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.
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 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 has never had a more comprehensive or authoritative interpreter.
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“Much of the labor of convincing is certainly in the text itself, but William Dufris’ expert narration makes the argument that much more potent. Dufris nails each paragraph, using just the right rhythm and emphasis to give listeners full access to the author’s ideas. Teasing out long and complicated passages, he helps listeners comprehend all the moving parts of a complicated and convoluted system.”