The assassination of UnitedHealthcare CEO Brian Thompson generated nationwide discourse about delays and denials of coverage by private health insurers. Many denials are driven by managed health care practices such as prior authorization, or required insurer pre-approval for prescribed care. These denials can destabilize American patients, who are forced to endure a substantial “time tax” and administrative burdens of appealing, which some patients can more successfully navigate than can others. This book was also inspired by the author’s personal experience being denied coverage by a health insurer while conducting a postdoctoral fellowship, which highlighted that, even with academic fortune, these processes can be destabilizing to one’s financial, health, and emotional wellbeing. While scholars had examined administrative burdens and time taxes in the setting of navigation of government programs, this framework had not been extended to the setting of privatization, in which many of these barriers also can be identified and are highly consequential. This exploration of health and economic inequities driven by health insurance barriers and administrative burdens seeks to do just that.