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631. The Sources of Stigma for Means-Tested Government Programs

Author:
Jennifer Stuber and Mark Schlesinger
Publication Date:
03-2005
Content Type:
Working Paper
Institution:
Robert Wood Johnson Health Society Scholars Program
Abstract:
Stigma has been shown to discourage participation in means-tested government programs. Prior research cannot explain why this deterrent effect varies in intensity across different individuals and programs. We develop a more comprehensive model of the possible determinants of stigma associated with means-tested programs than has previously been suggested by studies of welfare stigma. We test hypotheses using unique data based on interviews with 1405 respondents in ten states and the District of Columbia. The results suggest that there are two distinct forms of stigma related to participation in means-tested government programs: one related to self-identity, the other to threats of negative treatment. Both forms of stigma are more pronounced for welfare compared to Medicaid. The sources of stigma identified by conventional treatments of welfare stigma (e.g. individual attributions of responsibility for poverty) have significant explanatory power, but neglect other important influences. We find that stigma is exacerbated by poor health and by minority status. Stigma is also fostered by the ways in which means-tested programs are implemented, including negative interactions with case workers, long waiting times and for Medicaid, applications for benefits in alternative enrollment sites such as health centers or hospitals. These findings suggest new points of leverage for addressing the potentially deleterious consequences of stigma.
Topic:
Development, Government, Health, and Human Welfare
Political Geography:
Colombia

632. Opening Up Trade in Services: Crucial for Economic Growth

Publication Date:
09-2005
Content Type:
Policy Brief
Institution:
The Organisation for Economic Co-operation and Development
Abstract:
Services, from health to banking, have become the single largest sector in many economies worldwide. They not only provide the bulk of employment and income in many countries, but they also serve as vital input, such as telecommunications, for producing other goods and services. So an efficient services sector is crucial for the overall economy. And because of this, agreement on opening up services markets is crucial to the success of the current global trade talks.
Topic:
Economics, Health, International Trade and Finance, and Markets

633. Demography and Health in Eastern Europe and Eurasia

Author:
Robyn Murphy, Ron Sprout, Ayo Heinegg, and James Pickett
Publication Date:
06-2005
Content Type:
Working Paper
Institution:
United States Agency for International Development
Abstract:
Eastern Europe and Eurasia is the only region worldwide experiencing a contraction in population, which stems from both a natural decrease in the population (i.e., crude death rates exceeding crude birth rates) and emigration. The highest crude death rates in the world are found among the transition countries; so too the lowest fertility rates. This study analyzes these trends and attempts to assess some of the underlying health factors behind them. The report also examines the evidence regarding migration patterns, both political aspects (including trends in refugees and internally displaced persons) and economic aspects (including remittances, urbanization, and brain drain.
Topic:
Demographics, Health, and Human Welfare
Political Geography:
Eurasia and Eastern Europe

634. Regulating Bioprospecting: Institutions for Drug Research, Access and Benefit-Sharing

Author:
Padmashree Gehl Sampath
Publication Date:
04-2005
Content Type:
Policy Brief
Institution:
United Nations University
Abstract:
This policy brief summarizes the main arguments and conclusions of a forthcoming book by United Nations University Press, which examines the regulation of bioprospecting for drug research from an interdisciplinary law and economics perspective. Bioprospecting was once touted as a promising opportunity for collaborative ventures in biotechnology-based research and development (R) between the genetic resources-rich South and the technology-rich North, especially in the case of drug research. However this promise has yet to materialize. Understanding why this is so is a central policy question for countries in the South that wish to leverage their biodiversity endowments in the development process.
Topic:
Development, Environment, Health, and Science and Technology

635. Health Crisis: HIV/AIDS in Developing World Cities

Author:
Martin Caceres
Publication Date:
06-2004
Content Type:
Policy Brief
Institution:
The Wilson Center
Abstract:
Developing countries' urban areas are at the core of the HIV/AIDS epidemic. The normal functioning of urban areas, their societies, and institutions can be severely disrupted by a high prevalence of HIV/AIDS. This environment provides both a high potential for the spread of the disease and unique opportunities to fight and contain it.
Topic:
Civil Society, Health, and Human Welfare

636. Race, Ethnicity, and Health

Author:
Kenneth Finegold and Laura Wherry
Publication Date:
03-2004
Content Type:
Working Paper
Institution:
Urban Institute
Abstract:
The creation of the State Children's Health Insurance Program (SCHIP), combined with many states' decisions to expand Medicaid eligibility, increased public coverage of black, white, and Hispanic children between 1997 and 2002. Uninsurance rates fell among children in low-income white, black, and Hispanic families, remained constant among white and black children in higher-income families, and increased among Hispanic children in higher-income families. The health status of children, as reported by their parents, was stable for blacks, whites, and Hispanics, except for a decline in health among higher-income Hispanic children.
Topic:
Demographics, Health, Human Welfare, and Poverty
Political Geography:
United States

637. Health Insurance Coverage of Children in Mixed-Status Immigrant Families

Author:
Randy Capps, Genevieve M. Kenney, and Michael E. Fix
Publication Date:
11-2003
Content Type:
Working Paper
Institution:
Urban Institute
Abstract:
Public health insurance coverage increased—and rates of uninsurance decreased—between 1999 and 2002 among two groups of low-income, U.S. citizen children: those with parents who are native or naturalized U.S. citizens and those with at least one immigrant parent who is not a U.S. citizen (referred to as mixed-status families). The improvements followed efforts on the part of the states and the federal government to expand coverage of children under Medicaid and the State Children's Health Insurance Program (SCHIP) and the introduction of policies directed at improving Medicaid and SCHIP access for immigrant and non-English-speaking families. Nonetheless, more than one in five citizen children in low-income mixed-status families remained uninsured in 2002—a rate 74 percent higher than that of children with citizen parents.
Topic:
Health, Human Welfare, Migration, and Poverty
Political Geography:
United States

638. Russian Health and Social Welfare: Limited Progress

Author:
Judyth L. Twigg
Publication Date:
08-2002
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
It has become routine for Russian policy makers to characterize their various health and social problems—rising male mortality, HIV/AIDS, illegal drug use, even pension system reform—as threats to the stability and national security of their country. Russia's importance to American national interests was thrown in sharp relief by the events of September 11 and their aftermath. A stable, prosperous Russia is a crucial partner in the war on terrorism. The fact that so many of Russia's health and social indicators remain stagnant or in decline, despite limited improvement along some dimensions, should therefore be troubling to the United States.
Topic:
Government, Health, Human Welfare, Science and Technology, and Terrorism
Political Geography:
Russia, United States, Europe, and Asia

639. The 1971 Smallpox Epidemic in Aralsk, Kazakhstan, and the Soviet Biological Warfare Program

Author:
Jonathan B. Tucker and Raymond A. Zilinskas
Publication Date:
10-2002
Content Type:
Working Paper
Institution:
James Martin Center for Nonproliferation Studies
Abstract:
The heart of this occasional paper is a translation of an official Soviet-era document titled “Report on Measures Taken to Contain and Eradicate the Smallpox Outbreak Locale in the City of Aralsk, September/October 1971.” This previously secret report describes and analyzes an outbreak of smallpox that occurred in autumn 1971 in Aralsk, a small city on the shore of the Aral Sea in what was then the Kazakhstan Soviet Socialist Republic. Ten persons became infected with smallpox, and three died, before the outbreak was successfully contained by means of quarantine, mass vaccination in Aralsk, and other public health measures. A contagious disease that killed about a third of its victims, smallpox was characterized by high fever, prostration, and a painful pustular rash on the face and body that left survivors with disfiguring facial scars.
Topic:
Health, Terrorism, War, Weapons of Mass Destruction, World Health Organization, and Biosecurity
Political Geography:
Central Asia and Kazakhstan

640. Composite Indexes of Leading, Coincident, and Lagging Indicators: September 1999

Publication Date:
09-1999
Content Type:
Policy Brief
Institution:
The Conference Board
Abstract:
The leading index decreased 0.1 percent, the coincident index decreased 0.2 percent, and the lagging index increased 0.4 percent in September. This report merits careful interpretation, but does not change general conclusions drawn from previous releases, which show the economy is in good health: The coincident indicators point to GDP rising in the 4th quarter of 1999. The leading indicators point to a continuation of the expansion through early 2000. Cyclical imbalances and related economic instability problems must be monitored for future increases.
Topic:
Economics and Health
Political Geography:
United States