Lessons for Women's Health From the Massachusetts Reform: Affordability, Transitions, and Choice

Department of Sociology, Suffolk University, Boston, Massachusetts 02108, USA.
Women s Health Issues (Impact Factor: 1.61). 01/2011; 21(1):1-5. DOI: 10.1016/j.whi.2010.10.004
Source: PubMed


Three years into Massachusetts' health insurance reform, we are beginning to see what that experience portends for women nationally in the wake of legislation similar to the Massachusetts model. Although the Massachusetts reform has been successful in terms of reducing the number of uninsured men and women, interviews with Massachusetts women reveal significant problems that remain to be addressed. In this paper, we offer snapshots of three women whom we interviewed on the cusp of the Massachusetts reform. None of the women had insurance at the time; thus, health care reform represents a significant improvement in their access to care. However, as these snapshots indicate, major challenges remain in terms of affordability, continuity of coverage, and systemic complexities in choosing plans.

6 Reads
  • Source
    • "In some cases, migration of husbands decreased the mental health of their wives [15]. Divorced, widowed and separated women are more likely to have problems in paying their medical bills than either single or married women [3]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: We aimed to explore and describe the factors involved in Iranian women heads of household’s health promotion activities. Grounded theory was used as the method. Sixteen women heads of household were recruited. Data were generated by semi structured interviews. Our findings indicated that remainder of resources (money, time and energy) alongside perceived severity of health risk were two main factors whereas women’s personal and socio-economic characteristics were two contextual factors involved in these women's health promotion activities. To help these women improve their health status, we recommended that the government, non-governmental organizations and health care professionals provide them with required resources and increase their knowledge by holding training sessions.
    The Open Nursing Journal 08/2013; 7(1):133-41. DOI:10.2174/1874434601307010133
  • Source
    • "Although clauses in the new law call for greater uniformity in presenting plan information and choices in plans, choosing a plan that meets the unique health need s of each person may be cumbersome. For example, evidence from the recently implemented Massachusetts health insurance exchanges shows that even with uniform information, plans may be complicated to choose from in terms of predicting what one's health care needs may be in the present and the future (Sered & Proulx, 2011). "
    [Show abstract] [Hide abstract]
    ABSTRACT: In 2009, more than 17 million women lacked health insurance coverage in the United States. A disproportionate number of these women were African American or Latino. In addition, many women aged 55 to 64 lack coverage through either their own employment or access to a spouse's plan at a time when they face an elevated risk of long-term and life-threatening illness. The study's objective is to understand the extent to which the Patient Protection and Affordable Care Act, signed in March 2010, will increase coverage for pre-retirement age women through the new health insurance exchanges and the expanded Medicaid program. This study employs the 2009 American Community Survey to compare health insurance coverage among aging women by race and ethnicity. The results reveal that the new health care law could reduce the number of uninsured pre-retirement age women from 11.7% to 1.9%. However, it is unlikely that all women with the opportunity to access health insurance coverage will do so. In addition, despite the potential increase in access, Mexican-American women are still overrepresented among the uninsured, representing 5.7% of the total uninsured while only comprising 3.3% of all pre-retirement age women. The research has important implications for how numerous provisions enacted in the new health care law will reduce the number of uninsured adults, particularly vulnerable women. These findings make it clear that Medicaid expansion and insurance exchanges will vary across states, and consequently will have potential benefits in particular for low-income minority group women.
    Women s Health Issues 07/2011; 21(5):331-7. DOI:10.1016/j.whi.2011.06.003 · 1.61 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This paper considers a force control of power shovel that is used for construction of subterranean cables. We design a force control scheme based on a velocity-based force control algorithm, so that it could be easily implemented on a power shovel which is driven by conventional velocity controlled hydraulic actuators. By applying nonlinear force feedback with dead zone, excavation can be executed smoothly under the force control. The proposed force control scheme is implemented on an experimental system and experimental results illustrate the validity of the scheme
    Emerging Technologies and Factory Automation, 1996. EFTA '96. Proceedings., 1996 IEEE Conference on; 12/1996
Show more