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(16 reviews)
Author: John E. McDonough
ISBN : 0520270193
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Format: PDF, EPUB
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This indispensable guide to the Affordable Care Act, our new national health care law, lends an insider’s deep understanding of policy to a lively and absorbing account of the extraordinary—and extraordinarily ambitious—legislative effort to reform the nation’s health care system. Dr. John E. McDonough, DPH, a health policy expert who served as an advisor to the late Senator Edward Kennedy, provides a vivid picture of the intense effort required to bring this legislation into law. McDonough clearly explains the ACA’s inner workings, revealing the rich landscape of the issues, policies, and controversies embedded in the law yet unknown to most Americans. In his account of these historic events, McDonough takes us through the process from the 2008 presidential campaign to the moment in 2010 when President Obama signed the bill into law. At a time when the nation is taking a second look at the ACA, Inside National Health Reform provides the essential information for Americans to make informed judgments about this landmark law.
Direct download links available for Free Inside National Health Reform
- Series: California/Milbank Books on Health and the Public (Book 22)
- Hardcover: 360 pages
- Publisher: University of California Press; 1 edition (September 12, 2011)
- Language: English
- ISBN-10: 0520270193
- ISBN-13: 978-0520270190
- Product Dimensions: 1.1 x 6.6 x 8.6 inches
- Shipping Weight: 1.4 pounds (View shipping rates and policies)
Free Inside National Health Reform
Inside National Health Reform offers an uncommon combination of both the political process and policy substance of the Affordable Care Act. From his unique perspective, John McDonough provides a first-hand, thoughtful account of the politics surrounding health reform, and supplies the context for how our health care system, and its many problems, came to be. Further, McDonough's thorough and balanced description of the provisions included in the ACA go far to educate readers on the substance and potential implications of the new law, written in both an entertaining and accessible way. The book revives much-needed optimism about the future of our health care system at a time when we are too quick to forget the historic accomplish and sweeping benefits the ACA.
By Taryn Morrissey
McDonough describes the process of enacting the ACA and its contents. For those who are interested in political processes and how congress works, the first section is a great resource. For instance, the book describes a process known as a 'Byrd Bath' that budgetary reconciliation bills must go through to be eligible for passage. McDonough also writes about the many different interest groups that were either for or against health reform in whole or in part or even for and against it at different times.
McDonough logically splits the second section into 10 chapters, one for each title of the ACA. Each chapter contains a summary of the corresponding title as well as a discussion of the arguments for and against the measures in the corresponding title. To me, this was the most valuable element of the book.
This book is most valuable because there is no other resource out there that is as complete, accessible and thorough as this one. That said, McDonough does have a bias--which he admits to in his preface--in favor of the law. Whether good or bad, the law should stand on its true contents and merits, not the party of the president who signed it. This book goes a long way towards educating the reader about the substantive promise and shortcomings of the ACA.
McDonough makes the case that the ACA is as big and important as Social Security in 1935 or Medicare in 1965, for better or worse. The success or failure of the ACA is yet to be seen as so many of its programs--guaranteed issue for all adults, the individual mandate, quality and safety programs, fraud and abuse measures, insurance subsidies, Medicare rate cuts and much more--have yet to take effect. In the meantime, this book is the best way to understand the contents of the ACA, in McDonough's words, '...whether one regards the law as monumentally good or monumentally bad.' (p. xiii)
By Medical Nemesis