Go behind the curtain of the creation and implementation of the Affordable Care Act. In this groundbreaking book, health-care attorney Daniel E. Dawes explores the secret backstory of the Affordable Care Act, shedding light on the creation and implementation of the greatest and most sweeping equalizer in the history of American health care. An eye-opening and authoritative narrative written from an insider’s perspective, 150 Years of ObamaCare debunks contemporary understandings of health reform. It also provides a comprehensive and unprecedented review of the health equity movement and the little-known leadership efforts that were crucial to passing public policies and laws reforming mental health, minority health, and universal health. An instrumental player in a large coalition of organizations that helped shape ObamaCare, Dawes tells the story of the Affordable Care Act with urgency and intimate detail. He reveals what went on behind the scenes by including copies of letters and e-mails written by the people and groups who worked to craft and pass the law. Dawes explains the law through a health equity lens, focusing on what it is meant to do and how it affects various groups. Ultimately, he argues that ObamaCare is much more comprehensive in the context of previous reform efforts than is typically understood. In an increasingly polarized political environment, health reform has been caught in the cross fire of the partisan struggle, making it difficult to separate fact from fiction. Offering unparalleled and complete insight into the efforts by the Obama administration, Congress, and external stakeholders, 150 Years of ObamaCare illuminates one of the most challenging legislative feats in the history of the United States.

How do policy and politics influence the social conditions that generate health outcomes? Reduced life expectancy, worsening health outcomes, health inequity, and declining health care options—these are now realities for most Americans. However, in a country of more than 325 million people, addressing everyone's issues is challenging. How can we effect beneficial change for everyone so we all can thrive? What is the great equalizer? In this book, Daniel E. Dawes argues that political determinants of health create the social drivers—including poor environmental conditions, inadequate transportation, unsafe neighborhoods, and lack of healthy food options—that affect all other dynamics of health. By understanding these determinants, their origins, and their impact on the equitable distribution of opportunities and resources, we will be better equipped to develop and implement actionable solutions to close the health gap. Dawes draws on his firsthand experience helping to shape major federal policies, including the Affordable Care Act, to describe the history of efforts to address the political determinants that have resulted in health inequities. Taking us further upstream to the underlying source of the causes of inequities, Dawes examines the political decisions that lead to our social conditions, makes the social determinants of health more accessible, and provides a playbook for how we can address them effectively. A thought-provoking and evocative account that considers both the policies we think of as "health policy" and those that we don't, The Political Determinants of Health provides a novel, multidisciplinary framework for addressing the systemic barriers preventing the United States from becoming the healthiest nation in the world.

Reading this book is like sitting down with Dr. David Satcher to hear stories of leadership and lessons learned from his lifetime commitment to health equity. Dr. David Satcher is one of the most widely known and well-regarded physicians of our time. A former four-star admiral in the US Public Health Service Commissioned Corps, he served as the assistant secretary for health, the surgeon general of the United States, and the director of the Centers for Disease Control and Prevention before founding the eponymous Satcher Health Leadership Institute at Morehouse School of Medicine. At the core of his impact on public health, he is also a lifelong leader for civil rights and health equity. Born black and poor in the deep South, Dr. Satcher was a victim of an unjust health care system: he almost died of whooping cough at the age of two because Jim Crow laws meant that his black doctor could not admit him to a hospital. That experience was the first of many that shaped him as a leader and a healer deeply attuned to social inequity—someone who was determined to make a positive difference. In My Quest for Health Equity, Dr. Satcher takes an inspiring and instructive look inside his fifty-year career to shed light on the challenge and burden of leadership. Explaining that he has thought of each leadership role—whether in academia, community, or government—as an opportunity to move the needle toward health equity, he shares the hard-won lessons he has learned over a lifetime in the medical field. Drawing on his early memories, medical school days, experience in the civil rights movement, and professional highs and lows, Dr. Satcher touches on a number of topics, including • the essential qualities of leadership • leading from science to policy to practice • the importance of clear communication and continual learning • the need for workplace discipline • confronting failure • specific health issues, including the obesity epidemic, reproductive health, and mental health stigma • team approaches to leadership • and much more In this book, readers will discover a template for using leadership roles of all types to eliminate health disparities. My Quest for Health Equity is a vital resource for current and rising leaders.

How can countries chart their own course toward universal health coverage? Like many ambitious global goals, universal health coverage (UHC) remains an aspiration for many countries. The World Health Organization estimates that half the world's population lacks access to basic health services. Moreover, this already staggering number masks inequities that exist between and within countries: gaps between rich and poor, men and women, young and old, and among people of different ethnic backgrounds. UHC promises to give all people greater access to higher quality health services without the fear of financial hardship. But the task of turning this vision into reality poses a significant challenge for countries at all stages of economic development. In The Road to Universal Health Coverage, Jeffrey L. Sturchio, Ilona Kickbusch, Louis Galambos, and their contributors explore the ways in which the private sector is already helping countries achieve universal health coverage. Stressing the many positive aspects of UHC developments, the book focuses on the new health economy and the sometimes controversial dimensions of the private sector helping countries achieve UHC. Theoretical chapters are complemented by a series of case studies that explore the myriad ways in which private sector actors are already addressing UHC. What are the conditions required for countries to translate their successful experiences and policy promises into practical results for improved population health? In answering this question, the contributors examine the relationship between health employment and economic growth. They also analyze the critical success factors for private sector engagement in UHC, the role of healthy women in creating and sustaining healthy economies, and the role of the pharmaceutical sector. Looking to the political, economic, and social implications of moving from aspiration to implementation, The Road to Universal Health Coverage points the way to the many opportunities ahead as companies continue to work with governments and civil society partners to help achieve UHC. Jean-Louise Arcand, Héctor Arreola-Ornelas, Nathan J. Blanchet, Christine Bugos, Jim Campbell, John Campbell, Jr., Ibadat Dhillon, Donika Dimovska, Christian Franz, Michael Fürst, Louis Galambos, Belén Garijo, Adeel Ishtiaq, Sowmya Kadandale, Ilona Kickbusch, Felicia Marie Knaul, Jeremy Lauer, Robert Marten, Justin McCarthy, Harald Nusser, K. Srinath Reddy, Yasmine Rouai, Jeffrey L. Sturchio, Cicely Thomas, Tana Wuliji, Snow Yang, Pascal Zurn

"This book traces the deepening divide over national health care policy that the United States has experienced since the enactment of the Affordable Care Act in 2010. Using examples from previous eras of major national health care reform, the author describes steps that policy makers can take to reestablish the bipartisan collaboration that enables meaningful reform"--

Opposition to Obamacare is stronger than ever, but critics of the law will need to unite around an alternative if they want to move the nation's health care system in a free market direction. In Overcoming Obamacare, the Washington Examiner's Philip Klein, one of the leading conservative health care writers, takes readers inside the fierce debate on the right on how to overhaul the health care system in the wake of Obamacare. Drawing on eight years of experience reporting on the issue, dozens of interviews with prominent health policy experts, and conversations with Republican political leaders including Bobby Jindal and Paul Ryan, Klein articulates a free market vision for health care and presents three competing paths to getting there. Whether you're a conservative fighting to repeal Obamacare or a liberal wondering how Republicans may go about unraveling it, this book is a must read.

The Self-Pay Patient reveals secrets to taking control of both your healthcare and your health costs, explaining how to find affordable care outside of conventional insurance, how to escape bureaucratic medicine, and how to opt-out of Obamacare. This book explains; How to exempt yourself from Obamacare without having to pay a tax for being uninsured; How to find alternative types of coverage that are far less expensive than conventional insurance; How to find doctors, hospitals, pharmacies, and other medical providers that provide big discounts for cash payment; How to avoid the sky-high healthcare prices that unsuspecting self-pay patients are often charged The Self-Pay Patient is a resource for anybody who wants or needs to pay directly for their own health care, including people without insurance, with a high-deductible health plan, or who want to see a doctor out of the insurance company's network or get treatment not covered by their insurance. It's been called "the unofficial guide to opting out of Obamacare" and can save families and individuals thousands and even tens of thousands of dollars a year!

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.

The definitive story of American health care today—its causes, consequences, and confusions In March 2010, the Affordable Care Act was signed into law. It was the most extensive reform of America’s health care system since at least the creation of Medicare in 1965, and maybe ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown. It was a signature piece of legislation for President Obama’s first term, and also a ball and chain for his second. Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own—quite distinct—American story, and why reform has bedeviled presidents of the left and right for more than one hundred years. Emanuel also explains exactly how the ACA reforms are reshaping the health care system now. He forecasts the future, identifying six mega trends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well-informed. Health care—one of America’s largest employment sectors, with an economy the size of the GDP of France—has never had a more comprehensive or authoritative interpreter.

The current approach to resolving sovereign debt crises does not work: sovereign debt restructurings come too late and address too little. Though unresolved debt crises impose enormous costs on societies, many recent restructurings have not been deep enough to provide the conditions for economic recovery (as illustrated by the Greek debt restructuring of 2012). And if the debtor decides not to accept the terms demanded by the creditors, finalizing a restructuring can be slowed by legal challenges (as illustrated by the recent case of Argentina, deemed as "the trial of the century"). A fresh start for distressed debtors is a basic principle of a well-functioning market economy, yet there is no international bankruptcy framework for sovereign debts. While this problem is not new, the United Nations and the global community are now willing to do something about it. Providing guidance for those who intend to take up reform, this book assesses the relative merits of various debt-restructuring proposals, especially in relation to the main deficiencies of the current nonsystem. With contributions by leading academics and practitioners, Too Little, Too Late reflects the overwhelming consensus among specialists on the need to find workable solutions.