During the 1997–1998 academic year, Gruber was on leave as Deputy Assistant Secretary for Economic Policy at the Treasury Department. From 2003–06 he was a key architect of Massachusetts' healthcare reform. In 2006 he became an inaugural member of the Health Connector Board, the main implementing body for that effort. In that year, he was named the 19th most powerful person in health care in the United States by Modern Healthcare magazine. During the 2008 election he was a consultant to the Clinton, Edwards and Obama presidential campaigns. In 2009–10 he served as a technical consultant to the Obama Administration and worked with both the administration and Congress to help craft the Patient Protection and Affordable Care Act (PPACA)
Politics turned Parody from within a Conservative Bastion inside the People's Republic of Maryland
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