Obamacare wars
Subtitle: federalism, state politics, and the Affordable Care Act
By: Daniel Beland, Philip Rocco, and Alex Waddan
Contributors: Rocco, Philip, author; Waddan, Alex, 1964- author
Series: Studies in government and public policy; Studies in government and public policy
Publisher: University Press of Kansas
Published: 2016
Language: eng
Number of pages: 215
ISBN-13: 9780700621910
Subjects: Medical care; United States; Medical policy; Health care reform
Other titles: Federalism, state politics, and the Affordable Care Act
Description: "Obamacare Wars shows how the laws intergovernmental structure, which entails the participation of both the federal government and the states, has deeply shaped the politics of implementation. Focusing on the creation of insurance exchanges, the expansion of Medicaid, and execution of regulatory reforms, Daniel Béland, Philip Rocco, and Alex Waddan examine how opponents of the ACA fought back against its implementation. They also explain why opponents of the law were successful in some efforts and not in othersand not necessarily in a seemingly predictable red vs. blue pattern. Their work identifies the role of policy legacies, institutional fragmentation, and public sentiments in each instance as states grappled with new institutions, as in the case of the exchanges, or existing structures, in Medicaid and regulatory reform. Looking broadly at national trends and specifically at the experience of individual states, Obamacare Wars brings much-needed clarity to highly controversial but little-understood aspects of the Affordable Care Acts odyssey, with implications for how we understand the future trajectory of health reform, as well as the multiple forms of federalism in American politics"--Publisher's website.
Notes: Includes bibliographical references (pages 163-203) and index.
Table of contents: title: Postreform politics in the US federal system: patterns of consent and dissent; title: Uncertain victory: the political context of health care reform implementation; title: Health insurance exhanges: when dissent means "not lifting a finger"; title: Medicaid expansion: take it or leave it; title: Regulatory reform: the quiet politics of bargaining and consent.