"Béland, Rocco, and Waddan contribute significantly to our understanding of implementation in federal systems by demonstrating convincingly that the politics and strategies of implementing this single piece of health care reform legislation in the American states were myriad and a function not only of partisan polarization but also of the diverse policy issues embedded within the law."—Journal of Politics
"Obamacare Wars provides insight into policy and program implementation of a complex and politically contentious law. . . . The strength of the work is that it takes previous theory on implementation, adds to it and applies it to the implementation of the ACA. The results help explain how and why health care reform has been unevenly enacted across the states."—Publius: The Journal of Federalism
"Timely, thoughtful, and clearly written, Obamacare Wars offers penetrating insights into how policy legacies, institutional fragmentation, and public sentiments shape post-reform politics."—Eric M. Patashnik, author of Reforms at Risk: What Happens After Major Policy Changes Are Enacted
“Ideal for both graduate and undergraduate courses, as well as law, business, and public health programs, the book should be read by anyone trying to understand the post-enactment struggles that have resulted in millions of Americans obtaining new coverage—and millions more waiting for it as their state leaders resist federal intentions.”—Jacob S. Hacker, author of Winner-Take-All Politics: How Washington Made the Rich Richer—and Turned Its Back on the Middle Class
"Drawing on and arguing with much of what is written about American federalism and health politics, Obamacare Wars makes sense of an intricate and disputed law and sheds new light on the workings, and costs, of American federalism."—Scott L. Greer, author of Territorial Politics and Health Policy
"Obamacare Wars offers a deft, timely analysis of state-level battles over the implementation of the Affordable Care Act. This book is an essential read for anyone interested in health policy, federalism, and the political conflicts engendered by both."—Kimberly J. Morgan, coauthor of The Delegated Welfare State: Medicare, Markets, and the Governance of Social Policy
"This exceptional book by three leading policy experts tells the fascinating story of the implementation of Obamacare and the myriad ways this landmark legislation is remaking the health care system in the U.S."—Jill Quadagno, author of One Nation, Uninsured: Why the U.S. Has No National Health Insurance
About the Author
Philip Rocco is a postdoctoral associate at the Health Policy Institute, University of Pittsburgh Schools of Health Sciences.
Alex Waddan is senior lecturer in American politics at the University of Leicester.