Synopses & Reviews
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.
"Health Care Reform and American Politics provides great insight into what really happened on the road to health care reform. If you really want to know how the system works--and how it doesn't--this is the place to start."--Senator Al Franken
andldquo;In the American political debate, everybody condemns the notion of andlsquo;rationingandrsquo; health care. But Beatrix Hoffmanandrsquo;s meticulous history shows that rationingandmdash;by income,and#160;age, employment, etc.andmdash;has been, and remains,and#160;a central element of Americaandrsquo;s medical system.and#160; She demonstrates thatand#160;our various attempts at reform over the decades have keptand#160;the rationing mechanisms firmlyand#160;in place.andrdquo;
andldquo;Beatrix Hoffman skillfully chronicles Americaandrsquo;s struggles to make health care a right from the Depression through Obamacare.and#160; Hoffman's beautifully written account explores the pervasive rationing of medical care and insurance in our staggeringly unequal health system. Health Care for Some is a compelling reminder of how far we have come, but also how far reform still has to go in the United States.andrdquo;
and#8220;Health Care for Some offers a powerful new interpretation of the history of the U.S. health care system. By focusing on the conflict between the promise of health care rights and the reality that rationing has always been a defining feature of the U.S. system, Beatrix Hoffman offers a perspective very different from previous studies of health care. She also provides one of the most thorough historiesand#8212;and compelling critiquesand#8212;of the health insurance industry available. An important, unique, and timely book.and#8221;
andldquo;Beatrix Hoffmanandrsquo;s rational, plainspoken analysis succeeds in clarifying the discourse around a topic of pressing national importance, delineating partisansandrsquo; priorities, and discarding the numerous distractions.andrdquo;
and#8220;Beatrix Hoffmanand#8217;s goal is to encourage an honest debate about healthcare reform by identifying the varied forms of healthcare rationing. Health Care for Some examines access to and denial of care in US medicine since 1930. It is a well-researched, readable primer on the development of the complex, fragmented US medical system.and#160;. . . Hoffman paints a striking picture of the human face of need.and#8221;
andldquo;Readers interested in the history of American health care and medicine will find this an informative look at past attempts to provide health care to more Americans and the forces and fears that for so long have made attaining universal coverage impossible.andrdquo;
and#8220;An engagingly argued and insightful study of the consequences of the rationing of care for American society over the last eighty years, and of attempts from the bottom up as well as by politicians to widen access to the sort of provision citizens of many other nations take for granted. . . . The accounts of people struggling with the vagaries of the health care system were interwoven with analysis of political efforts to promote change, and the result is a wide-ranging and fresh reading of health care politics.and#8221;
Outstanding Academic Title 2013
and#8220;Hoffmanand#8217;s study could not be more timely. . . . and#160;In lesser hands, the history of U.S. health policy could be a dry and lifeless account that moves from one failed attempt at universal coverage to another over the last century. Hoffman, by contrast, puts flesh on the story, giving voice to those who suffered most from the absence of a health care security net.and#8221;
andldquo;Who Governs? is a very significant contribution to our understanding of how presidents do not simply respond to public opinion but participate in crafting it. A breakthrough.andrdquo;
andquot;This fascinating study, based on confidential documents from three US presidents, sheds new light on the relationship between Americaandrsquo;s political elites and its citizens. The picture is not pretty: presidents of both political parties seek to manipulate, distract, and often mislead the public in their pursuit of narrow interests that do not benefit the majority of citizens. A compelling, important, and sobering account that underscores just how far America has drifted from the democratic ideal of a government of, by, and for the people.andquot;
andldquo;Few pieces of legislation have engendered as much controversy in recent decades as the Affordable Care Act, and Malani and Schill have brought together in one volume some excellent examples of commentaries on the ACA from across the political spectrum. This outstanding book displays many of the major issues facing U.S. policymakers as they seek to provide more Americans with basic access to affordable, high-quality health care despite fundamental ideological disagreements and substantial practical hurdles.andrdquo;
In Health Care for Some
, Beatrix Hoffman offers an engaging and in-depth look at Americaandrsquo;s long tradition of unequal access to health care. She argues that two main features have characterized the US health system: a refusal to adopt a right to care and a particularly American approach to the rationing of care. Health Care for Some
shows that the haphazard way the US system allocates medical servicesandmdash;using income, race, region, insurance coverage, and many other factorsandmdash;is a disorganized, illogical, and powerful form of rationing. And unlike rationing in most countries, which is intended to keep costs down, rationing in the United States has actually led to increased costs, resulting in the most expensive health care system in the world.
While most histories of US health care emphasize failed policy reforms, Health Care for Some looks at the system from the ground up in order to examine how rationing is experienced by ordinary Americans and how experiences of rationing have led to claims for a right to health care. By taking this approach, Hoffman puts a much-needed human face on a topic that is too often dominated by talking heads.
Americaand#8217;s model of representational government rests on the premise that elected officials respond to the opinions of citizens. This is a myth, however, not a reality, according to James N. Druckman and Lawrence R. Jacobs. In Who Governs?
, Druckman and Jacobs combine existing research with novel data from US presidential archives to show that presidents make policy by largely ignoring the views of most citizens in favor of affluent and well-connected political insiders. Presidents treat the public as pliable, priming it to focus on personality traits and often ignoring it on policies that fail to become salient.
Melding big debates about democratic theory with existing research on American politics and innovative use of the archives of three modern presidentsand#151;Johnson, Nixon, and Reaganand#151;Druckman and Jacobs deploy lively and insightful analysis to show that the conventional model of representative democracy bears little resemblance to the actual practice of American politics. The authors conclude by arguing that polyarchy and the promotion of accelerated citizen mobilization and elite competition can improve democratic responsiveness. An incisive study of American politics and the flaws of representative government, this book will be warmly welcomed by readers interested in US politics, public opinion, democratic theory, and the fecklessness of American leadership and decision-making.
In the years since the passage of the Patient Protection and Affordable Care Act (PPACA, or, colloquially, Obamacare), most of the discussion about it has been political. But as the politics fade and the lawand#39;s many complex provisions take effect, a much more interesting question begins to emerge: How will the law affect the American health care regime in the coming years and decades?
This book brings together fourteen leading scholars from the fields of law, economics, medicine, and public health to answer that question. Taking discipline-specific views, they offer their analyses and predictions for the future of health care reform. By turns thought-provoking, counterintuitive, and even contradictory, the essays together cover the landscape of positions on the PPACAand#39;s prospects. Some see efficiency growth and moderating prices; others fear a strangling bureaucracy and spiraling costs. The result is a deeply informed, richly substantive discussion that will trouble settled positions and lay the groundwork for analysis and assessment as the lawand#39;s effects begin to become clear.
When the Supreme Courtand#8217;s majority ruling in NFIB v. Sebelius upheld the Patient Protection and Affordable Care Act (the PPACA, or Obamacare), it was clear that this major shift in American health care provision was here to stay.and#160; For better or worse, the PPACA is now both a target for, and a constraint on, the next wave of reformist ideas.and#160; Driven by curiosity about how the American health care regime will continue to evolve in the near and medium term, Dean Michael Schill and Professor Anup Malani of the University of Chicago Law School commissioned fourteen essays from leading scholars of law, economics, medicine, and public health that offer predictions for the most important issues and debates in health-care reform over the next five to seven years.and#160; Essays are arranged in five sections.and#160; Part I, ACA and the Law, sets the stage with three essays on legal challenges and justifications for the Act.and#160; Part II, ACA and the Federal Budget, explores the variety of potential fiscal consequences resulting from Obamacare.and#160; Part III, ACA and Health Care Delivery, offers competing viewpoints on what the Act will ultimately mean for consumers of health care.and#160; Part IV, Health Care Costs, Innovation, and the ACA speculates about what the altered financial structure of health care will mean for the pace of development of new medical technologies.and#160; Part V, ACA and Health Insurance Markets, concludes the volume with a pair of contrasting assessments of the prospects for the new insurance and#147;exchangeand#8221; markets.
About the Author
Lawrence R. Jacobs
is the Walter F. and Joan Mondale Chair for Political Studies and Director of the Center for the Study of Politics and Governance in the Hubert H. Humphrey Institute and Department of Political Science at the University of Minnesota.
Theda Skocpol is the Victor S. Thomas Professor of Government and Sociology at Harvard University, a member of the National Academy of Sciences, and past president of the American Political Science Association.
Table of Contents
Rationing and Rights: History and Definitionsand#160;and#160;and#160;and#160;and#160;
Prologue: Rights and Rationing before 1930and#160;and#160;and#160;and#160;and#160;and#160;and#160;
Part I: The Struggle for Health Care in the Great Depression
Chapter 1: A Crisis of Accessand#160;and#160;and#160;and#160;and#160;and#160;and#160; and#160;
Chapter 2: Social Security without Health Securityand#160;and#160;and#160;and#160;and#160;and#160;
Part II: Prosperity and Exclusion, 1941and#8211;64
Chapter 3: Health Care at Warand#160;and#160;and#160;and#160;and#160;and#160;and#160;
Chapter 4: Rights to Refuse: The Triumph of the Hospitaland#160;and#160;and#160;and#160;
Chapter 5: Rationing by Coverage: The Rise of Private Health Insuranceand#160;and#160;
Part III: New Entitlements and New Movements, 1965and#8211;80
Chapter 6: Entitlements but Not Rights: Medicare and Medicaidand#160;and#160;and#160;
Chapter 7: The Rise of Health Care Activismand#160;and#160;and#160;and#160;and#160;
Part IV: Rights vs. Markets, 1981and#8211;2008
Chapter 8: Emergency Rooms and Epidemicsand#160;and#160;and#160;and#160;and#160;
Chapter 9: At the Breaking Pointand#160;and#160;and#160;and#160;and#160;and#160;and#160;
Epilogue: Rights, Rationing, and Reformand#160;