Tiffany D. Joseph
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tiffanydjoseph.bsky.social
Tiffany D. Joseph
@tiffanydjoseph.bsky.social
39 followers 31 following 71 posts
Dr. Joseph’s research and teaching interests explore: race, ethnicity, and migration in the Americas; the influence of immigration on the social construction of race in the U.S., immigrants' health and healthcare access.
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tiffanydjoseph.bsky.social
Not All In reveals a major flaw in U.S. healthcare reform: having insurance doesn’t ensure care access. It highlights how racialized legal status affects marginalized communities, opposing the goals of Massachusetts and ACA reforms. 🔗 Learn more: bit.ly/3IbGe3u
#NotAllIn #ACA
November 5, 2025 at 11:00 PM
tiffanydjoseph.bsky.social
Open enrollment is coming—health insurance premiums may rise 9%. Many employers will pass the cost to workers. As ACA subsidies expire, Medicaid cuts loom, and care is becoming less affordable. We need better solutions. Read: 🗞️ NYT: nyti.ms/4odM4Bf%F0%9... WaPo: wapo.st/4np7ydf
The workers whose health care is most at stake in the government shutdown
About 10 million small-business owners, employees and the self-employed are caught in the middle of the shutdown fight over the Affordable Care Act.
wapo.st
October 30, 2025 at 9:00 PM
tiffanydjoseph.bsky.social
Excited to share my interview with Claire Altman for IAPHS! We dove into my book, Not All In. A must-read on how immigration policy and racial inequities shape health care today. Full interview bit.ly/3JnaitF Get Not All In bit.ly/3IbGe3u @hopkinspress.bsky.social

#Immigration #NotAllIn #IAPHS
October 24, 2025 at 11:00 PM
tiffanydjoseph.bsky.social
Excited to join UC colleagues for an online discussion about my book, Not All In. We'll dive into the ties between immigration policy, racial inequities, and health care reform. Learn more about Not All In: bit.ly/3IbGe3u @hopkinspress.bsky.social

#NotAllIn #UCSystem @ucdavisglobal.bsky.social
October 21, 2025 at 11:00 PM
tiffanydjoseph.bsky.social
In my Book Talk at Brown University, I discussed how policymakers are undermining the Affordable Care Act by cutting its funding. "What’s the plan when all these people lose coverage?"
Catch the full convo on YouTube: bit.ly/4q5RzmU Get Not All In: bit.ly/3IbGe3u @Hopkins Press
October 10, 2025 at 11:01 PM
tiffanydjoseph.bsky.social
"Not All In" highlights a critical issue in the US healthcare system: having insurance doesn't always mean access to care, especially for marginalized communities. This goes against ACA reforms aimed at improving care access. Read more: bit.ly/3IbGe3u @Hopkins Press
#NotAllIn
October 2, 2025 at 9:00 PM
tiffanydjoseph.bsky.social
ICE enforcement efforts are intensifying across the country and especially in Massachusetts. It is a sad day when children are being used like bait to detain their parents. These children will be traumatized for life.
Full article here: bit.ly/484QPYQ

#ImmigrationPolicy #FamilySeparation
Leominster family says ICE agents held their daughter outside their home so they would turn themselves over - The Boston Globe
“Is that your daughter? Come here so I can see those IDs,” an agent tells the father, waving at him to come out of the house, according to video the family recorded.
bit.ly
September 30, 2025 at 11:00 PM
tiffanydjoseph.bsky.social
📖 From Not All In: “One crucial consequence of systemic racism is that those who are most directly affected by public policies often do not have access to the spaces where decisions are made.”

This reminds us why equity in policymaking matters— 🔗 bit.ly/3IbGe3u
@Hopkins Press #NotAllIn
September 24, 2025 at 10:00 PM
tiffanydjoseph.bsky.social
Another key part of Obamacare may vanish soon: subsidies for middle-income Americans to buy insurance in the marketplace. Unless GOP lawmakers act, they’ll expire—another step in the plan to end the ACA and devastate healthcare access. 📰 bit.ly/3W0pKi0
🔗 bit.ly/4mrrKL8
#ACA #Obamacare #Healthcare
Pressure mounts on GOP leaders to extend ObamaCare subsidies
GOP pressure is mounting on Speaker Mike Johnson (R-La.) to extend expiring Affordable Care Act tax credits, as a number of rank-and-file Republicans push leaders to prevent the popular subsidies f…
bit.ly
September 18, 2025 at 9:01 PM
tiffanydjoseph.bsky.social
Enforcement targeting based on racialized legal status is on the rise, and sadly, it’s being deemed constitutional. Supreme Court rulings are echoing past decisions like Plessy vs Ferguson, reinforcing troubling patterns of racial segregation. Read the article 👉https://bit.ly/4mk9hjC
#NotAllIn
Supreme Court ruling buttresses Trump immigration ramp-up
The Trump administration is escalating its immigration operations in Democratic cities in the wake of a Supreme Court ruling giving the government the ability to conduct immigration stops based on …
bit.ly
September 17, 2025 at 10:00 PM
tiffanydjoseph.bsky.social
Marking 6 months since my book Not All In was published! I spoke on the Migration Matters podcast in the episode “Race, State Power, and Healthcare Access” about the book and its relevance for today’s immigration and health policy debates. 🎧 Listen: bit.ly/41PRauy 📖 Book: bit.ly/3IbGe3u
#NotAllIn
Not All In
Race, Immigration, and Health Care Exclusion in the Age of Obamacare
bit.ly
September 11, 2025 at 9:00 PM
tiffanydjoseph.bsky.social
Trump's attacks on the Smithsonian are ramping up, but they won't succeed. My recent op-eds in Common Dreams and Magpie Magazine explain why attempts to sanitize history will backfire - visitors may show up to support it! Common Dreams bit.ly/4pfGq2A Magpie Magazine bit.ly/3HS66BJ
September 10, 2025 at 10:00 PM
tiffanydjoseph.bsky.social
Great to see MA and New England states stepping up for public health as national efforts wane. Sadly, red states may lag even further. Patchwork solutions are not ideal! Check out this Boston Globe article: bit.ly/4nhwPXg

#NortheastPublicHealth #HealthPolicy #NotAllIn
Eight states, including Mass., met this week in a step toward public health independence from the federal government - The Boston Globe
Northeast states are seeking closer collaboration amid Trump's public health policies.
bit.ly
September 5, 2025 at 11:00 PM
tiffanydjoseph.bsky.social
Badly Governed podcast, where I shared insights from Not All In. Healthcare policies that discriminate based on documentation status don’t just impact undocumented immigrants—they also affect other non-citizens. 📖 Not All In: bit.ly/3IbGe3u 🎧 Full interview: bit.ly/4g8z3FS
Post-Election Battlefield – BG Season 1 Episode 7 Highlights & Reactions.
Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube.
bit.ly
September 4, 2025 at 10:00 PM
tiffanydjoseph.bsky.social
MA is facing serious cuts from Big Bad Bill. Hundreds of thousands could lose health care and social safety net services. This loss mirrors the ongoing exclusion of immigrants, a topic I explore in Not All In and my Milbank Quarterly Op-ed ‘We are All Immigrants Now.’ bit.ly/4lUVyPW
#NotAllIn
Estimates say hundreds of thousands in Mass. could lose Medicaid coverage, public food assistance due to Trump’s bill - The Boston Globe
A Center for Budget and Policy Priorities analysis painted a bleak picture of the social service cuts, which are scheduled to phase in over the next four years.
bit.ly
September 2, 2025 at 11:00 PM
tiffanydjoseph.bsky.social
Lula has more political courage than most global leaders. I lived in Brazil as a PhD student when he was president, researching my first book Race on the Move. His initiatives to lift Brazilians out of poverty and boost the economy were inspiring.
🔗 www.nytimes.com/2025/07/30/w...

#Brazil #Lula
No One Is Defying Trump Like Brazil’s President
www.nytimes.com
August 12, 2025 at 9:16 PM
tiffanydjoseph.bsky.social
Now even being on Medicaid puts you at risk. ICE may get access to your personal data—citizen or immigrant.
This, while most immigrants aren’t even eligible for Medicaid because of documentation restrictions.
What kind of system is this? 🔗 bit.ly/4lgyOKd

#NotAllIn #Medicaid #DataPrivacy
Trump administration hands over Medicaid recipients' personal data, including addresses, to ICE
ICE officials will be given access to 79 million Medicaid recipients' personal data, including home addresses, to track down immigrants who may not be living legally in the U.S., according to an agreement obtained by The Associated Press.
bit.ly
July 26, 2025 at 12:00 AM
tiffanydjoseph.bsky.social
New KFF analysis reveals how state actions are changing immigrants’ access to health coverage and public programs. While some states expand access, others impose restrictions, leading to growing disparities.

Read more: 🔗 bit.ly/4mdDlhh

#HealthEquity #PolicyWatch #HealthCoverage #StatePolicy
Recent State Actions Impacting Immigrants’ Access to State-Funded Health Coverage and Other Public Programs | KFF
This policy watch summarizes recent proposed actions by states related to state-funded health coverage for immigrants and trends in other legislation enacted during the 2025 session that have implications for immigrants.
bit.ly
July 25, 2025 at 7:10 PM
tiffanydjoseph.bsky.social
Over 300,000 MA residents could lose Medicaid due to upcoming cuts in the BBB. This loss of funding will be tough for the state to manage. The impact on healthcare will be devastating. Read more 🔗https://bit.ly/4lbwyE1

📘 Not All In: bit.ly/3IbGe3u @Hopkins Press

#NotAllIn 😢
Not All In
Race, Immigration, and Health Care Exclusion in the Age of Obamacare
bit.ly
July 23, 2025 at 10:00 PM
tiffanydjoseph.bsky.social
In Not All In, I discuss how MA’s Health Safety Net for low-income residents has been chronically underfunded. With cuts in the “Big Beautiful Bill,” support for this vital program will become more challenging. Read 🔗 bit.ly/4o1OhAh Not All In: bit.ly/3IbGe3u @Hopkins Press #NotAllIn
Not All In
Race, Immigration, and Health Care Exclusion in the Age of Obamacare
bit.ly
July 23, 2025 at 2:00 PM
tiffanydjoseph.bsky.social
First they gutted health care. Now they’re threatening public school funding. With the new school year approaching, how much more harm can the GOP inflict before they care about the consequences?
🔗 nyti.ms/4lIZT9y
#BigBeautifulBill #EducationJustice #GOPAgenda #ProtectOurKids
July 16, 2025 at 10:00 PM
tiffanydjoseph.bsky.social
Trump's citizenship policies are a human rights crisis. 🌍 In my book Not All In, I explore how racialized legal statuses shape belonging. Read more: bit.ly/44uScMV

#NotAllIn #HumanRights #ImmigrationJustice
July 7, 2025 at 10:00 PM
tiffanydjoseph.bsky.social
This 4th of July, remember: birthright doesn’t always mean belonging. As I explore in my book, Not All In, people of color—even citizens—face constant exclusion. @hopkinspress.bsky.social

NYT op-ed on racialized citizenship:
🔗 nyti.ms/44yikXt

#NotAllIn #4thofJuly #Citizenship
Opinion | This Is the Birthright Reckoning That America Needs
What does it mean to be an American?
nyti.ms
July 4, 2025 at 4:00 PM
tiffanydjoseph.bsky.social
The GOP’s “big beautiful bill” is what I warned about: “a blueprint for exclusion.”
📉 ACA gutted
💉 Public health rolled back
KFF confirms: this is the biggest health care cut in decades.
We’ve been warned.
🔗 connect.kff.org/the-biggest-...
#NotAllIn #HealthCareAccess #ACA #PublicHealth
June 26, 2025 at 7:28 PM
tiffanydjoseph.bsky.social
Trump admits his mass deportation plan could hurt farms, hotels—even his own businesses. Immigration scholars have long known: undocumented workers are essential to the U.S. economy. Without them, it collapses.
🔗 nyti.ms/3VkGD7F
#ImmigrantsAreEssential #NotAllIn #ImmigrationPolicy
Trump Shifts Deportation Focus, Pausing Most Raids on Farms, Hotels and Eateries
The abrupt pivot on an issue at the heart of Mr. Trump’s presidency suggested his broad immigration crackdown was hurting industries and constituencies he does not want to lose.
www.nytimes.com
June 26, 2025 at 6:37 PM