ACA Design: Rethinking Selznick

  • Reginald ShareefEmail author
Living reference work entry



The Affordable Care Act – also known as Obamacare – was signed into law on March 10, 2010 and fundamentally changed health care in the United States through expansion of health insurance and reforms of the health care delivery system. Cooptation is a term created by Phillip Selznick that refers to a leadership process designed to manage opposition to organization change processes.

Introduction: The Informal Cooptation Dilemma

In his January 23, 2016 weekly address, President Obama notes that since implementation of the Affordable Care Act (ACA) in March 2010 (a) nearly 18 million Americans have gained coverage, (b) more than 90% of Americans are now covered by private insurance, and (c) health care inflation is at its lowest levels in 50 years. These are impressive numbers for such a controversial public policy and begsthe question of exactly why has the ACA...


Health Care Reform Transactional Leadership Health Care Industry Health Care Market Tennessee Valley Authority 
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© Springer International Publishing AG 2016

Authors and Affiliations

  1. 1.Radford UniversityRadfordUSA
  2. 2.Virginia TechBlacksburgUSA