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How does the policy making process work?
Identify-> Formulate->Legitimate-> Implement->Evaluate
*What is a social problem
*what is the nature of the social problem (issue)?
*What is the magnitude of the condition?
What are sources of agenda setting?
o Inside Government
o Events and Crises
o Executive Branch
o Campaign Promises
*what are the policy alternatives?
*difficult to reach a decision that has strong support if alternatives favored by an influenctial interest group are excluded.
*who are the stakeholders?
political proecess, requires majority
budget must support policy adopted
role of public agency
what is done to enforce or apply a policy?
success against others? GAO
validity of diagnostic tests
what is the role of gov in health care?
should gov legislate mortality?
moral issue or medical problem?
public or private responsibility?
issue of private wealth or helath?
What other variables interact with gender? and access to and control over these enables what?
Economic and social resources
information and & educ
Access to and control over these variables gives one power and decision-making.
Health challenges that arise for different age strcutures, cultures
Social construction of health
Social distribution of disease
Gender inequities in health care are concentrated in 3 types of imbalance
Health risks <-> opportunities to enjoy health
Health needs <-> access to health resources
Responsibility in the health sector <->
power in the health sector
Sex vs gender
: biological (e.g. menstruation)
: social construction (self-trait, psychological traits)
Gender disparities and health in men
health most vulnerable to stressful life events
key mental and physical health
: work roles
Unemployment, job insecurity, and even early retirement can bring disease and premature death to men
Marriage and parenthood provide anchors for men emotionally
health advantages from having access to more resources than women
Gender disparities and health in women
may be protected from a number of diseases by their reproductive physiology and certain X-linked genes
Estrogen protects women from heart disease and early death
Women’s greater longevity
Women benefit in terms of improved life expectancy from marriage as compared to their unmarried counterparts
Social factors play a major role