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Full-Text Articles in Medicine and Health Sciences

The Road To Universal Health Coverage In Massachusetts: A Story In Three Parts, John E. Mcdonough Sep 2004

The Road To Universal Health Coverage In Massachusetts: A Story In Three Parts, John E. Mcdonough

New England Journal of Public Policy

In 1988, the Massachusetts Legislature passed a new law, a “play or pay” employer mandate, requiring all employers with six or more workers to provide health insurance coverage for their employees. A few years later, with Medicaid identified as a “Budget Buster,” the Weld administration sought deregulation as the way to cut costs and expand access by establishing MassHealth, which dropped the employer mandate and expanded Medicaid, and eventually distinguished Massachusetts as the state with the greatest percent of covered citizens. But MassHealth enrollment has declined as premium costs have risen, and the Uncompensated Care Pool is once again faced …


Homosexual And Racial Identity Conflicts And Depression Among African‐American Gay Males, William H. Alexander Jan 2004

Homosexual And Racial Identity Conflicts And Depression Among African‐American Gay Males, William H. Alexander

Trotter Review

What does it mean to be male, Black and homosexual in the United States? In this study of 191 such men, William H. Alexander examines whether racial identity conflict and homosexual identity conflict contribute to depression in Black gay men. Alexander reports that being Black, a Black male, and a homosexual puts one in a vulnerable position that requires that he cope with a variety of stereotypes from every society with which he interacts. This pressure contributes to depression in this population.