“I’m totally transariffic”: Exploring how Transgender and Gender-expansive Youth and Young Adults Make Sense of their Challenges and Successes

As transgender and gender-expansive (TGE) youth and young adults (YYA) navigate challenging environments, they often seek spaces for safety and acceptance. This study explores ways in which a group of TGE YYA who were engaged with a community-based service organization make sense of their experiences, challenges, and successes in ways that illuminate the factors and processes associated with resilience. Secondary data analysis was conducted on qualitative responses from 85 TGE YYA ages 13–24. The themes that emerged provide insight into the ways community-based programs and providers can understand and support the resilience of TGE YYA.     

Testifying in an International War Crimes Tribunal: The Experience of Witnesses in the Special Court for Sierra Leone

The research described in this article investigates the extentto which witnesses who testified in the Special Court for SierraLeone (SCSL) report the experience as positive or negative.It also seeks to identify the factors that contribute to theseevaluations. It reports the results of structured interviewsconducted with 171 witnesses who testified in the SCSL. Thefinding that emerges most strongly is that the experience oftestifying was positive for the majority of witnesses. The courtroomenvironment was experienced as supportive, and witnesses ratedthe experiences of both examination-in-chief and cross-examinationas being more positive than negative, with examination-in-chiefbeing the more positive of the two. The findings suggest thata positive testimony experience can be predicted when a witnessdoes not feel worried at the prospect of testifying, feels respectedby court staff and, to a lesser extent, has a positive experienceof cross-examination.     

For Safety or Profit? How Science Serves the Strategic Interests of Private Actors

Science is central to the regulation of risk. But who provides the science on which risk regulations are based? Through an in-depth empirical analysis of domestic health and safety standards, this article shows how private actors use scientific information to acquire preferential outcomes. I develop a formal model delineating conditions under which firms will seek stricter standards on their own products, and I reveal how companies can acquire these outcomes through the strategic provision of information. To test the theory, I track changes to U.S. agrochemical standards over a two-decade period. I also introduce firm-level petition data and historical evidence to test the mechanism directly. My findings provide new insight into the strategies companies use to benefit from regulations, while also forcing us to reevaluate what it means for regulations to be based on science.     

Does Medicare Coverage Improve Cancer Detection and Mortality Outcomes?

Medicare is a large government health insurance program in the United States that covers about 60 million people. This paper analyzes the effects of Medicare insurance on health for a group of people in urgent need of medical care: people with cancer. We used a regression discontinuity design to assess impacts of near-universal Medicare insurance at age 65 on cancer detection and outcomes, using population-based cancer registries and vital statistics data. Our analysis focused on the three tumor sites for which screening is recommended both before and after age 65: breast, colorectal, and lung cancer. At age 65, cancer detection increased by 72 per 100,000 population among women and 33 per 100,000 population among men; cancer mortality also decreased by nine per 100,000 population for women but did not significantly change for men. In a placebo check, we found no comparable changes at age 65 in Canada. This study provides the first evidence to our knowledge that near-universal access to Medicare at age 65 is associated with improvements in population-level cancer mortality.     

An analysis of legislative inefficiency and ideological behavior

This paper explores the theory of legislative inefficiency and the role of ideological preferences of legislators. It is shown that inefficiency can be caused by many factors other than legislative ideological behavior. Three major sources are emphasized: cost of voting and policy position information asymmetries across groups of voters and barriers to entry in political competition. Ideological preferences of legislators is not a cause of inefficiency independently. Legislators who care about both policy and winning will give inefficient representation to their constituents only when groups of voters are prevented from participating equally in the legislative process.     

Federal Court Responses to State and Local Claims of "Undue Burden" in Complying with The Americans with Disabilities Act

Are federal courts sympathetic to local and state officials'cost concerns, particularly when it comes to meeting the requirementsof the Americans with Disabilities Act? This is the fundamentalquery taken up by this analysis. After examining twenty-eightfederal ADA cases where state and local officials have goneto court claiming that complying with this civil rights measurewould be unduly burdensome, this study comes up with mixed findings.In some cases, the courts have been sensitive to cost concernsbut, in others, they have not. Despite these inconclusive findings,this study does cast some light on what state and local officialsmust do if they expect federal courts to be sensitive to theirconcerns.     

Financial restraint management and budget control in Canadian provincial governments

Abstract: This study compares and contrasts approaches to the management of financial stress and restraint in four Canadian provincial governments in the period from 1983 to 1985. It indicates that a number of different approaches to restraint management are utilized by Canadian provinces to cope with shortfalls in revenue and policy changes that influence resource allocation decision-making. The four provinces reviewed - British Columbia, Saskatchewan, Manitoba and Nova Scotia - have managed restraint in different ways, each reflecting the politics and the socio-economic and cultural context within which government resource allocation decisions are made. Profiles of these provinces indicate how these factors have influenced financial stress management and budget control strategy. Provincial experience is compared on the following dimensions: overall restraint management strategy; employment policy; marketing the need for restraint; centralized versus participatory government decision authority and control; the use of evaluation in restraint decision-making; and the influence of ideology in restraint management strategy-setting. Sommaire: Cette étude compare et oppose les méthodes de gestion financière adoptées en période d'austérité budgétaire par quatre gouvernements provinciaux au Canada, de 1983 à 1985. Elle indique que les provinces du Canada suivent diverses orientations en matière de gestion durant une période d'austérité budgétaire pour faire face aux manques de revenus et aux changements de politiques qui influencent les décisions d'allocation des ressources. Les quatre provinces étudiées, c'est-à-dire la Colombie-Britannique, la Saskatchewan, le Manitoba et la Nouvelle-Écosse, ont chacune adopté une orientation différence, reflétant le contexte politique, soeio-économique et culturel particulier dans lequel sont prises les décisions gouvernementales d'allocation des ressources. Les profils de la Colombie-Britannique, du Manitoba, de la Nouvelle-Éeosse et de la Saskatchewan précisent la manière dont ces facteurs ont influé sur la gestion de I'austérité financière et la stratégie de contrôle budgétaire. La comparaison entre les provinces porte sur les aspects suivants: 1) stratégie globale de gestion en période d'austérité, 2) politique d'emploi, 3) sensibilisation du public au besoin d'austérité, 4) autorité et contrôle décisionnels concentrés ou participatoires de la part du gouvernement, 5) rôle de 1'évaluation dans la prise des décisions en période d'austérité, et 6) influence de l'idéologie sur la définition des stratégies de gestion de l'austérite.     

Sexually active but not pregnant: A comparison of teens who risk and teens who plan

Previous studies have compared contraceptive users with nonusers, and pregnant teens with nonpregnant ones. This paper reports the findings of a study of a sample of 119 women aged 21 and under who visited the Young Adult Clinic at Columbia-Presbyterian Medical Center in New York City during 1981. All of these women had been sexually active for a year or longer, but had never been pregnant. The expectation that such a sample would include mainly consistent users of contraception was unwarranted; within this special population were found young women who had never used contraception or who had only been sporadic users, as well as the consistent users. Moreover, there are many more similarities than differences among these groups, and their stated motivations for not becoming pregnant are the same. The consistent contraceptors were more likely to live with their mothers, to have mothers who worked, to indicate that their parents would help them have an abortion, and to indicate they would have an abortion should they become pregnant. The similarities between these young women are very important for programs, which often rely heavily on stated motivation or even on a clinic visit as evidence that a young woman intends to use a birth control method. There is nothing here to support this simple view. Instead the notion is substantiated that many adolescents may lack cognitive consistency on this subject or may lack the future orientation to be effective contraceptive users.