The differential treatment of Cuban and Mexican immigrants in the U.S. public health system

Authors

  • Sarah Horton Harvard University

DOI:

https://doi.org/10.22380/2539472X.1215

Keywords:

Public care system,, United States, immigrants, Cuban, Mexican

Abstract

This paper examines the participation of the public health care system in a broader societal construction of Mexican immigrants as undeserving of public health benefits. I show that financial shortfalls due to the implementation of Medicaid managed care (MMC) in a public hospital in New Mexico led the Hospital to devise further categories of “undeserving” subjects in order to ration care. Such policies-predicated upon a neoliberal assessment of immigrants’ perceived self-reliance-teach Mexican immigrants that they are “second-class citizens” and have profound consequences for their health status as well.

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Author Biography

Sarah Horton, Harvard University

Nimh Postdoctoral Fellow, Department of Social Medicine, Harvard University, USA

References

Becker, G. C. 1965. “A theory of the allocation of time”. Economic Journal. 75. DOI: https://doi.org/10.2307/2228949

Bourdieu, P. 1998. Actos de resistencia: contra la tiranía del mercado. The New Press. Nueva York.

Brown, E. R., R. Wyn, H. YU, A. Valenzuela Y L. Dong. 1998. “Access to health insurance and health care for mexican american children in immigrant families”. En Marcelo M. Suárez-Orozco (ed.). Crossings: Mexican immigration in interdisciplinary perspective. Harvard University David Rockefeller Center for Latin American Studies. Cambridge, MA y Londres.

Contreras, G. 1999. “Hospital defends care of young mom: Family challenges attempted move to mexican nursing home”. Albuquerque Journal. 25 de noviembre. A1.

Cunningham, P., J. Grossman, R. ST. Peter Y C. Lesser. 1999. “Managed care and physicians' provision of charity care”. Journal of the American Medical Association. 281. DOI: https://doi.org/10.1001/jama.281.12.1087

Farmer, P. 1999. Infections and inequalities: The modern plagues. University of California Press. Berkeley.

–. 2000. “Prevention without treatment is not sustainable”. National AIDS Bulletin. 13 (6).

Foucault, M. 1989. “The subject and power”. En H.L. Dreyfus y Paul Rabinow (eds.). Michel Foucault: Beyond structuralism and hermeneutics. University of Chicago Press. Chicago.

Ginzberg, E. Y M. Ostow. 1997. “Managed care. A look back and a look ahead”. New England Journal of Medicine. 336 (14). DOI: https://doi.org/10.1056/NEJM199704033361411

Good, M.-J. del Vecchio, C. James, B. Good, A. E. Becker. 2002. “The culture of medicine and racial, ethnic, and class disparities in healthcare”. En B. D. Smedley, A. Y. Stith y A. R. Nelson (eds.). Unequal treatment: Confronting racial and ethnic disparities in healthcare. Institute of Medicine. Washington.

Gordon, C. 1991. “Governmental rationality: An introduction”. En G. Burchell, C. Gordon y P. Miller (eds.). The Foucault Effect. University of Chicago Press. Chicago.

Grogan, C. M. 1997. “The Medicaid managed care policy consensus for welfare recipients: A reflection of traditional welfare concerns”. Journal of Health Politics, Policy, and Law. 22 (3). DOI: https://doi.org/10.1215/03616878-22-3-815

Holahan, J. et al. 1995. “Insuring the poor through section 115 Medicaid waivers”. Health Affairs. 14 (1). DOI: https://doi.org/10.1377/hlthaff.14.1.199

Horton, S., J. Mccloskey, C. Todd Y M. Henriksen. 2001. “Transforming the safety net: Responses to Medicaid managed care in rural and urban New Mexico”. American Anthropologist. 103 (3). DOI: https://doi.org/10.1525/aa.2001.103.3.733

Hyatt, S. 1997. “Poverty in a 'post–welfare' landscape”. En Chris Shore y Susan Wright (eds.). Anthropology of Policy. Routledge. Nueva York.

Iglehart, J. K. 1999. “The American health care system: Medicaid”. New England Journal of Medicine. 340 (5). DOI: https://doi.org/10.1056/NEJM199902043400525

Iriart, C., E. E. Merhy Y H. Waitzkin. 2001. “Managed care in Latin America: The new common sense in health policy reform”. Social Science & Medicine. 52. DOI: https://doi.org/10.1016/S0277-9536(00)00243-4

Jadmark, J. 1999a. “Hospital plans new payment system”. Albuquerque Journal. 26 de febrero. A1.

–. 1999b. “Condition of returned girl still serious”. Albuquerque Journal. 27 de noviembre. E1.

Ku, L. Y A. Freilich. 2001. “Caring for immigrants: Health care safety nets in Los Angeles, New York, Miami, and Houston”. Kaiser Family Foundation, Kaiser Commission on Medicaid and the Uninsured. Washington.

Lamphere, L. (ed.). 1992. Structuring diversity: Ethnographic perspectives on the new immigration. University of Chicago Press. Chicago y Londres.

Lewin, M. E. Y S. Altman (eds.). 2000. America's health care safety net: Intact but endangered. National Academy Press. Washington.

Loescher, G. Y J. A. Scanlan. 1986. Calculated kindness: Refugees and America's half-open door, 1945 to the present. The Free Press. Nueva York y Londres.

López, D. E. Y R. D. Stanton-Salazar. 2001. “Mexican Americans: A second generation at risk”. En Rubén G. Rumbaut y Alejandro Portes (eds.). Ethnicities: children of immigrants in America. University of California Press. Berkeley, Los Angeles y Londres.

Maskovsky, J. 2000. “'Managing' the poor: Neoliberalism, Medicaid HMOs and the triumph of consumerism among the poor”. Medical Anthropology. 9.

Oboler, S. 1995. Ethnic labels, Latino lives: Identity and the politics of (re)presentation in the United States. University of Minnesota Press. Minneapolis y Londres.

ONG, A. 1995. “Making the biopolitical subject: Cambodian immigrants, refugee medicine and cultural citizenship in California”. Social Science & Medicine. 40 (9). DOI: https://doi.org/10.1016/0277-9536(94)00230-Q

–. 1996. “Cultural citizenship as subject-making: immigrants negotiate racial and cultural boundaries in the United States”. Current Anthropology. 37 (5).

–. 2003. Buddha is hiding: Refugees, citizenship, the new America. University of California Press. Berkeley, Los Angeles y Londres.

Pedraza-Bailey, S. 1985. Political and economic migrants in America: Cubans and Mexicans. University of Texas Press. Austin.

Peterson, A. 1997. “Risk, governance, and the new public health”. En Alan Peterson y Robin Bunton (eds.). Foucault, health, and medicine. Routledge Press. Nueva York.

–. 1996. “Risk and the regulating self: The discourse of health promotion as politics of uncertainty”. Australian and New Zealand Journal of Sociology. 32 (1).

Rosenbaum, S. 1997. “A look inside Medicaid managed care”. Health Affairs. 16 (4). DOI: https://doi.org/10.1377/hlthaff.16.4.266

Rylko-Bauer, B. Y P. Farmer. 2002. “Managed care or managed inequality? A call for critiques of market-based medicine”. Medical Anthropology Quarterly. 16 (4). DOI: https://doi.org/10.1525/maq.2002.16.4.476

Salamon, L. 1996. “The crisis of the nonprofit sector and the challenge of renewal”. National Civic Review. 85 (4). DOI: https://doi.org/10.1002/ncr.4100850403

Stocker, K., H. Waitzkin Y C. Iriart. 1999. “The exportation of managed care to Latin America”. New England Journal of Medicine. 340 (14). DOI: https://doi.org/10.1056/NEJM199904083401425

Sum, A., N. Fogg Y P. Harrington. 2002. “Immigrant workers and the great American job machine: The contributions of new foreign immigration to national and regional labor force growth in the 1990s”. Center for Labor Market Data, Northeastern University. Boston.

Waitzkin, H., R. L. Williams, J. A. Bock, J. Mccloskey, C. Willging y W. Wagner. 2002. “Safety-net institutions buffer the impact of Medicaid managed care: A multi-method assessment in a rural state”. American Journal of Public Health. 92 (4). DOI: https://doi.org/10.2105/AJPH.92.4.598

Published

2005-06-22

How to Cite

Horton, S. . (2005). The differential treatment of Cuban and Mexican immigrants in the U.S. public health system . Revista Colombiana De Antropología, 40, 61–84. https://doi.org/10.22380/2539472X.1215

Issue

Section

Anthropological perspectives on public health