The definitive story of American health care todayits causes, consequences, and confusions
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
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.