Opportunities for Pandemic Response Politics and Health Policy Reform
Division 48 co-sponsored by: Health Politics & Health Policy
full paper panel
(Discussant) Colleen M. Grogan, University of Chicago. (Discussant) Eric M. Patashnik, Brown University. (Chair) Philip B. Rocco, Marquette University
The COVID-19 pandemic presents a significant opportunity to rethink and reshape public health and healthcare sectors in both the Global North and Global South. There is a need to critically assess and learn from the factors that shaped the situation, in order to improve policy responses to future public health emergencies and to repair and improve health systems (further) disrupted by the pandemic. there is. The response to COVID-19 was often unsuccessful and fragmented. In their paper, Rozenblum, Greer, and Jarman document how well-established and well-funded public health institutions in France and the United States can help guide policy discussions at precisely the moment when expertise and information are most needed. We are investigating the reason for the exclusion. In mapping the roles of public health professionals and institutions during his COVID-19 in France and the United States, the author argues that public health professionals lack the appropriate policy tools and compete in competing specialties. found that the advice of public health experts was ignored by policy makers because it was occupied. Kuo and Kelly examine his COVID-19 policy response across counties and regions compared to California. Beyond formal consideration of state and public health capabilities, Kuo and Kelly argue that the Bay Area’s stronger policy response is, in part, the product of partnerships between state and community-based actors. Drawing on the concept of ’embedded autonomy’, Kuo and Kelley reconceptualize public health capacity and consider it within broader issues of state capacity and democracy. In their paper, Trujillo and Motta noted that the hesitancy toward vaccines during COVID-19 and the politically contentious nature of vaccines “ripped off” into the post-pandemic era, leading to mandatory vaccination in childhood, elective adulthood, and more. It is theorized that it may increase negative attitudes towards vaccines, and current vaccines. In development. In finding that such a ripple effect exists, Trujillo and Motta also consider how strategic communication could facilitate future vaccine uptake. It examines the complex interplay of national social policies and international interventions during COVID-19. By focusing on the Haiti-Dominican border, Vitale notes that resource diversion, precarious funding structures, and hidden or uncoordinated donor priorities can make some people very vulnerable. I found that I was put in a state. The transnational response to a nationwide pandemic has created ill health through fragmentation and financialization of the healthcare sector.
A Strange Defeat: Knowledge, Mandate, and COVID-19 in France and the United States
Sarah Dennis Rosenblum, University of Michigan. Scott L. Greer, University of Michigan.University of Michigan Holly German
Putting the issue “above politics” is a colossal political victory. The establishment and maintenance of such claims to expertise and intellectual monopoly in various policy areas is a goal and source of political controversy in many policy areas, from central banking to trade policy to public health. . Limiting the scope of policy issues and disputes to the interests of particular intellectual communities is an act of politics, a mandate, and shaping politics. What does it take to establish organizational and professional dominance in the policy arena? Drawing on the sociology of knowledge and the comparative politics of delegation, generalist politicians can mobilize organized professional and professional Insist on delegating authority to experts such as professional bodies. A major policy tool. Our case is a crisis that seems to be tailored to the expertise of public health agencies and experts, two ambitious but different public health expert projects in France and the United States. Faced with COVID-19, after investing heavily in controlling the epidemic, both governments maintained prominent public health institutions, public health agencies and experts in both countries are facing an unprecedented Just as he faced the public, he was pushed aside by executives. health crisis. Using data from government and international policy documents, scientific literature, and secondary source documents to clarify the role of public health professionals and institutions during the COVID-19 pandemic in France and the United States . In both cases, their ability to contain the scope of disputes was limited by the disciplines in dispute, and they had limited or no control over key policy tools. Generalist policymakers were free to ignore their advice, and it was frequently ignored in both countries.
State Capacity and Public Health: California and COVID-19
Didi Kuo, Stanford University. Andrew S. Kelly, California State University East Bay
On March 17, 2020, six Bay Area counties jointly issued the nation’s first shelter-in-place orders in response to the COVID-19 crisis. Cities and states across the country soon followed, with varying degrees of success. Public health officials have played an important role in setting policy, implementing behavioral and non-pharmaceutical interventions, and communicating with the public. This paper explores the determinants of public health capacity, distinguishing between formal institutional capacity (budget, staff, etc.) and informally embedded capacity (community ties, isolation from political pressures). . We argue that informally embedded capacity is important for public health capacity but difficult to measure empirically. It concludes by relating public health capacity to broader issues of state capacity and democracy.
Impact of COVID-19 vaccination ‘spillover’ effects on post-pandemic vaccine hesitation
Kristin Kay Lunz Trujillo, Northeastern University and Harvard University. Matthew P. Motta, Oklahoma State University
Even amid the unprecedented public health challenges resulting from the COVID-19 pandemic, opposition to vaccination against the novel coronavirus is prevalent in American public life and politically contentious. increase. The paper theorizes that negative attitudes towards COVID-19 vaccination may “reverberate” and shape confidence and participation in post-pandemic vaccination programs. A nationally representative longitudinal study of adults in the United States in 2021 found that those who chose to refrain from vaccination against COVID-19, those who did not Hesitation, supporters of COVID-19 misinformation, and opponents of mandatory COVID-19 vaccines were subsequently more negative to mandatory childhood vaccination and selective adult vaccines. there was a tendency to Another series of cross-sectional studies also show that these findings extend to the rejection of vaccines still in development, such as Alzheimer’s disease vaccines and personalized cancer vaccines. Vaccines are still in development, and attitudes toward them are unlikely to be perturbed by personal vaccination experiences of the spillover effects of COVID vaccination. Interestingly, although vaccine spillover effects were found to be more prevalent on the ideological right, both longitudinal and cross-sectional data show a negative perception of COVID-19 vaccination. It suggests that people who have (or come to hold) are likely to voice their objections as well. Downstream vaccination programs regardless of partisan persuasion. Finally, we conclude by discussing how Americans’ personal, and often deeply political, experiences with the COVID-19 pandemic will shape public health outcomes for years to come. We also examine how strategic political health communications could promote vaccine uptake in the future.
Neoliberal Health: Subcitizenship During COVID Along the DR-Haiti Border
Lucia Vitale, University of California, Santa Cruz
This paper looks at the complex health systems of the global South. It consists of important and evident interactions between national social policies and international interventions. It explores how COVID is transforming the fragmentation and financialization of healthcare by showing how “biological subcitizenship,” the way neoliberal policies are embodied as a disease, becomes a reality. Emphasize what you are exposed to. This manifestation occurs in different ways depending on where the particular health event occurred (e.g., public-private partnerships, non-governmental organizations (NGOs), international aid agencies, etc.), but cumulative results residents, often women. A householder must constantly move between myriad health care providers to piece together a kind of primary care for herself and her family. The Dominican-Haiti border not only reveals the interplay between international interventions and national policies, but also observes how meaningful categories of citizenship and sub-citizenship regimes are determined This article uses empirical evidence from rural communities along our borders to use a multiscalar approach to assess how international and national pandemic responses are likely to develop. to analyze how ill health is created through fragmentation and financing of the health sector. Diverted resources, unstable funding structures based on donations, and hidden or mismatched donor priorities all land locally and keep certain populations in a highly precarious situation. By presenting examples of routine health system navigation from the local scale, this paper explores how neoliberal health policy at transnational and national scales advances towards primary health care for all. I hope to advance a timely conversation about what to do to undermine the