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Table 2 Themes and Sub-themes

From: Interpretive policy analysis: Marshallese COFA migrants and the Affordable Care Act

A Priori Themes

Sub-themes

1) Understanding. Participants’ understanding of the ACA and related policies

In-depth understanding

Lack of understanding

Lack of understanding because of poor follow up

Lack of understanding about insurance premiums, co-pays, and who accepts their insurance

Lack of understanding and frustration about tax penalties

2) Experience. Participants’ experiences with ACA and related policies

Some get approved and some do not

The ACA is not affordable

Improving the experience

3) Effect. Participants’ description of how the ACA and related policies’ effect participants/community health

Health status

Treatment differences

Emergent Themes

Sub-themes

4) Relational/Historical Lenses. Participants’ view of the policies in relation to the Compact of Free Association, U.S. nuclear testing, use of their land, and the current relationship with the U.S. military

Friendship agreement

Nuclear testing

Value of land

Military Service

5) Economic Contribution. Participants’ view of the policies in relation to participant contributions to state and federal taxes and the local economy

 

6) Plea. Participants’ discuss their desire to have their voices and experiences heard and their culture’s method of advocacy

Hear our voices

Culture and advocacy

Good friends