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Inside National Health Reform

3.69  ·  Rating details ·  75 Ratings  ·  11 Reviews
This indispensable guide to the Affordable Care Act, our new national health care law, lends an insider’s deep understanding of policy to a lively and absorbing account of the extraordinary—and extraordinarily ambitious—legislative effort to reform the nation’s health care system. Dr. John E. McDonough, DPH, a health policy expert who served as an advisor to the late Senat ...more
Hardcover, 360 pages
Published September 12th 2011 by University of California Press (first published August 13th 2011)
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Jul 14, 2012 rated it really liked it
UPDATE: Have now completed the entire book. Still retains 4 star rating for me. McDonough does more than just paraphrase a 2000+ page bill. Indeed, he frames the significance of this legislation, citing it as not a once-in-a-generation act, but more of a "once-in-every-other or once-in-every-third" generation kind of bill. And after reading, in detail, what impact each title will make, I tend to agree. Further, he aptly points out the many bipartisan aspects of the act, and tells, at times, rive ...more
Mar 31, 2012 rated it really liked it
This book was highly recommended to me by someone in the health policy business. She needed it back relatively quickly to get it signed by the author, who is her close personal friend. Add to this the fact that the author states on the cover and in the book, more than once, that he is "biased," and you have full disclosure now on any "bias" I might appear to have in rating this book.

That said, I found the book to be highly informative, although it appears to have been rushed, since there are man
Mar 15, 2012 rated it it was amazing
Shelves: 2012, nonfiction, medicine
It is what it is advertised to be: an introduction to the ACA and the political context around it, how and why its sections came about, and where all the media turmoil fits into the larger act.

I read it to be able to think and talk intelligently about the law amidst the flurry of debate and objection against it, and it is the best and most comprehensive source I have found for doing that.

I appreciated how the author talked about what the effect of the law might be, where the challenges in imple
Sep 22, 2012 rated it it was amazing
Perfect summary of the ACA for an intermediate knowledge level. This book is an overview of U.S. health reform, with just enough narrative on the political process to make it interesting, and enough policy to make it substantive and informative. Definitely read this at the right moment. Had I read it eight months ago, it would have been over my head. McDonough is a policy expert and high-ranking Hill staffer, and he's able to provide in-depth knowledge of both the policy considerations and the p ...more
Ericka Labedz
Mar 16, 2014 rated it really liked it
Love it or hate it, the Affordable Care Act is a very significant piece of legislation affecting health care in the US. The first half of the book gives a very interesting and detailed account of how the legislation was formed and ultimately passed. The second half gives a fairly detailed explanation of each section of the ACA. I feel like I have a much better understanding of the good, the bad and the ugly of the legislation. I highly recommend it to anyone who works in our health care system o ...more
Morgen Shambaugh
Nov 03, 2013 rated it really liked it
This was a very informative book about the changing healthcare landscape in America. The first two sections of the book go into a lot of unnecessary detail, but the third section, which outlines the major parts of Obamacare, is extremely helpful. This book will really help you understand the future of the U.S. healthcare system.
Beth Haynes
Jun 03, 2012 rated it really liked it
Written by a liberal, but in general is a pretty even handed account of the ACA. Good introduction if you want to knw what is in the law and a bit of the politics involved in passing it. Of course the really underhanded stuff has been left out.
Apr 01, 2013 rated it liked it
plan to re-read the second half again. Until then...
Feb 06, 2012 rated it really liked it
A fabulous overview of both substance and process.
Sep 20, 2011 rated it liked it
Good, not great. I thought it would be more like David Broder's The System. Very partisan, but I guess that was to be expected.
Dec 29, 2011 rated it really liked it
Great background and resource for the topic.May be a bit dense for some. But an interesting account of one of the most historic legislation in our nation's recent history.
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