Journal of Health Politics, Policy and Law This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Words and Deeds: Presidential Discussion of Minority Health, Public Policies, and Minority Perceptions
This study finds that, since the early 1990s, presidents have transported their discussion of minority health beyond the confines of Washington, DC, traveling to speak to local communities throughout the nation that have a disproportionate number of blacks and Latinos. Moreover, a presidential discussion of minority health leads to greater salience on this issue and thus increases public health awareness. This work suggests that presidential messaging on minority health provides a framework for minority groups to understand and discuss the health disparities that may plague their communities. (Source: Journal of Health Pol...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Gillion, D. Q. Tags: Health Policy & Education, Political Science, General, Public Policy Political Discourse and the Framing of Health Equity Source Type: research

Framing Health Equity: US Health Disparities in Comparative Perspective
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. However, even in the reports...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Lynch, J. F., Perera, I. M. Tags: Health Policy & Education, Political Science, General, Public Policy Political Discourse and the Framing of Health Equity Source Type: research

Cancer and Race: What They Tell Us about the Emerging Focus of Health Equity
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 o...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Wailoo, K. Tags: Health Policy & Education, Political Science, General, Public Policy Political Discourse and the Framing of Health Equity Source Type: research

Viewing Health Equity through a Legal Lens: Title VI of the 1964 Civil Rights Act
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. Enforcement efforts confront problems of proof, reme...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Rosenbaum, S., Schmucker, S. Tags: Health Policy & Education, Political Science, General, Public Policy Civil Rights and the Courts in Shaping Health Equity Source Type: research

The Role of Courts in Shaping Health Equity
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. In contrast, courts have been mo...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Hall, M. A. Tags: Health Policy & Education, Political Science, General, Public Policy Civil Rights and the Courts in Shaping Health Equity Source Type: research

The Many Roads toward Achieving Health Equity
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 th...
Source: Journal of Health Politics, Policy and Law - September 19, 2017 Category: Health Management Authors: Cohen, A. B., Grogan, C. M., Horwitt, J. N. Tags: Health Policy & Education, Political Science, General, Public Policy Introduction Source Type: research

Closing Kynect and Restructuring Medicaid Threaten Kentucky's Health and Economy
This article describes Kynect and the Kentucky Medicaid expansion and examines the potential short-term and long-term impacts that may occur following changes in state health policy. Furthermore, this article will offer potential strategies to ameliorate the expected negative impacts of disruption of both Kynect and the Medicaid expansion, such as the creation of a new state insurance marketplace under a new governor, the implementation of a private option, and increasing the state minimum wage for workers. (Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: Wright, C. B., Vanderford, N. L. Tags: Health Policy & Education, Political Science, General, Public Policy The Politics and Policy of Health Reform Source Type: research

A Failure to Communicate? Doctors and Nurses in American Hospitals
This article 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. While the nursing profession is more developed and provides stronger education in th...
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: Michel, L. Tags: Health Policy & Education, Political Science, General, Public Policy Beneath the Surface Source Type: research

The Tax Exclusion for Employer-Sponsored Insurance Is Not Regressive--But What Is It?
This article explains the difference and then considers other distributional effects of ESI. It suggests that ESI—for those who receive it—further redistributes toward those with lesser means or greater need. The most evident effect is by need, favoring employees with families over those without. Yet there is good reason to believe there is also a redistribution by income, with the package of wages plus benefits being less unequal than wages alone would be. Therefore reformers should be much more careful before criticizing either ESI or its subsidy through the tax code as "unfair," especially as the likelihood ...
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: White, J. Tags: Health Policy & Education, Political Science, General, Public Policy Beneath the Surface Source Type: research

Expanding Medicaid, Expanding the Electorate: The Affordable Care Act's Short-Term Impact on Political Participation
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. I find that the increases in Medicaid enrollment associated with the expansion ...
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: Haselswerdt, J. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Evidentiary Support in Public Comments to the FDA's Center for Tobacco Products
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. It also describes the final deeming rule, published in May 2016, and the FDA's response to the evidence submitted. This is the first study to examine public comments submitted to the FDA's Center for Tobacco Products, and it concludes that opponents of regulation were more likely to rely on sources that were not peer reviewed and that were affected by conflicts of interest. In light of these findings, the FDA and t...
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: Hemmerich, N., Klein, E. G., Berman, M. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Substantial Equivalence Standards in Tobacco Governance: Statutory Clarity and Regulatory Precedent for the FSPTCA
The Family Smoking Prevention and Tobacco Control Act (FSPTCA) of 2009 creates the first national system of premarket regulation of tobacco products in American history. The FDA must now review and give marketing authorization to all new tobacco products, based on a public health standard, before they can be legally marketed. Yet the law also contains an alternative pathway for market entry—the substantial equivalence (SE) clause—by which novel and altered tobacco products can be marketed by demonstrating their substantial equivalence to existing products. Over 99 percent of tobacco product applications sent to...
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: Carpenter, D., Connolly, G. N., Lempert, L. K. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Setting Boundaries: Public Views on Limiting Patient and Physician Autonomy in Health Care Decisions
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 allo...
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: Maurer, M., Mangrum, R., Carman, K. L., Ginsburg, M., Gold, M. R., Sofaer, S., Pathak-Sen, E., Richmond, J., Siegel, J. Tags: Health Policy & Education, Political Science, General, Public Policy Articles Source Type: research

Editor's Note
(Source: Journal of Health Politics, Policy and Law)
Source: Journal of Health Politics, Policy and Law - July 20, 2017 Category: Health Management Authors: Patashnik, E. M. Tags: Health Policy & Education, Political Science, General, Public Policy Editor ' s Note Source Type: research

The Racial Divide in State Medicaid Expansions
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 Medicai...
Source: Journal of Health Politics, Policy and Law - May 10, 2017 Category: Health Management Authors: Grogan, C. M., Park, S. Tags: Health Policy & Education, Political Science, General, Public Policy Report on Health Reform Implementation Source Type: research