Short Synopsis
From Ezekiel J. Emanuel, Chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, comes the definitive story of American health care today—its causes, consequences, and confusions.

Full Synopsis
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.

"Dufris nails each paragraph, using just the right rhythm and emphasis to give listeners full access to the author's ideas." ---AudioFile

"A plain-English explanation of a tricky topic." ---Booklist

"An important challenge to the naysayers on both sides of the political divide." ---Kirkus

"Because all Americans are affected by the ACA the chapters detailing the content and personal implications of the act will be of value and interest to everyone." ---Library Journal Starred Review

Library Journal Review