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Unpublished Paper
"Health Care for All:" The Gap between Rhetoric and Reality in the Affordable Care Act
ExpressO (2013)
  • Vinita Andrapalliyal
Abstract
The rhetoric of “universal health care” and “health care for all” that pervaded the health care debate which culminated in the Patient Protection and Affordable Care Act (ACA)’s passage. However, the ACA offers reduced to no protections for certain noncitizen groups, specifically: 1) recently-arrived legal permanent residents, 2) nonimmigrants, and 3) the undocumented. This Article explores how the Act fails to ensure “health care for all,” demonstrates the gap between rhetoric and reality by parsing the ACA’s legislative history, and posits reasons for the gap. The ACA’s legislative history suggests that legislators’ biases towards these noncitizen groups, particularly with respect to the economic impact of insuring them and the idea that they are not “American,” may explain why the ACA fell short of its goal of “health care for all.” The Article also offers suggestions on how health care advocates for these noncitizen groups may use this understanding of the gap to ultimately prevail on their agenda.
Keywords
  • Affordable Care Act,
  • ACA,
  • health policy,
  • health care,
  • immigration,
  • legislative history
Publication Date
April 5, 2013
Citation Information
Vinita Andrapalliyal. ""Health Care for All:" The Gap between Rhetoric and Reality in the Affordable Care Act" ExpressO (2013)
Available at: http://works.bepress.com/vinita_andrapalliyal/2/