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Unequal CoverageThe Experience of Health Care Reform in the United States$
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Jessica M. Mulligan and Heide Castañeda

Print publication date: 2017

Print ISBN-13: 9781479897001

Published to NYU Press Scholarship Online: September 2018

DOI: 10.18574/nyu/9781479897001.001.0001

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Uninsured in America

Uninsured in America

Before and After the ACA

(p.156) 6 Uninsured in America
Unequal Coverage

Susan Sered

NYU Press

Susan Sered, author of the seminal work Uninsured in America: Life and Death in the Land of Opportunity (2005), returned to the same communities to learn how the people she originally interviewed were faring after the implementation of the ACA. Not a single person she interviewed had remained in the same coverage status for more than a few years at a time. Even with insurance, health care was hardly affordable for many. Most important, geographically driven health disparities had been exacerbated by the 2012 U.S. Supreme Court ruling, leaving large numbers of people to fall into the “coverage gap.” The existence of these gaps, together with the inconsistent nature of coverage and the absence of a human rights ethos, created barriers and resentment, with many people feeling that other categories of people received greater benefits.

Keywords:   coverage gap, uninsured, ACA, implementation, human rights, barriers, health disparities, resentment

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