Triage in the nation's medicine cabinet: the puzzling scarcity of vaccines and other drugs

For a variety of reasons, vaccines and other critical pharmaceutical products have become increasingly scarce in the last few years, and persistent shortages involving dozens of essential drugs may imperil the public health. Pressures emanating from regulatory agencies, the courts, and insurers have conspired to make some lines of the pharmaceutical business less than attractive. Although concerns about unpredictable tort liability received most of the blame in the past, two other factors may help to account for the latest round of drug shortages: stringent federal control of manufacturing facilities and aggressive cost-containment efforts that further erode profit margins. Whatever the cause, scarce supplies necessitate efforts at rationing that pose their own difficulties for health care providers. Policymakers could avoid putting physicians to such tough choices regarding patients by focusing on ways to ensure the production of adequate quantities of these highly cost-effective medical technologies. Some commentators have called for greater public sector involvement, but this Article concludes that, in addition to bolstering its emergency stockpiles, the federal government instead needs to take steps designed to encourage private manufacturers to continue supplying critical pharmaceuticals. To this end, the government should adopt more flexible regulations governing manufacturing facilities, provide companies with greater protection from the vagaries of tort liability, and avoid pursuing excessive cost-control strategies. Otherwise, patients may continue to lose access to important therapeutic products.     

Racial Resentment and Whites’ Gun Policy Preferences in Contemporary America

Our study investigates how and why racial prejudice can fuel white opposition to gun restrictions. Drawing on research across disciplines, we suggest that the language of individual freedom used by the gun rights movement utilizes the same racially meaningful tropes as the rhetoric of the white resistance to black civil rights that developed after WWII and into the 1970s. This indicates that the gun rights narrative is color-coded and evocative of racial resentment. To determine whether racial prejudice depresses white support for gun control, we designed a priming experiment which exposed respondents to pictures of blacks and whites drawn from the IAT. Results show that exposure to the prime suppressed support for gun control compared to the control, conditional upon a respondent’s level of racial resentment. Analyses of ANES data (2004–2013) reaffirm these findings. Racial resentment is a statistically significant and substantively important predictor of white opposition to gun control.     

Disproportional Imprisonment of Black and Hispanic Males: Sentencing Discretion,Processing Outcomes,and Policy Structures

Disproportional incarceration of black and Hispanic men has been the subject of much critical commentary and empirical inquiry. Such disproportionality may be due to greater involvement of minority men in serious crime, to discretionary decisions by local justice officials, or to the differential impact of sentencing policies, such as mandatory minimums or sentencing guidelines, that differentially impact minority men. This study investigated the extent to which the disproportional punishment of black and Hispanic men, and local variation in such disproportionality, can be attributed to unexplained disparities in local sentencing decisions, as opposed to the extent to which such differences are mediated by sentencing policies, or case-processing and extralegal factors. We use 2005–2009 federal court and Pennsylvania state court data. Our findings suggest, particularly in Federal courts, that most disproportionality is determined by processes prior to sentencing, especially sentencing policies that differentially impact minority males.     

Interagency bargaining and international negotiation: Lessons from the open skies treaty talks

Internal bargaining among government agencies has a direct effect on the formal external negotiation, particularly with regard to the flexibility of the negotiators and their ability to reach agreements. This article illustrates how interagency bargaining within the U.S. and Soviet governments affected the negotiation of the 1992 Open Skies Treaty between the North Atlantic Treaty Organization (NATO) and the former Warsaw Pact.He is currently directing a research project at the center on the proliferation of chemical and biological weapons.     

Hispanic College Attendance and the State of Texas GEAR UP Program

This article reports the results of an evaluation of the state of Texas GEAR UP project implemented in six school districts from 1998 to 2005. The intent of the program was to enhance preparation for post‐secondary education among low‐income, Hispanic students. The program was comprised of practical interventions including vertical curriculum alignment, training teachers in advanced placement techniques, encouraging students to take rigorous courses, and increasing outreach about college attendance to students and parents. The central dependent variable is reports by parents of graduating seniors about whether their children would be attending college. A multivariate analysis, controlling for household SES, student grades and attendance, household composition, and language spoken in the home indicates that increased student exposure to the GEAR UP program markedly increases the probability that parents will report that their children are going to attend college.