Uses data on both region and country of birth for black immigrants in the United States and methodology that allows for the identification of arrival cohorts to test whether there are sending country differences in the health of black adults in the United States. Results show that African immigrants maintain their health advantage over U.S.-born black adults after more than 20 years in the United States. In contrast, black immigrants from the Caribbean who have been in the United States for more than 20 years appear to experience some downward health assimilation.
Argues that the underdevelopment of Dominican social policies reflects the political impact of international migration flows, including both Dominican emigration to the United States and the immigration into the Dominican Republic from neighboring Haiti. These flows have inhibited the development of progressive political actors, including the partisan left and organized labor, and facilitated the adoption of an economic production model that erects additional obstacles to the expansion of the country's social policies.