Still left out
Healthcare stratification under the Affordable Care Act
Bibliographic Data
| ID | 3667493 |
|---|---|
| Authors | Tiffany D Joseph (0000-0003-3351-1678, Stony Brook University, corresponding author) |
| Year | 2017 |
| Volume | 43 |
| Issue | 12 |
| Pages | 2089-2107 |
| Publication date | 2017-09-10 |
| Open Access | No |
| Type | ARTICLE |
| Venue | New Community (JOURNAL) |
| Journal identifiers | ISSN: 0047-9586 • E-ISSN: 1469-9451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/1369183x.2017.1323453 |
| OpenAlex | W2625689042 |
| Language | EN |
| Citations received | 7 |
| References cited | 23 |
The 2010 Affordable Care Act (ACA) increased healthcare access for many Americans. But, its exclusion of most noncitizens and imperfect state-level implementation stratified coverage by documentation status, place, income level, race, and ethnicity across the U.S.A. Drawing from the sociological literature on boundaries, this paper argues that these demographic boundaries facilitate de jure and de facto stratification for immigrants and low-income Americans of various ethnoracial backgrounds. Using existing survey research regarding national ACA implementation and a qualitative study of ACA implementation in Boston, MA, this paper shows how such stratification may worsen existing disparities in healthcare coverage and access among the U.S. population. Implications regarding President Donald Trump and conservative lawmakers’ plans to repeal the ACA are also discussed. The paper contributes to researchers’ understanding of how public policies produce boundaries by place, documentation status, race, ethnicity, and income that facilitate inequality
Demographic economics · Documentation · Economic growth · Economics · Ethnic group · Health care · Health equity · Immigration · Inequality · Political science · Population · Repeal · Sociology · Demography · Employment and Welfare Studies · Global Health Workforce Issues · Healthcare Policy and Management · Law · Public Administration
United States Health Care Reform
Health Disparities in the Latino Population
Policy Dilemmas in Latino Health Care and Implementation of the Affordable Care Act
Discrimination and racial disparities in health
Governing Immigration Through Crime
Health Care Access and Utilization Among US-Born and Foreign-Born Asian Americans
Immigration-Related Factors and Mental Disorders Among Asian Americans
Weathering” and Age Patterns of Allostatic Load Scores Among Blacks and Whites in the United States
Ethnic Boundary Making
Health Disparities in the United States
The impact of Immigration and Customs Enforcement on immigrant health
The role of health insurance in explaining immigrant versus non-immigrant disparities in access to health care
Health care, immigrants, and minorities
Excluded and Frozen Out
Citizenship Denied
The Study of Boundaries in the Social Sciences
| Citations per year | 0.78 |
|---|---|
| Citation span | 2017 - 2022 (6) |
| Highly cited | No |