This introductory chapter sets the broader context of the book by drawing attention to core pathologies in US news and information systems. In particular, it draws attention to the run-amok commercialism that lies at the heart of these structural problems. Using President Donald Trump’s election as a departure point, it covers a wide array of symptoms, ranging from low-quality information, sensationalism, and other problems in mainstream news media to misinformation proliferating through social media. The chapter gives an overview of the entire book and lays out the major arguments. It also describes the political economic theoretical framework that guides the book’s analysis.