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1. Mental Health Conditions and Substance Use: Comparing U.S. Needs and Treatment Capacity with Those in Other High-Income Countries

Author:
Melinda K. Abrams, Reginald D. Williams II, Katharine Fields, and Roosa Tikkanen
Publication Date:
05-2021
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
About one-quarter of U.S. adults report having a mental health diagnosis such as anxiety or depression or experiencing emotional distress. This is one of the highest rates among 11 high-income countries. While U.S. adults are among the most willing to seek professional help for emotional distress, they are among the most likely to report access or affordability issues. Emotional distress is associated with social and economic needs in all countries. Nearly half of U.S. adults who experience emotional distress report such worries, a higher share than seen in other countries. The United States has some of the worst mental health–related outcomes, including the highest suicide rate and second-highest drug-related death rate. The U.S. has a relatively low supply of mental health workers, particularly psychologists and psychiatrists. Just one-third of U.S. primary care practices have mental health professionals on their team, compared to more than 90 percent in the Netherlands and Sweden.
Topic:
Health, Health Care Policy, Mental Health, Drugs, and Substance Abuse
Political Geography:
United States, Europe, and Global Focus

2. The Contributions of Socioeconomic and Opioid Supply Factors to Geographic Variation in U.S. Drug Mortality Rates

Author:
Shannon Monnat
Publication Date:
02-2019
Content Type:
Working Paper
Institution:
Institute for New Economic Thinking (INET)
Abstract:
Over the past two decades deaths from opioids and other drugs have grown to be a major U.S. population health problem, but the magnitude of the crisis varies across the U.S., and explanations for widespread geographic variation in the severity of the drug crisis are limited. An emerging debate is whether geographic differences in drug mortality rates are driven mostly by opioid supply factors or socioeconomic distress. To explore this topic, I examined relationships between county-level non-Hispanic white drug mortality rates for 2000-02 and 2014-16 and several socioeconomic and opioid supply measures across the urban-rural continuum and within different rural labor markets. Net of county demographic composition, average non-Hispanic white drug mortality rates are highest and increased the most in large metro counties. In 2014-16, the most rural counties had an average of 6.2 fewer deaths per 100,000 population than large metro counties. Economic distress, family distress, persistent population loss, and opioid supply factors (exposure to prescription opioids and fentanyl) are all associated with significantly higher drug mortality rates. However, the magnitude of associations varies across the urban-rural continuum and across different types of rural labor markets. In rural counties, economic distress appears to be a stronger predictor than opioid supply measures of drug mortality rates, but in urban counties, opioid supply factors are more strongly associated with drug mortality rates than is economic distress. Ultimately, the highest drug mortality rates are disproportionately concentrated in economically distressed mining and service sector dependent counties with high exposure to prescription opioids and fentanyl.
Topic:
Economics, Health, Inequality, Macroeconomics, and Drugs
Political Geography:
United States

3. Blurred Lines: Mexican Cartels and the Narco-Terrorism Debate

Author:
Alexander Salt
Publication Date:
09-2017
Content Type:
Journal Article
Journal:
Journal of Military and Strategic Studies
Institution:
Centre for Military, Security and Strategic Studies
Abstract:
Since 2006, well over 70 000 lives have been claimed by Cartel and narcotics related violence in Mexico. The sheer scale of this conflict has attracted considerable scholarly attention, particularly that which seeks to classify what type of violence this is, be it terrorism, insurgency or something else altogether. This paper addresses this issue by asking: Can Mexican Cartels be considered terrorist organizations? The paper explores the evolution of the Cartels in Mexico from 2006-present, analyzing their motivations, tactics and operations, organizational structures, and targets of violence. The paper concludes that Cartels should not be defined as terrorists as they lack political motives for their use of violence. However, Cartels can be said to have a dual nature; sometimes they act like terrorists in terms of their operational and tactical level behavior, and the rest of the time they act as illicit businessmen.
Topic:
War on Drugs, Narcotics Trafficking, Violence, and Drugs
Political Geography:
United States, Canada, North America, and Mexico

4. U.S.-ASEAN-ROK Cooperation on Nontraditional Security

Author:
Jaehyon Lee
Publication Date:
12-2017
Content Type:
Working Paper
Institution:
Council on Foreign Relations
Abstract:
Traditional security issues in the Asia-Pacific, such as tensions on the Korean Peninsula or disputes over the South China Sea, consistently attract the attention of policymakers within the region and abroad. But their consequences for ordinary people are often dwarfed by the fallout from nontraditional security (NTS) events, such as climate change, resource scarcity, infectious diseases, natural disasters, irregular migration, famine, people smuggling, drug trafficking, and transnational crime. For countries in the Association of Southeast Asian Nations (ASEAN), the human and economic losses from NTS threats can be staggering. Moreover, economic and social costs from NTS threats consume resources that otherwise could be channeled toward economic growth and social welfare. Historically, there have been bilateral and multilateral attempts at cooperation on NTS in the Asia-Pacific, but they have not been enough. Trilateral cooperation among the United States, ASEAN, and South Korea would benefit not just the participating parties, but also the region as a whole. Such cooperation would allow South Korea to contribute to the region and is consistent with the Moon Jae-in government’s desire to play a greater foreign policy role beyond the Korean Peninsula. It would also advance the U.S.-South Korean alliance and give South Korea experience that could be used in future NTS crises in North Korea such as famines, natural disasters, or pandemics.
Topic:
Security, Climate Change, Natural Disasters, Natural Resources, and Drugs
Political Geography:
United States, Asia, South Korea, and Southeast Asia

5. Cannabis Social Responsibility: A Human Rights Based Approach to Marijuana

Author:
Joey White
Publication Date:
04-2017
Content Type:
Working Paper
Institution:
Center on Human Rights Education, University of Denver
Abstract:
ver the past 20 years, marijuana talk has been a hot subject for law makers in the United States with 21 states decriminalizing marijuana, 29 allowing medical marijuana, and 8 states having legalized the recreational use of cannabis products. Illinois may be next to join the ranks of recreational marijuana, as lawmakers have introduced a bill late last month proposing the legalization of recreational cannabis. Based on sales trends in Colorado, it is estimated that for Illinois, legal cannabis could generate between $350 million to $700 million per year in revenue.
Topic:
Human Rights, Finance, Drugs, and Marijuana
Political Geography:
United States and North America

6. The Limits of Material Benefits: Remittances and Pro-Americanism in Mexico

Author:
Convadonga Meseguer, Jaupart Pascal, and Javier Aparicio
Publication Date:
06-2017
Content Type:
Journal Article
Institution:
German Institute of Global and Area Studies
Abstract:
We explore how the reception of remittances affects perceptions of the bilateral relationship between Mexico and the United States. Scholars have claimed that the economic benefits of the relationship with the US prevail over imperialistic concerns as a result of the asymmetry of power between the two countries. Empirical research shows that Latin American public opinion is indeed more supportive of the US than theory indicates. However, we identify two gaps in this literature. First, scholars have explored the determinants of generic expressions of sentiment toward the US, overlooking more concrete instances of cooperation between the two countries. Second, scholars have focused on trade and investment and have ignored how the material gains of emigration shape attitudes toward the US. The present paper fills these two gaps by using novel survey data on the bilateral relationship between Mexico and the US. On one hand, we find that while the reception of remittances correlates positively with good sentiments toward the US, the recipients of remittances are consistently more opposed to cooperation with the US in the fight against drug trafficking. We argue that this finding can be explained by the different nature of the migratory phenomenon, and the connection between anti-drug trafficking policies and the close scrutiny of illegal flows of money and people.
Topic:
Imperialism, Migration, Regional Cooperation, Bilateral Relations, Trafficking, Borders, and Drugs
Political Geography:
United States, Latin America, North America, and Mexico

7. Paying for Prescription Drugs Around the World: Why Is the U.S. an Outlier?

Author:
Shawn Bishop, David Squires, and Dana O. Sarnak
Publication Date:
10-2017
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
arious factors contribute to high per capita drug spending in the U.S. While drug utilization appears to be similar in the U.S. and the nine other countries considered, the prices at which drugs are sold in the U.S. are substantially higher. These price differences appear to at least partly explain current and historical disparities in spending on pharmaceutical drugs. U.S. consumers face particularly high out-of-pocket costs, both because the U.S. has a large uninsured population and because cost-sharing requirements for those with coverage are more burdensome than in other countries. Most Americans support reducing pharmaceutical costs. International experience demonstrates that policies like universal health coverage, insurance benefit design that restricts out-of-pocket spending, and certain price control strategies, like centralized price negotiations, can be effective.
Topic:
Health, Health Care Policy, and Drugs
Political Geography:
United States, Europe, and Global Focus

8. War on Drugs

Author:
Global Commission On Drug Policy
Publication Date:
06-2011
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
The global war on drugs has failed, with devastating consequences for individuals and societies around the world. Fifty years after the initiation of the UN Single Convention on Narcotic Drugs, and 40 years after President Nixon launched the US government's war on drugs, fundamental reforms in national and global drug control policies are urgently needed. In this seminal report, the Global Commission on Drug Policy calls on global leaders to join an open discussion on drug policy reform.
Topic:
War on Drugs, Public Policy, and Drugs
Political Geography:
United States and Global Focus