Navigating health care: brokerage and access for undocumented Latino immigrants under the 2010 Affordable Care Act

ABSTRACT

Brokerage is a prominent mechanism that explains access for Latino immigrants to many American institutions. However, few studies examine the dual nature of brokerage in answering questions on access to health care for undocumented Latino immigrants. The growing importance of Federally Qualified Health Centers (FQHCs) and ethnic navigators connecting immigrants to health care under the 2010 Affordable Care Act calls attention to the duality of brokers and its role in access. The study draws from 44 in-depth interviews with providers, clinic directors, navigators, and immigrant patients and two years of fieldwork in FQHCs in California’s San Francisco Bay Area (2011–2013). Results show that brokers enable access through coaching and myth-busting but they also hinder it through scrutiny and bureaucratic filtering. The widespread dependence on brokerage, I argue, leads to ersatz brokerage, such as when providers navigate the health-care system for the undocumented without the appropriate linguistic resources or coordination. Furthermore, the study shows that the duality in brokerage generates misinformation, churning, and alienation. Understanding the relational processes that both include and exclude vulnerable populations from needed services enhances theories of immigrant integration and can help design more efficient policies and address inequalities related to documentation status.     

Intention to Leave the Profession: Welfare Social Workers Compared to Health Care and Community Social Workers in Israel

ABSTRACT

This study aimed to compare specific work related-factors (personal factor: length of work experience; structural factors: personal subjection to violence and fear of being subjected to violence; and psychological factors: professional quality of life—compassion satisfaction, burnout, and compassion fatigue) between welfare social workers (SWs) (n = 200) and health care and community SWs (n = 173). Furthermore, since the issue of turnover among SWs has important implications for the provision and programming of social services, the study also aimed to assess the relationship between these factors and SW intention to leave the profession. For the purpose of this study, online questionnaires were distributed to SWs working at social agencies and services. The findings suggest that the two categories of SWs showed a similarity with regard to the association between the personal and structural factors and intention to leave the profession. However, with regard to the psychological factors, the components of professional quality of life were found to operate differently in each category of SWs. It is suggested that future research examine other work-related factors and explore the intention to leave the profession among other social work specializations and employment sectors.     

协调对华经贸政策的角色：从总统到中美高层经济对话

冷战后,美国在对华经贸政策的制定过程中,包括总统、国会和各行政部门在内的政策主张不一,不时发生对抗,反映出其部门间协调性机制的缺位。近年来,美国财政部牵头下的中美战略经济对话和国务院领导下的中美高层对话构成了中关经济对话的新型机制,弥补了美方对华经贸政策制定中用以协调本国国内各部门政策立场的制度性缺陷,为稳定和助推两国经贸发展提供了一个非常必要的有利机制。     

论大跃进时期浮夸风产生的社会环境

浮夸风是大跃进时期一种恶劣的社会现象,共产生与当时中国的社会环境之间有着密切的联系。大跃进前夕中国社会在政治、经济、思想以及社会心理等方面存在的“左”的因素,酝酿了浮夸风出现的可能性。     

俄汉翻译中的文化因素

以俄汉翻译中的文化因素为例,对文化与翻译的关系进行了概括性的论述,并以丰富的俄汉两民族语言互译中的文化因素进行了一次理论与实践的分析和探索。     

“福利田”的经济分析

由于农地经济功能的弱化和社会功能的强化,以保障基本生活为目的的福利田产生,与之相对的是以获取最大经济效益为目的的效率田。通过对福利田的经济分析,我们可以明确看到,福利田导致了农地的低效利用,制约了农业效益的提高,同时影响到农民工的非农化进程,阻碍了我国产业结构升级。     

德法兼治是构建社会主义和谐社会的必要条件

没有健全的法制,良好的社会道德秩序就不可能建立;而没有良好的公民道德素质,法制建设也会缺乏必要的道德基础。因此,构建社会主义和谐社会,既要有社会主义法制作为保障,也离不开良好社会道德秩序的支撑。面对带有法治经济和道德经济双重属性的社会主义市场经济体制,一方面,需要用法治维护市场经济的正常秩序,实现宏观调控;另一方面,要提高公民的道德素质,增强公民遵纪守法的自觉性。     

金融危机背景下大龄返乡农民工养老保障模式与政策支撑

金融危机对我国中小型企业产生了巨大影响,企业的经营困难造成了一大批失业返乡的农民工,而其中的大龄农民工面临着更为严峻的困境。如何解决他们养老保障问题成为当今社会关注的热点。对现实生活中大龄返乡农民工养老面临的四大困境分析表明,从国家养老保障政策的支持、社会养老关系网络的构建、充分发挥受保主体的自保能力三个层面来构建金融危机后大龄返乡农民工养老保障的模式．具有一定的现实意义和价值。     

戊戌变法时期国人的办报活动与传播效应

在回顾戊戌变法时期的国人办报高潮之前的办报情况基础上,从时代背景、启蒙思想、新式教育的普及以及当时的政策四个方面分析戊戌变法时期国入办报高潮出现的可能性和必然性。列举了这次办报高潮中的核心报人及其思想,并对这次办报高潮的影响及意义进行总结。     

国外有关网络环境下知情权的立法现状及借鉴意义

网络环境下的知情权是传统知情权在网络这一特殊社会环境下的表现形式.在网络环境下,知情权的行使日益多样化,更加便捷高效,充分体现出公共参与性.美国、欧盟和亚洲国家针对网络环境下的知情权展开了积极的立法实践,而我国的相关立法仍处于缺位状态.应借鉴国外立法的先进经验,根据本国的宪政路径来选择知情权的立法模式,消除网络环境对传统法律制度造成的障碍,并结合网络环境下知情权的特点对立法进行制度设计.