Book Reviews

Andrea C. Bianculli and Andrea Ribeiro Hoffmann, eds., Regional Organizations and Social Policy in Europe and Latin America: A Space for Social Citizenship? New York: Palgrave Macmillan, 2016. Abbreviations, figures, tables, bibliography, index, 317 pp.; hardcover $109, ebook $84.99. Barry Cannon, The Right in Latin America: Elite Power, Hegemony and the Struggle for the State. New York: Routledge, 2016. Tables, bibliography, index, 182 pp.; hardcover $127.50, paperback $44.59. Jordi Díez, The Politics of Gay Marriage in Latin America: Argentina, Chile, and Mexico. New York: Cambridge University Press, 2015. Bibliography, index, 301 pp.; hardcover $48.99, paperback $29.99, ebook $24. Julio Ríos‐Figueroa, Constitutional Courts as Mediators: Armed Conflict, Civil‐Military Relations, and the Rule of Law in Latin America. Cambridge: Cambridge University Press, 2016. Illustrations, figures, tables, bibliography, index, 256 pp.; hardcover $110, paperback $34.99, ebook $88. María Soledad Segura and Silvio Waisbord, Media Movements: Civil Society and Media Policy Reform in Latin America. London: Zed Books, 2016. Bibliography, index, 224 pp.; hardcover $95, paperback $29.95, ebook $23.96. Lee J. Alston, Marcus André Melo, Bernardo Mueller, and Carlos Pereira, Brazil in Transition: Beliefs, Leadership, and Institutional Change. Princeton: Princeton University Press, 2016. Illustrations, tables, abbreviations, bibliography, index, 280 pp.; hardcover $39.50, ebook. Sean W. Burges, Brazil in the World: The International Relations of a South American Giant. Manchester: Manchester University Press, 2017. Figures, tables, bibliography, index, 296 pp.; hardcover $115, paperback $32.95, ebook. Alejandro Velasco, Barrio Rising: Urban Popular Politics and the Making of Modern Venezuela. Berkeley: University of California Press, 2015. Maps, figures, notes, bibliography, index, 321 pp.; paperback $29.95. Tiffany D. Barnes, Gendering Legislative Behavior: Institutional Constraints and Collaboration. New York: Cambridge University Press, 2016. Map, figures, tables, bibliography, index, 274 pp.; hardcover $99.99, paperback $34.99, ebook $28. Judith Teichman, The Politics of Inclusive Development: Policy, Sate Capacity, and Coalition Building. New York: Palgrave Macmillan, 2016. Figures, bibliography, index, 261 pp.; hardcover $109, ebook $84.99.     

Relative Affordability of Health Insurance Premiums under CHIP Expansion Programs and the ACA

Affordability is integral to the success of health care reforms aimed at ensuring universal access to health insurance coverage, and affordability determinations have major policy and practical consequences. This article describes factors that influenced the determination of affordability benchmarks and premium-contribution requirements for Children's Health Insurance Program (CHIP) expansions in three states that sought to universalize access to coverage for youth. It also compares subsidy levels developed in these states to the premium subsidy schedule under the Affordable Care Act (ACA) for health insurance plans purchased through an exchange. We find sizeable variability in premium-contribution requirements for children's coverage as a percentage of family income across the three states and in the progressivity and regressivity of the premium-contribution schedules developed. These findings underscore the ambiguity and subjectivity of affordability standards. Further, our analyses suggest that while the ACA increases the affordability of family coverage for families with incomes below 400 percent of the federal poverty level, the evolution of CHIP over the next five to ten years will continue to have significant implications for low-income families.     

Can a 12-step program work in methadone maintenance treatment?

Three consecutive, professionally led (as opposed to self-help) groups following the 12-step program (TSP) were integrated into a methadone maintenance treatment (MMT) program that included 32 heroin-addicted individuals in recovery. This report describes our experience in meeting the challenges that arose and our conclusions regarding the therapeutic potential of this integration. A professional therapeutic staff guided the groups. In-depth interviews of 10 participants and the reflections of the group leaders provided data for learning about the groups' experience. Initially the participants rejected the concepts of Step 1, powerlessness and unmanageability of life. The assimilation of Step 4 (defining character defect) also aroused some resistance. The participants eventually adopted the pragmatic aspects of TSP, including its terminology. The establishment of a common language of recovery helped to create group coherence and a sense of belonging, and helped to meet the needs of those who felt stigmatized by both the nonaddicted and addicted population undergoing nonmethadone recovery. TSP could be adapted to various aspects of daily life, produced a sense of self-efficacy, and stimulated motivation for change. Therapeutic implications are discussed.