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State Visits and Leader Survival
Why do political leaders travel abroad? In this article, we propose an informational mechanism linking in-person diplomacy to leader survival. A foreign power visits an incumbent in order to reap a future policy concession; the visit is only worth the effort if the incumbent remains in power long enough to deliver on the deal. A diplomatic visit thus provides a visible and credible signal of the visitor's high confidence in the incumbent's stability in office. Domestic opponents, facing incomplete information as to the incumbent's strength, observe the signal and are deterred from mounting a challenge. Using data on U.S. diplomatic visits from 1960 to 2013, we find strong empirical support for our predictions: A visit with the U.S. president substantially reduces the risk of a leader's removal from office.
Journal Article
Getting Eyes in the Home
Each year, U.S. child protection authorities investigate millions of families, disproportionately poor families and families of color. These investigations involve multiple home visits to collect information across numerous personal domains. How does the state gain such widespread entrée into the intimate, domestic lives of marginalized families? Predominant theories of surveillance offer little insight into this process and its implications. Analyzing observations of child maltreatment investigations in Connecticut and interviews with professionals reporting maltreatment, state investigators, and investigated mothers, this article argues that coupling assistance with coercive authority—a hallmark of contemporary poverty governance—generates an expansive surveillance of U.S. families by attracting referrals from adjacent systems. Educational, medical, and other professionals invite investigations of families far beyond those ultimately deemed maltreating, with the hope that child protection authorities’ dual therapeutic and coercive capacities can rehabilitate families, especially marginalized families. Yet even when investigations close, this arrangement, in which service systems channel families to an entity with coercive power, fosters apprehension among families and thwarts their institutional engagement. These findings demonstrate how, in an era of welfare retrenchment, rehabilitative poverty governance renders marginalized populations hypervisible to the state in ways that may reinforce inequality and marginality.
Journal Article
Mistress of everything : Queen Victoria in indigenous worlds
Mistress of everything examines how indigenous people across Britain's settler colonies engaged with Queen Victoria in their lives and predicaments, incorporated her into their political repertoires, and implicated her as they sought redress for the effects of imperial expansion during her long reign. It draws together empirically rich studies from Canada, Australia, New Zealand, and Southern Africa, to provide scope for comparative and transnational analysis. The book includes chapters on a Maori visit to Queen Victoria in 1863, meetings between African leaders and the Queen's son Prince Alfred in 1860, gift-giving in the Queen's name on colonial frontiers in Canada and Australia, and Maori women's references to Queen Victoria in support of their own chiefly status and rights.
BOOK
Racial Discrimination in Housing: How Landlords Use Algorithms and Home Visits to Screen Tenants
An extensive literature documents racial discrimination in housing, focusing on its prevalence and effect on non-White populations. This article studies how such discrimination operates, and the intermediaries who engage in it: landlords. A fundamental assumption of racial discrimination research is that gatekeepers such as landlords are confronted with a racially heterogeneous applicant pool. The reality of urban housing markets, however, is that historical patterns of residential segregation intersect with other structural barriers to drive selection into the applicant pool, such that landlords are more often selecting between same-race applicants. Using interviews and observations with 157 landlords in four cities, we ask: how do landlords construct their tenants’ race within racially segmented housing markets, and how does this factor into their screening processes? We find that landlords distinguish between tenants based on the degree to which their behavior conforms to insidious cultural narratives at the intersection of race, gender, and class. Landlords with large portfolios rely on screening algorithms, whereas mom-and-pop landlords make decisions based on informal mechanisms such as “gut feelings,” home visits, and the presentation of children. Landlords may put aside certain racial prejudices when they have the right financial incentives, but only when the tenant also defies stereotypes. In this way, landlords’ intersectional construction of race—even within a predominantly Black or Latino tenant pool—limits residential options for low-income, subsidized tenants of color, burdening their search process. These findings have implications for how we understand racial discrimination within racially homogenous social spheres. Examining landlords’ screening practices offers insight into the role housing plays in how racism continues to shape life outcomes—both explicitly through overt racial bias, and increasingly more covertly, through algorithmic automation and digital technologies.
Journal Article
Kennedy in Berlin, 50th anniversary : the German trip in 1963
\"Few events from recent German history are so deeply engraved in the country's collective memory as John F. Kennedy's visit in 1963. At the behest of the illustrated magazine Quick, the Hamburg photographer Ulrich Mack accompanied the entire trip with his camera. His photographs are important historical documents, reflecting the emotional atmosphere of those four days in June. Marking the 50th anniversary of the event, this book presents the best pictures from Mack's largely unpublished coverage\"--P. [4] of cover.
Book
Relationship of frailty status with health resource use and healthcare costs in the population aged 65 and over in Catalonia
BackgroundFrailty is a geriatric syndrome with repercussions on health, disability, and dependency.ObjectivesTo assess health resource use and costs attributable to frailty in the aged population.MethodsA population-based observational longitudinal study was performed, with follow-up from January 2018 to December 2019. Data were obtained retrospectively from computerized primary care and hospital medical records. The study population included all inhabitants aged ≥ 65 years ascribed to 3 primary care centres in Barcelona (Spain). Frailty status was established according to the Electronic Screening Index of Frailty. Health costs considered were hospitalizations, emergency visits, outpatient visits, day hospital sessions, and primary care visits. Cost analysis was performed from a public health financing perspective.ResultsFor 9315 included subjects (age 75.4 years, 56% women), frailty prevalence was 12.3%. Mean (SD) healthcare cost in the study period was €1420.19 for robust subjects, €2845.51 for pre-frail subjects, €4200.05 for frail subjects, and €5610.73 for very frail subjects. Independently of age and sex, frailty implies an additional healthcare cost of €1171 per person and year, i.e., 2.25-fold greater for frail compared to non-frail.ConclusionsOur findings underline the economic relevance of frailty in the aged population, with healthcare spending increasing as frailty increases.
Journal Article
Patrick and the president
When the beloved president visited Ireland in 1963, he described it as the best four days of his life. And for a generation of Irish people, it was a trip they never forgot. This picture book captures the fevered excitement in the buildup to the president's visit, all seen through the eyes of a young boy named Patrick who wants to know more than anything what it would feel like to shake the president's hand.
Book
Incremental Health Care Utilization and Expenditures for Chronic Rhinosinusitis in the United States
Objectives:
I determined incremental increases in health care expenditures and utilization associated with chronic rhinosinusitis (CRS).
Methods:
Patients with a reported diagnosis of CRS were extracted from the 2007 Medical Expenditure Panel Survey medical conditions file and linked to the consolidated expenditures file. The patients with CRS were then compared to patients without CRS to determine differences in health care utilization (office visits, emergency facility visits, and prescriptions filled), as well as differences in health care expenditures (total health care costs, office visit costs, prescription medication costs, and self-expenditures) by use of demographically adjusted and comorbidity-adjusted multivariate models.
Results:
An estimated 11.1 ± 0.48 million adult patients reported having CRS in 2007 (4.9% ± 0.2% of the US population). The additional incremental health care utilizations associated with CRS relative to patients without CRS for office visits, emergency facility visits, and number of prescriptions filled were 3.45 ± 0.42, 0.09 ± 0.03, and 5.5 ± 0.8, respectively (all p ≥ 0.001). Similarly, additional health care expenditures associated with CRS for total health care expenses, office-based expenditures, prescription expenditures, and self-expenditures were $772 ± $300, $346 ± $130, $397 ± $88, and $90 ± $24, respectively (all p ≥ 0.01).
Conclusions:
Chronic rhinosinusitis is associated with a substantial incremental increase in health care utilization and expenditures due to increases in office-based and prescription expenditures. The national health care costs of CRS remain very high, at an estimated $8.6 billion per year.
Journal Article