Obamacare Wars
：Federalism, State Politics, and the Affordable Care Act
Publication subTitle ：Federalism, State Politics, and the Affordable Care Act
Author： Beland > Daniel
Publisher： University Press of Kansas
Publication year： 2016
E-ISBN: 9780700621965
P-ISBN(Paperback): 9780700621910
Subject： D034 State institutions;D52 世界政治制度与国家机构;R1 Preventive Medicine , Health
Keyword： 政治、法律,预防医学、卫生学
Language： ENG
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Description
Not five minutes after the Affordable Care Act (ACA) was signed into law, in March 2010, Virginia’s attorney general was suing to stop it. And yet, the ACA rolled out, in infamously bumpy fashion, and rolled on, fought and defended at every turn—despite President Obama’s claim, in 2014, that its proponents and opponents could finally “stop fighting old political battles that keep us gridlocked.” But not only would the battles not stop, as Obamacare Wars makes acutely clear, they spread from Washington, DC, to a variety of new arenas. The first thorough account of the implementation of the ACA, this book reveals the fissures the act exposed in the American federal system.
Obamacare Wars shows how the law’s 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 B&#eacute;land, 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 others—and 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, a
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