Care Work on the Front Lines

2020 ◽  
Vol 119 (820) ◽  
pp. 326-328
Author(s):  
Mary F. E. Ebeling
Keyword(s):  
Nurse Practitioners ◽  
Outpatient Care ◽  
Care Facility ◽  
Safety Net ◽  
Ethnographic Study ◽  
Care Work ◽  
Medical Professionals ◽  
Essential Work ◽  
Social Safety Net ◽  
The Us

An ethnographic study of the work of nurse practitioners at an outpatient care facility shows how these medical professionals must endlessly multitask to fill gaps in the US social safety net. In the context of the COVID-19 pandemic, a new focus on the essential work of nurses and the lack of resources with which they often contend is especially timely.

Specialization and physician-ownership in the US hospital industry: beyond the moratorium

2007 ◽  
Vol 2 (4) ◽  
pp. 409-418 ◽  
Author(s):  
KATHLEEN CAREY ◽  
JAMES F. BURGESS, JR ◽  
GARY J. YOUNG
Keyword(s):  
Safety Net ◽  
Social Safety Net ◽  
Surgical Specialty ◽  
Specialty Hospitals ◽  
Physician Ownership ◽  
Trade Offs ◽  
Complex Patients ◽  
The Social ◽  
The Us ◽  
Considerable Controversy

Abstract:A moratorium in the US on referrals of Medicare and Medicaid patients to new cardiac, orthopedic, or surgical specialty hospitals by physician-investors was recently lifted, yet the considerable controversy stirred by this growing hospital organizational form continues. This paper calls attention to the peculiar trade-offs introduced by entry of these specialty hospitals, and highlights distinctions among their different types. New policy approaches should be open to the notion that all physician-owned specialty hospitals need not necessarily be regulated in the same way. And caution will be required not to compromise the capacity of community general hospitals to service more complex patients and to maintain the social safety net.

Neoliberalism and the Negotiation of the American Dream in Contemporary Latina Narratives

2019 ◽  
pp. 221-242
Author(s):  
Jenifer A. Skolnick ◽  
Emmanuel Alvarado
Keyword(s):  
Social Protection ◽  
Public Attitudes ◽  
Public Support ◽  
Safety Net ◽  
Cultural Narratives ◽  
Social Safety Net ◽  
American Christianity ◽  
The Past ◽  
The Us ◽  
Latino American

This chapter will examine the relationship between Christian religiosity and attitudes toward social safety-net policies over the past three decades among Latinos in the US. Over the past thirty years the US has experienced notable reductions in social safety-net coverage, in the context of successive waves of neoliberal economic reforms. This has left members of the Latino and Black community particularly vulnerable to economic cycles and downturns. Within this context, this chapter analyzes the nexus between neoliberal political discourse, potent cultural narratives found within American Christianity and public support for social protection policies. In particular, the chapter addresses the way in which Christian themes, such as the Catholic social teaching, the mainline Protestant social gospel, the American adaptation of liberation theology, and the evangelical ethos of self-reliance and independence, interact with the formation of public attitudes towards greater or lesser support for social safety-net policies among American Latinos. Additionally, the present chapter will also bring to the foreground the role of Christianity among US Latinos in the creation of an issue-bundling effect in recent electoral competition since moral or social value issues are often bundled along with opposition to social protection policies in the two-party American political system. Lastly, the present work will propose a broad framework through which to interpret our findings grounded on the existence and interaction of two counterpoised cultural narratives on social protection found within Latino American Christianity.

Is Trump a Symptom or a Cause? Economic, Political and Ideological Foundations of the COVID-19 Outbreak in the United States (First Draft)

2021 ◽  
Author(s):  
Zhihan Cui ◽  
Sherry Jueyu Wu ◽  
Lu Liu ◽  
Yu Ding ◽  
Thomas Talhelm ◽  
...  
Keyword(s):  
United States ◽  
Explanatory Power ◽  
Safety Net ◽  
The United States ◽  
Social Safety Net ◽  
Social Distancing ◽  
American Conservatism ◽  
Level Data ◽  
The Us ◽  
Social Safety Nets

The US is amongst the worst-performing countries at combating COVID-19. And within the US, red (Republican) states have significantly higher cases per capita than blue (Democratic) states. We use cross-country, state, and county-level data to provide a comprehensive analysis of economic, political, and psychological factors contributing to these differences. An inferior social safety net and American conservatism systematically correlate with the realization and effectiveness of non-pharmaceutical interventions such as social distancing and mask wearing from April to September. Economic inequality and weak social safety nets drive the economically vulnerable to work outside their homes, increasing mobility and reducing social distancing during early stages of the pandemic. Conservative ideology, anti-intellectualism, and evangelicalism drive people to politicize social distancing and mask wearing. Both factors predict a premature reopening in many states, and have a strong correlation with the drifting of COVID-19 epicenters to red states over the course of 2020. These factors have more explanatory power than partisanship in the first half year of the COVID-19 outbreak in the United States. However, from October on, closer to the presidential elections, partisanship is a better predictor of anti-COVID measures and explains well the regional variances of confirmed cases across states and counties. This indicates that partisanship is not the solely important factor in determining COVID-19 response and outcome, but its impact is likely to have been magnified as time goes by.

The Impoverished Rhetoric of the US Welfare State

2017 ◽  
Vol 116 (793) ◽  
pp. 324-327
Author(s):  
Kimberly J. Morgan
Keyword(s):  
Welfare State ◽  
New Deal ◽  
Political Rhetoric ◽  
Safety Net ◽  
Social Safety Net ◽  
Government Aid ◽  
The Us ◽  
The New Deal

A new book lays blame for the weak social safety net on political rhetoric that justifies government aid as an individual right and not a public good–a tradition that dates back to the New Deal.

Small talk as work talk: Enacting the patient-centered approach in nurse-practitioner-patient visits

2018 ◽  
Vol 14 (2) ◽  
pp. 97-107 ◽  
Author(s):  
Staci Defibaugh
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Medical Visit ◽  
Patient Centered ◽  
Small Talk ◽  
Medical Visits ◽  
Relational Work ◽  
The Us ◽  
The Individual ◽  
Patient Relationships

Small talk in medical visits has received ample attention; however, small talk that occurs at the close of a medical visit has not been explored. Small talk, with its focus on relational work, is an important aspect of medical care, particularly so considering the current focus in the US on the patient-centered approach and the desire to construct positive provider– patient relationships, which have been shown to contribute to higher patient satisfaction and better health outcomes. Therefore, even small talk that is unrelated to the transactional aspect of the medical visit in fact serves an important function. In this article, I analyze small talk exchanges between nurse practitioners (NPs) and their patients which occur after the transactional work of the visit is completed. I focus on two exchanges which highlight different interactional goals. I argue that these examples illustrate a willingness on the part of all participants to extend the visit solely for the purpose of constructing positive provider–patient relationships. Furthermore, because exchanges occur after the ‘work’ of the visit has been completed, they have the potential to construct positive relationships that extend beyond the individual visit.

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