{"title":"Regulating Commercial Sex","authors":"Jim Leitzel","doi":"10.2139/ssrn.918402","DOIUrl":"https://doi.org/10.2139/ssrn.918402","url":null,"abstract":"The robustness principle for vice regulation suggests that public policy towards addictive or vicious activities engaged in by adults should be robust with respect to departures from full rationality. That is, policies should work pretty well if everyone is well-informed and completely rational, and policies should work pretty well even if many people are occasionally (or frequently) irrational in their vice-related choices. To work well, policies must deal effectively with the standard vice concerns surrounding kids, addicts, externalities, and costs imposed upon adult, non-addicted participants. This paper applies the robustness principle to prostitution and pornography. These forms of commercial sex cannot be prohibited for adults under a regulatory regime consistent with the robustness principle, though public manifestations of these activities can be controlled. Policies aimed at promoting informed rational decision making, including mandatory waiting periods prior to pornography performance and other sex work, and the explicit provision of consent for risky commercial sex undertakings, also are consistent with or required by robustness.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122021627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reducing Spanish Socio-Economic Inequalities in Health: The Influence of Tobacco Consumption","authors":"M. Pascual","doi":"10.2139/ssrn.913970","DOIUrl":"https://doi.org/10.2139/ssrn.913970","url":null,"abstract":"Smoking is one of the largest causes of death and disease in the European Union. The aim of this paper is to model the probability of an individual being smoker in Spain as a function of a range of socio-economic characteristics, including the individual's gender, age, marital status, education, etc., using new data from the European Community Household Panel (ECHP). The results show that men with lower educational background and unemployed are more likely to smoke.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130292773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moral Hazard and the Role of Users in Learning from Accidents","authors":"Emmanuelle Fauchart","doi":"10.1111/j.1468-5973.2006.00485.x","DOIUrl":"https://doi.org/10.1111/j.1468-5973.2006.00485.x","url":null,"abstract":"Most technological accidents studied in the literature consist of a single event occurring in a single location (Challenger, Chernobyl, Ariane 5, Bhopal, etc.). However, a significant number of accidents comprise a series of incidents taking place in multiple and unconnected locations. This may happen whenever a given technology is used by multiple decentralized users - as is the case for medical devices or diving equipment, for instance. In this paper, we argue that such a structural characteristic raises specific problems and issues in terms of learning from accidents. We focus on a specific issue and problem: information asymmetries between the users and the manufacturer in favor of the manufacturer and the risk of moral hazard that they can induce. Using second hand information on a well known case (Therac-25), we show how the manufacturer behaved opportunistically when it came to learn from a series of decentralized incidents and we argue that this opportunism was made possible by information asymmetries. Following predictions from the principal-agent theory, we then argue that for users to monitor manufacturers' behavior in a sense favorable to the taking place of learning from accident, it is necessary to ensure communication among users of risky technologies. Besides reducing information asymmetries conducive to moral hazard this would moreover improve risk prevention. Yet, as communication among decentralized users is unlikely to arise spontaneously in most cases, we argue that this makes the case for public intervention in the form of publicly sponsored user groups.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115409340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Does Job Satisfaction Improve Health? New Evidence Using Panel Data and Objective Measures of Health","authors":"J. Fischer, A. Sousa-Poza","doi":"10.2139/ssrn.955734","DOIUrl":"https://doi.org/10.2139/ssrn.955734","url":null,"abstract":"This paper evaluates the relationship between job satisfaction and measures of health using the Swiss Household Panel (SHP) and cross-sectional data from the Survey on Health, Ageing and Retirement in Europe (SHARE). Methodologically, it addresses two important design problems frequently encountered in the literature: (a) cross-sectional causality problems and (b) unobserved negative affectivity in self-report measures of health status. In this study, however, using the SHP panel structure with job satisfaction lagged eliminates the simultaneity bias, while employing the objective health measures in the SHARE dataset addresses the negative affectivity issue. For all datasets, a positive link is found between job satisfaction and self-report health measures: employees with higher job satisfaction levels are less depressed and feel less impeded in their daily activities. However, when objective measures of physical health are used, no such positive link is observed. Rather, the only positive relationship occurs between job satisfaction and intellectual abilities.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"252 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124191724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obesity, Employment and Wages in Europe","authors":"Jaume Garcia I. Villar, C. Quintana‐Domeque","doi":"10.2139/ssrn.1001629","DOIUrl":"https://doi.org/10.2139/ssrn.1001629","url":null,"abstract":"This paper examines the associations between obesity, employment status and wages for several European countries. Our results provide weak evidence that obese workers are more likely to be unemployed or tend to be more segregated in self-employment jobs than their non-obese counterparts. We also find difficult to detect statistically significant relationships between obesity and wages. As previously reported in the literature, the associations between obesity, unemployment and wages seem to be different for men and women. Moreover, heterogeneity is also found across countries. Such heterogeneity can be somewhat explained by some labor market institutions, such as collective bargaining coverage and employer-provided health insurance.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131699756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Eissenberg, S. Panicker, S. Berenbaum, Norma Epley, M. Fendrich, Rose-Anne Kelso, L. Penner, M. Simmerling
{"title":"Irbs and Psychological Science: Ensuring a Collaborative Relationship","authors":"T. Eissenberg, S. Panicker, S. Berenbaum, Norma Epley, M. Fendrich, Rose-Anne Kelso, L. Penner, M. Simmerling","doi":"10.2139/ssrn.899605","DOIUrl":"https://doi.org/10.2139/ssrn.899605","url":null,"abstract":"Institutional Review Boards (IRBs) are federally-mandated, locally-administered groups charged with evaluating risks and benefits of human participant research at their institution. To a greater or lesser extent, risks and potential benefits exist in virtually any research with human participants, including research in the behavioral/social sciences. Federal law and APA standards require IRB review of all human participant research projects. IRB review and approval will likely bring an investigator into contact with two in- ter-related groups: the IRB and the professional staff that administers IRB activities. Due to a variety of factors, including increased IRB and faculty workload and enhanced federal oversight, the potential for conflict among IRB members, IRB administrators, and investigators may be great. Indeed, anecdotal evidence suggests that this potential for conflict may be particularly high for behav- ioral scientists, and that dissatisfaction with IRB review may jeopardize compliance with federal regulations, research participant protection, and research itself. The purpose of this paper is to suggest specific strategies that IRB members, IRB administrators, and investigators can use to avoid potential conflict and facilitate human research participant protection. We contend that when these groups understand and face these responsibilities collaboratively, conflict will be minimized and safe, ethical, high quality research will flourish.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125024184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Behavioral Economics, Neurophysiology, Addiction and the Law","authors":"M. Corrado","doi":"10.2139/SSRN.892007","DOIUrl":"https://doi.org/10.2139/SSRN.892007","url":null,"abstract":"Has science anything to tell us about responsibility? Addiction is a particularly interesting test case. Two fields of science, behavioral economics and neurophysiology have lately given us a great deal of information about addiction, much of which may be useful to the law. When it comes to addiction, unfortunately, the two fields seem to point in opposite directions. Economics has provided us with models of addictive behavior based upon the supposition that addiction is the result of choice, a development that appears to support the conclusion that addictive behavior is not the product of \"non-volitional forces.\" If addictive behavior can be fully accounted for in terms of the addict's choices, and if there is no need to postulate the existence of forces overwhelming the addict's will, is there any reason not to hold the addict fully responsible for what he does? Neurophysiology, on the other hand, has demonstrated that substance abuse causes significant changes in brain physiology, which appears to support the conclusion that addiction is a disease. If addiction corresponds to physical changes in the nervous system, then addiction is a disease, and addictive behavior is merely a symptom of the disease. We may be responsible for contracting a disease, but can we be held responsible for the symptoms once we have it? Science does have a good many things to tell us about addiction, but so far whether or not the addict is responsible for what he does is not among them. The fact that choice theories - rational addiction, behavioral economics - can develop models in which addiction is the result of choice should not surprise us: Did anyone ever believe that addicts did not intend to do what they were doing? Did anyone ever believe that addicts did not choose to do what they did? The question has always been whether those choices were free, and whether the addict was fully in control of his choices. That is the question that the law must deal with, and in this paper I argue that choice theories have nothing to say to that question. Neurophysiology, on the other hand, has made remarkable strides in tracing down the effects of heavy drug use on the brain. But that behavior should effect brain changes is not by itself remarkable, and does not entail that behavior is not fully voluntary. There are three possible conclusions. The first is that although science has yielded no results so far, we may hope for results in the future. The general nature of the arguments against drawing conclusions about responsibility from the existing literature makes that, if not entirely a vain hope, at least implausible. The second is that responsibility is simply one of the areas of human experience that is cut off from science; there must, therefore, be other ways of knowing what we do about addiction, control, and responsibility. And the third conclusion may be the most pessimistic of all, namely that responsibility itself is a confused notion, and that we should be skepti","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129638781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Science in Risk Regulation Under the Sps Agreement","authors":"L. Gruszczynski","doi":"10.2139/ssrn.891114","DOIUrl":"https://doi.org/10.2139/ssrn.891114","url":null,"abstract":"This paper attempts to present a comprehensive and coherent picture of the role performed by science under the Sanitary and Phytosanitary Measures (SPS) Agreement and SPS case law. It argues that the approach adopted by the Appellate Body is predominantly based on a technical paradigm, supplemented, however, with some considerations arising from other paradigms. The paper argues that the approach adopted in the case law is generally compatible with the text of the SPS Agreement and provides a coherent SPS system. However, it also identifies certain areas which lack coherence, as certain standards seem to violate the right of the member states to establish an appropriate level of protection. These are: ascertainability of the risk as a precondition for valid risk assessment; strict specificity of the risk assessment in low-risk situations; the proportionality between the risk identified and the SPS measure; the notion of negligible risks; and the concept of likelihood in the quarantine risk assessments. The paper claims that these standards cannot be generally applied in SPS disputes as, in certain situations, they will result in the violation of the right of member states to establish an appropriate level of SPS protection. Finally, a number of specific issues are highlighted which require further clarification in case law, such as the issue of the quality of minority scientific opinions and the relationship between the insufficiency of scientific evidence and scientific uncertainty. The paper suggests that the ultimate role ascribed to science under the SPS Agreement can be assessed only after an interpretation of those issues is provided by future case law.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129643772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Better Regulation by New Governance Hybrids? Governance Models and the Reform of European Chemicals Policy","authors":"C. Hey, K. Jacob, A. Volkery","doi":"10.2139/ssrn.926980","DOIUrl":"https://doi.org/10.2139/ssrn.926980","url":null,"abstract":"The EU is presently in a transition phase from environmental policy making by law towards other governance approaches based upon networking, voluntary commitments, benchmarking and other forms of soft law. Those new governance approaches often claim to lead to better regulation, while adopting a more consensus oriented and participatory style, taking economic aspects more seriously into account, allowing for more flexibility and autonomy for the private sector and Member States alike, mobilising a broader knowledge base or adopting more integrated and holistic approaches than previous sectoralised and compartmentalised policies. While the limitations of traditional regulatory approaches are widely accepted and cited, it is far from evident, that new modes of governance have greater capacity to solve problems than the old ones. There is an argument, that better regulation might by synonymous to a withdrawal and weakening of the regulatory state and hence effectively of the aspirations and objectives of environmental policies. An interesting case for an approach, combining the strengths of the old and the new approaches is the ongoing reform of chemicals policies. While some observers claim, that the proposed directive REACH might belong to the outdated category of overcomplex and bureaucratic regulation, a closer look shows that there is lots of new forms of governance in REACH. This mixture or old and new may open a more realistic and promising perspective on the reform of European policy making. In our paper we will assess the effects and the interplay of the combination of different modes of governance using the example of REACH. We are particularly concerned with the question in how far the representation of interests may change when new modes of governance are introduced.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"47 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113979913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Legal Framework for Meeting Surge Capacity Through the Use of Volunteer Health Professionals During Public Health Emergencies and Other Disasters","authors":"J. Hodge, Lance Gable, Stephanie H. Calves","doi":"10.2139/SSRN.1016166","DOIUrl":"https://doi.org/10.2139/SSRN.1016166","url":null,"abstract":"Recent events such as Hurricane Katrina and the global SARS outbreak underscore the importance of having public health and medical systems that are prepared to increase surge capacity in a variety of emergency scenarios. A core component to increasing surge capacity is the availability of skilled health professionals to supplement the existing health workforce. This article examines the legal context volunteer health professionals find themselves in during public health emergencies and disasters. In addition, the article makes several recommendations about how to refine the law to increase the availability of volunteer health professionals during public health emergencies and disasters. First, states should incorporate advance registration systems and protections for volunteers into laws that authorize emergency preparedness and response efforts. These laws should explicitly define the powers of state government during emergencies and clarify the legal provisions applicable to VHPs and the entities or organizations that may rely on them. Second, a floor of legal protections for volunteers is essential to achieve a minimum level of uniformity among the states and facilitate multi-jurisdictional cooperation in emergency response. Third, the scope and breadth of state based volunteer registries must be expanded to ensure comprehensive and coordinated emergency response efforts among states. Fourth, laws must ensure balanced civil liability protections for VHPs and their host entities by creating responsible immunity protections and alternative mechanisms to compensate injured patients. Fifth, states are encouraged to enact laws and regulations providing for license portability during emergencies. Sixth, VHPs should be vested with workers' compensation protections for injuries, disabilities, or deaths experienced while carrying out their duties. Finally, state and federal laws should confer robust privacy protections on volunteer registries, implement fair information practices to allow VHPs and patients to access and verify registry data, and simultaneously ensure responsible access to and use of registry information to mount an effective response.","PeriodicalId":105371,"journal":{"name":"Public Health Law & Policy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129197514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}