Download America's Bitter Pill: Money, Politics, Back-Room Deals, and by Steven Brill PDF

By Steven Brill

NEW YORK occasions BESTSELLER

America’s sour Pill is Steven Brill’s acclaimed ebook on how the reasonable Care Act, or Obamacare, used to be written, the way it is being applied, and, most vital, the way it is changing—and failing to change—the rampant abuses within the healthcare undefined. It’s a fly-on-the-wall account of the immense struggle to cross a 961-page legislations aimed toward solving America’s greatest, such a lot dysfunctional undefined. It’s a penetrating chronicle of ways the profiteering that Brill first pointed out in his trailblazing Time journal hide tale maintains, regardless of Obamacare. And it's the first entire, inside of account of the way President Obama endured to push during the legislation, yet then didn't take care of the workers incompetence and turf wars that crippled its implementation.
 
yet accidentally America’s sour Pill finally ends up being a lot more—because as Brill was once finishing this publication, he needed to endure pressing open-heart surgical procedure. hence, this additionally turns into the tale of the way one sufferer who thinks he understands every thing approximately healthcare “policy” rethinks it from a health facility gurney—and combines that perception along with his fantastic reporting. the end result: a stunning new imaginative and prescient of the way we will repair American healthcare in order that it stops draining the financial institution bills of our households and our companies, and the federal treasury.
 
Praise for America’s sour Pill
 
“A journey de strength . . . a accomplished and definitely livid consultant to the political panorama of yank healthcare . . . persuasive, shocking.”The big apple Times
 
“An full of life, picaresque, narrative rationalization of a lot of what has occurred within the final seven years of well-being coverage . . . [Brill] has pulled off anything extraordinary.”—The big apple instances ebook Review
 
“A thunderous indictment of what Brill refers to because the ‘toxicity of our profiteer-dominated healthcare system.’ ”Los Angeles Times
 
“A sweeping and lively new booklet [that] chronicles the unusually juicy story of reform.”The day-by-day Beast
 
“One of an important books of our time.”—Walter Isaacson
 
“Superb . . . Brill has completed the doubtless impossible—written an exhilarating e-book in regards to the American wellbeing and fitness system.”The New York evaluation of Books

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Manhattan instances BESTSELLERAmerica’s sour capsule is Steven Brill’s acclaimed publication on how the cheap Care Act, or Obamacare, used to be written, the way it is being applied, and, most vital, the way it is changing—and failing to change—the rampant abuses within the healthcare undefined. It’s a fly-on-the-wall account of the substantial struggle to move a 961-page legislation geared toward solving America’s biggest, so much dysfunctional undefined.

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Extra resources for America's Bitter Pill: Money, Politics, Back-Room Deals, and the Fight to Fix Our Broken Healthcare System

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Using thousands of lines of code that plotted behavioral patterns, Gruber would program hundreds of variables into a black box and out would pop the likely outcomes of this tweak or that big change in healthcare systems or rules. The young professor would then turn the black box’s pronouncements into widely followed articles in scholarly journals and even some publications with broader reach. He earned tenure at MIT, and his reputation grew. By 2005, aides to Mitt Romney came calling. Romney, a first-term Republican governor of Massachusetts, was a Harvard MBA, who had been a successful management consultant and private equity investor.

Yet its origins dated back to a proposal Richard Nixon had pushed, beginning in 1973. In part to counter more liberal reforms then being promoted by Kennedy, Nixon announced a plan that would force employers to buy insurance for all of their workers. On top of that, Nixon offered an even more unlikely Republican idea: The government would give subsidies to people of limited means who were not covered at work so that they could buy insurance in the individual market. The insurance would be sold in markets—called exchanges—that would be regulated by the government to ensure that the offerings were consumer friendly and competitive.

Together, they came up with a plan that would spread health insurance coverage to almost everyone in the Bay State. Employer-sponsored insurance would not be tampered with. In fact, Gruber and the Romney staff came up with the opposite idea: To keep their plan from threatening the private insurance market status quo, Massachusetts law would be changed to require all but the smallest businesses to offer basic health insurance to their workers. Requiring big business to ante up this way might have seemed like an un-Republican, even radical, idea.

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