Medicaid Non-Expansion in the U.S.

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by Laura Camila Forero Gómez

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by Ruben Dario Zuluaga Galvis

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by Chantel White

Medicaid Non-Expansion in the U.S.

Demographic and Social Change

Specific Aspects in Context Generational Needs: Rural vs. urban healthcare access Improving Health Outcomes: Increased access to preventive care and better long-term outcomes

Social Equity and Healthcare Access Reducing Health Disparities: Leveling the playing field in healthcare Economic Stability: Supporting low-income workers and economic growth

Generations & Demographic Trends

Healthcare Access Across Generations Elderly: Access to long-term care and chronic disease management Middle-aged: Preventive care and chronic condition treatment Young Adults and Children: Pediatric and mental health services

Generational Impact Older Generations: Increased need for healthcare services Younger Generations: Higher uninsured rates, need for safety net

Social Control Theory

Policy Dynamics States with stronger ties to federal programs more likely to expand Efforts to reinforce societal norms of healthcare equity Potential shift in policy with increased social pressure

Encouraging Conformity Strengthening social ties to national programs Federal incentives and public opinion as mechanisms Advocacy efforts to build stronger social bonds

Weak Bonds to Norms Indicating weak attachment to national healthcare values Lack of integration with federal healthcare goals Limited connections to institutions promoting Medicaid

Differential Association Theory

Implications Collective stance against Medicaid expansion Ideological conformity within networks Perpetuation of resistance through social learning

Reinforced Beliefs Policy decisions shaped by peer influence Continuous reinforcement through social and political channels Resistance becomes a shared norm among like-minded states

Learning Resistance Interaction with similar ideological groups Influence from conservative networks Adoption of anti-expansion narratives

Population Change & Demographic Transition

Impact of Demographic Transition Economic Implications: Supporting economic stability and growth Stage of Transition: Adapting healthcare to support an aging and diverse population

Current Demographic Context Aging Population: Increased demand for healthcare services Racial and Ethnic Diversity: Addressing healthcare disparities

Key Points from Articles

Connect Sociological theories provide insights into policy resistance Understanding structural and conflict dynamics in healthcare debates Recognizing the role of social change in policy development

Understand Ongoing issues with healthcare access and insurance coverage Legal challenges to restrictive policies Broader implications for social equity and healthcare policy

Summarize Medicaid’s role in providing healthcare to low-income populations Impact of ACA on expanding Medicaid Benefits of reducing uninsured rates and improving health outcomes

Labeling Theory

Policy and Identity State identity shaped by labels Decision-making influenced by desire to maintain autonomy or conform Labels highlight negative consequences and prompt debate

Impact of Stigma Public perception influenced by labels Stigmatization affects political pressure States may resist or entrench further based on labeling

Labeling Non-Expanding States Labeling as "deviant" or "outliers" Labels applied by proponents of expansion and media Actions seen as contrary to broader healthcare norms

Reasons for Non-Expansion

Work Incentives Concerns about reducing work incentives Debate over "able-bodied" adults Impact on labor market participation

Economic & Health Consequences Higher emergency care costs Poor health outcomes Increased uninsured rates

Administrative Challenges Complexity of program management Increased bureaucratic demands Resource allocation issues

Financial Concerns Long-term cost worries Budgetary impacts Potential increase in state expenses

Ideological Opposition Belief in limited government Fear of increased federal control Emphasis on self-reliance