Goodreads helps you keep track of books you want to read.
Start by marking “Landmark: The Inside Story of America's New Health-Care Law-The Affordable Care Act-and What It Means for Us All” as Want to Read:
Landmark: The Inside Story of America's New Health-Care Law-The Affordable Care Act-and What It Means for Us All
Enlarge cover
Rate this book
Clear rating
Open Preview

Landmark: The Inside Story of America's New Health-Care Law-The Affordable Care Act-and What It Means for Us All

3.57  ·  Rating details ·  289 Ratings  ·  53 Reviews
The Washington Post ’s must-read guide to the health care overhaul

What now? Despite the rancorous, divisive, year-long debate in Washington, many Americans still don’t understand what the historic overhaul of the health care system will—or won’t—mean. In Landmark, the national reporting staff of The Washington Post pierces through the confusion, examining the new law’s l
Paperback, 277 pages
Published April 27th 2010 by PublicAffairs (first published April 1st 2010)
More Details... edit details

Friend Reviews

To see what your friends thought of this book, please sign up.

Reader Q&A

To ask other readers questions about Landmark, please sign up.

Be the first to ask a question about Landmark

Community Reviews

(showing 1-30)
filter  |  sort: default (?)  |  Rating Details
Jun 04, 2010 rated it it was amazing
Had a detailed review of this, but when I went to save it I received the dreaded 504 error and the review was gone. So disheartening. Here goes another attempt.

Found Landmark easy to read and nicely laid out. It is divided into three parts:

Part I - How We Got There by Ceci Connolly

Presented a brief history of prior attempts to pass a health care reform, and what happened in both the House and Senate during the Barack Obama administration. Found this part informative as I only read or heard bits
Sep 15, 2010 rated it really liked it  ·  review of another edition
Recommends it for: every adult american!
I really liked this book and I will tell you why. It answered a ton of questions for me about how this "landmark" legislation is intended to work and how it may, or may not, affect me. The writing is very accessible although a basic understanding of insurance policy concepts such as cost sharing, deductibles, etc will be helpful as this understanding is assumed. The book itself focuses on explaining the details of the plan itself such as the individual mandate, insurance exchanges, etc. The appr ...more
Nov 16, 2013 rated it really liked it  ·  review of another edition
First of all, the contents of this book aren't actually 497 pages long. I guess the hardcopy version must have the full text of the act in it or something, but I read the Kindle version in a few days. I provides an excellent overview of the key battles that occurred in the crafting and enacting of the law, as well as the highlights of the law itself, all in a surprisingly compact package. I think this book is important for anyone to reach now, in these times when the actual implementation of the ...more
Apr 15, 2014 rated it really liked it  ·  review of another edition
First and foremost, while “Landmark” is over 250 pages, not all of it will be of interest to all audiences. If you’re not sure if you want to commit to reading 250 pages about the Affordable Care Act, that might be attractive, as the core of the book is succinct and very accessible. On the other hand, if you’ve been closely following the progress of the law and are looking for an in-depth exploration of its nuances, you may be left wanting more.

Specifically, the book is divided up into three ver
Jared Shipley
Whether you are in favor of America’s new health care law or not, it's coming, and already taking affect in some regards. This is one of the most historic pieces of domestic legislation America has ever had, and it affects every citizen, so every citizen needs to read it.

The book begins with a short history of how health care was handled, or lack thereof, by almost every president of the 20th century. It began with Teddy Roosevelt, after his 2 terms as a Republican president, who first proposed
This is a balanced introduction to "the first comprehensive health-care overhaul in the history of the United States".

I picked this book up from the library because I am working toward a Masters in Health Information Management. The Patient Protection and Affordable Care Act of 2010 is going to significantly alter the way my industry operates. I wanted to understand better the goals and policies behind this transition.

The book did not disappoint. Three sections cover the story of the bill's pa
Having been fed up, frustrated, and extremely angry many times at the state of health care in this country, I whole-heartedly cheered the attempts by Democrats to enact some kind of change for our system. Change is obviously needed -- we spend nearly 3 times what other industrialized countries spend (in terms of both dollars and as a percentage of GDP), yet our health care ranks barely in the mediocre range by almost any form of measurement imaginable. So, what are we getting that those other co ...more
Nov 29, 2010 rated it liked it
I don't know if many authors hope their book will be 'convenient', but that's precisely what this book is. Out of personal and professional interest I followed health reform very closely and arguably didn't need this book but, as versions of the bill changed so often it became hard to keep track of what was shifting in and out and, turns out, there were a few elements I missed.

Backing up a moment, the bill passed and no matter where one places oneself politically, I think it is now no longer acc
Aug 31, 2010 rated it liked it
Shelves: health-policy
Much of this book is written in that namby-pamby journalistic style - "many economists believe..." "many physicians think..." - and remains resolutely unbiased and nonideological, as you would expect from the WaPo. Questions like why America's healthcare system is so radically different from others around the world to begin with go mostly unanswered (and unasked) - which is mostly fair, as that isn't intended to be the book's focus. Issues like why the public option was perceived to be such poli ...more
Andrew Olsen
May 20, 2014 rated it it was amazing
Shelves: my-books-1
This book contains the history of the attempts to implement national health care, it's numerous failures and it's finally passing. It also includes the actual changes in the status quo health care law. These changes to the law amount to the whole of about 60 pages. While the bill in itself was 1,000 plus.

It also says how it will affect usince implemented. Both the good and the bad. The majority of the law is noncontroversial. Updating, Medicaid and healthcare fraud laws, increasing funding for t
Mar 06, 2011 rated it it was ok  ·  review of another edition
I think the information contained in the book is valuable, but the topic doesn't lend itself to an interesting presentation. The Health Care Law, or ObamaCare as it's refered to in many circles, is a huge bill with many confusing provisions. Claims and counterclaims have been made by Democrats and Republicans, so it's hard to know what the truth is. Even many Democrats who voted for the bill aren't "selling" the benefits to the public, and one poll I've seen indicates that over half of the Repub ...more
Dec 08, 2010 rated it it was ok  ·  review of another edition
A detailed, organized examination of "Obamacare." The book has three sections. The first is devoted to the political history of health care, outlining the struggles of previous administrations and congress members in reforming our impaired system. This research continues up to Stupak's defiance, Pelosi's compromises, and Emanuel's strategy to get this legislation through the Senate. The second part focuses on the new policies and regulations set by the Patient Protection and Affordable Care Act. ...more
Jan 05, 2011 rated it really liked it  ·  review of another edition
I'm currently working on a bachelor's degree in Healthcare Administration, because of this I am very interested in the medical industry, and where is it headed. The Healthcare Bill is very complex, and very confusing, very few people fully understand it, and all in contains. Sadly enough, some of the people who should understand and no the new law (those studying Healthcare Administration) don't even fully understand it. I wanted to understand it better, so I read this, and now I do.
This book was assembled from the reporting of the leading reporters at the Washington Post that covered the health care reform debate. It offers a fascinating look at the intense deal-making that went in within the House and Senate over a two year period leading up to the vote. To get the bill signed into law, Democratic leaders had to make countless sacrifices and compromises and I wish that some of those were fleshed out a little more.
For example, moderate "Blue Dog" democrats insisted on some
Once again, I find myself wishing that Good Reads let us award half stars. I appreciated "Landmark" for what it is: a quick, easy to read summary of the health care reform bill of 2010. It's quick, a very concise account of the politics and the policy, and is generally easy to follow. However, it is SO concerned with being absolutely objective that I was left to wonder "so what" quite frequently.

I didn't want a partisan account of health care reform, which is why I picked up "Landmark," but I wa
Sep 21, 2013 rated it really liked it  ·  review of another edition
Great read! I think the authors tried their best to stay as neutral as possible, but I did feel as if they were a LITTLE skewed to the pro side. If you want an explanation of how ACA affects different people (from patients to employers to physicians and more), then this is a great book.

It's broken up into three sections: a policy/lobbying section that illustrates how the law even passed (very House of Cards-esque and definitely recommend, though you don't need to read it to understand the law),
Blake Charlton
Jun 22, 2010 rated it really liked it
an interesting collection of analytic pieces and a copy of the law in question. some of the articles stand out as fresh: the description of the republican origin of the idea of universal healthcare was esp interesting. many of the other articles provided a clearer picture of the already published material on how the bill became a law. a large portion of the book focus on how the democrats succeed in getting the law passed, which is bound to rub opponents the wrong way. but on the whole, a fairly ...more
May 05, 2016 rated it it was ok  ·  review of another edition
Technically, I didn't quite finish, and listened to the final chapters of part 2 at double speed. (Doubling Pam Ward's almost saccharine voice seemed to improve my enjoyment.) The staff of the Post did only a fair job of masking their cheer leading for the Obama administration. Now, a few years hence with the benefit of the intervening history, their protective language almost gives rise to smiles. I say almost, as there still seems no comprehensive means whereby to unwind the worst ravages of O ...more
Oct 06, 2010 rated it really liked it
Since this is the iron fist that we now have to live under, I thought I'd mention this book again. I was required to read it for school. It is an easy read. And in case anyone is worried about right wing or left wing bias, it was written by allegedly non-partisan individuals. Believe that or not, but I think it was pretty neutral in its presentation. It explains the history of health care in America and how we got ourselves into the mess in which we currently find ourselves. Then it explains the ...more
A good basic overview of the American Care Act in three steps: First, the story of how the law was passed (if you aren't celebrating, skip this part, it is not very informative and will just annoy you). Next, a very readable overview of what the law does and how it may play out (this is already slightly out of date). Last, the law re-written in simple English (each section is referenced so you can go to the Internet and read the actual language of any particular section which interests you). I h ...more
Jun 21, 2012 rated it really liked it  ·  review of another edition
Pretty amazing so far! Yes, parts are dry as dirt, but it really explains the ins and outs of the affordable care act. One interesting tidbit is many in the media and some professors say that ACA is insurance reform and not health care reform. Now I know if anyone makes that claim then they haven't done their homework. The ACA is a complex and lengthy tome that addresses public health concerns, provider incentives, health inequities and more. I am still reading it so I will post again.
Sep 23, 2013 rated it really liked it  ·  review of another edition
Landmark does a good job of presenting the changes that will come from the Affordable Care Act. After the first section it is very dry. There's no narrative after the "How We Got Here Section." It's respective in some spots but that's in part to allow you to skip/skim some sections that may be less relevant to you. Does it best to not be to political, acknowledging pro and cons of the ACA. The book is aimed to be educational on changes, not argue whether they are needed.
Mar 16, 2016 rated it liked it
Fairly comprehensive (albeit biased) summary of the development the Affordable Care Act, written like a breaking news narrative from the staff of the Washington Post. To say I felt accomplished after finishing this probably sounds pathetic to any of the many players involved in writing and implementing the actual law. But I did.

Bonus points if you make it through the 60 page summary of the ACA at the end.
Sam Motes
Feb 16, 2015 rated it it was ok  ·  review of another edition
Shelves: business-reads
Gave a decent review of the attempts to provide universal health care over the years starting with Franklin Roosevelt and why the Obama administration was able to get this version passed. It then drones through the rest of the book in reviewing what the law means and when different pieces took effect.
Apr 09, 2014 rated it really liked it  ·  review of another edition
I had to read this book for a class. Although normally I would not rate a book required for class as a 4, I actually found this book interesting and entertaining. It was interesting to read about the legislation process. I also feel more informed about the ACA. The book was written in a way that made it easy to read, it was not dry like most text books.
May 06, 2010 rated it it was ok
The play-by-play of the process of passing the legislation at the beginning of the book was pretty interesting, and the description of the legislation that followed was pretty informative, but I was looking for something either a little more "behind the scenes" or with a more substantive analysis. Considering how quickly they got this published after final passage, it's pretty impressive.
Greg Otto
All the talking heads on TV say no one knows what's in the new health care bill. Posties go through it and try to lay it out in the simplest terms possible.

And it's still confusing. The actual policies aren't the confusing part, it's the way in which they will be enforced.

Good book to keep around as things progress with the implementation of this bill.
Jul 04, 2014 rated it liked it  ·  review of another edition
Shelves: stoppedreading
Good book so far, explaining how Ms Pelosi and Mr Reid worked hard and made political deals. I'm hoping there is more information on the healthcare choices and insurance. I am only 2 hrs into the book.
As decent an intro to the issue as can be produced. The law is complicated. I think after reading this I appreciate how complicated the reform is, yet I can't say I truly understand the new policy and its vastness. Granted, I get the basics. But...
Aug 13, 2012 rated it liked it  ·  review of another edition
The chapters devoted to explaining the law itself are very good. The authors are clear liberal apologists and the attempt to dramatize the political moves that supposedly occurred while creating the law was cheesy.
« previous 1 3 4 5 6 7 8 9 10 next »
There are no discussion topics on this book yet. Be the first to start one »
  • Remedy and Reaction: The Peculiar American Struggle over Health Care Reform
  • Health Care Reform and American Politics: What Everyone Needs to Know
  • The Supreme Court: The Personalities and Rivalries That Defined America
  • A Call to Conscience: The Landmark Speeches
  • The Ralph Nader Reader
  • Sick: The Untold Story of America's Health Care Crisis---and the People Who Pay the Price
  • Suddenly Sixty And Other Shocks Of Later Life
  • Public Policymaking: An Introduction
  • Debtors' Prison: The Politics of Austerity Versus Possibility
  • Pink Ribbon Blues: How Breast Cancer Culture Undermines Women's Health
  • Golden Rule: The Investment Theory of Party Competition and the Logic of Money-Driven Political Systems
  • Custom Nation: Why Customization Is the Future of Business and How to Profit From It
  • Ultimate Punishment: A Lawyer's Reflections on Dealing with the Death Penalty
  • Bad Blood: The Tuskegee Syphilis Experiment
  • One Nation, Under Gods: A New American History
  • The Murder of Abraham Lincoln
  • The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life
  • Critical: What We Can Do About the Health-Care Crisis
The Washington Post provides authoritative local, national and international news — with reporting on politics, technology, business and culture — offering readers and users entertainment and information they need to know, plus expert original commentary, insight and analysis, 365 days a year.
More about The Washington Post...

Share This Book