N.C. Medicaid Reform: A Bipartisan Path Forward

The North Carolina Medicaid program currently constitutes 32% of the state budget and provides insurance coverage to 18% of the state’s population. At the same time, 13% of North Carolinians remain uninsured, and even among the insured, significant health disparities persist across income, geography, education, and race. The Duke University Bass Connections Medicaid Reform project gathered to consider how North Carolina could use its limited Medicaid dollars more effectively to reduce the incidence of poor health, improve access to healthcare, and reduce budgetary pressures on the state’s taxpayers. This report is submitted to North Carolina’s policymakers and citizens. It assesses the current Medicaid landscape in North Carolina, and it offers recommendations to North Carolina policymakers concerning: (1) the construction of Medicaid Managed Care markets, (2) the potential and dangers of instituting consumer-driven financial incentives in Medicaid benefits, (3) special hotspotting strategies to address the needs and escalating costs of Medicaid\u27s high-utilizers and dual-eligibles, (4) the emerging benefits of pursuing telemedicine and associated reforms to reimbursement, regulation, and Graduate Medical Education programs that could fuel telemedicine solutions to improve access and delivery. The NC Medicaid Reform Advisory Team includes: Deanna Befus, Duke School of Nursing, PhD ‘17Madhulika Vulimiri, Duke Sanford School of Public Policy, MPP ‘18Patrick O’Shea, UNC School of Medicine/Fuqua School of Business, MD/MBA \u2717Shanna Rifkin, Duke Law School, JD ‘17Trey Sinyard, Duke School of Medicine/Fuqua School of Business, MD/MBA \u2717Brandon Yan, Duke Public Policy, BA \u2718Brooke Bekoff, UNC Political Science, BA \u2719Graeme Peterson, Duke Public Policy, BA ‘17Haley Hedrick, Duke Psychology, BS ‘19Jackie Lin, Duke Biology, BS \u2718Kushal Kadakia, Duke Biology and Public Policy, BS ‘19Leah Yao, Duke Psychology, BS ‘19Shivani Shah, Duke Biology and Public Policy, BS ‘18Sonia Hernandez, Duke Economics, BS \u2719Riley Herrmann, Duke Public Policy, BA \u271

The Bernstein Memorial Lecture: The First Six Years

CICLOPs, the Center for International & Comparative Law Occasional Papers, could not be launched with a better issue than one dedicated to Duke Law\u27s named lecture series in the field, the Annual Herbert L. Bernstein Memorial Lecture in Comparative Law. Herbert Bernstein was Duke\u27s much-beloved professor of comparative law. The lecture series, established in Prof. Bernstein’s honor after his sudden death in 2001, has drawn leading scholars from all around the world to speak at Duke Law School on comparative law. This first issue of CICLOPs contains the text of the first six lectures, some of them previously published in hard-to-access venues and some not at all. As such, it serves as a tribute not only to Herbert Bernstein, but also to Duke Law\u27s vibrant and active comparative law community, which encompasses both numerous faculty members and also students pursuing Duke\u27s JD/LLM degree in international and comparative law as well as other student groups. The issue contains all lectures in the order in which they were delivered

The Mysterious Murder; or, the Usurper of Naples: An Original Romance. To Which is Prefixed, The Nocturnal Assassin; or, Spanish Jealousy.

Estaphana, daughter Lusigni, and Belfoni fall in love. When Estaphana tells her father, however, Lusigni is notably averse to the match. Instead, Lusigni arranges for Estaphana to marry the Duke de Savelli. When Estaphana objects the Duke kidnaps her and takes her to a castle tended by an old servant, Jacquilina and her husband. In the meantime, Lusigni catches Belfoni outside his home imprisons him in a secret dungeon. Locked in the Duke’s castle, Estaphana is visited by the Duke who attempts to rape her. Fortunately, Jacqulina bursts in and reveals that Estaphana is the Duke’s daughter, proven by a miniature of the Duke’s former wife that Estaphana wears. Jacqulina reveals herself to be Emily de Salerno, one of the Duke’s former lovers, who kidnapped Estaphana as an infant as revenge against the Duke. Estaphana was left on the doorstep of Lusigni to be raised as his daughter. Duke stabs Emily de Salerno and himself. As the Duke dies, Befloni enters (having secretly escaped from Lusigni’s dungeon). Belfoni and Estaphana enter through a secret door from which they hear groans, and discover the Duke’s dying wife, Estaphana’s mother. Upon returning to Naples, Belfoni and Estaphana find Lusigni on his deathbed. Lusigni reveals to Belfoni that he is Belfoni’s uncle. Lusigni explains that he imprisoned and murdered his older brother, Belfoni’s father, to gain his inheritance, making Belfoni the heir the estate. As a dying qish, Lusigni asks that Belfoni and Estaphana be married.https://epublications.marquette.edu/english_gothic/1001/thumbnail.jp

Consistency as an Issue in EU External Activities. EIPA Working Paper 99/W/06

[From the Introduction]. The European Community (EC) was initially only competent in the area of trade and gradually developed a common commercial policy. The 1970s onwards saw increasing foreign policy co-operation in the framework of European Political Co-operation (EPC). Over the next two decades the increasing number of external activities of the Union highlighted the need for consistency between the EC’s external competencies conducted in the context of the first pillar and the intergovernmental ones of the second pillar and, to an growing extent, the third pillar. By the late 1990s the European Union (EU) accounted for a greater percentage of global gross national product than the U.S. and Japan. The EU also contributes more to the UN budget and peacekeeping operations than either the U.S. or Japan. Given the enormous importance of the EU as a global actor and its potential to play an even more influential role, it is not difficult to see why concerns of consistency in the EU’s external activities are legitimate. Consistency has become something of a refrain. Most recently the consolidated Treaty on European Union (CTEU) states that, 'The Union shall be served by a single institutional framework which shall ensure the consistency and the continuity of the activities carried out in order to attain its objectives while respecting and building upon the acquis communautaire.' [CTEU, 1997, Article 3] To this end, it is to the Union generally that the task of ensuring 'consistency in its external activities as a whole in the context of external relations, security, economic and development policies' falls. The Council and Commission are though charged with particular responsibility in this regard. The objective of achieving consistency in the Union’s external activities is to ensure that the Union can 'assert its identity on the international scheme.' [CTEU, 1997, Article 2] In support of the general theme of consistency the European Council identified the aim of the Common Foreign and Security Policy (CFSP) as being to enable the Union to speak with one voice. The same theme is returned to within the CFSP mechanisms, both directly but also indirectly through reference to 'common positions,' 'joint decisions,' 'joint actions,' and, most recently, 'common strategies.

Victims, Breeders, Joy, and Math: First Thoughts on Compensatory Spousal Payments Under the Principles

Article published in the Duke Journal of Gender Law and Policy

Rights and the Religion Clauses

Article published in the Duke Journal of Constitutional Law & Public Policy

Now We Are One...A Rough Start for the EEAS

The first year of the European External Action Service (EEAS) has already elicited much comment, both internally and externally. This contribution briefly reviews the nature of this commentary and then suggests some possible short-term ‘wins’ for the Service, as well as some challenges that will require a longer-term perspective. The main shorter-term issue considers the need to create stronger linkages and priorities between existing strategies and to start the difficult process of melding a common mindset within the Service. The longer-term challenges revolve around recruitment, balance and resources. The latter is particularly important in order to enable the delegations to assume their full roles. The barrage of criticism that greeted the EEAS’s first birthday is also a commentary on how critical the role of the Service is to achieving the core goals of the Lisbon Treaty in external relations; namely, to aim towards more coherence, effectiveness and visibility

Renewing Film’s Public Emphasis

A review of Patricia White Women’s Cinema, World Cinema: Projecting Contemporary Feminisms (Duke University Press, 2015)

A Queer Perspective on Melodrama’s Social Life

A review of Jonathan Goldberg. 2016,' Melodrama: An Aesthetics of Impossibility', Durham, NC: Duke University Press