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Establishing a healthcare practice in the U. S. by a Mexican national involves many different steps at federal as well as state levels. The recent implementation of the Patient Protection and Affordable Care Act overhauls some requirements which include increased Medicaid eligibility as well as mandatory health insurance coverage. With these changes taking place over the next few years, the need for healthcare providers will expand. Consequently, I look into the requirements of establishing an urgent care practice in the state of Arizona. Given that Phoenix has a 40.8% Hispanic population and that the Affordable Care Act will increase the coverage of this demographic, it is the city of focus for my analysis. In order to make access to the Arizona healthcare market more impartial and accessible to Mexican entrepreneurs, changes need to be made to the certification process of medical physicians who graduated from Mexican universities. The general disadvantage of Mexican physicians as compared to their U. S. counterparts comes in the form of increased certification times and additional processes. An equal playing field will allow the ease in movement of medical physicians between the U. S. and Mexico which will help meet the increased demand over the next few years. From ownership to taxation and medical billing and coding, this analysis focuses on the many requirements needed to establish an urgent care in Arizona.
ContributorsIbarra, Joseph Anthony (Author) / Carlos, Velez-Ibanez (Thesis director) / Cruz-Torres, Maria (Committee member) / Barrett, The Honors College (Contributor) / W. P. Carey School of Business (Contributor)
Created2014-05
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Research demonstrates that the contemporary global food system is unsustainable, and moreover, because some groups carry the burden of that unsustainability more than others, it is unjust. While some threads of food activism in the United States have attempted to respond to these structural based inequalities--primarily those of race, ethnicity, and social class--overall, very little domestic activism has focused on issues of gender. As feminist scholarship makes clear, however, a food movement "gender gap" does not mean that gender is irrelevant to food experiences, social activism, or agricultural sustainability. Building on a framework of feminist food studies, food justice activism, and feminist social movement theory, this dissertation makes the case for "(en)gendering" the domestic alternative food activist movement, first by demonstrating how gender shapes experiences within food movement spaces, and second, by exploring the impact that an absence of gender awareness has on the individual, community, and organizational levels of the movement. Employing a feminist-informed hybrid of grounded theory and social movement research methods, field research for this dissertation was conducted in community gardens located in Seattle, Washington and Phoenix, Arizona during the summers of 2011 and 2012. With the assistance of NVivo qualitative data analysis software, field notes and twenty-one key-informant interviews were analyzed, as were the discourses found in the publically available marketing materials and policies of domestic food justice organizations. This study's findings at the individual and community level are hopeful, suggesting that when men are involved in food movement work, they become more aware of food-based gender inequalities and more supportive of women's leadership opportunities. Additionally, at the organizational level, this study also finds that where food sovereignty is influencing domestic activism, gender is beginning to enter the discussion. The project concludes with policy recommendations for both community gardening and food justice organizations and the detailing of a new concept of "feminist food justice", with the end goal of preventing the food movement from undermining its own potential to secure a "real alternative" to corporate industrial agriculture.
ContributorsWoodbury, Alicia (Author) / Cruz-Torres, Maria (Thesis advisor) / Weitz, Rose (Committee member) / Wharton, Christopher (Christopher Mack), 1977- (Committee member) / Arizona State University (Publisher)
Created2013