NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK • “A tour de force . . . a comprehensive and suitably furious guide to the political landscape of American healthcare . . . persuasive, shocking.” — The New York Times America’s Bitter Pill is Steven Brill’s acclaimed book on how the Affordable Care Act, or Obamacare, was written, how it is being implemented, and, most important, how it is changing—and failing to change—the rampant abuses in the healthcare industry. It’s a fly-on-the-wall account of the titanic fight to pass a 961-page law aimed at fixing America’s largest, most dysfunctional industry. It’s a penetrating chronicle of how the profiteering that Brill first identified in his trailblazing Time magazine cover story continues, despite Obamacare. And it is the first complete, inside account of how President Obama persevered to push through the law, but then failed to deal with the staff incompetence and turf wars that crippled its implementation. But by chance America’s Bitter Pill ends up being much more—because as Brill was completing this book, he had to undergo urgent open-heart surgery. Thus, this also becomes the story of how one patient who thinks he knows everything about healthcare “policy” rethinks it from a hospital gurney—and combines that insight with his brilliant reporting. The result: a surprising new vision of how we can fix American healthcare so that it stops draining the bank accounts of our families and our businesses, and the federal treasury. Praise for America’s Bitter Pill “An energetic, picaresque, narrative explanation of much of what has happened in the last seven years of health policy . . . [Brill] has pulled off something extraordinary.” —The New York Times Book Review “A thunderous indictment of what Brill refers to as the ‘toxicity of our profiteer-dominated healthcare system.’ ” — Los Angeles Times “A sweeping and spirited new book [that] chronicles the surprisingly juicy tale of reform.” — The Daily Beast “One of the most important books of our time.” —Walter Isaacson “Superb . . . Brill has achieved the seemingly impossible—written an exciting book about the American health system.” — The New York Review of Books

Have we reached a tipping point where more Americans depend on the efforts of others than on their own? Are we becoming a nation of moochers? In A Nation of Moochers , Charles J. Sykes argues that we are already very close to that point, if we have not already crossed the line: from the corporate bailouts on Wall Street, to enormous pension, healthcare, and other entitlement costs, to questionable tax exemptions for businesses and individuals, to the alarming increases in personal default and dependency, the new moocher culture cuts across lines of class, race, and private and public sectors. A Nation of Moochers explores the shift in the American character as well as the economy. Much of the anger of the current political climate stems from the realization by millions of Americans that they are being forced to pay for the greed-driven problems of other people and corporations; increasingly, those who plan and behave sensibly are being asked to bail out the profligate. Sykes' argument is not against compassion or legitimate charity, but distinguishes between definable needs and the moocher culture, in which self-reliance and personal responsibility have given way to mass grasping after entitlements, tax breaks, benefits, bailouts, and other forms of feeding at the public trough. Persuasively argued and wryly entertaining, A Nation of Moochers is a rallying cry for Americans who are tired of playing by the rules and paying for those who don't.

The Democratic Party left rural America behind. This urgent rallying cry shows how Democrats can win back and empower overlooked communities that have been pushing politics to the right—and why long-term progressive political power depends on it. Through 2 successful elections in rural red districts that few thought could be won by a Democrat, twentysomethings Maine state senator Chloe Maxmin (D-District 13) and campaign manager Canyon Woodward saw how the Democratic Party has focused for too long on the interests of elite leaders and big donors, forcing the party to abandon the concerns of rural America—jeopardizing climate justice, racial equity, economic justice, and more. Dirt Road Revival looks at how we got here and lays out a road map for progressive campaigns in rural America to build an inclusive, robust, grassroots politics that fights for equity and justice across our country. First, Maxmin and Woodward detail how rural America has been left behind. They explore rural healthcare, economic struggle, brain drain, aging communities, whiteness and racism, education access, broadband, Big Agriculture, and more. Drawing on their own experiences, they paint a picture of rural America today and pinpoint the strategic failures of Democrats that have caused the party to lose its rural foothold. Next, they tell the story of their successful campaigns in the most rural county in the most rural state in the nation. In 2018, Maxmin became the only Democrat to ever win Maine House District 88 and then unseated the highest-ranking Republican in Maine —the Senate Minority Leader—in 2020, making her the youngest woman senator in Maine’s history. Finally, Maxmin and Woodward distill their experiences into concrete lessons that can be applied to rural districts across the country to build power from the state and local levels on up. They lay out a new long-term vision for Democrats to rebuild trust and win campaigns in rural America by translating progressive values to a rural context, moving beyond the failed strategies of establishment consultants and utilizing grassroots-movement organizing strategies to effectively engage moderate rural voters.