Fragmented democracy : medicaid, federalism, and unequal politics

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-- 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. Jamila Michener. Includes Bibliographical References And Index. "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"-- Provided by publisher 01.0_pp_i_ii_Fragmented_Democracy 1 02.0_pp_iii_iii_Fragmented_Democracy 5 03.0_pp_iv_iv_Copyright_page 9 04.0_pp_v_vi_Dedication 13 05.0_pp_vii_viii_Contents 15 06.0_pp_ix_xii_Acknowledgments 17 07.0_pp_1_18_Medicaid_Political_Life_and_Fragmented_Democracy 21 08.0_pp_19_32_Democratic_Citizenship_and_Contextualized_Policy_Feedback 39 09.0_pp_33_59_Federalism_Health_Care_and_Inequity 53 10.0_pp_60_83_State_Policy_and_Political_MisEducation 80 11.0_pp_84_113_Particularistic_Resistance_in_County_Contexts 104 12.0_pp_114_133_People_Places_and_Social_Policy_in_the_City 134 13.0_pp_134_161_Policy_Advocacy_across_a_Fragmented_Polity 154 14.0_pp_162_170_Federalism_and_Political_Inequality 182 15.1_pp_171_179_Qualitative_Interviews 191 15.2_pp_180_190_Statistical_Tables 200 16.0_pp_191_200_Notes 211 17.0_pp_201_220_References 221 18.0_pp_221_226_Index 241