Leisure Experience, Prison Culture, or Victimization? Sex Offenders Report on Prison Gambling

Opportunities for gambling in mainstream North American society have increased greatly over the past two decades. Despite the popularity of legalized gambling and attention it is receiving among social science researchers and economists, gambling within jails and prisons has been overlooked. This study utilized a semistructured interviewing procedure (Smith, 1995) to gain information about prison gambling from 11 sexual offenders on parole—all had spent significant time incarcerated. Qualitative analyses of responses suggest that offenders may gamble in various forms and for a variety of reasons, including a means of alleviating boredom, providing excitement and risk, and an opportunity to socialize. Prison gambling appears to be a complex phenomenon. A substantial amount of prison gambling seems to be associated with certain psychosocial benefits, while for a minority of cases there may be severe violence and victimization.     

'Just because we are amateurs doesn't mean we aren't professional': the importance of expert activists in tenant participation

The current UK government is committed to extending participation in civil society, with the aim of significantly increasing volunteer numbers by 2005. It has put much effort into attracting 'representative participants', particularly from traditionally under-represented groups. 'Natural joiners' attract far less interest and are often written off as 'the same old faces'. But the growth in opportunities for participation has actually encouraged the natural joiners because the nature of much modern participation requires people like them. Focusing on natural joiners and their motivations rather than looking at why the non-joiners don't join, should increase understanding of why people participate and suggest new ways forward. This article looks at people active in tenant participation – a case study of a government 'Sounding Board' and some preliminary results of a survey of activists. There are some unexpected findings, including that the motivations of natural joiners are close to those of career professionals in the same field, and that interest in the 'subject' of participation may be a motivator, rather than an outcome.     

"Permanent discharge": deaths of people under 50 years of age in residential aged care in Victoria

In June 2007 there were 210 people under 50 years of age living in residential aged care in Victoria, Australia, most of whom had acquired brain injuries. There are an average of 21 deaths per year in this group yet very little is known about the causes of such deaths. While the Coroners Act 2008 (Vic) requires mandatory reporting of "unexpected" and "accidental" deaths, anecdotal evidence and data from the Coroner's Office suggest that most deaths of people under 50 years of age in residential aged care are not reported. This research presents the cases of three "preventable" deaths, none of which was reported to the coroner and all of which have implications for systemic reform. It concludes that cross-sectoral solutions to meet the complex needs of people under 50 years of age with disabilities in residential aged care are urgently needed as well as monitoring to help us to understand better the needs of young people in residential aged care.     

Public health and vulnerable groups

Editors' Introduction

Public health and vulnerable groups     

Whales and minnows: Some sexual theorists and their followers and how they contribute to making feminism invisible

Past feminism was made to vanish, so that only now are we beginning to realise the full extent of our history. The same process is already beginning to happen to present feminism—we too are being made invisible. One instance of this process is examined in the work of some ‘radical’ male academics. They use the work of various sexual theorists (Lacan, Gagnon and Simon, Foucault) to construct a particular and de-politicized version of ‘sexual politics’; and in doing so they recognize only an equally partial version of ‘feminism’. It seems that ‘our friends’, ‘radical’ men, are at least as dangerous as the rest, for they increasingly claim the right to ‘name’ feminism and sexual politics for us.     

Personalizing solidarity? The role of self-tracking in health insurance pricing

Can data-driven innovations, working across an internet of connected things, personalize health insurance prices? The emergence of self-tracking technologies and their adoption and promotion in health insurance products has been characterized as a threat to solidaristic models of healthcare provision. If individual behaviour rather than group membership were to become the basis of risk assessment, the social, economic and political consequences would be far-reaching. It would disrupt the distributive, solidaristic character that is expressed within all health insurance schemes, even in those nominally designated as private or commercial. Personalized risk pricing is at odds with the infrastructures that presently define, regulate and deliver health insurance. Self-tracking can be readily imagined as an element in an ongoing bio-political redistribution of the burden of responsibility from the state to citizens but it is not clear that such a scenario could be delivered within existing individual private health insurance operational and regulatory infrastructures. In what can be gleaned from publicly available sources discussing pricing experience in the individual markets established by the Patient Protection and Affordable Care Act 2010 (ACA), widely known as ‘Obamacare’, it appears unlikely that it can provide the means to personalize price. Using the case of Oscar Health, a technology driven start-up trading in the ACA marketplaces, I explore the concepts, politics and infrastructures at work in health insurance markets.