Regional variations in public opinion on the affordable care act

One year after passage, the Patient Protection and Affordable Care Act (ACA) remains a divisive topic. Most publicly released polls on the law have focused on the views of Americans as a whole. But with much of the responsibility of implementation lying with the states, this essay explores whether opinion differs geographically. The analysis finds that views on the health reform law do differ by region, and these differences are most likely driven by the political leanings of a given area. While opinion nationally differs by age and race, this pattern does not hold when looking by region. Areas that have a larger share of uninsured and are slated to receive greater federal funding under the ACA also do not differ in their opinions. These data suggest that regional variations in attitudes about the ACA are based less on the demographic structure of a region and more on the political ideologies of residents in a given region. As implementation of the law continues, this analysis shows that national opinion data mask important regional variations in views of the ACA.     

A brain penetration after Taser injury: Controversies regarding Taser gun safety

We report the case of a 27 year old man who was injured by a Taser gun device which penetrated the frontal part of the skull and damaged the underlying frontal lobe. Cerebral penetration was revealed by a brain CT scan. A neurosurgical procedure was required to remove the dart from the skull and brain and the evolution was successful allowing discharge of the patient one week later. There were no additional lesions, particularly electrifying lesion, as only one probe had penetrated the skull. We also observed the length of a Taser dart is sufficient to allow brain penetration. Fortunately, no infection or neurological complication occurred following brain injury. This case study underlines the potential risk induced by the use of Taser stun gun. Although generally regarded as a safe alternative, serious injuries have however been reported and questions regarding the safety of the device still remains unresolved.     

The Surprising Logic of Transparency

The article examines the concept of transparency and its effect on international crises. It tests two possible "logics" of transparency, one positive and one negative. In the former, transparency is seen as defusing international crises by illuminating other states' peaceful intentions and ameliorating the security dilemma. In the latter, transparency is seen as exacerbating crises by overwhelming diplomatic signals with the "noise" of domestic politics and confusing opponents about which domestic voices are authoritative expressions of state policy. The authors conclude that, surprisingly, transparency makes conflicts worse more often than not—a conclusion that casts doubt on one possible explanation ofthe democratic peace.     

Secrets from the Edge

Brian Crozier, Free Agent. The Unseen War 1941–1991 (London: HarperCollins, 1993). Pp.xiv + 314. £16.99. ISBN 0–00–255192–6.

Gary Murray, Enemies of the State (London: Simon & Schuster, 1993). Pp.xx + 322. £16.99. ISBN 0–671–71194–6.

The Security Service (London: HMSO, 1993). Pp.36. £4.95. ISBN 0–11–3410875.     

Human rights dynamics of abortion law reform

The legal approach to abortion is evolving from criminal prohibition towards accommodation as a life-preserving and health-preserving option, particularly in light of data on maternal mortality and morbidity. Modern momentum for liberalization comes from international adoption of the concept of reproductive health, and wider recognition that the resort to safe and dignified healthcare is a major human right. Respect for women's reproductive self-determination legitimizes abortion as a choice when family planning services have failed, been inaccessible, or been denied by rape. Recognition of women's rights of equal citizenship with men requires that their choices for self-determination be legally respected, not criminalized.