
Remedy and reaction
the peculiar American struggle over health care reform
"In no other country has health care served as such a volatile flashpoint of ideological conflict. America has endured a century of rancorous debate on health insurance, and despite the passage of legislation in 2010, the battle is not yet over. This book is a history of how and why the United States became so stubbornly different in health care, presented by an expert with unsurpassed knowledge of the issues.Tracing health-care reform from its beginnings to its current uncertain prospects, Paul Starr argues that the United States ensnared itself in a trap through policies that satisfied enough of the public and so enriched the health-care industry as to make the system difficult to change. He reveals the inside story of the rise and fall of the Clinton health plan in the early 1990s--and of the Gingrich counterrevolution that followed. And he explains the curious tale of how Mitt Romney's reforms in Massachusetts became a model for Democrats and then follows both the passage of those reforms under Obama and the explosive reaction they elicited from conservatives. Writing concisely and with an even hand, the author offers exactly what is needed as the debate continues--a penetrating account of how health care became such treacherous terrain in American politics"--Provided by publisher.
Beyond its central premise, the book can be read through the connected lenses of Nonfiction. Those themes offer useful points of attention as the characters, ideas, or world develop, especially where the book complicates the expectations of its primary category.
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What the reading experience may hold
A fuller profile for choosing with more confidence—not just another copy of the preview.
Nonfiction
Use these as starting points rather than limits; the most memorable books often stretch beyond their catalog labels.
Catalog signals suggest warfare and conflict. These notes may not be complete; consult a publisher or reader-supplied guide when detailed warnings matter.
These notes are inferred from available catalog information and may not be complete. Check a publisher or reader-supplied guide if you need comprehensive warnings.
Balanced tone · Urgent pace
A comfortable full-length choice for steady daily reading.
A good fit if…
Readers who want a thoughtful experience and enjoy noticing the connections beneath a book’s surface story.
This book's DNA
A visual estimate based on this edition's categories, description, and length. Select a star to explore the signals.
This signal is descriptive, not a rating. It helps compare the kind of reading experience this edition may offer.
Spoiler-Free Emotional Arc
A broad estimate of the book’s emotional rhythm, shown without story events or outcomes.
This visualization is an interpretive estimate based on catalog description, categories, tone, pace, and content signals. It does not describe specific scenes.
A quick reading snapshot
Edition facts and catalog signals to help you decide whether this book fits what you want to read next.
- ISBN-13
- 978-0-3001-7109-9
- Language
- English
- Edition record
- OL24896056M
A more thoughtful way into this book
This guide uses the edition details and category signals above to help you choose deliberately. It does not replace the author's work or a full review.
A comfortable full-length choice for steady daily reading.
Begin with its place in Nonfiction, then notice where the book resists that label.
Read for connection, not completion.
Mark one passage that sharpens the book's central concern and one that complicates it. That tension often reveals more than a quick summary.
Three questions to carry with you
- Whose perspective organizes the story, and whose perspective remains outside it?
- Which sources or lived experiences carry the author’s central argument?
- How does the book change the way you understand its larger subject?
Editorial framework by Wesley Bryan, BookenDeX Founder and Editor.







