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04299aam a2200541 i 4500 001 E954A910214711EEBC7340321FECA4DB 003 SILO 005 20230713010558 008 210818t20222022nyuab b 001 0 eng 010 $a 2021039791 020 $a 1479807141 020 $a 9781479807147 020 $a 1479807133 020 $a 9781479807130 035 $a (OCoLC)1266200620 040 $a DLC $b eng $e rda $c DLC $d OCLCO $d OCLCF $d BDX $d YDX $d UKMGB $d YDX $d OCLCO $d IAK $d SLU $d LML $d IVU $d TEU $d SILO 042 $a pcc 043 $a n-us-il $a n-us-il 050 00 $a RA412.475 $b .V37 2022 082 00 $a 368.38/200977311 $2 23 100 1 $a Vargas, Robert, $d 1985- $e author. 245 10 $a Uninsured in Chicago : $b how the social safety net leaves Latinos behind / $c Robert Vargas. 264 1 $a New York : $b New York University Press, $c [2022] 300 $a 223 pages : $b illustrations, 1 map ; $c 23 cm. 490 1 $a Latina/o sociology series 504 $a Includes bibliographical references (pages 199-210) and index. 505 00 $g Introduction -- $t The Power of Social Networks to Secure Insurance -- Conclusion. $t Who Deserves Health Care? -- $t Why Latina Women Sacrifice Their Coverage -- $t The Role Gender Plays in Access to Health Care -- $t The Power of Social Networks to Secure Insurance -- Conclusion. 520 $a "Latinos are the largest racial group without health insurance in the nation, and the implementation of the Affordable Care Act (ACA) was supposed to help fix this. Six years after implementation, however, millions of Latinos who were eligible for health insurance remained uninsured. In this book, Robert Vargas shadowed the lives of 40 uninsured young adults in Chicago during the first three years of the ACA (2013-2016) to understand the roots of this problem. By accompanying uninsured Latinos as they lived their lives and interacted with the health care system both online and in-person, Vargas illuminates multiple structures that inhibited access to health insurance. This included the criminalized informal health care economy, which severely punished uninsured Latinos for engaging in petty thefts to acquire life-saving medications. Traumatic past experiences with health care bureaucracies also dissuaded Latinos from using the ACA, as memories of long waits or stigmatization from rude staff soured their perceptions of the ACA. Amidst these constraining structures, Vargas also discovered glimmers of hope through the positive role health navigators, social networks, and family members played in overcoming structural barriers and facilitating access to health insurance. This groundbreaking ethnography is one of the most intimate accounts of the lives of uninsured Latinos, and provides readers with a wealth of ideas to imagine new ways to empower Latino communities into dismantling or transforming the nation's social safety net for the better"-- $c Provided by publisher. 610 10 $a United States. $t Patient Protection and Affordable Care Act. 630 07 $a Patient Protection and Affordable Care Act (United States) $2 fast $0 (OCoLC)fst01916081 650 0 $a Hispanic Americans $x Medical care $z Chicago $z Chicago $v Case studies. 650 0 $a Hispanic Americans $x Health and hygiene $z Chicago $z Chicago $v Case studies. 650 0 $a Health insurance $z Chicago $z Chicago $v Case studies. 650 0 $a Medical care $z Chicago $z Chicago $v Case studies. 650 6 $a AmeÌricains d'origine latino-ameÌricaine $x Soins meÌdicaux $z Chicago $z Chicago $v EÌtudes de cas. 650 6 $a AmeÌricains d'origine latino-ameÌricaine $x SanteÌ et hygieÌne $z Chicago $z Chicago $v EÌtudes de cas. 650 7 $a Health insurance. $2 fast $0 (OCoLC)fst01715839 650 7 $a Hispanic Americans $x Health and hygiene. $2 fast $0 (OCoLC)fst00957563 650 7 $a Hispanic Americans $x Medical care. $2 fast $0 (OCoLC)fst00957575 650 7 $a Medical care. $2 fast $0 (OCoLC)fst01013753 651 7 $a Illinois $z Chicago. $2 fast $0 (OCoLC)fst01204048 655 7 $a Case studies. $2 fast $0 (OCoLC)fst01423765 655 7 $a Case studies. $2 lcgft $0 https://id.loc.gov/authorities/genreForms/gf2017026140 830 0 $a Latina/o sociology series. 941 $a 1 952 $l PLAX964 $d 20230718100345.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=E954A910214711EEBC7340321FECA4DB 994 $a 92 $b IOHInitiate Another SILO Locator Search