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The Trillion Dollar Revolution: How the Affordable Care Act Transformed Politics, Law, and Health Care in America

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Ten years after the landmark legislation, Ezekiel Emanuel leads a crowd of experts, policy-makers, doctors, and scholars as they evaluate the Affordable Care Act's history so far. On the 10th anniversary of the signing of the Affordable Care Act (ACA) -- arguably the most significant piece of social legislation in over a half-century -- this collection of essays from a numb Ten years after the landmark legislation, Ezekiel Emanuel leads a crowd of experts, policy-makers, doctors, and scholars as they evaluate the Affordable Care Act's history so far. On the 10th anniversary of the signing of the Affordable Care Act (ACA) -- arguably the most significant piece of social legislation in over a half-century -- this collection of essays from a number of leading policymakers, academics, journalists, lawyers, and healthcare providers examines the law's legacy so far. The ACA sought to dramatically expand health insurance coverage --- and reform health care delivery in America in the process. Ten years later, after surviving several bruising political and legal battles, the law has both fallen short of its original ambitions and proven more influential than anticipated. As the country continues to grapple with the ACA's legacy, this collection -- which includes contributions from former secretary of the US Department of Health and Human Services, Kathleen Sebelius, former US Solicitor General Donald B. Verrilli, Jr., and former House Majority Leader Eric Cantor -- provides a thorough accounting of where the law has succeeded and where it is still failing to deliver on its promise to transform our nation's health care system.


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Ten years after the landmark legislation, Ezekiel Emanuel leads a crowd of experts, policy-makers, doctors, and scholars as they evaluate the Affordable Care Act's history so far. On the 10th anniversary of the signing of the Affordable Care Act (ACA) -- arguably the most significant piece of social legislation in over a half-century -- this collection of essays from a numb Ten years after the landmark legislation, Ezekiel Emanuel leads a crowd of experts, policy-makers, doctors, and scholars as they evaluate the Affordable Care Act's history so far. On the 10th anniversary of the signing of the Affordable Care Act (ACA) -- arguably the most significant piece of social legislation in over a half-century -- this collection of essays from a number of leading policymakers, academics, journalists, lawyers, and healthcare providers examines the law's legacy so far. The ACA sought to dramatically expand health insurance coverage --- and reform health care delivery in America in the process. Ten years later, after surviving several bruising political and legal battles, the law has both fallen short of its original ambitions and proven more influential than anticipated. As the country continues to grapple with the ACA's legacy, this collection -- which includes contributions from former secretary of the US Department of Health and Human Services, Kathleen Sebelius, former US Solicitor General Donald B. Verrilli, Jr., and former House Majority Leader Eric Cantor -- provides a thorough accounting of where the law has succeeded and where it is still failing to deliver on its promise to transform our nation's health care system.

47 review for The Trillion Dollar Revolution: How the Affordable Care Act Transformed Politics, Law, and Health Care in America

  1. 4 out of 5

    Amber Odom

    Generally pro ACA, it was a very comprehensive look at the ACA from the very beginning to now, 10 years later. I appreciated the style choice of having multiple authors write about specific aspects of the act- this gave it a fairly wide range of opinions, from those wildly for it and from those who are against it, even from people who are, unbelievably, rather unbiased. It definitely reveals the egregious mess of our healthcare system with some hope for the future.

  2. 5 out of 5

    Brandon Lee

    Reaction: An explication of all of the many successes and shortcomings of the ACA Writing Style: Politicians, economists, clinicians, and lawyers in an academic tone, each chapter is its own writing style with supporters and dissenters scattered throughout Argumentation: The ACA, with all of its controversy, was groundbreaking in establishing a set of legislation that would become the beginnings of partisanship becoming the mainstay of USA. Few policies are so divisive as this one complex law, and Reaction: An explication of all of the many successes and shortcomings of the ACA Writing Style: Politicians, economists, clinicians, and lawyers in an academic tone, each chapter is its own writing style with supporters and dissenters scattered throughout Argumentation: The ACA, with all of its controversy, was groundbreaking in establishing a set of legislation that would become the beginnings of partisanship becoming the mainstay of USA. Few policies are so divisive as this one complex law, and it shows with the many criticisms from all sides at different points of the act’s conception, implementation, and regulation Commendation: makes the reader feel less sure about what the ACA stands for given the volume of information and detail that calls into question many things Critique: a basic primer on health insurance at the very beginning to establish key concepts of health insurance in the US, establishing ACOs, CHIPs, NFIB, CARES, FFS, HMO, PPO, Medicare, Medicaid, etc. Lots of prior knowledge should be easily accessible for the reader

  3. 4 out of 5

    Paul Gardner

    Series of essays about the ACA and sometimes they come to different conclusions, which is a bit jarring, but to be expected with such a broad law. Feels honest. Frankly, I was expecting more of a booster book, but the writers discusses many of the warts and how they came to be, what's working and not working, what was designed well and what wasn't. I enjoyed it more than I expected since I believe the law was fraught with difficulties, owing mostly to the politics around its passing and how hard Series of essays about the ACA and sometimes they come to different conclusions, which is a bit jarring, but to be expected with such a broad law. Feels honest. Frankly, I was expecting more of a booster book, but the writers discusses many of the warts and how they came to be, what's working and not working, what was designed well and what wasn't. I enjoyed it more than I expected since I believe the law was fraught with difficulties, owing mostly to the politics around its passing and how hard it is to get something that large right the first (second or third) time.

  4. 4 out of 5

    Courtney

    This book really helped me understand the legislation and the process that got it passed, as well as the challenges it has faced since. The chapters are written by legislators and scholars from both sides of the aisle, and from people who are have been on the front lines, providing intimate, first-hand knowledge. While it was a bit repetitive and also a bit dense in places, I'm a better citizen, patient, and health psychologist for having read it. This book really helped me understand the legislation and the process that got it passed, as well as the challenges it has faced since. The chapters are written by legislators and scholars from both sides of the aisle, and from people who are have been on the front lines, providing intimate, first-hand knowledge. While it was a bit repetitive and also a bit dense in places, I'm a better citizen, patient, and health psychologist for having read it.

  5. 4 out of 5

    Ietrio

    The bureaucrats who received more money and more power from a law are telling you how good it is, and how they need more money and more power to make it even better for themselves.

  6. 5 out of 5

    Helena#bookdreamer

    Thank you netgalley for providing this ARC in exchange for an honest review. This is a comprehensive look at the successes and failures of the Affordable Act. It details the initial struggles of passing such a historical bill and it dives into it's achievements as well as it's areas of improvement. It's very dense to read so if you're particularly interested in this bill then this is a good book for you. Thank you netgalley for providing this ARC in exchange for an honest review. This is a comprehensive look at the successes and failures of the Affordable Act. It details the initial struggles of passing such a historical bill and it dives into it's achievements as well as it's areas of improvement. It's very dense to read so if you're particularly interested in this bill then this is a good book for you.

  7. 5 out of 5

    Emilyn

  8. 4 out of 5

    Tyler

  9. 4 out of 5

    Jason

  10. 4 out of 5

    Brexton Isaacs

  11. 4 out of 5

    Ethan Brown

  12. 5 out of 5

    Annie Forsman

  13. 5 out of 5

    Dan

  14. 5 out of 5

    Peter

  15. 5 out of 5

    Kyle Lusby

  16. 4 out of 5

    jennet wheatstonelllsl

  17. 5 out of 5

    Kappie

  18. 4 out of 5

    Trent Bohan

  19. 5 out of 5

    Spencer Kimber

  20. 5 out of 5

    Jacob Lester

  21. 5 out of 5

    Hany

  22. 4 out of 5

    Justine

  23. 5 out of 5

    Karen

  24. 4 out of 5

    Gary

  25. 4 out of 5

    Zach Sherman

  26. 4 out of 5

    Julian Lejbman

  27. 5 out of 5

    Amanda

  28. 5 out of 5

    Katie

  29. 4 out of 5

    Ameenah

  30. 5 out of 5

    Erika Skarlupka

  31. 4 out of 5

    Miranda

  32. 4 out of 5

    Kadiri Saliu

  33. 4 out of 5

    Caroline Lee

  34. 5 out of 5

    Levi J Kacher

  35. 5 out of 5

    Claire

  36. 5 out of 5

    Ali Burns

  37. 4 out of 5

    Ryan

  38. 5 out of 5

    Tommy Kazamawa

  39. 5 out of 5

    Erin Dobbins

  40. 5 out of 5

    Erica

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    Meghan

  42. 5 out of 5

    Bob Young

  43. 5 out of 5

    Angela Karnes

  44. 5 out of 5

    Katia Bordy

  45. 5 out of 5

    Jerome Malone

  46. 4 out of 5

    RCFried

  47. 5 out of 5

    Alexis Doss

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