Coming March 11, 2025
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Not All In: Race, Immigration, and Healthcare Exclusion in the Age of Obamacare
Despite progressive policy strides in health care reform, immigrant communities continue to experience stark disparities across the United States. In Not All In, Tiffany D. Joseph exposes the insidious contradiction of Massachusetts’ advanced healthcare system and the exclusionary experiences of its immigrant communities.
Joseph illustrates how patients’ race, ethnicity, and legal status determine their access to health coverage and care services, revealing a disturbing paradox where policy advances and individual experiences drastically diverge. Examining Boston’s Brazilian, Dominican, and Salvadoran communities, this book provides an exhaustive analysis spanning nearly a decade to highlight the profound impacts of the Affordable Care Act and subsequent policy shifts on these marginalized groups.
Not All In is a critical examination of the systemic barriers that perpetuate healthcare disparities. Joseph challenges readers to confront the uncomfortable truths about racialized legal status and its profound implications on healthcare access.
What people are saying about
Not All In
“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 ought to be required reading for all Americans.”