Honorable Mention for the 2018 Outstanding Book Award  from the Inequality, Poverty, and Mobility Section of the American Sociological Association

Winner of the 2017 Association for Asian American Studies Award for Best Book in the Social Sciences

Winner of the 2016 Pierre Bourdieu Award for Outstanding Book from the Sociology of Education Section of the American Sociological Association

Winner of the 2016 American Sociological Association’s Asia and Asian America Section Book Award

Winner of the 2016 Thomas and Znaniecki Award from the International Migration Section of the American Sociological Association

“Why do Asian Americans do so well? Jennifer Lee and Min Zhou provide a theoretically rich and empirically based answer to this question that goes beyond easy stereotypes of Tiger Moms and Confucian values. Their nuanced, convincing argument points to the selectivity of immigrants, the nature of the ethnic community and the reception of Asian Americans by others. Drawing from both sociology and psychology, this smart book should change the national understanding of this important group. This clear, intelligent, and sympathetic book should be required reading for all Americans.”

—MARY C. WATERS, M.E. Zukerman Professor of Sociology, Harvard University

“The ‘model minority’ stereotype constitutes seriously flawed thought, according to sociologists Jennifer Lee and Min Zhou in their compelling new book. The Asian American Achievement Paradox is replete not only with crisp, articulate sociological analyses about why many Chinese and Vietnamese Americans are successful in education and in their professions, but also with convincing arguments for why an oversimplified notion is lacking in explanatory power. Taking their readers along on a rich interdisciplinary, narrative journey, Lee and Zhou prove once again why they are two of the finest scholars of immigration, race and ethnicity.”

—PRUDENCE L. CARTER, professor of education, Stanford University

Asian Americans are often stereotyped as the “model minority.” Their sizeable presence at elite universities and high household incomes have helped construct the narrative of Asian American “exceptionalism.” While many scholars and activists characterize this as a myth, pundits claim that Asian Americans’ educational attainment is the result of unique cultural values. In The Asian American Achievement Paradox, sociologists Jennifer Lee and Min Zhou offer a compelling account of the academic achievement of the children of Asian immigrants. Drawing on in-depth interviews with the adult children of Chinese immigrants and Vietnamese refugees and survey data, Lee and Zhou bridge sociology and social psychology to explain how immigration laws, institutions, and culture interact to foster high achievement among certain Asian American groups.

For the Chinese and Vietnamese in Los Angeles, Lee and Zhou find that the educational attainment of the second generation is strikingly similar, despite the vastly different socioeconomic profiles of their immigrant parents. Because immigration policies after 1965 favor individuals with higher levels of education and professional skills, many Asian immigrants are highly educated when they arrive in the United States. They bring a specific “success frame,” which is strictly defined as earning a degree from an elite university and working in a high-status field. This success frame is reinforced in many local Asian communities, which make resources such as college preparation courses and tutoring available to group members, including their low-income members.

While the success frame accounts for part of Asian Americans’ high rates of achievement, Lee and Zhou also find that institutions, such as public schools, are crucial in supporting the cycle of Asian American achievement. Teachers and guidance counselors, for example, who presume that Asian American students are smart, disciplined, and studious, provide them with extra help and steer them toward competitive academic programs. These institutional advantages, in turn, lead to better academic performance and outcomes among Asian American students. Yet the expectations of high achievement come with a cost: the notion of Asian American success creates an “achievement paradox” in which Asian Americans who do not fit the success frame feel like failures or racial outliers.

While pundits ascribe Asian American success to the assumed superior traits intrinsic to Asian culture, Lee and Zhou show how historical, cultural, and institutional elements work together to confer advantages to specific populations. An insightful counter to notions of culture based on stereotypes, The Asian American Achievement Paradox offers a deft and nuanced understanding of how and why certain immigrant groups succeed.

JENNIFER LEE is professor of sociology at the University of California, Irvine.

MIN ZHOU is professor of sociology at Nanyang Technological University, Singapore, and the University of California, Los Angeles.

“James House has written a powerful book that shows a recent erosion of the health status of Americans that cannot be fixed by increased medical care but requires new public policies aimed at achieving greater fairness and justice in employment, income levels, and housing markets as well as educational systems of higher quality. Beyond Obamacare is a masterwork!”

—ALVIN R. TARLOV, emeritus professor of medicine, University of Chicago, and former president, Henry J. Kaiser Family Foundation

“Beyond Obamacare maintains that both improving population health and constraining growth in health care costs requires shifting our focus from more narrow medical concerns to social and other non-medical determinants including income, education, work and social relations. Drawing on his distinguished research in these areas over several decades, and with broad interdisciplinary scope, James House's data-driven, provocative, and compelling presentation provides the basis for a new health policy paradigm. Presented in a clear and accessible way, it will be invaluable to health professionals, policy scholars, and students.”

—DAVID MECHANIC, Rene Dubos University Professor, Institute for Health, Health Care Policy, and Aging Research, Rutgers, The State University of New Jersey

“In this beautifully written book, James House provides a carefully reasoned, empirically grounded analysis of why universal health care, though long overdue, is still insufficient to move Americans closer to the health profile enjoyed by citizens of other wealthy nations. Beyond Obamacare is must reading for everyone who wants to see a healthier, more socially just America.”

—SHERMAN A. JAMES, Susan B. King Emeritus Professor of Public Policy, Duke University

Health care spending in the United States today is approaching 20 percent of GDP, yet levels of U.S. population health have been declining for decades relative to other wealthy—and even some developing—nations. How is it possible that the United States, which spends more than any other nation on health care and insurance, now has a population markedly less healthy than those of many other nations? Sociologist and public health expert James S. House analyzes this paradoxical crisis, offering surprising new explanations for how and why the United States has fallen into this trap. In Beyond Obamacare, House shows that health care reforms, including the Affordable Care Act, cannot resolve this crisis because they do not focus on the underlying causes for the nation’s poor health outcomes, which are largely social, economic, environmental, psychological, and behavioral.

House demonstrates that the problems of our broken health care and insurance system are interconnected with our large and growing social disparities in education, income, and other conditions of life and work. House calls for a complete reorientation of how we think about health. He concludes that we need to move away from our misguided and almost exclusive focus on biomedical determinants of health, and to place more emphasis on addressing social, economic,and other inequalities.

House’s review of the evidence suggests that the landmark Affordable Care Act of 2010, and even universal access to health care, are likely to yield only marginal improvements in population health or in reducing health care expenditures. In order to rein in spending and improve population health, we need to refocus health policy from the supply side—which makes more and presumably better health care available to more citizens—to the demand side—which would improve population health though means other than health care and insurance, thereby reducing need and spending for health care. House shows how policies that provide expanded educational opportunities, more and better jobs and income, reduced racial/ethnic discrimination and segregation, and improved neighborhood quality enhance population health and quality of life as well as help curb health spending. He recommends redirecting funds from inefficient supply-side health care measures toward broader social initiatives focused on education, income support, civil rights, housing and neighborhoods, and other reforms, which can be paid for from savings in expenditures for health care and insurance.

A provocative reconceptualization of health in America, Beyond Obamacare looks past partisan debates to show how cost-efficient and effective health policies begin with more comprehensive social policy reforms.

JAMES S. HOUSE is Angus Campbell Distinguished University Professor Emeritus of Survey Research, Public Policy, and Sociology at the University of Michigan, Ann Arbor.