Earlier this year, Jamila Michener visited the podcast to talk about her new book, Fragmented Democracy, about Medicaid and the state-based structure that results in very different experiences of Medicaid recipients from state to state. We return to the topic of health care this week. Jonathan Engel has recently written Unaffordable: American Healthcare from Johnson to Trump (University of Wisconsin Press, 2018). Engel is a professor in the School of Public Affairs at Baruch College and an adjunct professor of health policy and management at the Mailman School of Public Health, Columbia University. In Unaffordable, we read a fifty-year history of the adoption of a variety of health care programs, from Medicare to Obamacare. Engel unravels the implications of health policy design for the delivery of services. He pays particular attention to the ways that health policy design have resulted in rising health care costs and the unaffordability of health care for many Americans.

This podcast was hosted by Heath Brown, Assistant Professor of Public Policy, John Jay College and the Graduate Center at the City University of New York. You can follow him on Twitter @heathbrown.Learn more about your ad choices. Visit megaphone.fm/adchoices