Full Citation
Title: The Institutional Determinants of Health Insurance: Moving Away from Labor Market, Marriage, and Family Attachments under the ACA
Citation Type: Journal Article
Publication Year: 2018
ISBN:
ISSN:
DOI: 10.1177/0003122418811112
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Abstract: For more than a century, the American welfare state required working-age adults to obtain social welfare benefits through their linkages to employers, spouses, or children. Recent changes to U.S. healthcare policy prompted by the Patient Protection and Affordable Care Act (ACA), however, provide adults with new pathways for accessing a key form of social welfare—health insurance—decoupled from employers, spouses, and children. Taking advantage of this fundamental shift in the country’s system of social welfare provision, I use data from the National Survey on Drug Use and Health (NSDUH) to explore patterns of health insurance coverage from before and after the ACA became active in 2014. The results show that the salience of labor market, marriage, and family attachments as pathways to coverage significantly declined in the first three years following passage of the ACA. By providing adults with a new route to coverage decoupled from their institutional attachments, the ACA helped narrow health insurance i...
Url: http://journals.sagepub.com/doi/10.1177/0003122418811112
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Authors: Gutierrez, Carmen M.
Periodical (Full): American Sociological Review
Issue: 6
Volume: 83
Pages: 1144-1170
Data Collections: IPUMS CPS
Topics: Family and Marriage, Health, Labor Force and Occupational Structure, Other
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