Pandemic Times and Health Care Exclusion: Attitudes Toward Health Care Exclusion of Undocumented Immigrants.

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Health Politics Policy and Law Pub Date : 2024-08-09 DOI:10.1215/03616878-11513062
Cesar Vargas Nunez
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Abstract

Context: Most of the 11 million undocumented immigrants living in the United States are excluded from government healthcare programs. Yet, healthcare inequities pose significant dangers to all members of society during a pandemic. This project explores to what extent undocumented immigrants, in the context of a pandemic, can be seen as deserving of access to government healthcare programs.

Methods: The first survey experiment explores whether work ethic can affect perceptions of undocumented immigrants as deserving of government healthcare programs. The second survey experiment tests to what extent appeals to fairness and self-interest, during a pandemic, shape healthcare deservingness attitudes.

Findings: The results show that respondents view undocumented immigrants as less deserving of healthcare than citizens, even when undocumented immigrants have a solid work history. The second survey experiment, however, shows that appeals to fairness and self-interest trigger substantial increases in support for undocumented immigrants, both among Republicans and Democrats.

Conclusions: The results suggest that while undocumented immigrants are seen as less deserving of access, appeals to fairness and self-interest can trigger increased support.

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大流行时期与医疗排斥:对无证移民医疗排斥的态度。
背景:生活在美国的 1100 万无证移民中的大多数人都被排除在政府医疗计划之外。然而,在大流行病期间,医疗保健的不平等给所有社会成员带来了巨大的危险。本项目探讨了在大流行病的背景下,无证移民在多大程度上可以被视为值得享受政府医疗保健计划:第一个调查实验探讨工作伦理是否会影响人们对无证移民应享有政府医疗保健计划的看法。第二个调查实验测试了在大流行病期间,对公平和自身利益的呼吁在多大程度上影响了人们对医疗保健应得性的态度:结果显示,受访者认为无证移民比公民更不值得享受医疗保健,即使无证移民有可靠的工作经历。然而,第二项调查实验显示,公平和自身利益的诉求引发了共和党人和民主党人对无证移民支持率的大幅上升:结果表明,虽然无证移民被认为不值得获得准入,但公平和自身利益的诉求会引发支持率的上升。
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来源期刊
CiteScore
7.30
自引率
7.10%
发文量
46
审稿时长
>12 weeks
期刊介绍: A leading journal in its field, and the primary source of communication across the many disciplines it serves, the Journal of Health Politics, Policy and Law focuses on the initiation, formulation, and implementation of health policy and analyzes the relations between government and health—past, present, and future.
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