Organizing Care: U.S. Health Policy, Social Inequality, and the Work of Cancer Treatment

摘要: In the United States, concern about breast cancer has generated policies and programs aimed at increasing screening mammography treatment access for uninsured underinsured. Oriented toward importance of early detection state's responsibility to ensure health care its citizens, these reflect reinforce a moral economy disease management that shapes ethical behavior patients, providers, advocates. contrast, market-based generates norms assumptions individual limits expectations state in providing care. Using structurally vulnerable women as focal point, this dissertation examines social effects intersecting economies It describes relationships between public policies, economic marginalization, gaps access. Based on 18 months ethnographic field work Southern Arizona, I report findings from interviews with physicians, nurses, advocates, clinic office staff, community workers; recurring discussions undergoing cancer; participant-observation cancer-focused events activities. This explores how extend low-cost or free broad populations also reproduce exclusion complicate what it means be America. describe everyday practices care, including determinations eligibility insurance, inequities based citizenship status, gender, occupational status. conclude organization effectively directs