The potential impact of private long-term care financing options on Medicaid: the next thirty years

This study analyzes the potential effect on the Medicaid program of private sector financing mechanisms for long-term care. The data are from the Brookings-ICF Long-Term Care Financing Model and include projections over the next thirty years. While private financing alternatives have some modest impacts on Medicaid expenditures and the number of Medicaid long-term care recipients, the data suggest relatively little change in the need for Medicaid. There will be substantial increases in Medicaid long-term care expenditures over time, and private sector options cannot change this much.     

Adolescent sexual activity and pregnancy: Socioenvironmental problems,physical health,and mental health

This paper examines the association between adolescent pregnancy and socioenvironmental, physical, and mental health problems in 1590 inner-city females aged 13–18 who use health clinics. Adolescents who have become pregnant, those who are sexually active but never have been pregnant, and those who are sexually inactive are compared. The sexually active youngsters come from more psychosocially disadvantaged backgrounds than their sexually inactive peers; the sexually active girls who become pregnant come from more psychosocially disadvantaged backgrounds than those who have never been pregnant. Despite this, the youths who have become pregnant do not have more current relationship problems, more stressful life events, or worse physical health than the never-pregnant sexually active youths. Although sexually inactive youths have the lowest rates of mental health problems, adolescents who have been pregnant have lower rates of anxiety and conduct disorder symptoms than those who are sexually active but never pregnant.Supported by the Robert Wood Johnson Foundation. Fieldwork conducted by Survey Research Associates.Research interests include adolescents and children, parenting, and families.Research interests include epidemiology of child and adolescent psychiatric disorder.Research interests include psychiatric epidemiology/deviant behavior.Research interests include mental health and statistical issues.Research interests include health behavior and mental health issues.     

A Neo‐Institutional Account of Prison Diffusion

Interest in legal innovations, particularly in the criminal law realm, often centers on an innovation's emergence, but not its subsequent diffusion. Typifying this trend, existing accounts of the prison's historical roots persuasively explain the prison's “birth” in Jacksonian‐Era northern coastal cities, but not its subsequent rapid, widespread, and homogenous diffusion across a culturally, politically, and economically diverse terrain. Instead, this study offers a neo‐institutional account of the prison's diffusion, emphasizing the importance of national, field‐level pressures rather than local, contextual factors. This study distinguishes between the prison's innovation and early adoption, which can be explained by the need to replace earlier proto‐prisons, and its subsequent adoption, particularly in the South and frontier states, which was driven by the desire to conform to increasingly widespread practices. This study further attributes the isomorphic nature of the diffusion to institutional pressures, including uncertainty surrounding the new technology, pseudoprofessional penal reformers and their claims about competing models of confinement, and contingent historical factors that reinforced these institutional pressures. This study illustrates the importance of distinguishing between the motivations that initiate criminal law innovations and those that advance their diffusion.     

A Checkpoint Effect? Evidence from a Natural Experiment on Travel Restrictions in the West Bank

Does nonviolent repression prompt subject groups to obey or rebel? By what mechanism does it do so? To address these questions, we exploit a natural experiment based on a 2009 policy toward the “easement” of checkpoints—nonviolent impediments to movement—in the West Bank. We sample populations across 17 villages (n = 599), beside one checkpoint slated for easement (treatment) and one that will undergo no change (control), before and after the intervention. We then pursue difference‐in‐difference estimation. This design is experimental, as easement was orthogonal to Palestinian attitudes; for robustness, we test our findings against an independent panel (n = 1,200). We find that easement makes subject populations less likely to support violence; we suggest humiliation as the mechanism bridging nonviolent repression with militancy. This warrants rethinking Israeli security policy, as short‐term concerns over Palestinian mobility may be compromising Israel's long‐term interests. By extension, checkpoint easement may positively affect peace negotiations.