Reviews
Not All In is revelatory. Drawing on in-depth interviews, Tiffany Joseph gives voice to individuals born abroad as they navigate the challenges of a health care system tilted toward the privileged. Throughout, Joseph proves a wise, sensitive, and humane guide through the labyrinths of health care and public policy. Not All In ought to be required reading for all Americans.
Exhaustively researched and thoughtfully argued, Not all In exposes how the Affordable Care Act is fraught with the same discrimination by documentation status and by ethnoracial origins as other public policies and has led to worse outcomes. This compelling book has implications beyond a single state or policy domain and reveals the fraying ideal of an immigrant America.
Not All In makes invaluable contributions to understanding the reverberating impacts of ACA, the most significant federal health care legislation since 1965. Joseph's carefully researched study provides new insights into how race, ethnicity, and documentation status intersect to create health disparities in Brazilian, Dominican and Salvadoran immigrant communities. Highly recommended!
Just when the term 'migrant crime' has been launched into our national consciousness, Tiffany Joseph provides a masterly response to help us make sense of the demonization of immigrants and the impact of racialization on access to health care. This is a must-read to grasp how a health care system built on structural racism collides with those of precarious legal status—often with deadly effect.
Book Details
Tables and Figures
Acknowledgments
Lexicon
Introduction
1. Racialized Legal Status and Healthcare Exclusion in Boston
2. Included in Coverage but Excluded from Use (2012—2013)
3. The ACA Narrows, rather
Tables and Figures
Acknowledgments
Lexicon
Introduction
1. Racialized Legal Status and Healthcare Exclusion in Boston
2. Included in Coverage but Excluded from Use (2012—2013)
3. The ACA Narrows, rather than Widens, Healthcare Access (2015—2016)
4. Deterring Immigrants from Using Services under Trump (2019)
Conclusion
Appendix
Notes
Bibliography
Index