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The Heart of Power

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History
Friday, June 28, 2013

The Heart of Power: Health and Politics in the Oval Office Paperback – September 21, 2010

Author: Visit Amazon's David Blumenthal Page | Language: English | ISBN: 0520268091 | Format: PDF, EPUB

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The Heart of Power: Health and Politics in the Oval Office – September 21, 2010
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From Publishers Weekly

Starred Review. In this engrossing text, the history of American health-care policy, from the New Deal to the Medicare Modernization Act of George W. Bush, becomes a frame through which the authors illuminate the leadership qualities of late-20th-century presidents in the arena of domestic affairs. The authors present biographies of presidents from FDR on, investigating potential influences (e.g., heart attacks, abusive parents, deceased siblings) on their attitudes toward health policy. Blumenthal, a Harvard Medical School professor, and Brown University political scientist Morone (The Democratic Wish) draw on White House telephone tapes and memos in a laudatory chapter on Johnson's role in passing Medicare, and reserve their harshest criticism for Jimmy Carter, whose administration unwittingly killed the late effort at health reform. The authors offer evenhanded critiques and conclude with lessons for future chief executives about the importance of political savvy, economic flexibility and popular appeal in determining the success of health-care initiatives. More than an excellent primer on American health policy, the book offers a thorough, incisive look at the presidency as an institution and the men who have occupied the office. (Aug.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
--This text refers to the






Hardcover
edition.

Review

“A riveting history of health-care politics.”
(Atul Gawande New Yorker 2010-04-05)

“A book that sets a standard for the study of the presidency and of health policy.”
(Congress & The Presidency 2012-07-27)

“This timely and insightful book puts Barack Obama’s current quest for universal health insurance in historical context and gives new meaning to the audacity of hope.”
(Robert B. Reich New York Times Book Review 2009-09-06)

“More than an excellent primer on American health policy, the book offers a thorough, incisive look at the presidency as an institution and the men who have occupied the office.” STARRED REVIEW
(Publishers Weekly 2009-06-08)

“A masterpiece and a valuable primer for future presidents as they wrestle with the dragon of health reform.”
(Jeff Goldsmith Health Affairs 2009-09-01)
See all Editorial Reviews

Download latest books on mediafire and other links compilation The Heart of Power: Health and Politics in the Oval Office – September 21, 2010
  • Paperback: 500 pages
  • Publisher: University of California Press; With a New Preface edition (September 21, 2010)
  • Language: English
  • ISBN-10: 0520268091
  • ISBN-13: 978-0520268098
  • Product Dimensions: 8.7 x 5.7 x 1.2 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)
  • Amazon Best Sellers Rank: #365,160 in Books (See Top 100 in Books)
    • #82 in Books > Textbooks > Medicine & Health Sciences > Administration & Policy > Health Policy
I've read many books that expanded my store of knowledge, but few that changed my perspective. The Heart of Power changed the way I view health care policy and the ongoing debate about it.

Although the book covers the policies of each presidential administration from Franklin Roosevelt to George W. Bush (Gerald Ford excepted), it lays a foundation for an historical understanding of why Barack Obama made the critical decision to endorse a plan based on a public-private partnership. Blumenthal and Morone show convincingly that while liberals promoted and sustained the *idea* of universal health care access, conservatives were, over time, able to redefine the terms of the debate. The authors also include an important humanizing twist: Each president's personal -- and often traumatic -- experience with the health care system.

After WW2, no Democrat (save Jimmy Carter, who ran under unique circumstances) successfully ran for president without a major commitment to health care reform. And yet, once in office, each found passing legislation to be a maddening affair complicated by an arcane process, other priorities, formidable lobbying (first the AMA and the insurance industry). Truman never tried, and Kennedy and Clinton failed. Lyndon Johnson succeeded in enacting Medicare, but it was a surprisingly near thing.

Among Republicans, the private insurance market grew under Eisenhower and Nixon encouraged the development of HMOs. Concerned about the inevitability of a liberal government program, Eisenhower developed and Nixon refined Republican thinking about universal health insurance as a public-private partnership. Ronald Reagan pursued a massive extension of Medicare, later repealed when it proved unpopular with seniors.

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