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eBook
Pragmatic Vision
2024
Overview
On March 23, 2010, President Barack Obama signed the Patient
Protection and Affordable Care Act into law, providing every
American with the opportunity to have guaranteed health care
coverage. The Affordable Care Act-frequently referred to as
Obamacare-is almost synonymous with Obama's presidential legacy and
reflects a series of key decisions that he made beginning before he
took office. As Meena Bose shows, it was Obama's particular brand
of pragmatic politics that ultimately shaped the passage of the
Affordable Care Act and made a lasting mark on health care reform
in the United States.
Pragmatic Vision examines eight of Obama's decisions
that resulted in the landmark enactment of health care reform,
starting with his commitment to health care reform in the 2008
presidential campaign and concluding with his decision to allow for
flexibility with its implementation, following technical hurdles
and Supreme Court rulings. Bose shows that Obama's steadfast
commitment to the issue was crucial to its passing, especially
after the Democrats lost their filibuster-proof majority in the
Senate. Obama's direct engagement built key political support for
the legislation and was aided by the senior White House staff and
Democratic leaders in Congress who skillfully navigated the bill to
passage just fourteen months after Obama took office.
The story of Obama's leadership in enacting the Affordable Care
Act is a tale of today's partisan divide and the polarization of
Congress. The legislation passed on a party-line vote and continued
to divide politicians long after its passage. Nevertheless, despite
repeated efforts by Republicans to repeal the law, it is more
popular today than ever and seems destined to remain in force until
the next stage of reform. Pragmatic Vision is an
authoritative guide to this singular achievement of the Obama
administration.
Publisher
University Press of Kansas
Subject
ISBN
9780700637454, 0700637451
