Women in the United States make approximately 80% of the health care decisions for their families, yet often go without health care coverage themselves. The implementation of the Affordable Care Act provides an historical opportunity for women to gain health care coverage for themselves and their families. The focus of this commentary is on women's leadership roles in the context of health care decision- making and Affordable Care Act education and outreach, and implications for reaching broader health and social goals.
Health disparities between English-proficient and limited English-proficient (LEP) groups in the United States have been widely documented. Provisions of the Affordable Care Act (ACA), including increased funding to community health centers and resources to help consumers who are purchasing Marketplace coverage afford new access to health care for speakers of languages other than English, which includes more than 60 million individuals, one-third of whom are LEP. This commentary discusses the legislative precedent for, successes of, and potential future directions for the implementation of the ACA as it relates to language access, health disparities, health equity, access to health care, and the linguistic needs of the LEP population in the United States.
While analysts and practitioners today recognize that heritage entails processes of both "preservation" and "innovation," most face challenges when it comes to finding methodologies capable of capturing these apparently contradictory and elusive attributes. The problem lies, in part, in reconciling notions of a stable, authorized past, on the one hand, and dynamic constructions of the past, on the other. Erve Chambers addresses this duality by dividing heritage into two types-one, public, and based in "authenticity," the other private and grounded in "significance" (2006:33-35). In the first usage that which is called the "past" serves as a fixed referent that may be valued for its iconic role. In the second usage, heritage is recognized as dynamic and emergent.
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