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Health economists have examined how the effects of uninsurance spillover from the uninsured to the insured, negatively affecting healthcare access and quality for the insured. We extend research on uninsurance into the domain of sociologists by theorizing how uninsurance might exacerbate social inequalities and undermine social cohesion within communities. Using data from the Los Angeles Family and Neighborhood Survey, we show that individuals living in communities with higher levels of uninsurance report lower social cohesion net of other individual and neighborhood factors and discuss implications for implementation of the Affordable Care Act.<\/jats:p>","DOI":"10.1177\/0022146516684537","type":"journal-article","created":{"date-parts":[[2017,1,18]],"date-time":"2017-01-18T04:25:50Z","timestamp":1484713550000},"page":"4-22","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Beyond Health Effects?"],"prefix":"10.1177","volume":"58","author":[{"given":"Tara","family":"McKay","sequence":"first","affiliation":[{"name":"Vanderbilt University, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Timmermans","sequence":"additional","affiliation":[{"name":"University of California, Los Angeles, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,16]]},"reference":[{"key":"bibr1-0022146516684537","unstructured":"Alesina Alberto, La Ferrara Eliana. 2000. \u201cThe Determinants of Trust.\u201d NBER Working Paper 7621. 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