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How does the policy making process work?
Identify-> Formulate->Legitimate-> Implement->Evaluate
- Problem recognition/definition
- *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?
- policy adoption
- political proecess, requires majority
- budget must support policy adopted
- policy implementation
- 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?
- Family resources
- Economic and social resources
- political resources
- information and & educ
- time resources
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
- Sex: biological (e.g. menstruation)
- Gender: 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