Zeke Emanuel Describes the Guaranteed Health Care Planbr Commonwealth Club - The Commonwealth Club of Californiabr No more Band-Aids or patches, says Emanuel; it's time for a complete overhaul of health care as we know it. America spends more than $2 trillion on health care, more than any other developed nation.But money does not guarantee a better system. Instead, 47 million Americans go without insurance. In addition, many people suffer poor health, and often suffer financial difficulties as a result.