Poor Families in America's Health Care Crisis examines the implications of the fragmented and two-tiered health insurance system in the United States for the health care access of low-income families. For a large fraction of Americans their jobs do not provide health insurance or other benefits and although government programs are available for children, adults without private health care coverage have few options. Detailed ethnographic and survey data from selected low-income neighborhoods in Boston, Chicago, and San Antonio document the lapses in medical coverage that poor families experience and reveal the extent of untreated medical conditions, delayed treatment, medical indebtedness, and irregular health care that women and children suffer as a result. Extensive poverty, the increasing proportion of minority households, and the growing dependence on insecure service sector work all influence access to health care for families at the economic margin.

In the United States, work is the key to economic success, as well as the major source of health care coverage and retirement security. While Europeans look to the State for these benefits, Americans for the most part do not. This system of employment-based benefits means that those disadvantaged in the labor market are also disadvantaged in terms of health care coverage and retirement security.

The authors of this work examine the overrepresentation of Mexican Americans in low wage or service sector jobs, which rarely come with health insurance or retirement coverage. At all ages, Mexican Americans have lower rates of health insurance and retirement coverage than do other minority groups, such as African Americans or other Hispanic groups. Although employment in jobs that do not provide benefits is one major source of this disparity, other factors-including immigration history, citizenship status, and language proficiency-further block opportunities for upward mobility within the Mexican American population.

In their analysis, the authors work to deemphasize the popular, cultural explanation for the economic disparities and focus on more practical, policy-based solutions. In each chapter, the authors identify and critique the factors that affect the economic security and health care access of individuals throughout the life course, suggesting policies for reform.

This work will be of interest to anyone working in the fields of cultural studies, public health and the sociology of work. With the focus on real world causes for the problems as well as potential solutions, policy-makers will also find this informative book an essential resource.

This book fosters a deeper understanding of the growing Latino elderly population and the implications on society. It examines post-WWII demographic and social changes and summarizes research from sociology, psychology, economics, and public health to shed light on the economic, physical, and mental well-being of older Latinos. The political and cultural implications including possible policy changes are also considered. Written in an engaging style, each chapter opens with a vignette that puts a human face on the issues. Boxed exhibits highlight social programs and policies and physical and mental health challenges that impact Latino elders. Web alerts direct readers to sites that feature more detailed information related to the chapter's issues. Each chapter also features an introduction, examples, tables, figures, a summary, and discussion questions. The self-contained chapters can be presented in any order. Latinos in an Aging World explores: Real world problems individuals face in dealing with poverty, immigration, and health and retirement decisions The latest data on Latinos as compared to research on African- and Asian- Americans where appropriate The unique historical, demographic, social, familial, and economic situations of various Latino subgroups including those from Mexico, Puerto Rico, and Cuba How ethnicity affects one's position of wealth and power and sense of citizenship. The consequence of life-long disadvantages and stigmatization on economic, physical, and mental well-being The impact of one's neighborhood and the proximity to those from similar cultures on quality of life. The introduction motivates the book and sets the stage for the entire discussion. Chapter 1 reviews the histories of the major Hispanic subgroups along with various theories as they relate to race, ethnicity, and gender that provide a conceptual framework for understanding the later chapters. Demographic, economic, and social profiles of the various Hispanic subgroups are explored in chapter 2. Next the Latino population is explored from various perspectives including the economic and social situations of men and women and their educational, marital and family, and labor force experiences. Chapter 4 examines older immigrants and their families and identifies the resources available to them in their communities that often replicate the cultural and social support system of the old country. Major health risks that older Latinos face as a result of the disadvantages they experience throughout life are examined in chapter 5. Family situations and long-term care and living arrangements of older Hispanics are examined in chapter 6. The impact of neighborhood on quality of life in terms of safety and physical and mental wellbeing is explored in chapter 7. The burden that eldercare can place upon those who bear the responsibility of their daily care is explored in chapter 8. Chapter 9 investigates the gaps in income between minority and non-Hispanic white Americans and reviews what individuals with few resources need to know about financial management. The book concludes with the social, political, and economic implications of the growing Hispanic population and the role of NGOs and other organizations in providing services to older populations. Intended for courses on Latinos and aging, diversity, race and ethnicity, minorities and aging, adult development and aging, the psychology or sociology or politics of aging, geriatric social work, public health and aging, global aging, social or family policy, and health and society taught in the behavioral and social sciences, ethnic, or Latin American/Chicano Studies, this book also appeals to researchers and practitioners who work with Hispanic families.

As neoliberal philosophies and economic models spread across the globe, faith-based non-governmental ("third-sector") organizations have proliferated. They increasingly fill the gaps born of state neglect by designing and delivering social services and development programming. This collection shines a much-needed critical light onto these organizations by exploring the varied ways that faith-based organizations attempt to mend the fissures and mitigate the effects of neoliberal capitalism and development practices on the poor and powerless. The essays-grounded in empirical case studies-cover such topics as the meaning of "faith-based" development, evaluations of faith-based versus secular approaches, the influence of faith-orientation on program formulation and delivery, and examinations of faith-based organizations' impacts on structural inequality and poverty alleviation. Bridging the Gaps demonstrates the vital importance of ethnography for understanding the particular role of faith-based agencies in Latin America, revealing both the promise and the limitations of this "new" mode of development.

Neither government programs nor massive charitable efforts responded adequately to the human crisis that was Hurricane Katrina. In this study, the authors use extensive interviews with Katrina evacuees and reports from service providers to identify what helped or hindered the reestablishment of the lives of hurricane survivors who relocated to Austin, Texas. Drawing on social capital and social network theory, the authors assess the complementary, and often conflicting, roles of FEMA, other governmental agencies and a range of non-governmental organizations in addressing survivors' short- and longer-term needs. While these organizations came together to assist with immediate emergency needs, even collectively they could not deal with survivors' long-term needs for employment, affordable housing and personal records necessary to rebuild lives. Community Lost provides empirical evidence that civil society organizations cannot substitute for an efficient and benevolent state, which is necessary for society to function.

This book fosters a deeper understanding of the growing Latino elderly population and the implications on society. It examines post-WWII demographic and social changes and summarizes research from sociology, psychology, economics, and public health to shed light on the economic, physical, and mental well-being of older Latinos. The political and cultural implications including possible policy changes are also considered. Written in an engaging style, each chapter opens with a vignette that puts a human face on the issues. Boxed exhibits highlight social programs and policies and physical and mental health challenges that impact Latino elders. Web alerts direct readers to sites that feature more detailed information related to the chapter's issues. Each chapter also features an introduction, examples, tables, figures, a summary, and discussion questions. The self-contained chapters can be presented in any order. Latinos in an Aging World explores: Real world problems individuals face in dealing with poverty, immigration, and health and retirement decisions The latest data on Latinos as compared to research on African- and Asian- Americans where appropriate The unique historical, demographic, social, familial, and economic situations of various Latino subgroups including those from Mexico, Puerto Rico, and Cuba How ethnicity affects one's position of wealth and power and sense of citizenship. The consequence of life-long disadvantages and stigmatization on economic, physical, and mental well-being The impact of one's neighborhood and the proximity to those from similar cultures on quality of life. The introduction motivates the book and sets the stage for the entire discussion. Chapter 1 reviews the histories of the major Hispanic subgroups along with various theories as they relate to race, ethnicity, and gender that provide a conceptual framework for understanding the later chapters. Demographic, economic, and social profiles of the various Hispanic subgroups are explored in chapter 2. Next the Latino population is explored from various perspectives including the economic and social situations of men and women and their educational, marital and family, and labor force experiences. Chapter 4 examines older immigrants and their families and identifies the resources available to them in their communities that often replicate the cultural and social support system of the old country. Major health risks that older Latinos face as a result of the disadvantages they experience throughout life are examined in chapter 5. Family situations and long-term care and living arrangements of older Hispanics are examined in chapter 6. The impact of neighborhood on quality of life in terms of safety and physical and mental wellbeing is explored in chapter 7. The burden that eldercare can place upon those who bear the responsibility of their daily care is explored in chapter 8. Chapter 9 investigates the gaps in income between minority and non-Hispanic white Americans and reviews what individuals with few resources need to know about financial management. The book concludes with the social, political, and economic implications of the growing Hispanic population and the role of NGOs and other organizations in providing services to older populations. Intended for courses on Latinos and aging, diversity, race and ethnicity, minorities and aging, adult development and aging, the psychology or sociology or politics of aging, geriatric social work, public health and aging, global aging, social or family policy, and health and society taught in the behavioral and social sciences, ethnic, or Latin American/Chicano Studies, this book also appeals to researchers and practitioners who work with Hispanic families.

Neither government programs nor massive charitable efforts responded adequately to the human crisis that was Hurricane Katrina. In this study, the authors use extensive interviews with Katrina evacuees and reports from service providers to identify what helped or hindered the reestablishment of the lives of hurricane survivors who relocated to Austin, Texas. Drawing on social capital and social network theory, the authors assess the complementary, and often conflicting, roles of FEMA, other governmental agencies and a range of non-governmental organizations in addressing survivors' short- and longer-term needs. While these organizations came together to assist with immediate emergency needs, even collectively they could not deal with survivors' long-term needs for employment, affordable housing and personal records necessary to rebuild lives. Community Lost provides empirical evidence that civil society organizations cannot substitute for an efficient and benevolent state, which is necessary for society to function.

Poor Families in America's Health Care Crisis examines the implications of the fragmented and two-tiered health insurance system in the United States for the health care access of low-income families. For a large fraction of Americans their jobs do not provide health insurance or other benefits and although government programs are available for children, adults without private health care coverage have few options. Detailed ethnographic and survey data from selected low-income neighborhoods in Boston, Chicago, and San Antonio document the lapses in medical coverage that poor families experience and reveal the extent of untreated medical conditions, delayed treatment, medical indebtedness, and irregular health care that women and children suffer as a result. Extensive poverty, the increasing proportion of minority households, and the growing dependence on insecure service sector work all influence access to health care for families at the economic margin.

Painful Inheritance is the first comprehensive examination of the impact of single motherhood on the physical and mental health of women and their children. Based on solid scientific information, it documents serious, long-term health consequences associated with the poverty and social disorganization in which such families often live. Ronald J. Angel and Jacqueline L. Angel show that the elevated health risks associated with single motherhood are largely the result of factors related to social class, including early motherhood and chronic poverty. They demonstrate the dependency of single mothers and their children on health-related social welfare programs and document how under Social Security and Medicare the old have benefited economically at the expense of the young. Today, poverty is concentrated among families with children, a disproportionate number of which are fatherless. The evidence presented here makes it clear that the physical, mental, and social health consequences of that poverty will be felt by society for generations to come. The Angels look at the potential consequences of legislative changes in health-related federal and state welfare programs, and they assess the effects that coming changes in the organization and financing of medical care will have on the health of poor, single women and their children. In revealing the complexity of the situation, Painful Inheritance communicates a clear message that the worsening economic circumstances of poor, minority fatherless families simply cannot be ignored if many members of our future generations are not to suffer some degree of physical or mental impairment.