America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System
NEW YORK TIMES BESTSELLER
America's Bitter Pill is Steven Brill's much-anticipated, sweeping narrative of 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. Brill probed the depths of our nation's healthcare crisis in his trailblazingTime magazine Special Report, which won the 2014 National Magazine Award for Public Interest. Now he broadens his lens and delves deeper, pulling no punches and taking no prisoners.
It's a fly-on-the-wall account of the fight, amid an onslaught of lobbying, to pass a 961-page law aimed at fixing America's largest, most dysfunctional industry—an industry larger than the entire economy of France.
It's a penetrating chronicle of how the profiteering that Brill first identified in hisTime 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.
Brill questions all the participants in the drama, including the president, to find out what happened and why.
He asks the head of the agency in charge of the Obamacare website how and why it crashed.
And he tells the cliffhanger story of the tech wizards who swooped in to rebuild it.
Brill gets drug lobbyists to open up on the deals they struck to protect their profits in return for supporting the law.
And he buttresses all these accounts with meticulous research and access to internal memos, emails, notes, and journals written by the key players during all the pivotal moments.
Brill is there with patients when they are denied cancer care at a hospital, or charged $77 for a box of gauze pads. Then he asks the multimillion-dollar executives who run the hospitals to explain why.
He even confronts the chief executive of America's largest health insurance company and asks him to explain an incomprehensible Explanation of Benefits his company sent to Brill.
And he's there as a group of young entrepreneurs gamble millions to use Obamacare to start a hip insurance company in New York's Silicon Alley.
Vividly capturing what he calls the “milestone” achievement of Obamacare, Brill introduces us to patients whose bank accounts or lives have been saved by the new law—although, as he explains, that is only because Obamacare provides government subsidies for “tens of millions of new customers” to pay the same exorbitant prices that were the problem in the first place.
All that is weaved together in an elegantly crafted, fast-paced narrative.
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.
From the Hardcover edition.
What people are saying - Write a review
LibraryThing ReviewUser Review - bness2 - LibraryThing
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 ... Read full review
LibraryThing ReviewUser Review - JFBallenger - LibraryThing
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 ... Read full review
chapter Looking Up from the Gurney
Max Barack Hillary Billy and
This Is What I Thought the
A New President Commits
chapter o Every Lobbyists Favorite Date
Punting to Capitol Hill
Meantime Outside the Beltway
Waiting for Obamacare
Apt ER 17 A Guy in Jeans Red Lights
chapter is Two Months to Go
chapter to Thirty Days to Go
Meltdown in D C Dancing on Eight Toes
White House Turf Wars
chapter in The Tea Party Summer Im Feeling Lucky
chapter iſ Snow Jobs Poison Pills and Botox
In Washington Everything Is Slipping
An Office Becomes a Centerand It Matters
ch Apter 23 The Finish Line
Stuck in the Jalopy
New Trouble Then Mount Everest 180