Obesity, courts, and the new politics of public health

Health care politics are changing. They increasingly focus not on avowedly public projects (such as building the health care infrastructure) but on regulating private behavior. Examples include tobacco, obesity, abortion, drug abuse, the right to die, and even a patient's relationship with his or her managed care organization. Regulating private behavior introduces a distinctive policy process; it alters the way we introduce (or frame) political issues and shifts many important decisions from the legislatures to the courts. In this article, we illustrate the politics of private regulation by following a dramatic case, obesity, through the political process. We describe how obesity evolved from a private matter to a political issue. We then assess how different political institutions have responded and conclude that courts will continue to take the leading role.     

Science, politics, and crime prevention: Toward a new crime policy

Objective

Crime prevention has entered a new, more robust phase of research activity and holds greater relevance to policy and practice today than ever before. It stands as an important component of an overall strategy to reduce crime. This paper sets out a modest proposal for a new crime policy to help build a safer, more sustainable society.

Materials and methods

Narrative meta-review of the crime prevention literature.

Results

The central features include: ensuring that the highest quality scientific research is at center stage in the policy-making process; overcoming the “short-termism” politics of the day; and striking a greater balance between crime prevention and crime control. Both simulation studies and experiences in Washington State show that early prevention can reduce crime, save money, and reduce the need for costly incarceration.

Conclusions

Quality criminological research should be used to strike a policy balance between crime prevention and crime control.     

Criminal law and HIV transmission/exposure: two new cases

In a regular column, we review new developments in the area of criminal prosecutions for HIV transmissions or exposure. Since the last issue of the Review, two new Canadian cases have come to our attention. A Swedish case is reported in HIV/AIDS in the Courts - International.