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In this groundbreaking book, health-care attorney Daniel E. Dawes
explores the secret backstory of the Affordable Care Act, shedding
light on the creation and implementation of the greatest and most
sweeping equalizer in the history of American health care. An
eye-opening and authoritative narrative written from an insider's
perspective, 150 Years of ObamaCare debunks contemporary
understandings of health reform. It also provides a comprehensive
and unprecedented review of the health equity movement and the
little-known leadership efforts that were crucial to passing public
policies and laws reforming mental health, minority health, and
universal health. An instrumental player in a large coalition of
organizations that helped shape ObamaCare, Dawes tells the story of
the Affordable Care Act with urgency and intimate detail. He
reveals what went on behind the scenes by including copies of
letters and e-mails written by the people and groups who worked to
craft and pass the law. Dawes explains the law through a health
equity lens, focusing on what it is meant to do and how it affects
various groups. Ultimately, he argues that ObamaCare is much more
comprehensive in the context of previous reform efforts than is
typically understood. In an increasingly polarized political
environment, health reform has been caught in the cross fire of the
partisan struggle, making it difficult to separate fact from
fiction. Offering unparalleled and complete insight into the
efforts by the Obama administration, Congress, and external
stakeholders, 150 Years of ObamaCare illuminates one of the most
challenging legislative feats in the history of the United States.
How do policy and politics influence the social conditions that
generate health outcomes? Reduced life expectancy, worsening health
outcomes, health inequity, and declining health care options-these
are now realities for most Americans. However, in a country of more
than 325 million people, addressing everyone's issues is
challenging. How can we effect beneficial change for everyone so we
all can thrive? What is the great equalizer? In this book, Daniel
E. Dawes argues that political determinants of health create the
social drivers-including poor environmental conditions, inadequate
transportation, unsafe neighborhoods, and lack of healthy food
options-that affect all other dynamics of health. By understanding
these determinants, their origins, and their impact on the
equitable distribution of opportunities and resources, we will be
better equipped to develop and implement actionable solutions to
close the health gap. Dawes draws on his firsthand experience
helping to shape major federal policies, including the Affordable
Care Act, to describe the history of efforts to address the
political determinants that have resulted in health inequities.
Taking us further upstream to the underlying source of the causes
of inequities, Dawes examines the political decisions that lead to
our social conditions, makes the social determinants of health more
accessible, and provides a playbook for how we can address them
effectively. A thought-provoking and evocative account that
considers both the policies we think of as "health policy" and
those that we don't, The Political Determinants of Health provides
a novel, multidisciplinary framework for addressing the systemic
barriers preventing the United States from becoming the healthiest
nation in the world.
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