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Journal of Health Politics, Policy and Law

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https://www.readbyqxmd.com/read/28341637/the-tax-exclusion-for-employer-sponsored-insurance-is-not-regressive-but-what-is-it
#1
Joseph White
Conventional wisdom says that the tax exclusion for employer-sponsored health insurance (ESI) is "regressive and therefore unfair." Yet, by the standard definition of regressive tax policy, the conventional view is almost certainly false. It confuses the absolute size of the tax exclusion with its proportional effect on income. The error results from paying attention only to the marginal tax rate applied to ESI benefits as a portion of income, and ignoring the fact that benefits are normally a much larger share of income for people with lower wages...
March 24, 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
#2
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...
February 17, 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
#3
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...
February 17, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28213394/editor-s-note
#4
Colleen M Grogan
No abstract text is available yet for this article.
February 17, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28213393/the-racial-divide-in-state-medicaid-expansions
#5
Colleen M Grogan, Sunggeun Ethan Park
This study considers five important questions related to the role of race in state-level public support for the Medicaid expansion: (1) whether public support for the Medicaid expansion varies across the American states; (2) whether public support is positively related to state adoption; (3) whether this support is racialized; (4) whether, if racialized, there is evidence of more state responsiveness to white support than to nonwhite (black and/or Latino) support; and (5) does the size of the nonwhite population matter more when white support is relatively low? Our findings suggest that while public support for the Medicaid expansion is high at the state level, especially in comparison to public support for the ACA, there are important variations across the states...
February 17, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28213392/disease-campaigns-and-the-decline-of-treatment-advocacy
#6
Rachel Kahn Best
In the past fifty years, disease advocacy organizations have multiplied and gained political influence, but they have often been reluctant to ask the government to intervene in health care provision. This article asks why. Using original quantitative and qualitative data on the goals and political claims of over one thousand organizations from 1960 through 2014, I find that many early disease advocacy organizations prioritized health care access. But unfavorable political climates discouraged new organizations from focusing on access to treatment...
February 17, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28213391/the-politics-and-policies-of-regulating-generics-in-latin-america-a-survey-of-seventeen-states
#7
Cassandra M Sweet
When patents expire, are equivalent generic alternatives available to citizens? This article contributes to current discussion on access to medicine in the aftermath of the World Trade Organization's Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS). The focus is on off-patent or "generic" medicines: their product definitions, quality standards and prescription procedures. Drawing from a survey conducted of seventeen countries across the Latin American region, this article examines the differences in definition of off-patent products and the paradox of their relatively lower consumption across multiple developing states...
February 17, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28073856/reinventing-american-health-care-how-the-affordable-care-act-will-improve-our-terribly-complex-blatantly-unjust-outrageously-expensive-grossly-inefficient-error-prone-system
#8
William P Brandon
No abstract text is available yet for this article.
February 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28073855/the-politics-of-framing-policy-solutions-and-whether-policies-address-problems
#9
Colleen M Grogan
No abstract text is available yet for this article.
February 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007804/policy-diffusion-in-polarized-times-the-case-of-the-affordable-care-act
#10
Craig Volden
With increasing ideological polarization both within states and across states, policy makers face new challenges in developing and refining policies. This essay explores these challenges in the context of the spread of health policies across the states under the Affordable Care Act, highlighting key arguments and findings from the authors in this Special Issue. I discuss how common mechanisms of policy diffusion, the attributes of policies themselves, and the conditional nature of policy diffusion all play somewhat different roles during polarized times...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007803/diffusion-of-aca-policies-across-the-american-states
#11
Julianna Pacheco
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007802/tribute-to-andy-hyman
#12
Heather Howard
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007801/rhetoric-and-reform-in-waiver-states
#13
Colleen M Grogan, Phillip M Singer, David K Jones
Seven states have used Section 1115 waivers to expand Medicaid as part of the Affordable Care Act (ACA). While each state pursued a unique plan, there are similarities in the types of changes each state desired to make. Equally important to how a state modified their Medicaid programs is how a state talked about Medicaid and reform. We investigate whether the rhetoric that emerged in waiver states is unique, analyze whether the rhetoric is associated with particular waiver reforms, and consider the implications of our findings for the future of Medicaid policy making...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007800/the-role-of-public-opinion-does-it-influence-the-diffusion-of-aca-decisions
#14
Julianna Pacheco, Elizabeth Maltby
We consider two ways that public opinion influenced the diffusion of ACA policy choices from 2010 through 2014. First, we consider the policy feedback mechanism, which suggests that policy decisions have spillover effects that influence opinions in other states; residents in the home state then influence the decisions of elected officials. We find that both gubernatorial ACA announcements and grant activity increased support for the ACA in nearby states. Consistent with our expectations, however, only gubernatorial announcements respond to shifts in ACA support, presumably because it is a more salient policy than grant activity...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007799/the-seeds-of-policy-change-leveraging-diffusion-to-disseminate-policy-innovations
#15
Frederick J Boehmke, Abigail A Rury, Bruce A Desmarais, Jeffrey J Harden
We conduct a series of simulations to compare how various strategies for seeding a policy in the American states affect the rate at which that policy spreads. Using empirically derived parameters of the policy diffusion process, we simulate the diffusion of a hypothetical policy after seeding the policy in just a handful of states. We compare these strategies to those in the ten states the RWJF monitored during the states' implementation of the Affordable Care Act of 2010. We attempt to mimic the choices that policy advocates make when deciding which states to target with their resources...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007798/blood-sugar-racial-pharmacology-and-food-justice-in-black-america
#16
Peter Kent-Stoll
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007797/framing-engagement-and-policy-change-lessons-for-the-aca
#17
Andrew Karch, Aaron Rosenthal
Supporters of the Patient Protection and Affordable Care Act (ACA) sometimes speculate that public attitudes toward the law will shift if proponents succeed in focusing attention on its more popular components, but the scholarly literature on framing effects provides ample reason to question their assertion. This article contends that engagement, an alternative rhetorical strategy where advocates address the same policy dimensions as their opponents, is a more promising approach. Extending the engagement literature to the elite context in which most ACA-related decisions are made, it argues that elite-level engagement necessitates the additional task of linking policy change to opponents' broader philosophical and policy goals...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007796/hoping-to-help-the-promises-and-pitfalls-of-global-health-volunteering
#18
Mary A Clark
No abstract text is available yet for this article.
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007795/the-future-of-health-care-reform-what-is-driving-enrollment
#19
Timothy H Callaghan, Lawrence R Jacobs
Against a backdrop of ongoing operational challenges, insurance market turbulence, and the ever present pull of partisanship, enrollment in the ACA's programs has soared and significant variations have developed across states in terms of their pace of coverage expansion. Our article explores why ACA enrollment has varied so dramatically across states. We explore the potential influence of party control, presidential cueing, administrative capacity, the reverberating effects of ACA policy decisions, affluence, and unemployment on enrollment...
December 22, 2016: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28007794/mere-mortals-overselling-the-young-invincibles
#20
Deborah Levine, Jessica Mulligan
This article traces the emergence of the term "young invincible" in health policy literature, the health insurance industry, and popular media. Young invincible is the label given to adults under thirty-five who opt not to purchase health insurance because they perceive that they will not need it and would rather spend their money elsewhere. As uninsurance rates climbed, policy makers tried to figure out who the uninsured were and why they lacked coverage. Young adults rightly assumed importance in these conversations because they were disproportionately represented among the uninsured and their numbers were growing...
December 22, 2016: Journal of Health Politics, Policy and Law
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