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02143aam a2200349 i 4500 001 11F4E2D4688611E8A317244297128E48 003 SILO 005 20180605010123 008 171012t20182018enka b 001 0 eng 010 $a 2017045621 020 $a 131664958X 020 $a 9781316649589 020 $a 1316510190 020 $a 9781316510193 035 $a (OCoLC)1007499216 040 $a DLC $b eng $e rda $c DLC $d OCLCO $d YDX $d OCLCO $d NDD $d OCLCO $d BDX $d ERASA $d IWA $d SILO 042 $a pcc 043 $a n-us--- 050 00 $a RA412.4 M53 2018 100 1 $a Michener, Jamila, $d 1981- $e author. 245 10 $a Fragmented democracy : $b medicaid, federalism, and unequal politics / $c Jamila Michener. 264 1 $a Cambridge, United Kingdom ; $b Cambridge University Press, $c 2018. 300 $a xii, 226 pages : $b illustrations ; $c 23 cm 520 $a "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"-- $c Provided by publisher. 504 $a Includes bibliographical references and index. 650 0 $a Medicaid $x Political aspects $z United States. 650 0 $a Medical policy $z United States. 941 $a 2 952 $l USUX851 $d 20230302014516.0 952 $l OVUX522 $d 20191217025500.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=11F4E2D4688611E8A317244297128E48 994 $a C0 $b IWAInitiate Another SILO Locator Search