Open Access. Powered by Scholars. Published by Universities.®
Critical and Cultural Studies Commons™
Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 2 of 2
Full-Text Articles in Critical and Cultural Studies
Consumer Subjectivity And Us Healthcare Reform, Emily West
Consumer Subjectivity And Us Healthcare Reform, Emily West
Emily E. West
Health care consumerism is an important frame in US health care policy, especially in recent media and policy discourse about federal health care reform. This paper reports on qualitative fieldwork with health care users to find out how people interpret and make sense of the identity of “health care consumer.” It proposes that while the term consumer is normally understood as a descriptive label for users who purchase health care and insurance services, it should actually be understood as a metaphor, carrying with it a host of associations that shape US health care policy debates in particular ways. Based on …
The Racialization Of Us Health Care Reform: The Case Of Gold-Plated Cadillac Health Plans, Emily West
The Racialization Of Us Health Care Reform: The Case Of Gold-Plated Cadillac Health Plans, Emily West
Emily E. West
The term “gold-plated Cadillac health plans” became nationally prominent during John McCain’s run for President in 2008, and high-premium insurance plans continue to be called “Cadillac plans” today. The metaphorical phrase “gold-plated Cadillac” defines health care as a consumer and even a luxury good; implies that owners of these plans are irresponsible, wasteful healthcare consumers; and evokes the stereotype of an “out-of-control” African American consumer. The history of the Cadillac brand and of gold-plated Cadillacs in particular in popular culture demonstrates the salience of these associations. The use of this phrase in recent health care reform debates is considered in …