فراتر از اصلاحات رفاهی: شکل گیری دوباره استحقاق مهاجران فاقد مدارک قانونی به خدمات بهداشتی در ایالات متحده، یک نقد

The analyses of the “chilling” and the “injustice” frames are then introduced to underscore major anthropological contributions to the formulation of counter-mainstream discourses on immigrants’ selective inclusion into the U.S. health care system. First, the “chilling effect,” defined as the voluntary withdrawal from health benefits, is examined in light of unauthorized immigrants’ internalized feelings of undeservingness. Second, an “injustice” narrative highlights both the contributions and the limitations of a social justice paradigm, which advocated for the restoration of government benefits to elderly immigrants and refugees after the passage of PRWORA. By analyzing the contradictions among all these diverse frames, this paper finally reflects on the conceptual challenges faced by medical anthropology, and the social sciences at large, in advancing health equity and human rights paradigms.