Agreement without Peace? International Mediation and Time Inconsistency Problems

Mediation has competing short‐ and long‐term effects. In the short run, the actors are better able to identify and settle on a mutually satisfying outcome. In the long run, mediation can create artificial incentives that, as the mediator's influence wanes and the combatants' demands change, leave the actors with an agreement less durable than one that would have been achieved without mediation. This article tests the observable implications from this logic using a set of international crises from 1918 to 2001. The results reconcile findings in the previous literature that inconsistently portray the effectiveness of mediation.     

Framing a Needed Discourse on Health Disparities and Social Inequities: Drawing Lessons from a Pandemic

COVID-19 provides numerous opportunities for policy makers to consider matters of social equity in relation to the field of public health. Specifically, by reflecting on health disparities in relation to the disproportionate impact of COVID-19 on minority and historically underserved populations, we can leverage a needed discourse on health outcomes for many communities. Grounded in the social determinants of health conceptual framework, this essay explores the application of the disproportionate impact of COVID-19 to vulnerable populations and communities of color for a discussion of strategies for minimizing health disparities.     

Rationing psychosocial treatments in the United States

This paper briefly reviews the recent history of psychosocial treatment for adults with severe mental illnesses in the United States. It examines the current sources and financing of such care, revealing the planned and unplanned reclassification of entitled beneficiaries and eligible patients, appropriate treatment, acceptable outcomes, and levels and sources of payment. One illustration of this phenomenon is seen in current efforts to identify and deliver only those public services that are covered by Medicaid, so as to allocate state resources only when they can be matched by federal monies. Another is the reliance on private health insurance, tied in the U.S. almost exclusively to employment, for medical care delivered under an acute, rather than a chronic care model. These analyses conclude with a discussion of the implicit and explicit mechanisms used to ration access to psychosocial treatment in the United States. The implications for individuals with serious mental illnesses, their families, and the general public are placed in historical and current policy contexts, recognizing the economic, social, and clinical variables that can moderate outcomes.