美国奥巴马政府新医改法案及启示

对美国医改法案中巨额医保资金的来源、法案即时生效的主要条款、法案的主要内容等进行了简要梳理,以期为我国医药卫生体制改革工作提供参考。     

Making (mixed-)race: census politics and the emergence of multiracial multiculturalism in the United States,Great Britain and Canada

Abstract

During the same time period, the United States, Great Britain and Canada all moved towards ‘counting’ mixed-race on their national censuses. In the United States, this move is largely attributed to the existence of a mixed-race social movement that pushed Congress for the change – but similar developments in Canada and Britain occurred without the presence of a politically active civil society devoted to making the change. Why the convergence? This article argues that demographic trends, increasingly unsettled perceptions about discrete racial categories, and a transnational norm surrounding the primacy of racial self-identification in census-taking culminated in a normative shift towards multiracial multiculturalism. Therein, mixed-race identities are acknowledged as part of – rather than problematic within – diverse societies. These elements enabled mixed-race to be promoted, at times strategically, as a corollary of multiculturalism in these three countries.     

Pondering Poi Dog: Place and racial identification of multiracial Native Hawaiians

Given the very large proportion of Hawaiians who are multiracial, our research examines Native Hawaiian identification in mixed-race Hawaiian families. We use the 1990 US Census, which affords a unique look at racial identification because multiracial people were required to choose one race over another. The results show support for our argument that place plays a central role in Pacific identity processes, illustrated in this case among Hawaiians. We find that strong ties to Hawai‘i – the spiritual and geographic home of the Hawaiian population – are vital to the intergenerational transmission of Hawaiian identification in both continental and island multiracial families. We compare our results for multiracial Native Hawaiians to prior studies of American Indians and Asian Americans to identify any general patterns in correlates of racial identification choices. In each group, we find that familial and geographic relationships to the cultural and ancestral lands are strongly linked to racial identification.     

Some observations about racial boundaries and the experiences of American Indians

The number of inter‐racial marriages has increased sharply in the last two decades. There are a number of factors that might account for this development ‐ for example, immigration, changing norms, and marriage market composition ‐ but one indisputable outcome has been a rise in the number of persons with multiracial backgrounds. This article argues that multiracial persons have a number of options about how they might identify their ancestry, and this is causing fluidity and instability in racial divisions that were once considered fixed and immutable. While this might be seen as a recent development, American Indians historically have had high rates of intermarriage with other racial groups. The experience of American Indians with regard to the dilemmas posed by shifting racial identities are discussed for the purpose of anticipating the experiences of other groups. In particular, these issues pose a number of challenges to public policies based on increasingly obsolete conceptions of race.     

Generational change and how we conceptualize and measure multiracial people and “mixture”

Until relatively recently, in countries such as the U.S.A. and U.K., individuals could only opt for “single race” categories with which they identified. However, in the 2000 decennial census, respondents in the U.S. were able to choose more than one racial category, while in 2001, a “Mixed” box (with further subcategories) was provided in the England and Wales census for the first time. But the very success of this racial project in these countries has spawned a number of questions for policy-makers and academics who theorize, enumerate and study the experiences of multiracial people. With demographic changes such as generational change, who counts as multiracial or mixed race? This question has yet to receive significant attention. Although mixing is becoming more commonplace, the question of who counts as multiracial is far from straightforward, especially as we look down the generational pipeline.     

Getting respect or getting along with stigma?

By paying attention to the apparently minor forms of stigmatization, Getting Respect uncovers an underworld of threats that contribute to shape the sense of being disqualified and enlarge our understanding of racism and discrimination. In this paper, I engage with the main findings and argument of the book, especially the comparative dimension, questioning the status of the Israeli component of it. How “assaults on worth” that are key in this book are related to discrimination remain to be disentangled. One open question after reading this great research is whether we are facing a reformation of racism, with the new public debate on microaggression being both a symptom and a parameter of this evolution, or the book is a contribution to a deeper understanding of the expression of stigmatization in the same context of “racism without race” or “Laissez faire racism”.