This fully updated fifth edition gives expanded attention to contemporary issues including the aging of the American population, physician shortages, gene therapy, specialty drugs, the opiod crisis, and the Trump administration's failed attempts at repealing and replacing the Affordable Care Act. Healthcare Politics and Policy in America-now in itsfifth edition-is the most reliable guide to America's form of healthcare policy and politics available. Patel and Rushefsky turn a complex, hard to understand set of arrangements into a subject that is quite understandable, in a book that is clearly written and up to date. The new edition not only brings the story of American healthcare politics and policy up to date but expands the scope of this comprehensive work. One of the three new chapters analyses the origins, character, and continued controversy over President Obama's Affordable Care. Other revised chapters extend the discussion of healthcare inflation to a broad treatment both of bio-medical innovation and the social determinants of population health.? What Patel and Rushefsky have accomplished is a remarkable synthesis of American political arrangements as they bear on the world of both medical care and public health. Ted Marmor, Yale University, USA Healthcare Politics and Policy in America is meticulously researched, insightful, and clearly written. This decidedly informative and ambitious text analyzes the broad range of core health policy issues, from specific programs such as Medicare and Medicaid and the problems experienced by disadvantaged sectors of society to the merits and failings of the Affordable Care Act. In thisfifth edition, Patel and Rushefsky add a timely and balanced discussion of specific healthcare challenges we have yet to address effectively, including the role of biotechnology, the opioid crisis, gene therapy, high cost specialty prescription drugs, population aging, and the uncertainties regarding the healthcare labor force. Notably, the concluding chapter tackles thorny questions related to the values underlying our healthcare system, how well it performs compared to other nations, quality of services, and current proposals for reform. I highly recommend the book for both scholars and use in undergraduate and graduate courses in health politics and policy. Laura Katz Olsen, Lehigh University, USA