Government of Insiders - The People Who Made the Affordable Care Act Possible

Discover the hidden forces that shaped one of the most significant health care reforms in US history.In A Government of Insiders, William Genieys traces the winding path from the failed health policy priorities of the Clinton administration to the passage of the Affordable Care Act (ACA). Genieys uncovers the pivotal role of a committed group of unelected governmental elites known as "long-term insiders" who meticulously developed policy ideas and political connections. During George W. Bush's presidency, these insiders reconceptualized the foundations of a far-reaching health coverage reform both within and outside the public sector.When President Obama took office, these insiders returned to positions of power and ensured that their reform vision took center stage. Genieys highlights how these people were instrumental in crafting and passing the ACA by integrating existing programs like Medicare and Medicaid, engaging market forces with an individual mandate and health care marketplaces, and addressing the crucial issue of cost containment.By shedding light on the action of these health coverage policy elites and their role as custodians of the public interest, Genieys challenges traditional assumptions about the influence of economic elites and reveals the positive role of unelected professionals in advancing the common good. A Government of Insiders is a groundbreaking exploration of the unseen forces behind major policy reform, providing a fresh perspective on the dynamics of power in American politics.

About the author

William Genieys is a research director at the Centre for European Studies and Comparative Politics.

Product details

• Authors: William Genieys
• Assisted by: Melanie Mauthner (Translation), Mauthner Melanie (Translation)
• Publisher: Johns Hopkins University Press
• Languages: English
• Product format: Paperback / Softback
• Released: 01.05.2024
• EAN: 9781421447681
• ISBN: 978-1-4214-4768-1
• No. of pages: 336
• Dimensions: 150 mm x 230 mm x 15 mm
• Subjects: Education and learning > Teaching preparation > Vocational needs; Natural sciences, medicine, IT, technology > Medicine > General; USA, MEDICAL / Public Health, MEDICAL / Preventive Medicine, LAW / Medical Law & Legislation, POLITICAL SCIENCE / American Government / National, United States of America, USA, Public health & preventive medicine, Central / national / federal government policies, Medical & healthcare law, Public health and preventive medicine, Medicolegal issues, Central government policies, Medical and healthcare law, POLITICAL SCIENCE / Public Policy / Health Care