Tuesday, December 10, 2013

Health Care Reform


Health Care Reform: What It Is, Why It's Necessary, How It Works Paperback – December 20, 2011

Author: Visit Amazon's Jonathan Gruber Page | Language: English | ISBN: 0809053977 | Format: PDF, EPUB

Health Care Reform: What It Is, Why It's Necessary, How It Works – December 20, 2011
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Amazon.com Review

A Look Inside Health Care Reform: What It Is, Why It's Necessary, How It Works
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Review

“Jonathan Gruber, one of the country’s smartest health care minds, has brought the epic struggle of health reform to life. By explaining the challenges in our health care system as well as the benefits of the reform with imagination and verve, he accomplishes what many have tried and failed to do—he makes the case for health reform as an important achievement for the American people.” —Neera Tanden, President of the Center for American Progress

“Having spent years working to make health care work for Americans, Jonathan Gruber has now provided another service: walking everyone through the benefits of the Affordable Care Act reforms so consumers are armed with accessible information. In an age when information is power, Gruber’s book is fun and informative, and it boils down the facts of health care reform for all Americans.” —Senator John Kerry
 
“If you want to learn about health care reform, you can do no better than to learn from the master. Jonathan Gruber shows how health care reform works in a way that everyone can understand. Read this book. You will not regret it.” —David Cutler, Professor, Department of Economics and Kennedy School of Government, Harvard University
 
“Jonathan Gruber’s straightforward explanation of what the Affordable Care Act does and why will help people understand what’s true and what’s false about the health reform law. His message is clear and easy to get: when it comes to health care, we’re all in it together; and, together, we will benefit from making the Affordable Care Act a success.” —Judy Feder, Professor and former Dean, Georgetown Public Policy Institute
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Direct download links available for Health Care Reform: What It Is, Why It's Necessary, How It Works Paperback – December 20, 2011
  • Paperback: 160 pages
  • Publisher: Hill and Wang; 1 edition (December 20, 2011)
  • Language: English
  • ISBN-10: 0809053977
  • ISBN-13: 978-0809053971
  • Product Dimensions: 10 x 7.1 x 0.6 inches
  • Shipping Weight: 9.6 ounces (View shipping rates and policies)
  • Amazon Best Sellers Rank: #63,800 in Books (See Top 100 in Books)
    • #31 in Books > Medical Books > Administration & Medicine Economics > Health Policy
    • #58 in Books > Comics & Graphic Novels > Graphic Novels > Educational & Nonfiction
The book is well worth getting and loaning or finding and borrowing. "Health Care Reform" provides a pretty complete overview of the Affordable Care Act--a subject of much distortion and complaint from the left, the right, and the extreme right.

Jonathan Gruber presents his information in the form of a black and white graphic book. It is easy and quick to read, while gives important information about this new law that is slowly going into effect. He covers all aspects of the law, addresses many of the extreme-right myths, and includes reasons that many of the decisions were made. Throughout the book, he appears to focus on the economics rather than the health aspects, although he frequently includes the fact that people will be healthier.

Gruber was actively involved with the development of both the Massachusetts health care program and the ACA. He is able to write from the position of knowledge of both the economics and the politics involved. His conclusions are overall optimistic: The ACA will improve the health of Americans and keep down the cost.

Gruber is pretty optimistic about the further development of the law. He "has confidence" that state planning will work. In states like Wisconsin, though, the governor is refusing to do any planning in hopes that it won't work and he and his cronies can blame someone else for it. Gruber mentions this kind of situation, but there is little he can do to address it in a book with this focus and size.

Unfortunately, I have a few complaints. First, his description of the crisis is pretty extreme. The health care crisis is very serious, but it is not as extreme as some people have painted it. On the other hand, the opposition smiles and says, "Everything is perfect," so maybe the overstating is necessary.
This is a daring experiment consisting in treating a complex subject and distilling it to its essential information through a short cartoon medium. After reading this book slowly in just an hour and a half I am convinced this experiment is onto something.

The experiment worked for several reasons. First, Jonathan Gruber, the author is the real deal. As an MIT economics professor specializing in health care policy no one understands this topic any better. Additionally, Gruber expresses himself in clear and simple everyday language that is appropriate for the cartoon medium. He also uses an apolitical tone acknowledging fully the reservations of both the left and the right. Second, the illustrator, Nathan Schreiber, is very good. The cartoon is not too cute. It is just right.

In just a little bit over an hour, you will absorb most of what you need to know about the Patient Protection and Affordable Care Act (ACA). This short book makes you understand why the existing system is costly, unsustainable, broken, and dangerous. Every year the majority of individual bankruptcies are caused by medical related expenses (running probably at one million individual bankruptcies a year). And, over 20,000 die a year because of inadequate access to health care. Defending the current system can only be explained as an act of ignorance. Similarly, screaming against the ACA as many have is also an act of ignorance. Gruber addresses all the screaming on either side of the aisle and simply states, Ok let's cool down here is what ACA really is and is not.

Gruber explains at length the basic trade off. Its foundation is the reviled mandate.

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