Reinventing American Health Care (Paperback)
How the Affordable Care Act will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System
PublicAffairs, 9781610395427, 400pp.
Publication Date: March 3, 2015
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 ownquite distinctAmerican 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 careone of America's largest employment sectors, with an economy the size of the GDP of Francehas never had a more comprehensive or authoritative interpreter.
About the Author
Praise For Reinventing American Health Care: How the Affordable Care Act will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System…
Prominent bioethicist Emanuel makes a convincing, albeit onesided, case for overhauling what he sees as an unfair health system in the U.S. Deftly using numbers to make his arguments, Emanuel organizes his book into three parts: the current system (largely its financing), health-care reform (the nearly 1,000-page Affordable Care Act [ACA] and legal challenges to it), and the future (lots of hospital closings) He also touches on important history (the creation of Medicare in 1965) and clearly explains complicated issues A plain-English explanation of a tricky topic.”Booklist
Few people have had a more favorable influence on the shaping of the current processes of health care reform than Zeke Emanuel has. And no one is a better, clearer, or wiser interpreter of the insanely complex non-system that we are trying to fix. This book is an instant classicmandatory reading for anyone who wants to know how we got where we are in American health care and where we need to go.” Donald M. Berwick, MD, MPP, president emeritus and senior fellow
at the Institute for Healthcare Improvement, and former administrator
of the Centers for Medicare and Medicaid Services
For Americans poisoned by nefarious medical insurance companies and a G.O.P. dying to gut Obamacare, I prescribe Ezekiel Emanuel's Reinventing American Health Care (PublicAffairs) to clarify how the Affordable Care Act can rehabilitate our nauseatingly unjust, grossly expensive, and senselessly complicated health-care system. My personal recommendation? Lay off the toxic propaganda.”Vanity Fair
Whether you agree with his conclusions or not, they're well argued, and he has marshaled an impressive amount of information.”Washington Post
Zeke Emanuel has written a book that tells people interested health care policy what they need to know but all too often do not. He brings together a staggering variety of information, never before available in one place, on economics, medicine, legislative history, governmental operations, politics, and the gory, boring, and surpassingly important issue of implementation. No single book can tell one all one needs to know about the most complex health care system in the world, but this one comes very close indeed.” Henry J. Aaron, the Bruce and Virginia MacLaury Senior Fellow in the Economic Studies program at the Brookings Institution
The author, who serves as a special White House adviser on health care reform, is optimistic that its glitches will be resolved within the year and that it will transform how patients are cared for over the coming decades He offers an insider's account of some of the infighting that occurred within the Obama administration The author takes a long view of the reforms beginning with incentives and penalties for the adoption of uniform electronic health records in the 2009 Recovery Act An important challenge to the naysayers on both sides of the political divide.”Kirkus Reviews
With this book, Zeke Emanuel has done the country an immense service. He does the impossibleexplain the dysfunctional American health care systemand then takes it one better. For here he also makes the hard-eyed case for understanding that the passage of health reformof Obamacarehas set us on a path for a health system that works. Our system has left millions without needed care, bankrupt, or both, and tied the fate of their health to where they work. This book explains how we got in this fix, how we will get out of itand even more boldly, when. If you wanted to read one book to understand health care, this is the one you want.” Atul Gawande, surgeon, staff writer for The New Yorker, and author of The Checklist Manifesto
There are thoughtful doctors, savvy policy makers and profound scholars of morality. Zeke Emanuel is the only person in America who is all three. That makes him the right person to write the definitive primer on health care in America. It should be read by anyone who wants to understand what may be the most important set of domestic issues facing America.” Lawrence H. Summers, former Secretary of the Treasury of the United States, & President Emeritus and Charles W. Eliot University Professor of Harvard University