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Obamacare Wars.

By: Beland, Daniel.
Material type: TextTextSeries: JSTOR eBooks; Studies in government and public policy.Publisher: University Press of Kansas, 2016Description: 1 online resource.Content type: text Media type: computer Carrier type: online resourceISBN: 0700621962; 9780700621965.Subject(s): Medical care -- United States | Medical policy -- United States | Health care reform -- United StatesAdditional physical formats: Print version:: Obamacare wars.DDC classification: 368.38/200973 Online resources: Click here to view this ebook.
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Item type Current location Call number URL Status Date due Barcode
Electronic Book UT Tyler Online
Online
RA395.D44 B45 2016 (Browse shelf) https://ezproxy.uttyler.edu/login?url=http://www.jstor.org/stable/10.2307/j.ctt1ckpbtp Available ocn934035938

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CHOICE Review

Beland et al. examine the Affordable Care Act (ACA) through action at the state level. The authors examine the three key elements of the legislation: the insurance exchanges, Medicaid expansion, and insurance reform. They find that partisanship has had varying impacts on the statute, and that opponents of the law have had different levels of success. Partisanship had the greatest impact on insurance exchanges, where the federal government unexpectedly found itself having to create exchanges, as many states with Republican governors and/or legislatures refused to establish their own. Similarly, many "red" states refused to expand Medicaid following the Supreme Court's decision holding that the states could not be forced to expand. There were some exceptions, notably Ohio and Arizona, where Republican governors broke ranks to accept Medicaid funding that increased access and pumped money into their respective health care sectors. The greatest collaboration was in insurance reform, since federal regulations did not conflict sharply with existing regulatory regimes in most states. The authors' most significant contribution is shedding light on ACA's implementation, demonstrating how state actions have, and may continue, to frustrate advocates of "Obamacare." Summing Up: Highly recommended. Lower-division undergraduates through faculty. --Jeffrey Fred Kraus, Wagner College

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