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- All Subjects: Mexican
- Creators: Cichopek-Gajraj, Anna
Description
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
Description
This dissertation seeks to understand two universal experiences that have pervaded human society since man first climbed out of the trees: violence and trauma. Using theories gleaned from the Holocaust and other twentieth century atrocities, this work explores narratives of violent action and traumatic reaction as they occurred among peoples of the nineteenth-century American Southwest. By examining the stories of individuals and groups of Apaches, Ethnic Mexicans, Euro-Americans, and other diverse peoples within the lens of trauma studies, a new narrative emerges within US-Mexico borderlands history. This narrative reveals inter-generational legacies of violence among cultural groups that have lived through trauma and caused trauma within others. For both victims and perpetrators alike, trauma and violence can transform into tools of cultural construction and adaptation.
Part I of this work establishes the concept of ethnotrauma-- a layered experience of collective trauma among minority populations under racial persecution. By following stories of Mescalero, Chiricahua, and Warm Springs Apaches in the nineteenth-century Southwest, this dissertation reveals how Apaches grappled with ethnotrauma through generations during times of war, imprisonment, and exile. These narratives also reveal how Apaches overcame these legacies of pain through communal solidarity and cultural continuity. Part II explores the concept of perpetrator trauma. By following stories of Mexican norteños, Mexican-Americans on the US-Mexico border, and American settlers, the impact of trauma on violators also comes to light. The concept perpetrator trauma in this context denotes the long-term cultural impacts of committing violence among perpetrating communities. For perpetrating groups, violence became a method of affirming and, in some cases, reconstructing group identity through opposition to other groups. Finally, at the heart of this work stands two critical symbols-- Geronimo, victim and villain, and the land itself, hostile and healing-- that reveal how cycles of violence entangled ethnotrauma and perpetrator trauma within individuals struggling to survive and thrive in a savage land.
Part I of this work establishes the concept of ethnotrauma-- a layered experience of collective trauma among minority populations under racial persecution. By following stories of Mescalero, Chiricahua, and Warm Springs Apaches in the nineteenth-century Southwest, this dissertation reveals how Apaches grappled with ethnotrauma through generations during times of war, imprisonment, and exile. These narratives also reveal how Apaches overcame these legacies of pain through communal solidarity and cultural continuity. Part II explores the concept of perpetrator trauma. By following stories of Mexican norteños, Mexican-Americans on the US-Mexico border, and American settlers, the impact of trauma on violators also comes to light. The concept perpetrator trauma in this context denotes the long-term cultural impacts of committing violence among perpetrating communities. For perpetrating groups, violence became a method of affirming and, in some cases, reconstructing group identity through opposition to other groups. Finally, at the heart of this work stands two critical symbols-- Geronimo, victim and villain, and the land itself, hostile and healing-- that reveal how cycles of violence entangled ethnotrauma and perpetrator trauma within individuals struggling to survive and thrive in a savage land.
ContributorsWatkinson, Margery Hunt (Author) / Fixico, Donald (Thesis advisor) / Cichopek-Gajraj, Anna (Committee member) / Meeks, Eric (Committee member) / Arizona State University (Publisher)
Created2020