New Books In Public Policy

Despite progressive policy strides in health care reform, immigrant communities continue to experience stark disparities across the United States. In Not All In: Race, Immigration, and Health Care Exclusion in the Age of Obamacare (Johns Hopkins UP, 2025), Tiffany D. Joseph exposes the insidious contradiction of Massachusetts' advanced health care system and the exclusionary experiences of its immigrant communities. Joseph illustrates how patients' race, ethnicity, and legal status determine their access to health coverage and care services, revealing a disturbing paradox where policy advances and individual experiences drastically diverge. Examining Boston's Brazilian, Dominican, and Salvadoran communities, this book provides an exhaustive analysis spanning nearly a decade to highlight the profound impacts of the Affordable Care Act and subsequent policy shifts on these marginalized groups. Not All In is a critical examination of the systemic barriers that perpetuate health care disparities. Joseph challenge