Situating Ethical Costs in Context

Author(s):  
Jennifer M. Morton

This chapter argues that ethical costs are unfairly leveled on students born into disadvantage for three contingent reasons: socioeconomic segregation, an inadequate safety net, and cultural mismatch. It shows how several of the ethical costs strivers face are not a necessary feature of striving itself but are instead dependent on how opportunities are unequally distributed in the United States. The chapter explains how strivers are more likely to bear ethical costs in a society that suffers from socioeconomic segregation, inadequate safety net, and cultural forces that privilege those who are already otherwise advantaged. It talks about how strivers are liable to face tragic conflict more frequently than those who are better off because of the socioeconomic structures into which they are born. It also points out ethical costs that are embedded in larger social, economic, and cultural structures that do not occur in a vacuum and affect everyone equally.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meredith T. Niles ◽  
Kristen Brassard Wirkkala ◽  
Emily H. Belarmino ◽  
Farryl Bertmann

Abstract Background Home food procurement (HFP) (i.e. gardening, fishing, foraging, hunting, backyard livestock and canning) have historically been important ways that people obtain food. Recently, some HFP activities have grown (e.g. gardening), while other activities (e.g. hunting) have become less common in the United States. Anecdotally, COVID-19 has sparked an increase in HFP evidenced by increased hunting licenses and shortages in seeds and canning supplies. HFP may have positive benefits for food security and diet quality, though research beyond gardening is especially limited in high-income countries. Methods We examine HFP activities since the COVID-19 pandemic began, and their relationship to food security and dietary quality using multivariable logit models and matching analysis with a statewide representative survey (n = 600) of residents of Vermont, United States. Results We find 29% of respondent households classified as food insecure since COVID-19, and higher prevalence of food insecurity among those experiencing a negative job change since COVID-19, households earning less than $50,000 annually, Hispanic and multi-race respondents. Nearly 35% of respondents engaged in HFP activities since the COVID-19 pandemic began; the majority of those gardened, and more than half pursued HFP activities more intensely than before the pandemic or for the first time. Food insecure households were more likely to pursue HFP more intensely, including more gardening, fishing, foraging, and hunting. Respondents who were food insecure, Black, Indigenous, People of Color, those with a negative job disruption, and larger households all had greater odds of increased intensity of HFP during the COVID-19 pandemic. HFP was significantly associated with eating greater amounts of fruits and vegetables; however, this effect was only significant for food secure households. Conclusion Overall, these results suggest that HFP activities have increased since the start of the COVID-19 pandemic, and may be an important safety net for food insecure households. However, HFP for food insecure households does not translate into the same higher fruit and vegetable intake as found among food secure HFP households, suggesting this population may be trying to maintain intake, or that they may have potential important resource or technical assistance needs. Long-term, HFP activities may have important food security and diet quality impacts, as well as conservation implications, which should be more thoroughly explored. Regardless, the increased interest and intensity of HFP demonstrates opportunities for educational and outreach efforts.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S819-S820
Author(s):  
Jonathan Todd ◽  
Jon Puro ◽  
Matthew Jones ◽  
Jee Oakley ◽  
Laura A Vonnahme ◽  
...  

Abstract Background Over 80% of tuberculosis (TB) cases in the United States are attributed to reactivation of latent TB infection (LTBI). Eliminating TB in the United States requires expanding identification and treatment of LTBI. Centralized electronic health records (EHRs) are an unexplored data source to identify persons with LTBI. We explored EHR data to evaluate TB and LTBI screening and diagnoses within OCHIN, Inc., a U.S. practice-based research network with a high proportion of Federally Qualified Health Centers. Methods From the EHRs of patients who had an encounter at an OCHIN member clinic between January 1, 2012 and December 31, 2016, we extracted demographic variables, TB risk factors, TB screening tests, International Classification of Diseases (ICD) 9 and 10 codes, and treatment regimens. Based on test results, ICD codes, and treatment regimens, we developed a novel algorithm to classify patient records into LTBI categories: definite, probable or possible. We used multivariable logistic regression, with a referent group of all cohort patients not classified as having LTBI or TB, to identify associations between TB risk factors and LTBI. Results Among 2,190,686 patients, 6.9% (n=151,195) had a TB screening test; among those, 8% tested positive. Non-U.S. –born or non-English–speaking persons comprised 24% of our cohort; 11% were tested for TB infection, and 14% had a positive test. Risk factors in the multivariable model significantly associated with being classified as having LTBI included preferring non-English language (adjusted odds ratio [aOR] 4.20, 95% confidence interval [CI] 4.09–4.32); non-Hispanic Asian (aOR 5.17, 95% CI 4.94–5.40), non-Hispanic black (aOR 3.02, 95% CI 2.91–3.13), or Native Hawaiian/other Pacific Islander (aOR 3.35, 95% CI 2.92–3.84) race; and HIV infection (aOR 3.09, 95% CI 2.84–3.35). Conclusion This study demonstrates the utility of EHR data for understanding TB screening practices and as an important data source that can be used to enhance public health surveillance of LTBI prevalence. Increasing screening among high-risk populations remains an important step toward eliminating TB in the United States. These results underscore the importance of offering TB screening in non-U.S.–born populations. Disclosures All Authors: No reported disclosures


Demography ◽  
2016 ◽  
Vol 53 (4) ◽  
pp. 1051-1084 ◽  
Author(s):  
Lincoln Quillian ◽  
Hugues Lagrange

1964 ◽  
Vol 2 (4) ◽  
pp. 575-577
Author(s):  
Fred G. Burke

Rapid social, economic, and political developments on the continent of Africa since 1950 made it almost impossible for general African Studies Programs in the United States to keep up with new knowledge and events. In order to fill the growing need for more sharply defined Programs, Syracuse University, through the Maxwell Graduate School of Citizenship and Public Affairs, established in September 1962 the East African Studies Program with Dr Fred G. Burke as director.


Author(s):  
Melanie Guldi ◽  
Lucie Schmidt

The US tax and transfer system generates revenue and provides safety net programs that move millions out of poverty. Since women are more likely to live in poverty, they are more likely to qualify for means-tested transfers. The structure of taxation in the United States often penalizes secondary earners, who are usually women. These programs alter work incentives and consequently may affect labor supply decisions. In this chapter, we examine the empirical evidence on the effects of taxes and transfers on the labor supply of women in the United States. We show that much has changed since 1990, with the biggest shift being a change from cash transfers via welfare to refundable tax credits to workers. Overall, the evidence we review shows women have higher labor force participation and are less responsive to changes in after-tax wages than they were before 1990, but the labor supply effects vary substantially by program considered.


2017 ◽  
Vol 6 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Elliot Currie

More than any other ‘Northern’ country, the United States is distinctive in the degree to which its social, economic, and cultural development has been entwined with the global South from the beginning: and we cannot adequately understand the state of crime and punishment in the US without taking that uniquely ‘Southern’ history into account. In this paper, I sketch some of the dimensions of one crucial reflection of that Southern legacy: the extraordinary racial disparities in the experience of violent death between African-Americans and Whites. These disparities contribute substantially to radically different patterns of life and death between the races, and constitute a genuine social and public health emergency. But their structural roots remain largely unaddressed; and in some respects, the prospects for seriously confronting these fundamental inequalities may be receding.


2014 ◽  
Vol 31 (3) ◽  
pp. 319-339
Author(s):  
Rose Uchem

There are some commonalities in the experiences of women, migrants and missionaries.In many cultures of the world marriage makes women leave home, father, mother,brothers, sisters and land “for the sake of the gospel (of love);” though with less assuranceof the manifold blessings and eternal bliss promised the missionary (Mark 10:29).Again like migrants, women leave their own family home and go and make anotherhome in another land. In a few cases, marriage and migration bring improved socialstatus for some though not for others. However, when things go wrong whether in thefamily or in the community women, like migrants, get the blame and the shame fromthe wider population. While always free in theory to go back to their original homes, inreality just as migrants and missionaries, women are not all that free to move at will.Intricate social, economic and psychological ties bind many and limit their options forescape. Against this background and from a gender perspective, this paper examinesthe missiological significance of women’s experiences in a given Nigerian immigrantChristian community in the United States of America.


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