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America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System

por Steven Brill

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2448110,767 (3.61)2
History. Law. Politics. Nonfiction. HTML:NEW YORK TIMES BESTSELLER ? A NEW YORK TIMES NOTABLE BOOK ? ??A tour de force . . . a comprehensive and suitably furious guide to the political landscape of American healthcare . . . persuasive, shocking.???The New York Times 
America??s Bitter Pill is Steven Brill??s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing??and failing to change??the rampant abuses in the healthcare industry. It??s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America??s largest, most dysfunctional industry. It??s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation.
 
But by chance America??s Bitter Pill ends up being much more??because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare ??policy? rethinks it from a hospital gurney??and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury.
 
Praise for America??s Bitter Pill
 
??An energetic, picaresque, narrative explanation of much of what has happened in the last seven years of health policy . . . [Brill] has pulled off something extraordinary.???The New York Times Book Review
 
??A thunderous indictment of what Brill refers to as the ??toxicity of our profiteer-dominated healthcare system.?? ???Los Angeles Times
 
??A sweeping and spirited new book [that] chronicles the surprisingly juicy tale of reform.???The Daily Beast
 
??One of the most important books of our time.???Walter Isaacson
 
??Superb . . . Brill has achieved the seemingly impossible??written an e
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Mostrando 1-5 de 8 (siguiente | mostrar todos)
Don't get sick.
( )
  NAgis | May 6, 2020 |
Well written and comprehensive, full of facts, figures, and statistics. Anyone interested in understanding the issues surrounding the current healthcare debates and legislation should pick up a copy of America's Bitter Pill. Brill does a fantastic job of explaining the compromises made in order to expand healthcare coverage. Overall, a very informative read that acts as a great primer on the "problem" of healthcare in America today. ( )
  bookishblond | Oct 24, 2018 |
One of the best books I have read on healthcare policy. The majority of the book is a detailed, blow by blow history of Obamacare. Although Brill gives well-deserved credit for Obama's role in bringing it to pass, he also nicely outlines the things Obamacare did not fix (most notably runaway health care costs). On average Obamacare has been a good thing, but Brill also highlights the breakdown of implementation. Although some of the implementation issues were made much more difficult due to GOP intransigence, Obama and his team also were largely responsible for many of the major bumps along the road.

At the end of the book Brill recommends a way forward, now that we have Obamacare; a way to fix some of the things Obamacare didn't fix. His suggestion is a market based approach, which I think may have some merit, but it would take a lot more political courage than was seen in Washington during the Obamacare passage and implementation. As long as our political leaders remain beholden to big pharma, medical device manufacturers and insurance companies, the way forward will remain less than certain. ( )
  bness2 | May 23, 2017 |
This is a journalistic tour de force, a surprisingly suspenseful chronicle of the long political struggle that shaped Obamacare, the bureaucratic arrogance that almost killed it in the bungled roll out of the health.gov website, and the herculean efforts needed to salvage it. It is a truism that "Laws, like sausages, cease to inspire respect in proportion as we know how they are made." I actually found the opposite to be true in this case. This story of the flawed creation and implementation of this law was makes one appreciate it all the more, and the importance of continued effort to get health care reform right, however difficult that process may be. ( )
  JFBallenger | Dec 7, 2015 |
If you want a detailed account of how broken even good ideas get in America’s toxic political culture, bought and paid for by moneyed interests, then I have a book for you! We got health care reform without cost control because it was politically impossible to do otherwise, Brill agrees, even though somehow every other developed nation has managed to do it. I’m not saying he’s wrong, exactly, just that this is not a book to pick up if you want to feel hopeful about the American future. ( )
  rivkat | Jul 8, 2015 |
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History. Law. Politics. Nonfiction. HTML:NEW YORK TIMES BESTSELLER ? A NEW YORK TIMES NOTABLE BOOK ? ??A tour de force . . . a comprehensive and suitably furious guide to the political landscape of American healthcare . . . persuasive, shocking.???The New York Times 
America??s Bitter Pill is Steven Brill??s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing??and failing to change??the rampant abuses in the healthcare industry. It??s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America??s largest, most dysfunctional industry. It??s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation.
 
But by chance America??s Bitter Pill ends up being much more??because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare ??policy? rethinks it from a hospital gurney??and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury.
 
Praise for America??s Bitter Pill
 
??An energetic, picaresque, narrative explanation of much of what has happened in the last seven years of health policy . . . [Brill] has pulled off something extraordinary.???The New York Times Book Review
 
??A thunderous indictment of what Brill refers to as the ??toxicity of our profiteer-dominated healthcare system.?? ???Los Angeles Times
 
??A sweeping and spirited new book [that] chronicles the surprisingly juicy tale of reform.???The Daily Beast
 
??One of the most important books of our time.???Walter Isaacson
 
??Superb . . . Brill has achieved the seemingly impossible??written an e

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