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"The Ten Years' War" is the most authoritative narrative and discussion of the debate over "Obamacare" in the United States. Obamacare, also known as the Affordable Care Act, is the most extensive and important legislation in the United States in the past half century. It has touched the hearts of ordinary people and the interests of many industries, groups, and individuals, and has become a significant political struggle for Americans in this era. Through hundreds of hours of interviews with medical experts, senior officials at multiple levels of government, both parties, and even President Obama, as well as related logs, emails, memos, etc., The author takes readers into debate scenes such as Capitol Hill, city hall meetings, the West Wing of the White House, and even Trump Tower to show how this law was formed, why it looks like this, and what it means to ordinary Americans. ? From the formulation to the introduction and implementation of Obamacare, it took ten years before and after, trying to reconcile pragmatism and idealism, private interests and public interests. However, the fight over health care has never been just about policy. This can also be seen from the brief tracing of the difficult attempts and failures of many former presidents, including Kennedy, Reagan, Bush, and Clinton, to provide universal health care. "The War of the Decade" not only presents decades of debate over America's health care problems and how to solve them, but also takes an in-depth look at how America's governance institutions, media, and two political parties have evolved, and the dysfunctions caused by these changes.