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

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Random House Publishing Group, 2015 - History - 528 pages
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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.

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LibraryThing Review

User 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 Review

User 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

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About the author (2015)

Steven Brill has written for The New Yorker, Time, and The New York Times Magazine. A graduate of Yale College and Yale Law School, he also founded and ran Court TV,The American Lawyer magazine, ten regional legal newspapers, and Brill's Contentmagazine. Brill was the author of Time's March 4, 2013, Special Report “Bitter Pill: Why Medical Bills Are Killing Us,” for which he won the 2014 National Magazine Award for Public Service. Brill also teaches journalism at Yale, where he founded the Yale Journalism Initiative to encourage and enable talented young people to become journalists. He is married, with three adult children, and lives in New York.


From the Hardcover edition.

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