Obamacare Wars

Not five minutes after the Affordable Care Act (ACA) was signed into law, in March 2010, Virginia’s attorney general was suing to stop it. And yet, the ACA rolled out, in infamously bumpy fashion, and rolled on, fought and defended at every turn—despite President Obama’s claim, in 2014, that its proponents and opponents could finally “stop fighting old political battles that keep us gridlocked.” But not only would the battles not stop, as Obamacare Wars makes acutely clear, they spread from Washington, DC, to a variety of new arenas. The first thorough account of the implementation of the ACA, this book reveals the fissures the act exposed in the American federal system. Obamacare Wars shows how the law’s intergovernmental structure, which entails the participation of both the federal government and the states, has deeply shaped the politics of implementation. Focusing on the creation of insurance exchanges, the expansion of Medicaid, and execution of regulatory reforms, Daniel Béland, Philip Rocco, and Alex Waddan examine how opponents of the ACA fought back against its implementation. They also explain why opponents of the law were successful in some efforts and not in others—and not necessarily in a seemingly predictable red vs. blue pattern. Their work identifies the role of policy legacies, institutional fragmentation, and public sentiments in each instance as states grappled with new institutions, as in the case of the exchanges, or existing structures, in Medicaid and regulatory reform. Looking broadly at national trends and specifically at the experience of individual states, Obamacare Wars brings much-needed clarity to highly controversial but little-understood aspects of the Affordable Care Act’s odyssey, with implications for how we understand the future trajectory of health reform, as well as the multiple forms of federalism in American politics.

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.

An ideal resource for students as well as general readers, this book comprehensively examines the Great Society era and identifies the effects of its legacy to the present day. With the assassination of President John F. Kennedy, Lyndon B. Johnson inherited from the Kennedy administration many of the pieces of what became the War on Poverty. In stark contrast to today, Johnson was aided by a U.S. Congress that was among the most productive in the history of the United States. Despite the accomplishments of the Great Society programs, they failed to accomplish their ultimate goal of eradicating poverty. Consequently, some 50 years after the Great Society and the War on Poverty, many of the issues that Johnson's administration and Congress dealt with then are in front of legislators today, such as an increase in the minimum wage and the growing divide between the wealthy and the poor. This reference book provides a historical perspective on the issues of today by looking to the Great Society period; identifies how the War on Poverty continues to impact the United States, both positively and negatively; and examines how the Nixon and Reagan administrations served to dismantle Johnson's achievements. This single-volume work also presents primary documents that enable readers to examine key historical sources directly. Included among these documents are The Council of Economic Advisers Economic Report of 1964; the Civil Rights Act of 1964; John F. Kennedy's Remarks Upon Signing the Economic Opportunity Act; The Negro Family: The Case for National Action (a.k.a. the Moynihan Report); and the Report of the National Advisory Commission on Civil Disorders (a.k.a. the Kerner Report).

While analyzing the contentious debate over health care reform, this much-needed study also challenges the argument that treating medical patients like shoppers can significantly reduce health expenditures. This revealing work focuses on the politics surrounding the Affordable Care Act (ACA), explaining how and why supporters and opponents have approached the issue as they have since the act's passage in 2010. The first book to systematically examine public knowledge of the ACA across time, it also documents how that knowledge has remained essentially static since 2010, despite the importance of health-policy reform to every American. An important book for anyone concerned about the skyrocketing costs of health care in the United States, the work accomplishes three main tasks intended to help readers better understand one of the most important policy challenges of our time. The early chapters explain why congressional Democrats designed the Affordable Care Act of 2010 as they did, clarifies some of the consequences of the act's features, and examines why Republicans have fought the implementation of the law so fiercely. The study then looks at how the intersection of economics and politics applies to the ACA. Finally, the book details what the public knows-and doesn't know-about the law and discusses the prospects for citizens gaining the knowledge they should have about the overall issue of health-policy reform.

Junctures in Women's Leadership: Health Care and Public Health offers an eclectic compilation of case studies of women leaders in public health and health care over nearly 150 years. Extraordinarily relevant to current public discourse, topics include: the COVID-19 pandemic, health disparities, disease prevention and the Affordable Care Act. Their leadership lessons can be applied to a broad array of disciplines.

When President Barack Hussein Obama left office January 20, 2017, he left a fascinating legacy. The Obama Presidency will remain an intriguing part of our nation’s political history, and we can now say that there were unexpected achievements and failures. His tenure was both historical and complex, and will inevitably be compared with his predecessors and successors. The chapters in this volume are a serious assessment of President Obama’s tenure written by a diverse team that includes political scientists, sociologists, historians, and economists. They provide critical insights into the man and his policies and, more importantly, are written in a manner that makes them available to laypersons, journalists, students, and scholars.

Though Americans rarely appreciate it, federalism has profoundly shaped their nation’s past, present, and future. Federalism—the division of government authority between the national government and the states—affects the prosperity, security, and daily life of every American. Some of the most spectacular political conflicts in American history have been fought on the battlefield of federalism, including states’ rights to leave the union, government power to regulate business, and responses to the problems of race, poverty, pollution, abortion, and gay rights. In the second edition of this nuanced and comprehensive text, David Brian Robertson shows that past choices shape present circumstances, and that a deep understanding of American government, public policy, political processes, and society requires an understanding of the key steps in federalism’s evolution in American history. New to the Second Edition Emphasizes that federalism is a battleground that shapes every life inAmerica. Extensively revised and updated, including new coverage of recent controversies like Ferguson, immigration, climate change, Obamacare, gay rights, the minimum wage, political polarization, voter identification, fracking, and marijuana legalization. Brings together the newest developments in history, political science, law,and related disciplines to show how federalism influences government and politics today. Includes chapter-opening vignettes that deal with contemporary cases and policy challenges.

In his trademark in-your-face style, bestselling author and top conservative talk-show host, Michael Savage has a lot to say about the state of the country in STOP THE COMING CIVIL WAR. According to Michael Savage, OUR NATION IS IN REAL TROUBLE and the seeds of a second conflagration have been sown. Not between the states - but between true patriots who believe in our nation's founding principles and those he believes are working every day to undermine them and change the very nature of the country. Michael Savage is convinced we face more than just political differences. He believes the split between right and left is possibly irreparable - unless we understand what's really happening and how we must act to stop it. This fervent warning offers the Savage truth - a call to action in the voting booth - in order to defend the freedoms our Constitution so brilliantly established.