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Author Michener, Jamila, 1981- author.

Title Fragmented democracy : medicaid, federalism, and unequal politics / Jamila Michener, Cornell University
Published Cambridge : Cambridge University Press, 2018

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Description 1 online resource (xii, 226 pages) : PDF file(s)
Contents Medicaid, political life, and fragmented democracy -- Democratic citizenship and contextualized policy feedback -- Federalism, health care, and inequity -- State policy and political mis(education) -- Particularistic resistance in county contexts -- People, places, and social policy in the city -- Policy advocacy across a fragmented polity -- Federalism and political inequality -- Appendix A. Qualitative interviews -- Appendix B. Statistical tables
Summary Medicaid is the single largest public health insurer in the United States, covering upwards of 70 million Americans. Crucially, Medicaid is also an intergovernmental program that yokes poverty to federalism: the federal government determines its broad contours, while states have tremendous discretion over how Medicaid is designed and implemented. Where some locales are generous and open handed, others are tight-fisted and punitive. In Fragmented Democracy, Jamila Michener demonstrates the consequences of such disparities for democratic citizenship. Unpacking how federalism transforms Medicaid beneficiaries' interpretations of government and structures their participation in politics, the book examines American democracy from the vantage point(s) of those who are living in or near poverty, (disproportionately) Black or Latino, and reliant on a federated government for vital resources
Notes Title from publisher's bibliographic system (viewed on 16 Mar 2018)
Bibliography Includes bibliographical references and index
Subject Medicaid -- Political aspects -- United States
Medical policy -- United States
Medicaid
Medical policy.
POLITICAL SCIENCE -- Government -- General.
United States.
Form Electronic book
ISBN 9781108224987
1108224989