Health Care Will Not Reform Itself

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Health Care Will Not Reform Itself

Author : George C. Halvorson
Publisher : CRC Press
ISBN 13 : 1439837880
Total Pages : 186 pages
Book Rating : 4.4/5 (398 download)

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Book Synopsis Health Care Will Not Reform Itself by : George C. Halvorson

Download or read book Health Care Will Not Reform Itself written by George C. Halvorson and published by CRC Press. This book was released on 2009-05-27 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care reform is within our reach. According to George Halvorson, CEO of the nation's largest private health care plan, only by improving the intent, quality, and reach of services will we achieve a health system that is economically feasible into the future. This year, Americans will spend 2.5 trillion for health services that are poorly coordinated, inconsistent, and most typically focused on the belated care of chronic conditions. What we have to show for that expenditure is a nation that continues to become more obese, less healthy, and more depressed. In Health Care Will Not Reform Itself, Kaiser Permanente CEO George Halvorson proves beyond a doubt that the tragically inconsistent care that currently defines the state of U.S. health services is irresponsible, irrational, but more importantly, fixable. With detail that might shock you, he shows why the nonsystem we now use is failing. Then, applying the same sensible leadership that makes Kaiser the most progressive health care organization in the world, he answers President Obama’s mandate for reform with a profound incentive-based, system-supported, goal-focused, care-improvement plan. Halvorson draws from respected studies, including his own, and the examples of successful systems across the world to show that while good health care is expensive, it is nowhere near as costly as bad health care. To immediately curb care costs and bring us in line with President Obama's projected parameters, he recommends that we: Take a preventive approach to the chronic conditions that account for the lion’s share of medical costs Coordinate patient care through a full commitment to information technology Increase the pool of contributors by mandating universal insurance Rearrange priorities by making health maintenance profitable Convene a national committee to "figure out the right thing" and "make it easy to do" While this book offers sage advice to policy makers, it is also written to educate the 260 million stakeholders and invite their participation in the debate that is now shaping. What makes this plan so easy to understand and so compelling is that it never strays from a profound truth: that the best health system is one that actually focuses on good health for everyone. All royalties from the sale of this book go to Oakland Community Voices: Healthcare for the Underserved

Health Care Reform

Author : Jonathan Gruber
Publisher : Macmillan
ISBN 13 : 0809094622
Total Pages : 162 pages
Book Rating : 4.8/5 (9 download)

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Book Synopsis Health Care Reform by : Jonathan Gruber

Download or read book Health Care Reform written by Jonathan Gruber and published by Macmillan. This book was released on 2011-12-20 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A graphic explanation of the PPACA act"--Provided by publisher.

Health Care Reform and American Politics

Author : Lawrence R. Jacobs
Publisher : Oxford University Press
ISBN 13 : 0199976155
Total Pages : 479 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Health Care Reform and American Politics by : Lawrence R. Jacobs

Download or read book Health Care Reform and American Politics written by Lawrence R. Jacobs and published by Oxford University Press. This book was released on 2012-09-04 with total page 479 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act signed by President Obama in March 2010 is a landmark in U.S. social legislation, and the Supreme Court's recent decision upholding the Act has ensured that it will remain the law of the land. The new law extends health insurance to nearly all Americans, fulfilling a century-long quest and bringing the United States to parity with other industrial nations. Affordable Care aims to control rapidly rising health care costs and promises to make the United States more equal, reversing four decades of rising disparities between the very rich and everyone else. Millions of people of modest means will gain new benefits and protections from insurance company abuses - and the tab will be paid by privileged corporations and the very rich. How did such a bold reform effort pass in a polity wracked by partisan divisions and intense lobbying by special interests? What does Affordable Care mean-and what comes next? In this updated edition of Health Care Reform and American Politics: What Everyone Needs to Know®, Lawrence R. Jacobs and Theda Skocpol-two of the nation's leading experts on politics and health care policy-provide a concise and accessible overview. They explain the political battles of 2009 and 2010, highlighting White House strategies, the deals Democrats cut with interest groups, and the impact of agitation by Tea Partiers and progressives. Jacobs and Skocpol spell out what the new law can do for everyday Americans, what it will cost, and who will pay. In a new section, they also analyze the impact the Supreme Court ruling that upheld the law. Above all, they explain what comes next, as critical yet often behind-the-scenes battles rage over implementing reform nationally and in the fifty states. Affordable Care still faces challenges at the state level despite the Court ruling. But, like Social Security and Medicare, it could also gain strength and popularity as the majority of Americans learn what it can do for them. What Everyone Needs to Know® is a registered trademark of Oxford University Press.

The Tough Luck Constitution and the Assault on Health Care Reform

Author : Andrew Koppelman
Publisher : Oxford University Press
ISBN 13 : 0199970033
Total Pages : 195 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis The Tough Luck Constitution and the Assault on Health Care Reform by : Andrew Koppelman

Download or read book The Tough Luck Constitution and the Assault on Health Care Reform written by Andrew Koppelman and published by Oxford University Press. This book was released on 2013-02-22 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chief Justice John Roberts stunned the nation by upholding the Affordable Care Act--more commonly known as Obamacare. But legal experts observed that the decision might prove a strategic defeat for progressives. Roberts grounded his decision on Congress's power to tax. He dismissed the claim that it is allowed under the Constitution's commerce clause, which has been the basis of virtually all federal regulation--now thrown in doubt. In The Tough Luck Constitution and the Assault on Health Care Reform, Andrew Koppelman explains how the Court's conservatives embraced the arguments of a fringe libertarian legal movement bent on eviscerating the modern social welfare state. They instead advocate what Koppelman calls a "tough luck" philosophy: if you fall on hard times, too bad for you. He argues that the rule they proposed--that the government can't make citizens buy things--has nothing to do with the Constitution, and that it is in fact useless to stop real abuses of power, as it was tailor-made to block this one law after its opponents had lost in the legislature. He goes on to dismantle the high court's construction of the commerce clause, arguing that it almost crippled America's ability to reverse rising health-care costs and shrinking access. Koppelman also places the Affordable Care Act within a broader historical context. The Constitution was written to increase central power, he notes, after the failure of the Articles of Confederation. The Supreme Court's previous limitations on Congressional power have proved unfortunate: it has struck down anti-lynching laws, civil-rights protections, and declared that child-labor laws would end "all freedom of commerce, and . . . our system of government [would] be practically destroyed." Both somehow survived after the court revisited these precedents. Koppelman notes that the arguments used against Obamacare are radically new--not based on established constitutional principles. Ranging from early constitutional history to potential consequences, this is the definitive postmortem of this landmark case.

Remedy and Reaction

Author : Paul Starr
Publisher : Yale University Press
ISBN 13 : 0300206666
Total Pages : 452 pages
Book Rating : 4.3/5 (2 download)

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Book Synopsis Remedy and Reaction by : Paul Starr

Download or read book Remedy and Reaction written by Paul Starr and published by Yale University Press. This book was released on 2013-06-04 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: In no other country has health care served as such a volatile flashpoint of ideological conflict. America has endured a century of rancorous debate on health insurance, and despite the passage of legislation in 2010, the battle is not yet over. This book is a history of how and why the United States became so stubbornly different in health care, presented by an expert with unsurpassed knowledge of the issues. Tracing health-care reform from its beginnings to its current uncertain prospects, Paul Starr argues that the United States ensnared itself in a trap through policies that satisfied enough of the public and so enriched the health-care industry as to make the system difficult to change. He reveals the inside story of the rise and fall of the Clinton health plan in the early 1990sùand of the Gingrich counterrevolution that followed. And he explains the curious tale of how Mitt RomneyÆs reforms in Massachusetts became a model for Democrats and then follows both the passage of those reforms under Obama and the explosive reaction they elicited from conservatives. Writing concisely and with an even hand, the author offers exactly what is needed as the debate continuesùa penetrating account of how health care became such treacherous terrain in American politics.

Inside National Health Reform

Author : John E. McDonough
Publisher : Univ of California Press
ISBN 13 : 0520274520
Total Pages : 368 pages
Book Rating : 4.5/5 (22 download)

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Book Synopsis Inside National Health Reform by : John E. McDonough

Download or read book Inside National Health Reform written by John E. McDonough and published by Univ of California Press. This book was released on 2012-09-03 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide to the Affordable Care Act, our new national health care law. An account of the process from the 2008 presidential campaign to the moment in 2010 when the bill was signed into law before anyone had a chance to digest the document. At a time when the nation is taking a second look at the ACA, "Inside National Health Reform" provides essential information for Americans to review the governmental processes and politics in enacting this legislation.

The Truth About Health Care

Author : David Mechanic
Publisher : Rutgers University Press
ISBN 13 : 0813541158
Total Pages : 244 pages
Book Rating : 4.8/5 (135 download)

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Book Synopsis The Truth About Health Care by : David Mechanic

Download or read book The Truth About Health Care written by David Mechanic and published by Rutgers University Press. This book was released on 2006-08-04 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States spends greatly more per person on health care than any other country but the evidence shows that care is often poor and inappropriate. Despite expenditures of 1.7 trillion dollars in 2003, and growing substantially each year, services remain fragmented and poorly coordinated, and more than 46 million people are uninsured. Why can't America, with its vast array of resources, sophisticated technologies, superior medical research and educational institutions, and talented health care professionals, produce higher quality care and better outcomes? In The Truth about Health Care, David Mechanic explains how health care in America has evolved in ways that favor a myriad of economic, professional, and political interests over those of patients. While money has always had a place in medical care, "big money" and the quest for profits has become dominant, making meaningful reforms difficult to achieve. Mechanic acknowledges that railing against these influences, which are here to stay, can achieve only so much. Instead, he asks whether it is possible to convert what is best about health care in America into a well functioning system that better serves the entire population. Bringing decades of experience as an active health policy participant, researcher, teacher, and consultant to the public and private sectors, Mechanic examines the strengths and weaknesses of our system and how it has evolved. He pays special attention to areas often neglected in policy discussions, such as the loss of public trust in medicine, the tragic state of long-term care, and the relationship of mental health to health care. For anyone who has been frustrated by uncoordinated health networks, insurance denials, and other obstacles to obtaining appropriate care, this book will provide a refreshing and frank look at the system's current and future dilemmas. Mechanic's thoughtful roadmap describes how health plans, healthcare professionals, policymakers, and consumer groups can work together to improve access, quality, fairness, and health outcomes in America. About the Author:

Health Care Reform Now!

Author : George C. Halvorson
Publisher : Jossey-Bass
ISBN 13 : 0787998397
Total Pages : 384 pages
Book Rating : 4.7/5 (879 download)

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Book Synopsis Health Care Reform Now! by : George C. Halvorson

Download or read book Health Care Reform Now! written by George C. Halvorson and published by Jossey-Bass. This book was released on 2007-12-10 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States spends more money on health care by far than any other country and yet nearly 50,000,000 Americans are uninsured at least part of the time each year. Health Care Reform Now! is written for anyone who cares enough about our health care situation to consider serious alternatives to the current system. In this book George Halvorson—an internationally known health care leader and author—offers a sensible approach to health care reform and universal coverage that can work for all stakeholders. Step by step, George Halvorson outlines a game plan for a truly world-class health care system that will appeal to policy makers on both ends of the political spectrum and will deliver health care with improved quality, better access, provider accountability, performance transparency, consumer choice, and individual empowerment.

Catastrophic Care

Author : David Goldhill
Publisher : Vintage
ISBN 13 : 0307961559
Total Pages : 386 pages
Book Rating : 4.3/5 (79 download)

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Book Synopsis Catastrophic Care by : David Goldhill

Download or read book Catastrophic Care written by David Goldhill and published by Vintage. This book was released on 2013-01-08 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: A visionary investigation that will change the way we think about health care: how and why it is failing, why expanding coverage will actually make things worse, and how our health care can be transformed into a transparent, affordable, successful system. In 2007, David Goldhill’s father died from infections acquired in a hospital, one of more than two hundred thousand avoidable deaths per year caused by medical error. The bill was enormous—and Medicare paid it. These circumstances left Goldhill angry and determined to understand how world-class technology and personnel could coexist with such carelessness—and how a business that failed so miserably could be paid in full. Catastrophic Care is the eye-opening result. Blending personal anecdotes and extensive research, Goldhill presents us with cogent, biting analysis that challenges the basic preconceptions that have shaped our thinking for decades. Contrasting the Island of health care with the Mainland of our economy, he demonstrates that high costs, excess medicine, terrible service, and medical error are the inevitable consequences of our insurance-based system. He explains why policy efforts to fix these problems have invariably produced perverse results, and how the new Affordable Care Act is more likely to deepen than to solve these issues. Goldhill steps outside the incremental and wonkish debates to question the conventional wisdom blinding us to more fundamental issues. He proposes a comprehensive new way, where the customer (the patient) is first—a system focused on health and maintaining it, a system strong and vibrant enough for our future. If you think health care is interesting only to institutes and politicians, think again: Catastrophic Care is surprising, engaging, and brimming with insights born of questions nobody has thought to ask. Above all it is a book of new ideas that can transform the way we understand a subject we often take for granted.

Don't Let Health Care Bankrupt America

Author : George C. Halvorson
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781493570270
Total Pages : 0 pages
Book Rating : 4.5/5 (72 download)

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Book Synopsis Don't Let Health Care Bankrupt America by : George C. Halvorson

Download or read book Don't Let Health Care Bankrupt America written by George C. Halvorson and published by Createspace Independent Publishing Platform. This book was released on 2013-12-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The author presents his insights into the causes of today's high cost of health care in the United States for the federal and the states' governments and for the individual, and his ideas for addressing this issue.

Ending Racial, Ethnic, and Cultural Disparities in American Health Care

Author : George C. Halvorson
Publisher :
ISBN 13 : 9781480137875
Total Pages : 178 pages
Book Rating : 4.1/5 (378 download)

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Book Synopsis Ending Racial, Ethnic, and Cultural Disparities in American Health Care by : George C. Halvorson

Download or read book Ending Racial, Ethnic, and Cultural Disparities in American Health Care written by George C. Halvorson and published by . This book was released on 2013-09-26 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: People die every day in the United States from health care disparities. These disparities are rooted in race, background, and behaviors characteristic of particular social groups - especially minorities. In a country that spends 2.8 trillion dollars on health care each year - more money than the total economies of all but five entire nations - those kinds of care gaps and care outcomes should not exist. With Ending Racial, Ethnic and Cultural Disparities in American Health Care, author George Halvorson unleashes lessons learned from his decades of experience leading major U.S. health insurance plans and integrated care delivery systems, to unlock a complex set of interconnected issues and offer realistic solutions for policymakers, practitioners, and patients, to align collectively, and make modern health care better, more inclusive, and connected.

The New Health Age

Author : David Houle
Publisher : Sourcebooks, Inc.
ISBN 13 : 1402273940
Total Pages : 216 pages
Book Rating : 4.4/5 (22 download)

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Book Synopsis The New Health Age by : David Houle

Download or read book The New Health Age written by David Houle and published by Sourcebooks, Inc.. This book was released on 2011-12-01 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: We live in a transformational time in the history of medicine and health care. The twenty-first century will be a time of dramatic change, incredible breakthroughs, and totally altered thinking about health, medicine, and health care delivery. This book sets forth what health care and medicine will look like in the years ahead. It takes a look at history, the transformational changes going on today, the health of Americans, the nine dynamic flows that are shaping health care in the United States, and definitions and descriptions of the new institutions of the future landscape of health care and medicine. It is already being called THE book to intelligently shape and guide the discussion and reorganization of health care reform in America. From leading futurist David Houle (recently named "Speaker of the Year" by Vistage International) and leading healthcare attorney Jonathan Fleece, comes this surprising, innovative look at the future of healthcare--and how we can lead the successful reorganization of healthcare in America.

An American Sickness

Author : Elisabeth Rosenthal
Publisher : Penguin
ISBN 13 : 0698407180
Total Pages : 434 pages
Book Rating : 4.6/5 (984 download)

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Book Synopsis An American Sickness by : Elisabeth Rosenthal

Download or read book An American Sickness written by Elisabeth Rosenthal and published by Penguin. This book was released on 2017-04-11 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.

America's Healthcare Reform I

Author : Christopher Adekoya
Publisher :
ISBN 13 : 9781629012247
Total Pages : 526 pages
Book Rating : 4.0/5 (122 download)

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Book Synopsis America's Healthcare Reform I by : Christopher Adekoya

Download or read book America's Healthcare Reform I written by Christopher Adekoya and published by . This book was released on 2015-05-07 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book documents debate points of instituting a new law to replace the existing insurance-based, employment centered and administratively complex healthcare system that continued to gobble up billions of dollars in the nation's GDP. Prior to the passing of the Affordable Care Act, affably known today as OBAMACARE, the preponderance perception was that, rate of returns on investment in America's Health Care System was not yielding comparative returns as in other first world countries. To buttress or counter the argument for change, a reformed healthcare system, two volumes of the book was completed; and, volume one documents a collection of arguments in the area of : 1) Getting Started: Rebuilding and Aligning Democrats' Support for Health Care Legislation After the White House Summit; 2) Selling a Packaged Solution of Health Care Reform to the People; 3) Conflict, Hiccups and Arm Twisting in Selling a Packaged Solution of Health Care Reform; and, 4) Costs of a Packaged Health Care Reform Law and the heated Debates. It is the position of this collection of debate points, or book, that passing a packaged healthcare reform law that increases participation of more Americans in the healthcare system, affords for a more equitable and democratized healthcare system for more Americans

Evidence-Based Medicine and the Changing Nature of Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309113695
Total Pages : 202 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Evidence-Based Medicine and the Changing Nature of Health Care by : Institute of Medicine

Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Unequal Coverage

Author : Jessica M. Mulligan
Publisher : NYU Press
ISBN 13 : 1479848735
Total Pages : 316 pages
Book Rating : 4.4/5 (798 download)

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Book Synopsis Unequal Coverage by : Jessica M. Mulligan

Download or read book Unequal Coverage written by Jessica M. Mulligan and published by NYU Press. This book was released on 2018 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The Affordable Care Act set off an unprecedented wave of health insurance enrollment as the most sweeping overhaul of the U.S. health insurance system since 1965. In the years since its enactment, some 20 million uninsured Americans gained access to coverage. And yet, the law remained unpopular and politically vulnerable. While the ACA extended social protections to some groups, its implementation was troubled and the act itself created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. Unequal Coverage documents the everyday experiences of individuals and families across the U.S. as they attempted to access coverage and care in the five years following the passage of the ACA. It argues that while the Affordable Care Act succeeded in expanding access to care, it did so unevenly, ultimately also generating inequality and stratification. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who remain uncovered. The contributors use the ACA as a lens to examine more broadly how social welfare policies in a multiracial and multiethnic democracy purport to be inclusive while simultaneously embracing certain kinds of exclusions"--Publisher's website.

The Ten Year War

Author : Jonathan Cohn
Publisher : St. Martin's Press
ISBN 13 : 1250270944
Total Pages : 320 pages
Book Rating : 4.2/5 (52 download)

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Book Synopsis The Ten Year War by : Jonathan Cohn

Download or read book The Ten Year War written by Jonathan Cohn and published by St. Martin's Press. This book was released on 2021-02-23 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Jonathan Cohn's The Ten Year War is the definitive account of the battle over Obamacare, based on interviews with sources who were in the room, from one of the nation's foremost healthcare journalists. The Affordable Care Act, better known as “Obamacare,” was the most sweeping and consequential piece of legislation of the last half century. It has touched nearly every American in one way or another, for better or worse, and become the defining political fight of our time. In The Ten Year War, veteran journalist Jonathan Cohn offers the compelling, authoritative history of how the law came to be, why it looks like it does, and what it’s meant for average Americans. Drawn from hundreds of hours of interviews, plus private diaries, emails and memos, The Ten Year War takes readers to Capitol Hill and to town hall meetings, inside the West Wing and, eventually, into Trump Tower, as the nation's most powerful leaders try to reconcile pragmatism and idealism, self-interest and the public good, and ultimately two very different visions for what the country should look like. At the heart of the book is the decades-old argument over what’s wrong with American health care and how to fix it. But the battle over healthcare was always about more than policy. The Ten Year War offers a deeper examination of how our governing institutions, the media and the two parties have evolved, and the dysfunction those changes have left in their wake.