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Begin New Search Topic Health Care Policy Political Geography North America

1. The U.S. Fight against Coronavirus

Author:
Marek Wąsiński and Mateusz Piotrowski
Publication Date:
03-2020
Content Type:
Special Report
Institution:
The Polish Institute of International Affairs
Abstract:
The coronavirus outbreak is spreading throughout the United States. After its initial underestimation of the threat, the Trump administration has acted to fight against the pandemic, including the introduction of a national emergency. The effectiveness of these actions will be an important factor in whether Trump is re-elected. The limits on social life despite the enormous financial support from the government and the Federal Reserve have dramatically slowed the economy, heading into a recession. Public debt will increase much more rapidly, which may force budget cuts in the coming years.
Topic:
Economics, Government, Health, Financial Crisis, Health Care Policy, Crisis Management, Donald Trump, and Coronavirus
Political Geography:
North America and United States of America

2. Productivity and Adaptability: Why COVID-19 Has Not Overrun American Hospitals

Author:
Hanns Kuttner
Publication Date:
11-2020
Content Type:
Working Paper
Institution:
Hudson Institute
Abstract:
Early in the COVID-19 epidemic, many gloomy images emerged of what might be ahead. In one, hospitals would be overrun by more COVID-19 patients than they could treat. Models developed at the Institute for Health Metrics and Evaluation (IHME) provided numbers that supported the image. For the most part, overrun hospitals did not happen. Things turned out better because America’s hospitals did better than the IHME model thought they could. Hospital productivity has proved to be greater than anticipated in the IHME model. Productivity determines how many patients hospitals can serve. Productivity reflects how many beds a hospital has and how many days each patient stays in a bed. The most common pattern in hospitals, patients who are discharged alive and do not require time in an intensive care unit (ICU), provide an example. Length of stay for that group has been a third shorter than assumed in the IHME model. The data required to tell the adaptability story in detail is not yet available. Only a qualitative assessment is possible at this point. Hospitals adapted in ways not anticipated in the IHME model. For example, they delayed elective surgical procedures, freeing up beds. The story will become more detailed as data about hospital admissions and the clinical course of COVID-19 patients becomes available.
Topic:
Health, Science and Technology, Health Care Policy, COVID-19, and Pharmaceuticals
Political Geography:
North America and United States of America

3. Health Technology Assessment for the US Healthcare System

Author:
Aspen Institute and USC Schaeffer Center For Health Policy & Economics
Publication Date:
03-2020
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
The USC Schaeffer Center for Health Policy & Economics and the Aspen Institute’s Health, Medicine & Society Program have together established an advisory panel to consider how the U.S. can better link the price of health technologies to the benefits they provide to patients while ensuring a sustainable healthcare ecosystem that supports innovation.
Topic:
Health, Science and Technology, Health Care Policy, and Emerging Technology
Political Geography:
North America and United States of America

4. Shaping Arctic Policy: The Minutes of the Eskimo Affairs Committee, 1952-1962

Author:
Peter Clancy and P. Whitney Lackenbauer
Publication Date:
01-2019
Content Type:
Book
Institution:
Centre for Military, Security and Strategic Studies
Abstract:
During the 1950s, the Eskimo Affairs Committee played a significant role in shaping a new set of policy initiatives that Ottawa was framing toward Inuit. The record of the committee’s activities offers important insight into development-administration in-the-making, covering a wide swatch of issues from education to health care, the case for a new field administration, proposals for expanded credit channels, and measures to extend the scope of wage employment and small manufacturing.
Topic:
Education, Health Care Policy, Employment, and Eskimo Affairs
Political Geography:
Canada, North America, and Arctic

5. Standards for the Digital Economy: Creating an Architecture for Data Collection, Access and Analytics

Author:
Michel Girard
Publication Date:
09-2019
Content Type:
Working Paper
Institution:
Centre for International Governance Innovation
Abstract:
Canadian industry and thought leaders view digitization as a way to enhance the competitiveness of the economy; digitization can also improve the delivery of services such as health care. In order to achieve this vision, new data value chains are needed. Data value chains would allow participants in existing supply chains to share data, gain new insights, solve problems and become more efficient. Standards are required to clarify the roles and responsibilities of participants in data value chains regarding data collection and grading, data access and sharing, as well as data analytics and solutions. Standards are also necessary to achieve interoperability and set appropriate benchmarks regarding data governance — both necessary preconditions for data sharing between organizations.
Topic:
Health Care Policy, Digital Economy, Data, and Digitization
Political Geography:
Canada and North America

6. An Alternative Perspective of Veteran Disapproval of Recent Wars: The Civil-Military Health of the Nation is Strong

Author:
George Fust
Publication Date:
07-2019
Content Type:
Working Paper
Institution:
Department of Social Sciences at West Point, United States Military Academy
Abstract:
A Pew Research Center report published on July 10 suggests that most veterans of the conflicts in Iraq and Afghanistan believe these wars are “not worth fighting.” What are the implications of these findings? What can they reveal about the health of U.S. civil-military relations? Is it dangerous for the guardians to be opposed to the mission they are directed to accomplish?
Topic:
Civil Society, Health Care Policy, Veterans, and Civil-Military Relations
Political Geography:
United States and North America

7. Testing the Validity of the Single Interrupted Time Series Design

Author:
Katherine Baicker and Theodore Svoronos
Publication Date:
07-2019
Content Type:
Working Paper
Institution:
The John F. Kennedy School of Government at Harvard University
Abstract:
Given the complex relationships between patients’ demographics, underlying health needs, and outcomes, establishing the causal effects of health policy and delivery interventions on health outcomes is often empirically challenging. The single interrupted time series (SITS) design has become a popular evaluation method in contexts where a randomized controlled trial is not feasible. In this paper, we formalize the structure and assumptions underlying the single ITS design and show that it is significantly more vulnerable to confounding than is often acknowledged and, as a result, can produce misleading results. We illustrate this empirically using the Oregon Health Insurance Experiment, showing that an evaluation using a single interrupted time series design instead of the randomized controlled trial would have produced large and statistically significant results of the wrong sign. We discuss the pitfalls of the SITS design, and suggest circumstances in which it is and is not likely to be reliable.
Topic:
Health, Governance, and Health Care Policy
Political Geography:
North America and United States of America

8. ACKNOWLEDGING THE FLEXIBILITIES OF THE TRIPS AGREEMENT: ENSURING THE RIGHT TO ACCESS TO MEDICINES OR A STRATEGY OF PASSIVE REVOLUTION?

Author:
Sevgi BALKAN-ŞAHİN
Publication Date:
10-2018
Content Type:
Journal Article
Journal:
Alternative Politics
Institution:
Department of International Relations, Abant Izzet Baysal University, Turkey
Abstract:
The Doha Ministerial Declaration on the Trade-Related Aspects of Intellectual Property Rights (TRIPS) Agreement and Public Health adopted in November 2001 clarified the right to use the TRIPS flexibilities to promote public health. Examining the hegemonic struggle of opposing social forces from a neo-Gramscian perspective, the paper attributes this outcome to the strategy of trasformismo used by market-oriented social forces to legitimize the policies of the World Trade Organization (WTO) and prevent resistance against the market-driven TRIPS Agreement. It argues that although non-governmental organizations (NGOs) such as Medecins Sans Frontieres, Third World Network, and Oxfam worked as a counter-hegemonic force to ensure the access of least developed countries to generic versions of patented drugs, flexibilities confirmed by the Doha Declaration can be seen more as a strategy of trasformismo to absorb counter-hegemonic ideas than the counter-hegemonic groups’ successful incorporation of the right to ensure public health into the TRIPS Agreement.
Topic:
Health, World Trade Organization, Hegemony, Health Care Policy, NGOs, and Public Health
Political Geography:
United States, Europe, Asia, and North America

9. Value and Protection for Domestic Work

Author:
Jo Beletic
Publication Date:
05-2017
Content Type:
Working Paper
Institution:
Center on Human Rights Education, University of Denver
Abstract:
The cover story of The Atlantic’s June 2017 issue, “My Family’s Slave”, has flurried around social media over the last couple of weeks. The heart wrenching story sheds light on the enslavement of Eudocia “Lola” Tomas Pulido. If you haven’t already done so, do yourself a favor and click through on the link above to read it. Most stories of this sort do not have such a warm ending. Most stories of this sort are never written. What is most disheartening of Lola’s situation is the fact that her story is more common than many Americans realize. Lolas are hidden in urban centers and tucked away within organized suburbia across the US. Domestic workers—people engaged in an employment relationship for work performed within a household—are vulnerable in their invisibility. In the US, over 2 million individuals are engaged in domestic work. Nannies, housekeepers, and healthcare workers are cooking, cleaning, ironing, caring for children, the sick, and the elderly behind closed doors. Many of these workers, generally women and girls, are immigrant women and women of color. As advocates for improved rights of these workers attest: domestic work makes all other work possible.
Topic:
Human Rights, Labor Issues, Health Care Policy, and Labor Rights
Political Geography:
United States and North America

10. Disability Rights in Global Perspective

Author:
Karen Nakamura
Publication Date:
04-2016
Content Type:
Video
Institution:
Clarke Forum for Contemporary Issues
Abstract:
Grassroots disability movements such as mad pride and crip pride have pushed themselves to the forefront of conversations across the world about diversity and inclusion, but there has also been considerable setbacks in recent years. Karen Nakamura discusses disability rights social movements and how they have fundamentally changed the social contract and fabric in various countries.
Topic:
Health, Human Rights, Social Movement, Health Care Policy, Social Justice, Disability, and Mental Health
Political Geography:
Japan, Asia, North America, Global Focus, and United States of America