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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