Harry and Louise and health care reform: romancing public opinion

The question whether the "Harry and Louise" campaign ads, sponsored by the Health Insurance Association of America (HIAA) during the 1993-1994 health care reform debate, influenced public opinion has particular relevance today since interest groups are increasingly choosing commercial-style mass media campaigns to sway public opinion about health policy issues. Our study revisits the issue of the Harry and Louise campaign's influence on public opinion, comparing the ad campaign's messages to changes in opinion about health care reform over a twenty-six-month period in Oklahoma. Looking at the overall trends just prior to the introduction of the Harry and Louise campaign, public opinion was going in the "wrong" direction, from the HIAA perspective. Moreover, public opinion continued in the wrong direction until the mid-point of the campaign. However, in either the turning point of the campaign in terms of message content and tone or in the lag period following it, public opinion reversed on each health reform issue and returned to pre-campaign levels. It appears from these findings that the campaign captured public opinion when support for issues that were unfavorable to HIAA members was increasing and turned public opinion back to pre-campaign levels. The campaign may result in many more such marriages of political interest groups and commercial advertisers for the purpose of demobilizing public support for health policy initiatives that are unfavorable to special interests.     

The nexus between attribution theory and racial attitudes: a test of racial attribution and public opinion of capital punishment

Research has shown that attribution theory and racial attitudes are among the most consistent attitudinal predictors of capital punishment opinion. This study explores the overlap of these two constructs, racial attribution, and its ability to account for support and opposition to the death penalty. Using data from the 1972–2016 cumulative data file of the General Social Survey, three logistic regression models were used to analyze the effect of internal and external racial attribution on capital punishment opinions for (a) the aggregate sample, (b) White respondents only, and (c) Black respondents only. Respondents were asked whether racial inequalities were due to structural disadvantages or personal deficiencies of Black Americans. Findings showed that respondents in all three models were more likely to support the death penalty when they attributed racial inequalities to personal deficiencies of Blacks and less likely to support the death penalty when they endorsed structural disadvantages, although the effects were somewhat muted for Black respondents. These findings suggest that ongoing public support for capital punishment in the United States is based at least in part on a fundamental attribution error in which Whites and some Blacks alike blame Blacks for their own deprivation.     

Public health, racial tensions, and body politic: mass ringworm irradiation in Israel, 1949-1960

In this essay, we analyze the case study of mass ringworm irradiation conducted in Israel during its first years of existence and its consequences. We analyzed the case study of ringworm irradiation in the framework of racial construction of illness and its treatment, showing the elasticity of race and ethnicity as medical and social categories.     

Taking sides: Gender and third‐party partisanship in disputes

We examine the role of a norm protecting women in understanding third‐party partisanship in verbal and violent disputes. Our analyses are based on reports provided by male inmates and men they know who have never been arrested. The results show that third parties are more likely to support female adversaries than male adversaries. The gender effect is stronger when we control for the relational distance between adversaries, which indicates that a privacy norm might inhibit this normative protection. The gender effect is somewhat weaker when we control for the relative physical size of the adversaries, which indicates that a general norm protecting vulnerable people partly explains the gender effect. The strong gender effect that remains, however, demonstrates the importance of the normative protection of women, regardless of relative size, during disputes. The results have implications for research on situational factors in violence and violence against women.     

Equity,health, and health care

Equity goals, such as equal treatment for equal need or equality of access, commonly take pride of place among the aims of health policy. But do these conceptions, or others derived from more fundamental philosophical systems such as those of the utilitarians or John Rawls, successfully capture the way in which the term equity is generally used? If not, is it possible to find some interpretation that can command a greater consensus? This paper answers no to the first question and yes to the second. It is argued that the standard conceptions of equity ignore the processes by which health states are determined and hence the extent to which they arise from factors beyond individual control. An alternative conception is proposed that directly incorporates these considerations.     

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.     

Symbols, rationality, and justice: rationing health care.

Proposals to ration health care in the United States meet a number of objections, symbolic and literal. Nonetheless, an acceptance of the idea of rationing is a necessary first step toward universal health insurance. It must be understood that universal health care requires an acceptance of rationing, and that such an acceptance must precede enactment of a program, if it is to be economically sound and politically feasible. Commentators have argued that reform of the health care system should come before any effort to ration. On the contrary, rationing and reform cannot be separated. The former is the key to the latter, just as rationing is the key to universal health insurance.     

The reliability of police employee counts: Comparing FBI and ICMA data, 1954-2008

Researchers commonly use secondary data counts of police employees from police agencies. There has been some concern with using such data, yet there have been no published systematic assessments of their reliability.

Purpose

This paper compares the reliability of annual counts of police officers and civilians from the FBI's Police Employees data to those in the International City/County Management Association's (ICMA) Municipal Year Book reported for 38 large city police agencies between 1954 and 2008.

Methods

We use bivariate correlations and visual analyses of line charts to demonstrate the reliability of these two datasets, examining in particular situations in which inaccuracies emerged.

Results

Overall, both data sets record accurate counts of police employees, but there is some evidence of reporting irregularities. These irregularities manifest themselves as either city/agency-specific or temporally-bounded reporting errors.

Conclusions

Although reporting errors are rare in these data, future researchers should consider the potential impact of reporting errors for certain years and agencies.     

Stress,coping, and psychological well‐being among forensic health care professionals

Purpose. Although forensic services are often regarded as highly stressful environments, there has been a surprising lack of research into the phenomena of occupational stress among forensic health care professionals (FHCP) in the United Kingdom. This study investigated stress, coping, and psychological well‐being among FHCP employed within inpatient settings. Methods. One hundred and thirty‐five FHCP were recruited from four Medium Secure Units in the United Kingdom. A postal research pack was used to collect background information and measures of psychological well‐being, burnout, occupational stress, work satisfaction, and coping. Results. The study found that a substantial proportion of FHCP experienced elevated levels of occupational stress and psychological distress, while moderate levels of burnout were demonstrated in terms of emotional exhaustion, depersonalization, and reduced personal accomplishment. The findings confirmed that FHCP utilized a range of problem‐focused (e.g., positive), emotion‐focused (e.g., religious, negative, and supported), and palliative coping strategies (e.g., excessive smoking and drinking). Conclusions. The results appeared to support the commonly held assertion that forensic services are an inherently stressful and dangerous working environment, which can cause FHCP to experience marked levels of psychological distress, burnout, and occupational stress.     

Informal payments for health care: definitions, distinctions, and dilemmas

There is increasing interest in the issue of informal payments for health care in low- and middle-income countries. Emerging evidence suggests that the phenomenon is both diverse, including many variants from cash payments to in-kind contributions and from gift giving to informal charging, and widespread, reported from countries in at least three continents. However, cross-national research is hampered by the lack of consensus among researchers on the definition of informal payments, and the definitions that have been proposed are unable to incorporate all forms of the phenomenon that have been described so far. This article aims to overcome this limitation by proposing a new definition based on the concept of entitlement for services. First, the various forms of informal payment observed in practice are reviewed briefly. Then, some of the proposed definitions are discussed, pointing out that none of the distinctive characteristics implied by these definitions, including illegality, informality, and corruption, is adequate to capture all varieties of the phenomenon. Next, an alternative definition is formulated, which identifies the distinctive feature common to all forms of informal payments as something that is contributed in addition to the terms of entitlement. Then, the boundaries implied by this definition are explored and, finally, the implications for research and policy making are discussed with reference to the lessons developed countries can learn from the experiences of transitional countries.