Jump to ContentJump to Main Navigation
Unequal CoverageThe Experience of Health Care Reform in the United States$
Users without a subscription are not able to see the full content.

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

Show Summary Details
Page of

PRINTED FROM NYU Press SCHOLARSHIP ONLINE (www.nyu.universitypressscholarship.com). (c) Copyright University of NYU Press Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in NYSO for personal use.date: 20 September 2021

Conclusion

Conclusion

Chapter:
(p.277) Conclusion
Source:
Unequal Coverage
Author(s):

Jessica M. Mulligan

Heide Castañeda

Publisher:
NYU Press
DOI:10.18574/nyu/9781479897001.003.0012

Jessica M. Mulligan and Heide Castañeda’s conclusion evaluates why the ACA remained so controversial years after its passage and presents four lessons learned from the ethnographic studies collected in the book. The authors conclude that people in the United States want and need affordable health insurance coverage. However, stratified approaches to expanding access have the result of generating resentment. Coupled with difficult enrollment processes and barriers to accessing coverage, the law became unpopular and unusable for many. Finally, the outright exclusion of groups such as immigrants—to appeal to nationalists—had direct impacts on the law’s success. These lessons are best understood through the frameworks of stratified citizenship (how different groups are viewed as deserving based on a gradation of rights and opportunities), notions of risk, and the devolution of responsibility onto individuals.

Keywords:   devolution, responsibility, risk, ACA, stratified citizenship, ethnographic, affordable health insurance, resentment, exclusion

NYU Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.

Please, subscribe or login to access full text content.

If you think you should have access to this title, please contact your librarian.

To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.