Volume 6 - Issue 2 - 2002

Vicki Lens

Juan Battle and Michael Lewis

Shirley A. Hill, Mary K. Zimmerman, and Michael Fox

Karen Christopher


Heather Boushey


“Welfare Reform, Personal Narratives and the Media: How Welfare Recipients and Journalists Frame the Welfare Debate”

Vicki Lens

Yeshiva University


Abstract: As TANF comes up for reauthorization in 2002, stereotypes of welfare recipients must be challenged so that public animosity can be transformed into public support. This article explores strategies for doing so, drawing on a study describing the stories welfare recipients told about their lives and experiences with welfare in the New York Times and the Washington Post during the 1996 debate over welfare reform. The role of journalists in framing the welfare debate is also explored. Lessons are drawn from the findings on the effectiveness of recipients’ personal narratives in changing their public image. Suggestions are made on how to utilize the media to build support for women in need of public assistance.




“The Increasing Significance of Class: The Relative Effects of Race and Socioeconomic Status on Academic Achievement”

Juan Battle

City University of New York

and

Michael Lewis

State University of New York at Stony Brook


Abstract: Previous researchers have found that, on average, African American students do not perform as well in school as their white counterparts. Another frequent finding is that the higher a student’s socioeconomic status the higher her or his educational achievement. However, there has been little attention paid to how race and socioeconomic status interact to affect educational achievement. Using a nationally representative sample from the National Educational Longitudinal Study (NELS), this research examines the longitudinal effects of race and socioeconomic status on 12th grade educational achievement and achievement two years after high school. For 12th grade outcomes, we found that (1) African American students do not perform as well as their white counterparts, and (2) socioeconomic status is more than three times more important than race in predicting outcomes. Results for two years after high school were very surprising: (1) when controlling for socioeconomic status, African American students actually outperform their white counterparts; (2) socioeconomic status and social capital are more powerful in predicting outcomes two years after high school; and (3) white students receive a greater benefit for increases in socioeconomic status than their African American counterparts.




“Rational Choice in Medicaid Managed Care: A Critique”

Shirley A. Hill

University of Kansas

Mary K. Zimmerman

University of Kansas

and

Michael Fox

University of Kansas


Abstract: Market-based health care policies cast patients as active decision-making consumers who are able to choose among health plans and select the highest quality and lowest priced providers. Embodied in the Consumer Assessment of Health Plans Study (CAHPS), a national policy initiative based on assumptions of rational choice, such a model has recently been extended to low income populations enrolled in the U. S. Medicaid program. This paper describes and seeks to investigate the efficacy of this policy initiative by examining three questions: (1) Are Medicaid recipients willing to take an active stance in selecting health plans? (2) Do they see the varying health plans as offering genuine choice? and (3) Does the ability to choose one’s own health plan help address some of the long-standing obstacles to quality care for the poor? Analyses of these questions are informed by a review of existing knowledge about the life circumstances and health needs of low income populations (particularly low income women), and by original data from Kansas Medicaid recipients, gathered in conjunction with a state-wide version of CAHPS. We find significant discrepancies between the assumptions of this model and the realities of low income women’s lives. We conclude that the current consumer model of health care reflects class-biased assumptions about rational choice that negate the daily experiences of the poor, offers little in the way of real choice, and fails to address long-standing health needs of low income populations. Market incentives and consumerism will be effective only when the social context of poverty is taken into account and addressed by health care initiatives.




“Single Motherhood, Employment, or Social Assistance: Why Are U. S. Women Poorer than Women in Other Affluent Nations?”

Karen Christopher

University of Pittsburgh


Abstract: U. S. women have higher poverty rates than women in other affluent nations. In this paper I attempt to explain this disparity by examining the effect of single motherhood, employment, and social assistance on women’s poverty. With cross-national comparisons of quantitative data, I find that the relatively high rate of single motherhood among U. S. women is not a main cause of their high poverty rates. Compared to their counterparts in other Western nations, U. S. women, mothers and single mothers are among the most likely to earn poverty wages. In addition, U. S. social assistance programs are the least effective in reducing poverty. I conclude with the policy implications of my findings, focusing on strategies to ameliorate the high poverty rates of U. S. women and mothers.




““This Country Is not Women-Friendly or Child-Friendly”: Talking about the Challenge of Moving from Welfare-to-Work”

Heather Boushey

Economic Policy Institute


Abstract: Through the use of focus groups, this paper examines how former welfare recipients living in public housing in New York City adapted to the policy changes caused by welfare reform, how they experienced their transition to the “world of work” and how this affected their perceptions about their quality of life and their personal and familial relationships. The primary theme that emerged from the focus group sessions was the difficulties reconciling parenthood with employment. A second theme was that many participants felt discouraged and frustrated with the paths available to them in the labor market. Labor market conditions in New York City only exacerbated participants’ difficulties maintaining employment and supporting a family, heightening the tensions between parenthood and paid employment. Their frustrations with the paid labor market fed back into the primary theme of the difficulties of reconciling parenthood with employment because the paid labor market did not offer them well-paying part-time work or flexible schedules to help the participants meet their parental responsibilities. The third theme was that self-esteem improved greatly with employment. Here, the analysis brings to light the effects of the tension between paid employment and care giving on self-esteem and the relative lack of value that society places on caring labor.


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