Financial Toll of Untreated Perinatal Mood and Anxiety Disorders Among 2017 Births in the United States

2020 ◽  
Vol 110 (6) ◽  
pp. 888-896 ◽  
Author(s):  
Dara Lee Luca ◽  
Caroline Margiotta ◽  
Colleen Staatz ◽  
Eleanor Garlow ◽  
Anna Christensen ◽  
...  

Objectives. To estimate the economic burden of untreated perinatal mood and anxiety disorders (PMADs) among 2017 births in the United States. Methods. We developed a mathematical model based on a cost-of-illness approach to estimate the impacts of exposure to untreated PMADs on mothers and children. Our model estimated the costs incurred by mothers and their babies born in 2017, projected from conception through the first 5 years of the birth cohort’s lives. We determined model inputs from secondary data sources and a literature review. Results. We estimated PMADs to cost $14 billion for the 2017 birth cohort from conception to 5 years postpartum. The average cost per affected mother–child dyad was about $31 800. Mothers incurred 65% of the costs; children incurred 35%. The largest costs were attributable to reduced economic productivity among affected mothers, more preterm births, and increases in other maternal health expenditures. Conclusions. The US economic burden of PMADs is high. Efforts to lower the prevalence of untreated PMADs could lead to substantial economic savings for employers, insurers, the government, and society.

Jurnal ICMES ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 179-196
Author(s):  
Firmanda Taufiq

Throughout 2018, relations between Turkey and the United States seemed to deteriorate. The leaders of the two countries issued sharp diplomatic statements and the US even imposed economic sanctions on Turkey. This article aims to analyze how the future of relations between Turkey and the United States. Cooperation between the two has a long historical side after the Cold War. Relations between the two countries are based on various interests, both economic, political, military and security interests. The theory used in this study is the theory of national interest. The US has great interests in the Middle East and Turkey is the front-line ally in achieving those interests. However, there are many US foreign policies that ignore the Turkish concern and create tensions between the two countries. On the contrary, Turkey also has considerable economic interests, but the role of the government elite (in this case, President Erdogan) has a significant influence in the determination of Turkish foreign policy. The findings of this study, although it will go through complex challenges and processes, the US and Turkey will continue to maintain their relations.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Ahmad Shah Azami

As part of its “War on Terror”, the United States (US) provided immense sums of money and advanced equipment to Afghan warlords in order to defeat and dismantle the Taliban and al-Qaeda in Afghanistan. Nearly two decades after the 2001 US-led intervention in Afghanistan that toppled the Taliban regime, the US continues supporting the warlords in various ways. As the intervention was also aimed at establishing a functioning state and reconstruction of the war-torn country, the US needed the support of local warlords to achieve its goals. However, over time, warlords and warlordism became a major challenge to the postTaliban state-building project and in many ways undermined the overall security and the state monopoly on violence. These warlords, who had been mostly expelled and defeated by the Taliban regime, returned under the aegis of the B52 bombers, recaptured parts of the country and reestablished their fiefdoms with US support and resources. They not only resist giving up the power and prestige they have accumulated over the past few years, but also hamper the effort to improve governance and enact necessary reforms in the country. In addition, many of them run their private militias and have been accused of serious human rights abuses as well as drug trafficking, arms smuggling, illegal mining and extortion in the areas under their control or influence. In many ways, they challenge the government authority and have become a major hurdle to the country’s emerging from lawlessness and anarchy. This paper explores the emergence and reemergence of warlords in Afghanistan as well as the evolution of chaos and anarchy in the country, especially after the US-led intervention of late 2001. It also analyzes the impact of the post-9/11 US support to Afghan warlords and its negative consequences for the overall stability and the US-led state-building process in Afghanistan.


2014 ◽  
Vol 24 (7) ◽  
pp. 493-497 ◽  
Author(s):  
Renee D. Goodwin ◽  
Melanie M. Wall ◽  
Tse Choo ◽  
Sandro Galea ◽  
Jonathan Horowitz ◽  
...  

Author(s):  
John W. Young ◽  
John Kent

This chapter focuses on the Iraq war of 2003–11 and the troubles in the Middle East. George W. Bush’s advisers, led by Dick Cheney and Don Rumsfeld, had been considering an attack on Iraq well before 9/11. At the same time, many experts within the government pointed to the lack of any evidence for Iraqi-sponsored terrorism directed against the United States. The threats to US national security were outlined to Bush in a briefing just prior to his inauguration; these threats came primarily from al-Qaeda’s terrorism and the proliferation of nuclear arms and other weapons of mass destruction (WMDs). The chapter first considers the US decision to invade Iraq, before discussing the war, taking into account the US’s Operation Iraqi Freedom and the war’s costs to the US and to Iraq. It also examines the Israeli–Palestinian conflict and concludes with an assessment of the ‘Arab Spring’.


Author(s):  
Christian Leuprecht

This chapter reviews the member organizations of the United States Intelligence Community, the strategic environment that has informed intelligence and accountability in the United States, including scandals as a key driver of innovation, and the current and future threat environment as seen by the United States. The chapter examines the US intelligence accountability architecture: the House of Representative Permanent Select Committee on Intelligence, the Senate Select Committee on Intelligence, the Foreign Intelligence Surveillance Court, the Inspectors General, the Government Accountability Office, the Privacy and Civil Liberties Oversight Office, and the President’s Intelligence Advisory Board. The sheer number and complexity of accountability bodies in the US gives rise to inefficiencies, ineffectiveness, and duplication. The accountability system is replete with gaps and vulnerabilities: partisanship, collective-action problems, resource allocation, and inconsistent quality of review in congressional accountability; GAO’s limited authority to review the USIC and sensitive operations; the adequacy of the FISA court in adequately protecting the rights of Americans; and Presidential discretion in appointing and removing IGs. These issues have implications not just for the United States, but for allies, partners as well as regional and global stability.


2004 ◽  
Vol 5 (2) ◽  
pp. 287-310 ◽  
Author(s):  
CURTIS H. MARTIN

The loss of life that resulted from the sinking of the fisheries training vessel Ehime Maru by the nuclear submarine USS Greeneville off Hawaii in February 2001 exemplifies the risks to United States–Japan alliance relations posed by US global military deployments. Following a pattern of incidents involving the US military in Japan itself, the collision violated Japanese expectations of benevolence from its stronger partner and put considerable pressure on the government to seek public apology and reassurance. This article examines the interplay of culture, national security interests and domestic politics in framing both perceptions and diplomacy during the crisis. While differences at both the cultural and security levels complicated diplomacy, asymmetry in the respective domestic political stakes, combined with overriding and largely congruent security interests, helped the United States to provide Japan with the requisite reassurance. After a decade of alliance drift, both Japan and the United States were determined to forestall defection by their alliance partner.


Significance These have caused the United States to begin the process of shuttering its Baghdad embassy -- while signalling that it could reverse the process if the government moves more aggressively against pro-Iran groups within the Popular Mobilisation Forces (PMF) that are blamed for the strikes. Impacts Groups will step up attacks designed to lever the US-led coalition out of Iraq, while seeking to mask their identity. The United States will have greater latitude for military action to weaken Tehran in November or December, if it closes the embassy. Japanese, Saudi, Emirati and some European embassies relying on US evacuation and warning services might also be forced out. Washington might opt instead to downsize the embassy, which cannot operate normally due to COVID-19 and security threats. Even if the US embassy closed, some coalition military sites and the US consulate in the Kurdistan region would remain open.


2020 ◽  
Vol 8 (1) ◽  
pp. 226-238 ◽  
Author(s):  
Henry Milner

This article addresses the link between political knowledge and populist attitudes in the United States (US) in comparative perspective. At the beginning of the new decade, populism in the US is associated with support for the Republican party and Donald Trump in particular, and that is how I address it here. Using secondary data from a number of related studies, we find that, overall, support for Trump is not only negatively related to political knowledge, but also to other factors that make his supporters unaware of their being misinformed. This is because, more than for others, partisan cues serve them as a basis for their factual beliefs about political actors and events and assessments of the beliefs of others. While political knowledge has long been comparatively low in the US, as I show in the early part of the article, the relationship between misinformation and populism (i.e., support for Trump) is seen as a new and especially worrisome element. In the concluding section I address what, if anything, could be done to address this situation.


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