The Affordable Care Act and the Transformation of US Health Care

The neoliberal period was accompanied by a momentous transformation within the US health care system.  As the result of a number of political and historical dynamics, the healthcare law signed by President Barack Obama in 2010 ‑the Affordable Care Act (ACA)‑ drew less on universal models from abroad than it did on earlier conservative healthcare reform proposals. This was in part the result of the influence of powerful corporate healthcare interests. While the ACA expands healthcare coverage, it does so incompletely and unevenly, with persistent uninsurance and disparities in access based on insurance status. Additionally, the law accommodates an overall shift towards a consumerist model of care characterized by high cost sharing at time of use. Finally, the law encourages the further consolidation of the healthcare sector, for instance into units named “Accountable Care Organizations” that closely resemble the health maintenance organizations favored by managed care advocates. The overall effect has been to maintain a fragmented system that is neither equitable nor efficient. A single payer universal system would, in contrast, help transform healthcare into a social right.

La historia contemporánea en relación con la memoria, los museos y los espacios de memoria Internacionales - pasado, presente y futuro

El artículo examina los conceptos de Monumentos, Sitios y Museos conmemorativos a nivel internacional. Se comienza con la terminología de historia contemporánea como un término que se desarrolló y amplió desde 1950. La historia contemporánea influye también en el campo de las Bellas Artes. Los monumentos conmemorativos o sitios de la memoria en lugares auténticos son de gran importancia para la concienciación. En combinación con los museos tienen la posibilidad de recoger diversos objetos como fuentes escritas, artefactos, fotografías y registros de la historia oral como testimonios de los antiguos acontecimientos. En cuanto a los museos, esto se refleja particularmente en las concepciones de los museos para la Guerra y la Paz, los museos de la Memoria sobre el Genocidio, y los museos de Movimientos de Resistencia. Un artefacto particular del ataque terrorista del 11 de septiembre de 2001 es la Karyatide del famoso artista alemán Fritz Koenig, ahora colocado en el Battery Park al sur de Manhattan. Por último, el Memorial y Museo Nacional 11 de Septiembre se explica junto con su arquitectura, la idea de “Ausencia Reflexionada” y la Misión de la Memoria para el futuro.

The Approach to Daesh in Tunisia: From Bardo to Ben Gardane, aYear of Terror

Starting from a descriptive analysis of the main attacks by Daesh in Tunisia, this article examines the nature and evolution of the terrorist organization in this North African country. Thus, it examines the characteristics and vicissitudes of the attack on the Bardo Museum in March 2015, the attack on the Susa beach in June 2015, the bombing of the Presidential Guard in November 2015 and, finally, the military offensive against the town of Ben Gardane in March 2016. In addition, it presents some previous facts that are relevant in this research, such as the important presence of Tunisian foreign fighters in Syria or Libya, and, in particular, the threat of Daesh in Libya to the Tunisian State