LEADER 04582nam 22006375 450 001 9910480002203321 005 20211105151528.0 010 $a1-4798-3440-8 010 $a1-4798-7173-7 024 7 $a10.18574/9781479871735 035 $a(CKB)3790000000534587 035 $a(StDuBDS)EDZ0001928893 035 $a(OCoLC)1132226896 035 $a(MdBmJHUP)muse74598 035 $a(DE-B1597)548581 035 $a(DE-B1597)9781479871735 035 $a(MiAaPQ)EBC4834296 035 $a(OCoLC)1023532118 035 $a(Au-PeEL)EBL4834296 035 $a(CaPaEBR)ebr11467849 035 $a(OCoLC)1012609608 035 $a(EXLCZ)993790000000534587 100 $a20200608h20172017 fg 0 101 0 $aeng 135 $aur||||||||||| 181 $2rdacontent 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aUnequal Coverage $eThe Experience of Health Care Reform in the United States /$fHeide Castañeda; Jessica M. Mulligan 210 1$aNew York, NY :$cNew York University Press,$d[2017] 210 4$d©2017 215 $a1 online resource $cillustrations (black and white) 225 0 $aAnthropologies of American Medicine: Culture, Power, and Practice ;$v2 300 $aPreviously issued in print: 2017. 311 0 $a1-4798-9700-0 320 $aIncludes bibliographical references and index. 327 $tFront matter --$tContents --$tList of Illustrations --$tAcknowledgments --$tIntroduction --$t1. Stratification by Immigration Status --$t2. Stratified Access --$t3. Stratification and ?Universality? --$t4. Stratification through Medicaid --$t5. Segmented Risks --$t6. Uninsured in America --$t7. ?Texans Don?t Want Health Insurance? --$t8. The Responsibility to Maintain Health --$t9. Outsourcing Responsibility --$t10. Increasing Access, Increasing Responsibility --$tConclusion --$tAbout the Editors --$tAbout the Contributors --$tIndex 330 $aThe Affordable Care Act?s impact on coverage, access to care, and systematic exclusion in our health care system The Affordable Care Act set off an unprecedented wave of health insurance enrollment as the most sweeping overhaul of the U.S. health insurance system since 1965. In the years since its enactment, some 20 million uninsured Americans gained access to coverage. And yet, the law remained unpopular and politically vulnerable. While the ACA extended social protections to some groups, its implementation was troubled and the act itself created new forms of exclusion. Access to affordable coverage options were highly segmented by state of residence, income, and citizenship status. Unequal Coverage documents the everyday experiences of individuals and families across the U.S. as they attempted to access coverage and care in the five years following the passage of the ACA. It argues that while the Affordable Care Act succeeded in expanding access to care, it did so unevenly, ultimately also generating inequality and stratification. The volume investigates the outcomes of the ACA in communities throughout the country and provides up-close, intimate portraits of individuals and groups trying to access and provide health care for both the newly insured and those who remain uncovered. The contributors use the ACA as a lens to examine more broadly how social welfare policies in a multiracial and multiethnic democracy purport to be inclusive while simultaneously embracing certain kinds of exclusions. Unequal Coverage concludes with an examination of the Affordable Care Act?s uncertain legacy under the new Presidential administration and considers what the future may hold for the American health care system. The book illustrates lessons learned and reveals how the law became a flashpoint for battles over inequality, fairness, and the role of government. More books on the health care debate 410 0$aAnthropologies of American Medicine: Culture, Power, and Practice Ser. 606 $aMedical care$zUnited States 606 $aMedical policy$zUnited States 606 $aHealth care reform$zUnited States 608 $aElectronic books. 615 0$aMedical care 615 0$aMedical policy 615 0$aHealth care reform 676 $a362.1/0425 700 $aCastañeda$b Heide$4aut$4http://id.loc.gov/vocabulary/relators/aut$0847826 702 $aMulligan$b Jessica M.$4edt$4http://id.loc.gov/vocabulary/relators/edt 801 0$bDE-B1597 801 1$bDE-B1597 906 $aBOOK 912 $a9910480002203321 996 $aUnequal Coverage$91893491 997 $aUNINA