IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v165y2016icp263-270.html
   My bibliography  Save this article

How health navigators legitimize the Affordable Care Act to the uninsured poor

Author

Listed:
  • Vargas, Robert

Abstract

Health navigators are a new health care workforce created by the Affordable Care Act (ACA) to assist low-income minority populations with acquiring health insurance. Given the high levels of distrust among the poor toward government and the medical profession, this article asks: How do health navigators build the legitimacy necessary to persuade low-income uninsured clients to enroll in health insurance? Through ethnography of face-to-face interaction between navigators and the uninsured poor in Chicago, this study shows that successful navigators deployed a combination of cultural repertoires for building trust and legitimacy. These repertoires included ceding control of the conversation, creating ethnic solidarity, and disassociating themselves from government bureaucrats or self-serving insurance employees. These findings demonstrate the usefulness of cultural sociology for understanding health insurance provision to the poor, ACA outreach efforts, and the more general study of how occupations legitimize themselves to clients.

Suggested Citation

  • Vargas, Robert, 2016. "How health navigators legitimize the Affordable Care Act to the uninsured poor," Social Science & Medicine, Elsevier, vol. 165(C), pages 263-270.
    • Handle: RePEc:eee:socmed:v:165:y:2016:i:c:p:263-270
    DOI: 10.1016/j.socscimed.2016.01.012
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953616300120
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2016.01.012?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Viviana A. Zelizer, 2012. "How I Became a Relational Economic Sociologist and What Does That Mean?," Politics & Society, , vol. 40(2), pages 145-174, June.
    2. Gamble, V.N., 1997. "Under the Shadow of Tuskegee: African Americans and Health Care," American Journal of Public Health, American Public Health Association, vol. 87(11), pages 1773-1778.
    3. Soss, Joe, 1999. "Lessons of Welfare: Policy Design, Political Learning, and Political Action," American Political Science Review, Cambridge University Press, vol. 93(2), pages 363-380, June.
    4. Anteby, Michel & Hyman, Mikell, 2008. "Entrepreneurial ventures and whole-body donations: A regional perspective from the United States," Social Science & Medicine, Elsevier, vol. 66(4), pages 963-969, February.
    5. Zinn, Jacqueline & Mor, Vincent & Feng, Zhanlian & Intrator, Orna, 2009. "Determinants of performance failure in the nursing home industry," Social Science & Medicine, Elsevier, vol. 68(5), pages 933-940, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Schupmann, Will, 2023. "“We are not the ethics police”: The professionalization of clinical ethicists and the regulation of medical decision-making," Social Science & Medicine, Elsevier, vol. 322(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Andrea D. Gurmankin & Jonathan Baron & Katrina Armstrong, 2004. "The Effect of Numerical Statements of Risk on Trust and Comfort with Hypothetical Physician Risk Communication," Medical Decision Making, , vol. 24(3), pages 265-271, June.
    2. Amelia S Knopf & Peter Krombach & Amy J Katz & Rebecca Baker & Gregory Zimet, 2021. "Measuring research mistrust in adolescents and adults: Validity and reliability of an adapted version of the Group-Based Medical Mistrust Scale," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-9, January.
    3. Momi Dahan, 2023. "Social Construction And The Progressivity Of Local Tax Relief," Israel Economic Review, Bank of Israel, vol. 21(1), pages 1-33, March.
    4. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2017. "Effects Of Welfare Reform On Women'S Voting Participation," Economic Inquiry, Western Economic Association International, vol. 55(3), pages 1430-1451, July.
    5. Allen, Jennifer D. & Kennedy, Mark & Wilson-Glover, Athene & Gilligan, Timothy D., 2007. "African-American men's perceptions about prostate cancer: Implications for designing educational interventions," Social Science & Medicine, Elsevier, vol. 64(11), pages 2189-2200, June.
    6. Salomo Hirvonen & Jerome Schafer & Janne Tukiainen, 2022. "Policy Feedback and Civic Engagement: Evidence from the Finnish Basic Income Experiment," Discussion Papers 155, Aboa Centre for Economics.
    7. Matt Guardino & Suzanne Mettler, 2020. "Revealing the “Hidden welfare state†: How policy information influences public attitudes about tax expenditures," Journal of Behavioral Public Administration, Center for Experimental and Behavioral Public Administration, vol. 3(1).
    8. Megan M. Reynolds & Ashley M. Fox & Yvette Young, 2021. "State‐level social safety nets for families coping with job loss," Poverty & Public Policy, John Wiley & Sons, vol. 13(2), pages 121-138, June.
    9. Schaub, Max, 2021. "Acute Financial Hardship and Voter Turnout: Theory and Evidence from the Sequence of Bank Working Days," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 115(4), pages 1258-1274.
    10. Shoff, Carla & Yang, Tse-Chuan, 2012. "Untangling the associations among distrust, race, and neighborhood social environment: A social disorganization perspective," Social Science & Medicine, Elsevier, vol. 74(9), pages 1342-1352.
    11. Paula M. Frew & Jay T. Schamel & Kelli A. O’Connell & Laura A. Randall & Sahithi Boggavarapu, 2015. "Results of a Community Randomized Study of a Faith-Based Education Program to Improve Clinical Trial Participation among African Americans," IJERPH, MDPI, vol. 13(1), pages 1-12, December.
    12. Peek, Monica E. & Odoms-Young, Angela & Quinn, Michael T. & Gorawara-Bhat, Rita & Wilson, Shannon C. & Chin, Marshall H., 2010. "Race and shared decision-making: Perspectives of African-Americans with diabetes," Social Science & Medicine, Elsevier, vol. 71(1), pages 1-9, July.
    13. Candelaria Garay, 2007. "Social Policy and Collective Action: Unemployed Workers, Community Associations, and Protest in Argentina," Politics & Society, , vol. 35(2), pages 301-328, June.
    14. Richmond, Jennifer & Boynton, Marcella H. & Ozawa, Sachiko & Muessig, Kathryn E. & Cykert, Samuel & Ribisl, Kurt M., 2022. "Development and Validation of the Trust in My Doctor, Trust in Doctors in General, and Trust in the Health Care Team Scales," Social Science & Medicine, Elsevier, vol. 298(C).
    15. Eric Chyn & Kareem Haggag, 2023. "Moved to Vote: The Long-Run Effects of Neighborhoods on Political Participation," The Review of Economics and Statistics, MIT Press, vol. 105(6), pages 1596-1605, November.
    16. Jacqueline Chattopadhyay, 2017. "Is the ACA's Dependent Coverage Provision Generating Positive Feedback Effects Among Young Adults?," Poverty & Public Policy, John Wiley & Sons, vol. 9(1), pages 42-70, March.
    17. Townsend, A. & Abraham, C. & Barnes, A. & Collins, M. & Halliday, E. & Lewis, S. & Orton, L. & Ponsford, R. & Salway, S. & Whitehead, M. & Popay, J., 2020. "“I realised it weren't about spending the money. It's about doing something together:” the role of money in a community empowerment initiative and the implications for health and wellbeing," Social Science & Medicine, Elsevier, vol. 260(C).
    18. Sandra Soo-Jin Lee, 2015. "The Biobank as Political Artifact," The ANNALS of the American Academy of Political and Social Science, , vol. 661(1), pages 143-159, September.
    19. Malat, Jennifer R. & van Ryn, Michelle & Purcell, David, 2006. "Race, socioeconomic status, and the perceived importance of positive self-presentation in health care," Social Science & Medicine, Elsevier, vol. 62(10), pages 2479-2488, May.
    20. Jun Fang, 2024. "The Culture of Censorship: State Intervention and Complicit Creativity in Global Film Production," American Sociological Review, , vol. 89(3), pages 488-517, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:165:y:2016:i:c:p:263-270. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.