"Roundtable" – Governing behind closed doors. The success of Obamacare
Webinar roundtable discussion on William Genieys' new book,Governing Behind Closed Doors: The Success of Obamacare,published by ANR ProActa.
Debate between the author, William Genyes, CNRS Research Director at the Center for Comparative Studies and Policy at Sciences Po Paris, Stéphane Paquin (Professor, ENAP) and Karine Prémont (Professor, University of Sherbrooke)
William Genieys' investigation highlights the role of these new American political elites who are working to ensure that the federal government serves the public interest rather than lobbyists.
The Affordable Care Act of 2010 enabled 20 million American citizens to benefit from health insurance coverage. The most ambitious healthcare reform in the United States since the 1960s, Obamacare is also a political success. Even Donald Trump was unable to repeal it.
This success is due to the behind-the-scenes work of a small group of "health policy guardians," long accustomed to the intricacies of Washington and well versed in the workings of the American healthcare system. On the fringes of power under President George W. Bush and then within the federal administration under Barack Obama, these insiders, scarred by the failure of Clinton's reform in the early 1990s, used their political resources to change a system that had become obsolete. While they were unable to implement universal coverage, they did at least increase the federal government's regulatory powers in the area of healthcare, thereby creating the possibility for future improvements.
William Genieys' investigation highlights the role of these new American political elites who are working to ensure that the federal government serves the public interest rather than lobbyists.
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