For readers of Double Down and This Town comes a fraught and fascinating fly-on-the-wall account of the Affordable Care Act (“Obamacare”), the most significant piece of legislation of our time, from its inception to its implementation and beyond. Written by the author of the National Magazine Award–winning Time magazine article “Bitter Pill,” this epic political drama provides an unprecedented look at the broken U.S. healthcare system, as well as a sobering portrait of the Washington dysfunction that threatens to turn America into a failed state.