Race, Politics, and the Affordable Care Act
Race, Politics, and the Affordable Care Act
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DOI：
10.1215/03616878-8255481
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发表时间：
2020-08-01
影响因子：
4.2
通讯作者：
Michener, Jamila
中科院分区：
文献类型：
--
作者：
Michener, Jamila
围绕平价医疗法案（ACA）的政治进程提供了有关美国种族和政治的宝贵经验。特别是，ACA强调了在种族化的政体中政治与政策之间的关键紧张关系：即使政策旨在针对和解决种族差异，政治也可能破坏这样做的必要步骤。仔细审视ACA实施的头十年，我们会发现种族与政治是如何交织在一起，导致公共政策变得不公平，更容易受到侵蚀。最后，这一分析指出，种族化的政治进程是公平物质结果的巨大障碍。通过研究这些过程并使其可见，本文阐明了公共政策作为实现种族正义的机制的可能性、局限性和轮廓。
The political processes surrounding the Affordable Care Act (ACA) offer valuable lessons about race and politics in the United States. In particular, the ACA underscores a critical tension between politics and policy in a racialized polity: even when policies are intended to target and address racial disparities, politics can undermine the steps necessary to do so. Close scrutiny of the ACA during its first decade reveals how race intersects with politics to render public policy less equitable and more vulnerable to erosion. Ultimately, this analysis points to the ways that racialized political processes are formidable barriers to equitable material outcomes. By examining such processes and making them visible, this article elucidates the possibilities, limits, and contours of public policy as a mechanism for achieving racial justice.