MEDICAL ANTHROPOLOGY HEALTH POLICY AND THE STATE: A CASE STUDY OF SUDAN

Medical anthropologists have frequently limited themselves to studying cultural factors in illness, curing or resistance to the acceptance of modern Western medical services. This prevailing "socioculturalist" approach has serious analytical shortcomings resulting from underestimating the importance of the social formations in which cultural factors occur. Consequently, the policy recommendations produced in medical anthropology are often crippled by theoretical limitations. It is argued that the historically specific constellation of social relations governing production and the appropriation and distribution of the economic surplus-commonly embodied in the functions of the state-have profound effects on the pattern of health and illness as well as on the availability of health services. In underdeveloped countries an analysis of the role of the state in health is especially important, since the organs of state power play a stronger role in health care than in countries with well developed markets for medical services.
In the case of Sudan, the interests of the state in colonial and postindependence periods required a development strategy involving large-scale irrigated agriculture utilizing seasonal migrant labor. The labor and health policies aimed at economic productivity and political stability are analyzed here in relation to the adverse health effects and serious maldistribution of health services which resulted.     

Reactions to Perceived Fairness: The Impact of Mortality Salience and Self-Esteem on Ratings of Negative Affect

In correspondence with terror management theory, the findings of two experiments show that reminders of death lead to stronger effects of perceived fairness on ratings of negative affect. Furthermore, in line with the theory's self-esteem mechanism, results of Experiment 1 suggest that state self-esteem may mediate this relationship between mortality salience and fairness. In further correspondence with the self-esteem mechanism, findings of Experiment 2 reveal that introducing an activity (after reminders of death and before the fairness manipulation) with which people can reaffirm positive conceptions of themselves leads people to react less strongly to variations in fairness than not introducing such a self-affirmation activity. These findings suggest that people react especially strongly to perceived fairness when they are in need for a boost in their self-esteem. Implications for the psychology of fairness are discussed.     

Measuring the frequency occurrence of handwritten numeral characteristics—An expanded list

In the third of a series of studies and reports, the authors expand on the frequency occurrence proportions of various handwritten features. The first study culminated in the publication of “Measuring the Frequency Occurrence of Handwriting and Handprinting Characteristics.” That study was followed by “Measuring the Frequency Occurrence of Handwritten Numeral Characteristics.” The premise of this current and future follow‐up studies is to expand on the initial lists of information incrementally by expanding the number of features and the number of writers. This study expands on the list of numeral features. A total of 34 numeral features was selected by the authors as candidates for this study and tested through an attribute agreement analysis. Based on the results of the testing, 17 new features have been added to the list of proportions. The original 1410 handwritten numeral specimen forms were utilized and pared to 1024 to obtain a proper population sampling for the United States. Interdependency testing was conducted on 783 pairs of inter‐character numerals. A coefficient of correlation between ?0.2 and +0.2 was found in 534 (68.20%) of these pairs. As of this report, there are now a total of 42 numerals with measured frequencies of occurrence. This material has already borne fruit as the combined frequency of occurrence studies were explained during an unsuccessful exclusion hearing in court with an explanation as to how these studies support the reliability of forensic document examination.     

The Political Economy: Political Attitudes and Economic Behavior

It has long been recognized that voters bring their political behaviors in line with economic assessments. Recent work, however, suggests that citizens also engage in economic behaviors that align with their confidence—or lack thereof—in the political system. This alignment can happen consciously or, as we suggest, unconsciously, in the same way that positivity carries over to other behaviors on a micro-level. Using monthly time series data from 1978 to 2008, we contribute further evidence of this relationship by demonstrating that political confidence affects consumer behavior at the aggregate level over time. Our analyses employ measures more closely tied to the theoretical concepts of interest while simultaneously accounting for the complex relationships between subjective and objective economic indicators, economic behavior, political attitudes, and the media. Our results suggest that approval of the president not only increases the electorate’s willingness to spend money, but also affects the volatility of this spending. These findings suggest that the economy is influenced by politics beyond elections, and gives the “Chief Economist” another avenue by which they can affect the behavior of the electorate.     

Ready to Bargain: The Effect of Fiscal Stress on Supermajority Requirements to Raise Taxes

This paper analyzes the interaction effect between fiscal stress and supermajority requirements to raise taxes. I hypothesize that fiscal stress nullifies the effects of supermajority requirements, making states with and without supermajority requirements equally likely to raise taxes during these periods. This conclusion was drawn from a theory on how fiscal stress affects the legislative bargaining environment. The hypothesis was tested using data from 49 states from 1980 to 2010, and the results confirmed expectations. This research contributes to a growing literature that suggests that the effect of institutions cannot be analyzed without considering the context of the political environment.