In his book, Ted Cruz expresses his strong opposition to socialized medicine, claiming that it leads to poor healthcare quality and limited availability of services. He argues that in countries where socialized healthcare is implemented, patients often face long waiting times for treatments. Cruz emphasizes the bureaucratic interference that occurs, where government officials decide on the approval and availability of medical care.

Cruz's perspective suggests that the American public does not have mixed feelings about this issue; rather, he believes there is a clear understanding of the drawbacks associated with socialized medicine, as evidenced by international examples. He is critical of the systemic delays and restrictions patients encounter, reinforcing his view that such a system would be detrimental to the quality of care in the U.S.