Journal of Health Politics Policy and Law最新文献

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Technically Accessible, Practically Ineligible: The Effects of Medicaid Expansion Implementation on Chronic Homelessness. 技术上可及,实际上不合格:医疗补助扩大实施对长期无家可归者的影响。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-12-01 DOI: 10.1215/03616878-9349142
Charley E Willison, Denise Lillvis, Amanda Mauri, Phillip M Singer
{"title":"Technically Accessible, Practically Ineligible: The Effects of Medicaid Expansion Implementation on Chronic Homelessness.","authors":"Charley E Willison,&nbsp;Denise Lillvis,&nbsp;Amanda Mauri,&nbsp;Phillip M Singer","doi":"10.1215/03616878-9349142","DOIUrl":"https://doi.org/10.1215/03616878-9349142","url":null,"abstract":"<p><strong>Context: </strong>Homeless policy advocates viewed Medicaid expansion as an opportunity to enhance health care access for this vulnerable population. We studied Medicaid expansion implementation to assess the extent to which broadening insurance eligibility affected the functioning of municipal homelessness programs targeting chronic homelessness in the context of two separate governance systems.</p><p><strong>Methods: </strong>We employed a comparative case study of San Francisco, California, and Shreveport, Louisiana, which were selected as exemplar cases from a national sample of cities across the United States. We conducted elite interviews with a range of local-level stakeholders and combined this data with primary-source documentation.</p><p><strong>Findings: </strong>Medicaid expansion did not substantially enhance the functioning of homelessness programs and policies because of Medicaid access challenges and governance conflicts. Administrative burden and funding limitations contributed to limited provider networks, inadequate service coverage, and lack of linkages between Medicaid enrollment and homelessness programming. Governance conflicts reinforced these functional challenges, with homelessness under the administration of local municipalities and nongovernmental organizations while states administer Medicaid.</p><p><strong>Conclusions: </strong>Improving access to health care services for persons experiencing homelessness cannot occur without intentional coordination between sectors and levels of government and thus necessitates the development of targeted policies and programs to overcome these challenges.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648193/pdf/nihms-1845748.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39067959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Introduction to "Subnational COVID-19 Politics and Policy". “地方2019冠状病毒病政治与政策”导言。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-12-01 DOI: 10.1215/03616878-9349086
Julia Lynch, Sarah E Gollust
{"title":"Introduction to \"Subnational COVID-19 Politics and Policy\".","authors":"Julia Lynch,&nbsp;Sarah E Gollust","doi":"10.1215/03616878-9349086","DOIUrl":"https://doi.org/10.1215/03616878-9349086","url":null,"abstract":"This special section of JHPPL emerged as a response to a call for rigorous empirical analyses related to the politics of the COVID-19 pandemic, both in the United States and from international and comparative perspectives. Many of the cross-nationally comparative submissions we received also employ subnational comparisons, and the three articles presented here are, in different ways, exemplars of the subnational turn in comparative politics research (Snyder 2001). All of these articles use subnational comparative analysis to examine policy making, implementation, and outcomes where it actually happens: at the local level, in subnational states or regions. One reason scholars may choose to examine subnational units is to generate a larger sample size from which to draw inferences, while also controlling for confounders attributable to the national-level context. But the focus on the subnational level in these pieces does not serve only to amplify the N. Subnational comparative research can do more, as these articles show. Each of these pieces also combats “methodological nationalism” (the tendency to, often mistakenly, view the nation-state as the natural unit of observation and analysis) by examining how attributes specific to substate rather than national-level units—for example, the degree or type of decentralization, the level of (in)dependence of subnational policy and political actors from the center, the local epidemiologic context—affect policies and outcomes. Paul F. Testa, Richard Snyder, Eva Rios, Eduardo Moncada, Agustina Giraudy, and Cyril Bennouna leverage the subnational variation in when government restrictions on movement were introduced to understand","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39052461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
The Rhetorical Transformations and Policy Failures of Prescription Drug Pricing Reform under the Trump Administration. 特朗普政府处方药定价改革的修辞转变与政策失误
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-12-01 DOI: 10.1215/03616878-9349156
Rachel E Sachs
{"title":"The Rhetorical Transformations and Policy Failures of Prescription Drug Pricing Reform under the Trump Administration.","authors":"Rachel E Sachs","doi":"10.1215/03616878-9349156","DOIUrl":"https://doi.org/10.1215/03616878-9349156","url":null,"abstract":"<p><p>Throughout his four years in office, President Trump made prescription drug pricing a focus of his policy agenda. President Trump not only used strong language to criticize the pharmaceutical industry and its practices but also introduced ambitious reform policies that had previously lacked acceptance among Republican policy makers. President Trump appears to have been successful in developing a new populist form of rhetoric that Republicans can use in support of novel drug pricing reforms such as the ones his administration considered. From a policy perspective, however, the Trump administration failed to implement any of their more ambitious reform ideas. This article considers three of the Trump administration's signature policies-state-sponsored prescription drug importation, Medicare Part B international reference pricing, and reforms to the Medicare Part D rebate system-and explores how they represent both the political ambitions and policy failures of the Trump administration. The fate of the Trump administration's prescription drug proposals also reveals lessons about innovation and access, which will be important to ongoing drug pricing reform efforts.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39052380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Coping with Denialism: How Street-Level Bureaucrats Adapted and Responded to COVID-19 in Tanzania. 应对否认主义:坦桑尼亚街头官僚如何适应和应对COVID-19。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-12-01 DOI: 10.1215/03616878-9349128
Ruth Carlitz, Thespina Yamanis, Henry Mollel
{"title":"Coping with Denialism: How Street-Level Bureaucrats Adapted and Responded to COVID-19 in Tanzania.","authors":"Ruth Carlitz,&nbsp;Thespina Yamanis,&nbsp;Henry Mollel","doi":"10.1215/03616878-9349128","DOIUrl":"https://doi.org/10.1215/03616878-9349128","url":null,"abstract":"<p><strong>Context: </strong>This article aims to highlight challenges and adaptations made by local health officials in Tanzania in working to contain and manage COVID-19.</p><p><strong>Methods: </strong>The study takes an inductive approach, drawing on the reported experiences of 40 officials at different levels of government across four purposefully selected regions in July 2020. Interviewees were asked about the guidance they received to contain COVID-19, the source of that guidance, their challenges and successes in implementing the guidance, and if and how they adapted the guidance to their particular setting.</p><p><strong>Findings: </strong>The interviews depict considerable challenges, including a lack of supplies and resources for implementing infection control, surveillance, and mitigation practices and dealing with fear and stigma. At the same time, they also provide evidence of innovation and adaptation among street-level bureaucrats. Respondents overwhelmingly praised the president, whose limited national response is seen as helpful for reducing fear and stigma.</p><p><strong>Conclusions: </strong>Other scholars have highlighted the potential dangers of street-level discretion if local officials \"make policy\" in ways that contradict their agencies' stated goals. In contrast, our study suggests benefits of autonomy at the street level-particularly in contexts where the central state was relatively weak and/or acting against the public interest.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39052382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Unsanitized and Unfair: How COVID-19 Bailout Funds Refuel Inequity in the US Health Care System. 未消毒和不公平:COVID-19救助资金如何加剧美国医疗保健系统的不平等。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-10-01 DOI: 10.1215/03616878-9155977
Colleen M Grogan, Yu-An Lin, Michael K Gusmano
{"title":"Unsanitized and Unfair: How COVID-19 Bailout Funds Refuel Inequity in the US Health Care System.","authors":"Colleen M Grogan,&nbsp;Yu-An Lin,&nbsp;Michael K Gusmano","doi":"10.1215/03616878-9155977","DOIUrl":"https://doi.org/10.1215/03616878-9155977","url":null,"abstract":"<p><strong>Context: </strong>The CARES Act of 2020 allocated provider relief funds to hospitals and other providers. We investigate whether these funds were distributed in a way that responded fairly to COVID-19-related medical and financial need. The US health care system is bifurcated into the \"haves\" and \"have nots.\" The health care safety net hospitals, which were already financially weak, cared for the bulk of COVID-19 cases. In contrast, the \"have\" hospitals suffered financially because their most profitable procedures are elective and were postponed during the COVID-19 outbreak.</p><p><strong>Methods: </strong>To obtain relief fund data for each hospital in the United States, we started with data from the HHS website. We use the RAND Hospital Data tool to analyze how fund distributions are associated with hospital characteristics.</p><p><strong>Findings: </strong>Our analysis reveals that the \"have\" hospitals with the most days of cash on hand received more funding per bed than hospitals with fewer than 50 days of cash on hand (the \"have nots\").</p><p><strong>Conclusions: </strong>Despite extreme racial inequities, which COVID-19 exposed early in the pandemic, the federal government rewards those hospitals that cater to the most privileged in the United States, leaving hospitals that predominantly serve low-income people of color with less.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25525696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
State Policy and Mental Health Outcomes under COVID-19. COVID-19下的国家政策和心理健康结果。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-10-01 DOI: 10.1215/03616878-9155991
Michael W Sances, Andrea Louise Campbell
{"title":"State Policy and Mental Health Outcomes under COVID-19.","authors":"Michael W Sances,&nbsp;Andrea Louise Campbell","doi":"10.1215/03616878-9155991","DOIUrl":"https://doi.org/10.1215/03616878-9155991","url":null,"abstract":"<p><strong>Context: </strong>The COVID-19 pandemic has caused enormous damage to physiological health and economic security, especially among racial and ethnic minorities. We examined downstream effects on mental health, how effects vary by race and ethnicity, and the role of existing state-level social policies in softening the pandemic's impact.</p><p><strong>Methods: </strong>We analyze an online, multi-wave Census Bureau survey fielded to nearly a million respondents between late April and July 2020. The survey includes questions measuring psychological distress as well as indirect measures of experience with the pandemic. We combined these data with state-level measures of COVID-19 cases, lockdown orders, unemployment filings, and safety net policy.</p><p><strong>Findings: </strong>We find significant mental stress among all respondents and a sizeable gap between nonwhite and white respondents. Adjusting for pandemic experiences eliminates this gap. The effect of losing work as a result of the pandemic is slightly offset by state policies such as unemployment benefit size and Medicaid expansion. The magnitude of these offsetting effects is similar across racial/ethnic groups.</p><p><strong>Conclusions: </strong>The racialized impacts of the pandemic are exacerbated by inequalities in state policy exemplifying structural racism. If the least generous states matched the policies of the most generous, inequalities caused by the pandemic would be diminished.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25528346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Compounding Racialized Vulnerability: COVID-19 in Prisons, Jails, and Migrant Detention Centers. 加剧种族化脆弱性:监狱、看守所和移民拘留中心的COVID-19。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-10-01 DOI: 10.1215/03616878-9156019
Matthew G T Denney, Ramon Garibaldo Valdez
{"title":"Compounding Racialized Vulnerability: COVID-19 in Prisons, Jails, and Migrant Detention Centers.","authors":"Matthew G T Denney,&nbsp;Ramon Garibaldo Valdez","doi":"10.1215/03616878-9156019","DOIUrl":"https://doi.org/10.1215/03616878-9156019","url":null,"abstract":"<p><strong>Context: </strong>Carceral institutions are among the largest clusters of COVID-19 in the United States. In response, activists and detainees have rallied around decarceration demands: the release of detainees and inmates to prevent exposure to COVID-19. This article theorizes the compounding racial vulnerability that has led to such a marked spread behind bars, mainly among race-class subjugated (RCS) communities.</p><p><strong>Methods: </strong>The authors provide an in-depth account of COVID-19 in American correctional facilities and the mobilization to reduce contagions. They also use two survey experiments to describe public support for harm reduction and decarceration demands and to measure the effects of information about racial inequalities in prison and poor conditions inside migrant detention centers.</p><p><strong>Findings: </strong>The authors found only one-third to one-half of respondents believe that response to COVID-19 in prisons and immigrant detention centers should be a high priority. They also found Americans are more supportive of harm reduction measures than decarceration efforts. Information about racial disparities increases support decarceration. They did not find any significant effect of information about poor conditions in migrant detention centers.</p><p><strong>Conclusions: </strong>The conditions in carceral institutions during the pandemic-and public opinion about them-highlight the realities of compounding racialized vulnerability in the United States.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25515216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
How the Trump Administration's Pandemic Health Care Response Failed Racial Health Equity: Case Studies of Structural Racism and a Call for Equity Mindfulness in Federal Health Policy Making. 特朗普政府的流行病医疗应对如何未能实现种族健康平等:结构性种族主义的案例研究和呼吁联邦卫生政策制定中的公平意识。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-10-01 DOI: 10.1215/03616878-9155963
Sara Rosenbaum, Morgan Handley, Rebecca Morris, Maria Casoni
{"title":"How the Trump Administration's Pandemic Health Care Response Failed Racial Health Equity: Case Studies of Structural Racism and a Call for Equity Mindfulness in Federal Health Policy Making.","authors":"Sara Rosenbaum,&nbsp;Morgan Handley,&nbsp;Rebecca Morris,&nbsp;Maria Casoni","doi":"10.1215/03616878-9155963","DOIUrl":"https://doi.org/10.1215/03616878-9155963","url":null,"abstract":"<p><strong>Context: </strong>The racial health equity implications of the Trump administration's response to the COVID-19 pandemic.</p><p><strong>Methods: </strong>We focus on four key health care policy decisions made by the administration in response to the public health emergency: rejecting a special Marketplace enrollment period, failing to use its full powers to enhance state Medicaid emergency options, refusing to suspend the public charge rule, and failing to target provider relief funds to providers serving the uninsured.</p><p><strong>Findings: </strong>In each case, the administration's policy choices intensified, rather than mitigated, racial health inequality. Its choices had a disproportionate adverse impact on minority populations and patients who are more likely to depend on public programs, be poor, experience pandemic-related job loss, lack insurance, rely on health care safety net providers, and be exposed to public charge sanctions.</p><p><strong>Conclusions: </strong>Ending structural racism in health care and promoting racial health care equity demands an equity-mindful approach to the pursuit of policies that enhance-rather than undermine-health care accessibility and effectiveness and resources for the poorest communities and the providers that serve them.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25525698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Introduction: Investigating Dimensions of Pandemic Inequity Requires a Multidisciplinary Approach. 前言:调查流行病不平等的各个方面需要多学科的方法。
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-10-01 DOI: 10.1215/03616878-9155949
Sarah E Gollust, Julia Lynch
{"title":"Introduction: Investigating Dimensions of Pandemic Inequity Requires a Multidisciplinary Approach.","authors":"Sarah E Gollust,&nbsp;Julia Lynch","doi":"10.1215/03616878-9155949","DOIUrl":"https://doi.org/10.1215/03616878-9155949","url":null,"abstract":"When the coronavirus emerged in the United States in early 2020, reassuring early platitudes suggested that “we are all in this together” and “COVID-19 is an equal opportunity killer” (see, e.g., Blow 2020; Reuters 2020). These platitudes quickly became exposed as such, however, as evidence demonstrating the unequal reach and consequences of the pandemic accumulated. Data on the epidemiologic impact—combined with the everyday experiences of the most affected groups in the United States—continue to reinforce the reality that this pandemic is inequitable in almost every imaginable dimension. According to March 2021 data from the Color of Coronavirus project, the highest overall rates of death are among Indigenous Americans (256 deaths per 100,000), followed by Black Americans (180 deaths per 100,000); once accounting for age, Pacific Islanders and Latinos have the highest mortality rates (APM 2021). Coronavirus-related concern is also unequally distributed by race, with only 17% of white respondents to a Pew survey in late 2020 saying they were very concerned about getting COVID-19, while 37% of Hispanic and 36% of Black respondents reported the same (Pew 2020). Furthermore, 71% of Black respondents in the same poll reported they knew someone who had been hospitalized or died as a result of COVID-19, compared to 49% of white respondents (Pew 2020). Higher viral exposure through high-risk workplaces (e.g., meatpacking), living in crowded housing conditions (including long-term care and carceral settings), and inability to work from home—combined with heightened vulnerability to more serious illness because of chronic conditions borne from compounded risks of structural","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25515838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Treatment of Disability under Crisis Standards of Care: An Empirical and Normative Analysis of Change over Time during COVID-19. 危机护理标准下的残疾治疗:COVID-19期间随时间变化的实证和规范分析
IF 4.2 3区 医学
Journal of Health Politics Policy and Law Pub Date : 2021-10-01 DOI: 10.1215/03616878-9156005
Ari Ne'eman, Michael Ashley Stein, Zackary D Berger, Doron Dorfman
{"title":"The Treatment of Disability under Crisis Standards of Care: An Empirical and Normative Analysis of Change over Time during COVID-19.","authors":"Ari Ne'eman,&nbsp;Michael Ashley Stein,&nbsp;Zackary D Berger,&nbsp;Doron Dorfman","doi":"10.1215/03616878-9156005","DOIUrl":"https://doi.org/10.1215/03616878-9156005","url":null,"abstract":"<p><strong>Context: </strong>COVID-19 has prompted debates between bioethicists and disability activists about Crisis Standards of Care plans (CSCs), triage protocols determining the allocation of scarce lifesaving care.</p><p><strong>Methods: </strong>We examine CSCs in 35 states and code how they approach disability, comparing states that have revised their plans over time to those that have not. We offer ethical and legal analyses evaluating to what extent changes to state policy aligned with disability rights law and ethics during the early pandemic and subsequently as stakeholder engagement grew.</p><p><strong>Findings: </strong>While disability rights views were not well represented in CSCs that were not updated or updated early in the pandemic, states that revised their plans later in the pandemic were more aligned with advocate priorities. However, many CSCs continue to include concerning provisions, especially the reliance on long-term survival, which implicates considerations of both disability rights and racial justice.</p><p><strong>Conclusions: </strong>The disability rights movement's successes in influencing state triage policy should inform future CSCs and set the stage for further work on how stakeholders influence bioethics policy debates. We offer thoughts for examining bioethics policy making reflecting the processes by which activists seek policy change and the tension policy makers face between expert delegation and mediating values conflicts.</p>","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8957387/pdf/nihms-1714204.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25518739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
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