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In this article, I probe an example of high‐technology medicine as a case study in the problems of the regulation of advancing technology. Specifically, I address the implications of pharmacogenomics—an emerging form of population‐based health care intervention—for public policies designed to eliminate racial disparities in health. Using the case of BiDil, a historical precursor to pharmacogenetic technology, I offer a framework for further studies of high‐technology medicine in which policy analysis is part of a social review based on the justice standard of ex ante mutual advantage. It is the contention in this article that the most just and reasonable deployment of pharmacogenomics is as a compensatory tool to alleviate health disparities.  相似文献   

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《Patterns of Prejudice》2012,46(5):441-463
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Right-wing discourses and issues of belonging and collective identity in Europe’s political and public spheres are often analysed in terms of Islamophobia, racism and populism. While acknowledging the value of these concepts, Ke?i? and Duyvendak argue that these discourses can be better understood through the logic of nativism. Their article opens with a conceptual clarification of nativism, which they define as an intense opposition to an internal minority that is seen as a threat to the nation due to its ‘foreignness’. This is followed by the analysis of nativism’s three subtypes: secularist nativism, problematizing particularly Islam and Muslims; racial nativism, problematizing black minorities; and populist nativism, problematizing ‘native’ elites. The authors show that the logic of nativism offers the advantages of both analytical precision and scope. The article focuses on the Dutch case as a specific illustration of a broader European trend.  相似文献   

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In this article, we seek to advance scholarship on the origins and consequences of policy devolution by analyzing state decisions to give local authorities control over welfare policy. The first part of our analysis explores the political forces that systematically influence state decisions to cede policy control to lower-level jurisdictions. In this context, we propose a general Racial Classification Model of how race influences social policy choice. Our findings support this model as well as social control perspectives on welfare provision. Building on these results, we then show how modest but consistent racial effects on policy choices concatenate to produce large disparities in the overall policy regimes that racial groups encounter in the federal system. The empirical findings illuminate the fundamental role that federalism plays in the production of contemporary racial disparities and in the recent turn toward neoliberal and paternalist policies in American poverty governance.  相似文献   

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《Patterns of Prejudice》2012,46(4-5):465-487
ABSTRACT

Three events in late 2005—Hurricane Katrina and its aftermath in New Orleans, the Muslim riots in the suburbs of Paris, and the Cronulla ‘uprising’ in Australia—were interpreted by the American extreme right as confirmation of a long-feared impending racial cataclysm. Michael and Mulloy examine analyses of these events from various representatives of the American extreme right. While the mainstream media were often diffident about reporting frankly on the more sensitive implications of these events, this phenomenological approach may provide insight on how various controversial issues—such as immigration, race and multiculturalism—impinge on contemporary American society, culture and politics.  相似文献   

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Studies of race representation in public organizations illustrate the importance of bureaucrat race in determining client‐level outcomes. Building “upward” from this research, this study examines how supervisor race impacts outcomes for street‐level bureaucrats using data from a nationally representative sample of public schools. Employing multiple estimation methods, we find that, consistent with the predictions of representation theory, teachers report higher job satisfaction and turn over less often when supervised by an own‐race principal. We also find that race congruence impacts the tangible and intangible organizational benefits teachers receive, and, moreover, that race congruence impacts white and African American employees differently. Most troubling, we find evidence that black teachers earn substantially less in supplemental pay when they work for a white principal, even when compared to white teachers in the same school. © 2011 by the Association for Public Policy Analysis and Management.  相似文献   

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