Why public opinion changes: the implications for health and health policy

Research on stasis or change in public opinion toward health, health policy, and medical care tends to focus on short-term dynamics and to emphasize the impact of discrete messages communicated by individual speakers in particular situations. This focus on what we term "situational framing," though valuable in some respects, is poorly equipped to assess changes that may occur over the longer term. We focus, instead, on "structural framing" to understand how institutionalized public health and health care policies impact public opinion and behavior over time. Understanding the dynamics of public opinion over time is especially helpful in tracking the political effects of the Patient Protection and Affordable Care Act of 2010 as it moves from the debate over its passage to its implementation and operation.     

WTO ministerial conference adopts declaration on TRIPS and public health

In November 2001, the 4th Ministerial Conference of the World Trade Organization adopted a Ministerial Declaration on public health and the WTO's Agreement on Trade-Related Aspects of Intellectual Property Rights (the "TRIPS Agreement"). The declaration represents a modest advance in addressing concerns that strict patent laws, and threats of trade sanctions, will be a barrier to most of the world's people with HIV/AIDS accessing affordable medicines. The full significance of the declaration remains to be seen, as it depends on what political impact it has at the WTO and on its member countries, and what legal impact it will have in the interpretation of the TRIPS Agreement.     

Neoliberalism and its implications for mental health in the UK

This article sets out to outline the tenets of neoliberalism and globalization, prior to the identification of the implications of neoliberalism for the British health system since 1979. The article then focuses on the applications and implications of neoliberalism for the British mental health system in terms of service organization and management, and the impact these changes in direction had on the three existing service sectors: users, carers and professionals. The discussion and the conclusion highlight the significance of these developments in the mental health system in the rather hybrid context of health, mental health, and social care policy and practice in the United Kingdom.     

Exploring public values implications of the I-Corps program

This paper examines how the concept of public values can be operationalized in an ongoing public initiative to stimulate innovation in an emerging technology. Our study focuses on Innovation Corps (I-Corps)—a program initiated in 2011 by the National Science Foundation (NSF) to accelerate the process of commercializing science-driven discoveries. The I-Corps method has since spread rapidly across multiple US agencies. Separately, there has also been heightened attention to the early anticipation and mitigation of the implications of emerging science and technology. Drawing on the case of nanotechnology, the paper considers how public values related to nanotechnology commercialization can be integrated alongside the fast start-up procedures embedded in I-Corps. We use a public values framework to pose societal impact questions that can be probed in parallel with the current I-Corps process, highlighting values such as identification of societal problems that the technology might potentially address; types of potential customers likely to be overlooked; groups who might oppose the application as well as those who might support it; and potential environmental, health, and safety risks. The paper discusses the challenges of adding specifications related to equity as well as safety in efforts to foster rapid commercialization and considers how these can be integrated within the I-Corps approach.