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Medicaid is the single largest public health insurer in the United States, covering upwards of 70 million Americans. Crucially, Medicaid is also an intergovernmental program that yokes poverty to federalism: the federal government determines its broad contours, while states have tremendous discretion over how Medicaid is designed and implemented. Where some locales are generous and open handed, others are tight-fisted and punitive. In Fragmented Democracy, Jamila Michener demonstrates the consequences of such disparities for democratic citizenship. Unpacking how federalism transforms Medicaid beneficiaries' interpretations of government and structures their participation in politics, the book examines American democracy from the vantage point(s) of those who are living in or near poverty, (disproportionately) Black or Latino, and reliant on a federated government for vital resources.
Award Winning
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Winner of the 2019 Virginia Gray Best Book Award from the American Political Science Association's State Politics and Policy Section​
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Selected as a finalist for the 2019 PROSE Awards


Politics in the American States, Twelfth Edition, brings together high-caliber research with comprehensive comparative analysis of the fifty states. This edition is thoroughly updated to reflect major developments in the study of state-level politics. With two new editors, sixteen new authors, and nine completely new chapters, Politics in the American States keeps pace with the transformation of American states and their study.
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