Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective
This article examines the particularities of the 2010 Patient Protection and Affordable Care Act (ACA) in a historical comparative perspective. Comparisons are made to highlight the specificities of the American welfare state and of health legislation in particular. The comparisons with European cou...
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| Publicado en: | URI:https://journals.openedition.org/angles, |
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| Formato: | Article ou chapitre numérique |
| Idioma: | Anglais |
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Angles
2020
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| Acceso en liña: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
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openedition-oai:revues.org:angles_1598 |
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openedition-oai:revues.org:angles_1598 https://doi.org/10.4000/angles.1598 urn:doi:10.4000/angles.1598 en https://journals.openedition.org/angles/1598 2020-07-16T02:00:00Z info:eu-repo/semantics/openAccess article info:eu-repo/semantics/article urn:handle:20.500.13089/9n07 https://creativecommons.org/licenses/by/4.0/ Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective Angles Société des Anglicistes de l'Enseignement Supérieur info:eu-repo/semantics/reference/issn/2274-2042 URI:https://journals.openedition.org/angles Stephan, Lea États-Unis Obama Barack Affordable Care Act politiques sociales comparatiste racialisation United States Obama Barack Affordable Care Act social policies comparative racialization This article examines the particularities of the 2010 Patient Protection and Affordable Care Act (ACA) in a historical comparative perspective. Comparisons are made to highlight the specificities of the American welfare state and of health legislation in particular. The comparisons with European countries aim at highlighting the particularity of racial division among the American working and middle class that hampered the expansion of the American welfare state and how this impacted the ACA. Despite certain shortcomings resulting of the idiosyncrasies of America’s welfare state and political system (the single payer system was not considered, Medicaid expansion is now optional, a market-based system), the ACA nonetheless managed to circumvent some problems due to the racialization of social policies and found ways to address some of the needs of minority populations by targeting specific issues that are particularly problematic for those populations. Cet article analyse les particularités du Patient Protection and Affordable Care Act de 2010 (ACA) dans une perspective comparatiste et historique. Les comparaisons servent à mettre en lumière les spécificités de l’Etat providence états-unien et en particulier de la législation en matière de santé. Les comparaisons servent à mettre en évidence la particularité de la division raciale parmi la classe ouvrière et la classe moyenne qui a freiné le développement de l’Etat providence aux Etats-Unis et comment cela s’est répercuté sur l’ACA. Malgré certains défauts résultant de l’idiosyncrasie de l’Etat-providence et du système politique états-unien, tels que l’abandon du single payer system à la canadienne ou encore le fait que l’extension de Medicaid soit devenue optionnelle, ou un système de santé fondé sur le marché, le ACA a réussi tout de même à contourner certains problèmes causés par la racialisation des politiques sociales et à répondre à certains besoins des populations minoritaires en ciblant des problèmes spécifiques affectant principalement ces populations. |
| collection |
OpenEdition Journal |
| language |
Anglais |
| format |
Article ou chapitre numérique |
| building |
0/Bibliothèque numérique/ 1/Bibliothèque numérique/OpenEdition Journals/ |
| topic |
États-Unis Obama Barack Affordable Care Act politiques sociales comparatiste racialisation United States Obama Barack Affordable Care Act social policies comparative racialization |
| spellingShingle |
États-Unis Obama Barack Affordable Care Act politiques sociales comparatiste racialisation United States Obama Barack Affordable Care Act social policies comparative racialization Stephan, Lea Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective |
| description |
This article examines the particularities of the 2010 Patient Protection and Affordable Care Act (ACA) in a historical comparative perspective. Comparisons are made to highlight the specificities of the American welfare state and of health legislation in particular. The comparisons with European countries aim at highlighting the particularity of racial division among the American working and middle class that hampered the expansion of the American welfare state and how this impacted the ACA. Despite certain shortcomings resulting of the idiosyncrasies of America’s welfare state and political system (the single payer system was not considered, Medicaid expansion is now optional, a market-based system), the ACA nonetheless managed to circumvent some problems due to the racialization of social policies and found ways to address some of the needs of minority populations by targeting specific issues that are particularly problematic for those populations. |
| author |
Stephan, Lea |
| author_facet |
Stephan, Lea |
| author_sort |
Stephan, Lea |
| title |
Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective |
| title_short |
Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective |
| title_full |
Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective |
| title_fullStr |
Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective |
| title_full_unstemmed |
Idiosyncrasies of the 2010 Affordable Care Act from a Comparative Perspective |
| title_sort |
idiosyncrasies of the 2010 affordable care act from a comparative perspective |
| publisher |
Angles |
| publishDate |
2020 |
| container_title |
URI:https://journals.openedition.org/angles |
| url |
https://ezproxy.univ-orleans.fr/login?url=https://doi.org/10.4000/angles.1598 https://ezproxy.univ-orleans.fr/login?url=https://journals.openedition.org/angles/1598 |
| _version_ |
1877293948536356864 |