moral case for an American universal health insurance system that improves on the gains made in the Affordable Care Act. Engaging with these objections helps us uncover fascinating philosophical issues that have been previously overlooked. It also leads us to a deeper understanding of progressive and conservative views on distributive justice and provides us with a framework for examining debates about any part of the social safety net- in America and elsewhere.