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Full-Text Articles in Public Policy

Neoliberal And Public Health Impact Of Not Adopting Osha’S Proposed National Secondhand Tobacco Smoke Rule, Michael Givel Jan 2006

Neoliberal And Public Health Impact Of Not Adopting Osha’S Proposed National Secondhand Tobacco Smoke Rule, Michael Givel

Michael S. Givel

From the early 1980s to the present, neo-liberal doctrine has called for governmental policies of privatization, funding cutbacks, and deregulation of public health and other domestic social programs in the belief that the market can best organize and distribute crucial societal services rather than the public sector. Proponents of a neoliberal and deregulatory mixed approach of command and control and self-regulation argue this approach provides the most adequate means to conduct regulation in the legalistic and adversarial United States regulatory process. In April 1994, the Occupational Safety and Health Administration issued a proposed rule to eliminate tobacco smoking in most …


Mental Health Care In Rural Communities: The Once And Future Role Of Primary Care., David Lambert Jan 2006

Mental Health Care In Rural Communities: The Once And Future Role Of Primary Care., David Lambert

David Lambert

The provision of mental healthcare in rural communities has been a vexing challenge for clinicians and patients for many years. There is a chronic shortage of specialty mental health providers, particularly psychiatrists and sychologists, which has shifted much of the burden of care to primary care. Primary care clinicians have historically lacked the training and time within their busy practices to feel comfortable providing mental healthcare, particularly since the shortage of specialty mental health clinicians deprives them of consultation and referral sources.


Calamity, Catastrophe, And Horror: Representation Of Natural Disaster, 1885-2005, Richard Steven Salkowe, Graham A. Tobin, S Elizabeth Bird Jan 2006

Calamity, Catastrophe, And Horror: Representation Of Natural Disaster, 1885-2005, Richard Steven Salkowe, Graham A. Tobin, S Elizabeth Bird

Richard Steven Salkowe

An examination of disaster literature from the late 19th and early 20th centuries revealed social, political, and economic vulnerability issues that parallel many current concerns. A modern model of comprehensive emergency management was used to comparatively address selected issues of vulnerability found in these texts; looking specifically at emergency response and initial recovery, perception, and attitudes towards different groups. Emergency response has made significant advances with the development of more sophisticated intervention protocols and the involvement of a vast array of governmental and non-governmental organizations. However, disasters remain deterministic and/or probabilistic in the eyes of many and recovery inevitably incorporates …


Punctuated Equilibrium In Limbo: The Tobacco Lobby And U.S. State Policy Making From 1990 To 2003, Michael S. Givel Dec 2005

Punctuated Equilibrium In Limbo: The Tobacco Lobby And U.S. State Policy Making From 1990 To 2003, Michael S. Givel

Michael S. Givel

Since the mid-1980s, U.S. tobacco policy has been an intense and acrimonious issue between antitobacco advocates and the tobacco industry. In the United States, the tobacco industry has responded to heightened state antitobacco litigation, adverse public opinion, and public health advocacy by aggressively mobilizing against tobacco taxes and regulations. This article examines whether these tobacco policy trends can be generalized to punctuated equilibrium theory ideas that policy monopolies are stable over long periods and usually change because of sharp and short-term exogenous shocks to the policy system. From 1990 to 2003, there was a sharp mobilization by health advocates in …