We Are Against Socialized Medicine, But What Are We For?: Federal Health Reinsurance, National Health Policy, and the Eisenhower Presidency

This project investigates the foundations of post-war health care in the United States by examining the first major proposal for federal involvement in health insurance, after the defeat of national health insurance in 1949. In doing so, this project aims to also illustrate Dwight Eisenhower’s presidency as one of limited liberal, or “Tory,” reform. The majority of primary sources were located at the Dwight D. Eisenhower Presidential Library in Abilene, Kansas. Secondary sources were chosen based on the frequency with which contemporary scholarship continues to rely upon and engage with them. In the first two chapters, the thesis examines the state of American health care coverage and the dialogue of reform that surrounded it. These chapters show that a significant divide existed between the quality of medical care and it’s availability by the 1950s. At the same time, a wide gap divided those who supported either a federal or private solution. Chapters three and four examine the evolution of reinsurance as a bill and its progress through the House of Representatives. The Eisenhower administration’s approach to the issue of health care coverage rested in between liberal calls for increased federal operation and conservative demands to leave the problem for private industry to solve. Eisenhower proposed reinsurance in the hope that it would increase the number of Americans with health insurance, while fending off the socialization of medicine. The thesis demonstrates that, instead of receiving even limited support from both sides of the spectrum, reinsurance was opposed by each. Despite the existence of a welfare state that relied on both public and private support, health insurance proved an inhospitable sector for further federal involvement in the post-war era. While the costs of health insurance prevented nearly 60 million Americans from receiving such coverage by the early 1950s, demands for a direct federal solution were overridden by the demands of industry and fears of increased government controls. Furthermore, reinsurance represented an archetypal illustration of Dwight Eisenhower’s “middle way” presidency. Reinsurance was a measure of Tory reform, designed to increase welfare while preventing a more radical option

Effects of urbanisation and landscape heterogeneity mediated by feeding guild and body size in a community of coprophilous beetles

Although the impacts of urbanisation on biodiversity are well studied, the precise response of some invertebrate groups remains poorly known. Dung-associated beetles are little studied in an urban context, especially in temperate regions. We considered how landscape heterogeneity, assessed at three spatial scales (250, 500 and 1000 metre radius), mediates the community composition of coprophilous beetles on a broad urban gradient. Beetles were sampled using simple dung-baited traps, placed at 48 sites stratified across three distance bands around a large urban centre in England. The most urban sites hosted the lowest abundance of saprophagous beetles, with a lower mean body length relative to the least urban sites. Predicted overall species richness and the richness of saprophagous species were also lowest at the most urban sites. Ordination analyses followed by variation partitioning revealed that landscape heterogeneity across the urban gradient explained a small but significant proportion of community composition. Heterogeneity data for a 500-metre radius around each site provided the best fit with beetle community data. Larger saprophagous species were associated with lower amounts of manmade surface and improved grassland. Some individual species, particularly predators, appeared to be positively associated with urban or urban fringe sites. This study is probably the first to examine the response of the whole coprophilous beetle community to urbanisation. Our results suggest that the response of this community to urbanisation matches expectations based on other taxonomic groups, whilst emphasising the complex nature of this response, with some smaller-bodied species potentially benefitting from urbanisation

Time Domain Mapping of Spin Torque Oscillator Effective Energy

Stochastic dynamics of spin torque oscillators (STOs) can be described in terms of magnetization drift and diffusion over a current-dependent effective energy surface given by the Fokker-Planck equation. Here we present a method that directly probes this effective energy surface via time-resolved measurements of the microwave voltage generated by a STO. We show that the effective energy approach provides a simple recipe for predicting spectral line widths and line shapes near the generation threshold. Our time domain technique also accurately measures the field-like component of spin torque in a wide range of the voltage bias values.Comment: 5 pages, 3 figures. Supplement included: 7 pages, 6 figure

Parental migration and the mental health of those who stay behind to care for children in South-East Asia

published_or_final_versio

Reflection on the use of rating and score cards for asset and service assessment

The concept of star rating council facilities has progressively gained traction in Australia following the work of Dean Taylor at Marochy Shire Council in Queensland in 2006 – 2007 and more recently by the Victorian STEP asset management program. The following paper provides a brief discussion on the use and merits of star rating within community asset management. We suggest that the current adoption of the star rating system to manage community investment in services is lacking in consistency. It is suggested that the major failing is a lack of clear understanding in the purpose being served by the systems. The discussion goes on to make some recommendations on how the concept of a star system could be further enhanced to serve the needs of our communities better

Challenges and opportunities associated with neglected tropical disease and water, sanitation and hygiene intersectoral integration programs.

BACKGROUND: Recent research has suggested that water, sanitation, and hygiene (WASH) interventions, in addition to mass drug administration (MDA), are necessary for controlling and eliminating many neglected tropical diseases (NTDs). OBJECTIVES: This study investigated the integration of NTD and WASH programming in order to identify barriers to widespread integration and make recommendations about ideal conditions and best practices critical to future integrated programs. METHODS: Twenty-four in-depth, semi-structured interviews were conducted with key stakeholders in the global NTD and WASH sectors to identify barriers and ideal conditions in programmatic integration. RESULTS: The most frequently mentioned barriers to WASH and NTD integration included: 1) differing programmatic objectives in the two sectors, including different indicators and metrics; 2) a disproportionate focus on mass drug administration; 3) differences in the scale of funding; 4) siloed funding; and 5) a lack of coordination and information sharing between the two sectors. Participants also conveyed that a more holistic approach was needed if future integration efforts are to be scaled-up. The most commonly mentioned requisite conditions included: 1) education and advocacy; 2) development of joint indicators; 3) increased involvement at the ministerial level; 4) integrated strategy development; 5) creating task forces or committed partnerships; and 6) improved donor support. CONCLUSIONS: Public health practitioners planning to integrate NTD and WASH programs can apply these results to create conditions for more effective programs and mitigate barriers to success. Donor agencies should consider funding more integration efforts to further test the proof of principle, and additional support from national and local governments is recommended if integration efforts are to succeed. Intersectoral efforts that include the development of shared indicators and objectives are needed to foster conditions conducive to expanding effective integration programs

Teamwork that affects outcomes: A method to enhance team ownership

Healthcare is the ultimate team sport, and this case study explores how to build teamwork across teams. The ability for nursing, environmental services and food and nutrition services to work collaboratively to benefit patients is paramount to a patients experience and outcomes. The case study describes how the work was done to build teams and then improved outcomes in both patient and employee experiences. The learnings are applicable to any team setting not just those described in this case study. Experience Framework This article is associated with the Staff & Provider Engagement lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework). Access other PXJ articles related to this lens. Access other resources related to this lens