For nearly a decade, respected sociologist and Northeastern University professor Tiffany Joseph, Andover ’00, IRT ’03, researched the impact of health reforms like the Affordable Care Act/Obamacare on everyday people’s ability to access health coverage and care in our complicated US healthcare system. In her new book, NOT ALL IN: RACE, IMMIGRATION, AND HEALTH CARE EXCLUSION IN THE AGE OF OBAMACARE (Johns Hopkins University Press; March 2025), Joseph reveals how Obamacare’s documentation status exclusions alongside persistent structural racism in the healthcare system reduced healthcare access for Latino immigrants and citizens. Her 200+ interviews with immigrants, providers, and advocates in Boston drives home an essential point: access to coverage does not guarantee access to care in a system that prioritizes profits over people.
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Institute for Recruitment of Teachers 