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Journal of Health Politics, Policy and Law

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https://www.readbyqxmd.com/read/28663186/the-role-of-courts-in-shaping-health-equity
#1
Mark A Hall
United States' courts have played a limited, yet key, role in shaping health equity in three areas of law: racial discrimination, disability discrimination, and constitutional rights. Executive and administrative action has been much more instrumental than judicial decisions in advancing racial equality in health care. Courts have been reluctant to intervene on racial justice because overt discrimination has largely disappeared, and the Supreme Court has interpreted civil rights laws in a fashion that restricts judicial authority to address more subtle or diffused forms of disparate impact...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663185/words-and-deeds-presidential-discussion-of-minority-health-public-policies-and-minority-perceptions
#2
Daniel Q Gillion
What are the different rhetorical approaches presidents used to address minority health inequality? More importantly, how have the efforts of presidents impacted minorities' perceptions of health? I offer a historical perspective that describes the three major periods of presidential engagement in discussions of minority health since the 1960s. I couple this historical overview with an empirical assessment that introduces a novel and extensive dataset of every presidential discussion of minority health spanning five decades (1960-2016)...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663184/how-the-aca-addressed-health-equity-and-what-repeal-would-mean
#3
Colleen M Grogan
This commentary reviews the many different ways the Affordable Care Act (ACA) explicitly and implicitly attempted to improve health equity, and then assesses how the Republican proposal to repeal and replace the ACA (the proposed American Health Care Act) would impact efforts to improve health equity. Although the American health care system still had a long way to go to achieve health equity, it may be argued that the ACA was a major step forward in creating new programs and regulations that had the potential to improve health equity...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663183/health-equity-in-a-trump-administration
#4
Deborah Stone
Donald Trump's rhetoric and leadership are destroying the "culture of community" necessary for progress on health equity. His one-line promises to provide "quality health care at a fraction of the cost" smack of neoliberal nostrums that shifted ever more costs onto patients, thereby preventing many people from getting care. The dangers of Trump go far beyond health policy, however; Trump's presidency threatens the political and cultural institutions that make any good policy possible.
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663182/missed-opportunity-leveraging-mobile-technology-to-reduce-racial-health-disparities
#5
Rashawn Ray, Abigail A Sewell, Keon L Gilbert, Jennifer D Roberts
Blacks and Latinos are less likely than whites to have health insurance access and utilize health care. One way to overcome some of these racial barriers to health equity may be through advances in technology that allow people to access and utilize health care in innovative ways. Yet, little research has focused on whether the racial gap that exists for health care utilization also exists for accessing health information online and through mobile technologies. Using data from the Health Information National Trends Survey (HINTS), we examine racial differences in obtaining health information online via mobile devices...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663181/viewing-health-equity-through-a-legal-lens-title-vi-of-the-1964-civil-rights-act
#6
Sara Rosenbaum, Sara Schmucker
Enacted as part of the watershed Civil Rights Act of 1964, Title VI prohibits discrimination by federally assisted entities on the basis of race, color, or national origin. Indeed, the law is as broad as federal funding across the full range of programs and services that affect health. Over the years, governmental enforcement efforts have waxed and waned, and private litigants have confronted barriers to directly invoking its protections. But Title VI endures as the formal mechanism by which the nation rejects discrimination within federally funded programs and services...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663180/framing-health-equity-us-health-disparities-in-comparative-perspective
#7
Julia F Lynch, Isabel M Perera
In this article we explore systematically the different conceptions of health equity in key national health policy documents in the United States, the United Kingdom, and France. We find substantial differences across the three countries in the characterization of group differences (by SES, race/ethnicity, or territory), and the theorized causes of health inequalities (socioeconomic structures versus health care system features). In all three countries, reports throughout the period alluded at least minimally to inequalities in social determinants as the underlying cause of health inequalities...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663179/cautious-citizenship-the-deterring-effect-of-immigration-issue-salience-on-health-care-use-and-bureaucratic-interactions-among-latino-us-citizens
#8
Franciso I Pedraza, Vanessa Cruz Nichols, Alana M W LeBrón
Research shows that health care use among Latino immigrants is adversely affected by restrictive immigration policy. A core concern is that immigrants shy away from sharing personal information in response to policies that expand bureaucratic monitoring of citizenship status across service-providing organizations. This investigation addresses the concern that immigration politics also negatively influences health care utilization among Latino US citizens. One implication is that health insurance expansions may not reduce health care inequities among Latinos due to concern about exposure to immigration law enforcement authorities...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663178/falling-through-the-coverage-cracks-how-documentation-status-minimizes-immigrants-access-to-health-care
#9
Tiffany D Joseph
Recent policy debates have centered on health reform and who should benefit from such policy. Most immigrants are excluded from the 2010 Affordable Care Act (ACA) due to federal restrictions on public benefits for certain immigrants. But, some subnational jurisdictions have extended coverage options to federally ineligible immigrants. Yet, less is known about the effectiveness of such inclusive reforms for providing coverage and care to immigrants in those jurisdictions. This article examines the relationship between coverage and health care access for immigrants under comprehensive health reform in the Boston metropolitan area...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663177/introduction-the-many-roads-toward-achieving-health-equity
#10
Alan B Cohen, Colleen M Grogan, Jedediah N Horwitt
This special issue of the Journal is devoted to understanding the many roads that lead toward achieving health equity. The eleven articles in the issue portray an America that is struggling with the clash between its historical ideal of pursuing equality for all and its ambivalence toward achieving equity in all social domains, especially health. Organized in five sections, the issue contains articles that examine and analyze: the role of civil rights law and the courts in shaping health equity; the political discourse that has framed our understanding of health equity; health policies that affect health equity, such as the Medicaid program, as well as related strategies that might help to improve equity, such as the use of mobile technologies to empower individuals; immigration policies and practices that impact health equity in marginalized populations; and commentaries in the final section that explore how the Affordable Care Act has addressed health equity, how repeal of the law would jeopardize equity gains, and how the political discourse and culture of the Trump administration could adversely affect health equity...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663176/people-places-power-medicaid-concentration-and-local-political-participation
#11
Jamila D Michener
The geographic concentration of disadvantage is a key mechanism of inequity. In the United States, the spatial patterning of disadvantage renders it more than the sum of its individual parts and disproportionately harms economically and racially marginalized Americans. This article focuses specifically on the political effects of Medicaid beneficiaries being concentrated in particular locales. After offering a framework for conceptualizing the community-wide consequences of such policy concentration, I analyze aggregate multiyear data to examine the effect of Medicaid density on county-level voter turnout and local organizational strength...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28663175/cancer-and-race-what-they-tell-us-about-the-emerging-focus-of-health-equity
#12
Keith Wailoo
This article examines the history of concepts and frames (such as "equity" or "disparities") and how these frames have guided public policies and explanations about differences in health across the population. Considering the emblematic case of cancer, which has stimulated long and heated debate over social, economic, and biological causes, the article argues that the vocabularies of health reform are both semantic and also deeply political-framing different reform agendas. The article describes the evolving US debate over the biological, social, or environmental origins of differential cancer mortality along lines of social difference and race, tracing important shifts and reversal over time...
June 29, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483811/expanding-medicaid-expanding-the-electorate-the-affordable-care-act-s-short-term-impact-on-political-participation
#13
Jake Haselswerdt
The Affordable Care Act is a landmark piece of social legislation with the potential to reshape health care in the United States. Its potential to reshape politics is also considerable, but existing scholarship suggests conflicting expectations about the law's policy feedbacks, especially given uneven state-level implementation. In this article I focus on the policy feedbacks of the law's Medicaid expansion on political participation, using district-level elections data for 2012 and 2014 US House races and cross-sectional survey data from 2014...
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483809/a-failure-to-communicate-doctors-and-nurses-in-american-hospitals
#14
Lucie Michel
This essay showcases the realities and challenges of teamwork in American hospitals based on the in situ comparison with France. Drawing on observation of nurse-physician interactions in hospitals in the two nations, this article highlights a troubling conflict between teamwork rhetoric and realities on the ward. Although the use of informatics systems such as electronic health records is supposed to increase cooperation, the observations presented here show that on the contrary, it inhibits communication that is becoming mainly virtual...
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483808/setting-boundaries-public-views-on-limiting-patient-and-physician-autonomy-in-health-care-decisions
#15
Maureen Maurer, Rikki Mangrum, Kristin L Carman, Marjorie Ginsburg, Marthe R Gold, Shoshanna Sofaer, Ela Pathak-Sen, Jennifer Richmond, Joanna Siegel
We obtained and qualitatively analyzed input from more than nine hundred citizens during seventy-six public deliberation sessions about patient and physician autonomy in decision making, setting health care boundaries, and the tensions among competing social values. Generally, participants resisted interference with the patient-physician relationship and believed strongly in the freedom of patient and physician to control individual medical decisions. However, during deliberation participants identified two situations where boundaries and regulations in health care were more acceptable: protecting people from harm and allocating limited resources...
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483807/closing-kynect-and-restructuring-medicaid-threaten-kentucky-s-health-and-economy
#16
Charles B Wright, Nathan L Vanderford
Following passage of the Patient Protection and Affordable Care Act (ACA) in the United States, the Kentucky Health Benefit Exchange, Kynect, began operating in Kentucky in October 2013. Kentucky expanded Medicaid eligibility in January 2014. Together, Kynect and Medicaid expansion provided access to affordable health care coverage to hundreds of thousands of individuals in Kentucky. However, following the Kentucky gubernatorial election in 2015, the newly inaugurated governor moved to dismantle Kynect and restructure the Medicaid expansion, jeopardizing public health gains and the state economy...
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483806/editor-s-note
#17
Eric M Patashnik
No abstract text is available yet for this article.
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483810/evidentiary-support-in-public-comments-to-the-fda-s-center-for-tobacco-products
#18
Natalie Hemmerich, Elizabeth G Klein, Micah Berman
Electronic Nicotine Delivery Systems (ENDS) were introduced into the US market in 2007, and until recently these devices were unregulated at the federal level. In 2014, the US Food and Drug Administration (FDA) published a Notice of Proposed Rulemaking asserting its intention to regulate ENDS and requesting public comments on numerous related issues, including potential limits on the sale of flavored ENDS. This article analyzes key comments submitted to the FDA on the issue of flavor regulation in ENDS and examines the weight and credibility of the evidence presented by both supporters and opponents of regulation...
August 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28213396/fear-by-association-perceptions-of-anti-immigrant-policy-and-health-outcomes
#19
Edward D Vargas, Gabriel R Sanchez, Melina Juárez
The United States is experiencing a renewed period of immigration and immigrant policy activity as well as heightened enforcement of such policies. This intensified activity can affect various aspects of immigrant health, including mental health. We use the Robert Wood Johnson Foundation 2015 Latino National Health and Immigration Survey (n = 1,493) to examine the relationship between immigration and immigrant policy and Latino health and well-being. We estimate a series of categorical regression models and find that there are negative health consequences associated with Latinos' perceptions of living in states with unfavorable anti-immigration laws, including reporting poor health and problems with mental health...
June 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28213395/the-politics-of-evidence-use-in-health-policy-making-in-germany-the-case-of-regulating-hospital-minimum-volumes
#20
Stefanie Ettelt
This article examines the role of scientific evidence in informing health policy decisions in Germany, using minimum volumes policy as a case study. It argues that scientific evidence was used strategically at various stages of the policy process both by individual corporatist actors and by the Federal Joint Committee as the regulator. Minimum volumes regulation was inspired by scientific evidence suggesting a positive relationship between service volume and patient outcomes for complex surgical interventions...
June 2017: Journal of Health Politics, Policy and Law
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