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- Creators: School of Life Sciences
Description
Healthcare systems and health insurance are both concepts implemented in every country to provide access to the general population. Countries undergo healthcare reforms in order to increase the performance of the system. In 2010, the Affordable Care Act (ACA) was introduced in the United States to increase coverage and create a more inclusive health insurance market. For comparison, the recent reforms in Chile and Singapore were observed as points to determine what concepts work well and what can be implemented in the U.S. system. Unlike the United States, Chile and Singapore completely altered the system that was previously in use. In Chile, the reforms began in the 1970s and made two more major changes in 1973 and early 2000s. Singapore began its reform in the 1960s and created the medical savings account system that is still in use today. To analyze the system further, the medical professions of neurology, physician assistants and optometry were compared in each country. In regards to neurology, the coverage of services in Chile and Singapore are similar in that select medical procedures are covered. In contrast, the United States offers coverage on a case-by-case basis. For physician assistants, such a profession does not exist in Chile or Singapore. In the United States, the profession is rapidly expanding, and coverage is offered for most services provided. Optometry is a stand-alone profession in both the U.S. and Singapore. The services provided by the optometrists are selectively covered by insurance, depending on whether it is considered a medical problem. Chile covers the services often provided by optometrists, however, the ophthalmologist is the provider, as optometry does not exist. This study concluded that the U.S. should continue to provide a more inclusive healthcare system that includes vision and dental care. The U.S., like Singapore, should also adopt a more integrative system. Under this system, patient care would be provided in a way that professionals specializing in the care are included in every step of the process.
ContributorsLa, Jenny (Co-author) / Feruj, Farihah (Co-author) / Morrison, Sarah (Co-author) / Gaughan, Monica (Thesis director) / Essary, Alison (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2015-05
Description
This paper describes a mixed methods investigation of undergraduate mental health support practices at Arizona State University (ASU), as well as an outside look at peer and other leading institutions. Methods employed in this study include: ASU undergraduate student survey to assess perception of resources provided by ASU and the likelihood to disclose physical and mental health conditions, key informant interviews to understand ASU mental health support from the perspective of those who implement support measures, participant observation of study abroad events that provide resources to prospective and pre-departure students, and a document review of the study abroad website from peer and other institutions. The target population of this study is undergraduate students who participate or plan to participate in study abroad programs across the United States. The sample population for the undergraduate student survey is undergraduate students at ASU, as well as sixteen institutions for the document review. Significant findings from the research include student concerns about financial and academic barriers to study abroad, as well as a greater likelihood to disclose physical health conditions rather than mental health conditions due to fear of stigma or of being a burden to program coordinators. Additionally, it was found that there is a separation between available resources and student awareness and use of these resources. ASU can work to remedy this disconnect by explicitly presenting easily accessible resource information on the website and in pre-departure materials, as well as addressing mental health awareness abroad in an inclusive manner towards all students in addition to those with pre-existing mental health conditions. Overall, more work should be done to fulfill the vision of comprehensive mental health support at ASU.
ContributorsThuraisingam, Aryanna Devi (Author) / Gaughan, Monica (Thesis director) / Henry, Adam (Committee member) / Hart, Dan (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
In 2014, we are seeing change on social issues such as same-sex marriage and marijuana legalization at a rate that is visibly faster than major social issues of the past. Statistics show that these issues are fan-favorites with the millennial generation, while also showing that this same group overwhelmingly dominates popular online platforms, a major tool that social issues of the past lacked. This study aims to examine whether or not there is a correlation between the online presence of millennials, the coverage by the media, and the policy-making decisions by legislators. With that idea in mind, perhaps we can prove that millennials have the ability to set the stage for social change. The instantaneous supply and demand of the Internet has created a climate where responses to our questions and ideas are expected faster than ever. By better understanding the dynamics of the relationships between these three groups, perhaps we can find solutions for creating change faster and more effectively.
ContributorsAndersen, Kelly Carina (Author) / Lodato, Mark (Thesis director) / Brown, Aaron (Committee member) / Barrett, The Honors College (Contributor) / Walter Cronkite School of Journalism and Mass Communication (Contributor) / School of Human Evolution and Social Change (Contributor)
Created2014-05
Description
In 2007, the Center for Biological Diversity (CBD) petitioned the United States Fish and Wildlife Service (USFWS) and the California Department of Fish and Wildlife (CDFW) to list the American pika (Ochotona princeps) as an endangered species. After several petition denials, the petition was evaluated during both 90-day, and 12-month reviews. Ultimately, both petitions were denied and the pika was not given protection under the Endangered Species Act (ESA). During the petitioning years, 2007 through 2013, there were many newspaper publications, press releases, and blog entries supporting the listing of the pika. Information published by these media ranged from misleading, to scientifically inaccurate. The public was swayed by these publications, and showed their support for listing the pika during the public comment period throughout the 12-month status review in California. While the majority of the public comments were in favor of listing the pika, there were a few letters that criticized the CBD for making a poster child out of a "cute" species. During the 12-month status review, the CDFW contacted pika experts and evaluated scientific literature to gain an understanding of the American pika's status. Seven years after the original petition, the CDFW denied listing the pika on the grounds that the species is not expected to become extinct in the next few decades. This case serves as an example where a prominent organization, the CBD, petitions to list a species that does not warrant protection. Their goal of making the pika the face of climate change failed when species was examined.
ContributorsBasso, Samantha Joy (Author) / Smith, Andrew (Thesis director) / Minteer, Ben (Committee member) / Angilletta, Michael (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2014-05
Description
A comprehensive review of the managed retreat literature reveals mixed feelings towards the legality, practicality and cost of the policy action as a way to react to rising sea level and coastal erosion. Existing research shows increasing costs of severe storm damage borne to insurance companies and private citizens, furthering the need for long-term policy actions that mitigate the negative effects of major storms. Some main policy actions are restricting development, strategically abandoning infrastructure, funding buyout programs, utilizing rolling easements, and implementing a variety of protective structures. These policy actions face various problems regarding their feasibility and practicality as policy tools, including wavering public support and total costs associated with the actions. Managed retreat specifically faces public scrutiny, as many coastal property owners are reluctant to retreat from the shore. This paper will use examples of managed retreat in other countries (Netherlands, Belgium, and France) to develop plans for specific municipalities, using their models, costs and successes to generate in-depth policy plans and proposals. When observing Clatsop County, Oregon and assessing its policy options, its established that the best policy option is a combination of beach nourishment and Controlled Reduced Tides. This paper analyzes several features of the county, such as the importance of its coastal economic activity and its geographical makeup, to decide what policy actions would be best to mitigate its risk from sea level rise and flood damages. The process used to determine the best course of action for Clatsop County can be replicated in other municipalities, although the resulting policies will obviously be unique to the area.
ContributorsBarry, Matthew John (Author) / Wells, David (Thesis director) / Bennett, Ira (Committee member) / School of Public Affairs (Contributor) / Department of Economics (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
This thesis examines the current state of intervention in developing countries that are suffering from human rights abuses, mass killings, and/or politicide. The first part of this thesis will be a brief examination of present-day United States intervention efforts in order to understand the decision making and reconstruction process within the status quo. This will also be done by looking at the global community´s preferred form of intervention and how the United States aligns with these standards such as those represented in the Responsibility to Protect. Secondly, this thesis aims to remodel the reconstruction process in order to conceptualize the addition of mental health first aid. This will be presented by first analyzing the importance of mental health aid and then looking at the specific diagnoses that concatenate with trauma. This thesis argues that current reconstruction efforts are insufficient without the implementation of psychological aid. Without adding psychological aid, countries are more likely to return to cycles of violence that were present pre-intervention. Public policy should change to include aiding civilians, not only physically, economically, or militarily, but also by including psychological aid. Implementing behavior health specific aid in developing countries may potentially be the missing component to lasting change that countries need in order to sustain political sovereignty and support community efforts to rebuild. This research, therefore, aims to bridge important gaps between United States intervention efforts, public policy and mental health.
ContributorsSior, Destinee (Author) / Thomas, George (Thesis director) / Ripley, Charles (Thesis director) / School of Politics and Global Studies (Contributor) / School of Public Affairs (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
Despite cryptocurrencies exploding in popularity over the past decade, the US government has engaged very little with them and their underlying technology, blockchain. This discrepancy between widespread use and a lack of regulation has constructed a murky environment remarkably profitable to criminal actors and even some nation-states. In particular, the blockchain's technical characteristics are being exploited to financially incentivize ransomware, theft, sanctions evasion, espionage and more. Through a critical examination of its history and applications, this thesis explores how blockchain technology undermines deterrence efforts and poses serious national security threats.
ContributorsGrossman, Daniel (Author) / Schmidle, Robert (Thesis director) / Whittaker, Scott (Committee member) / Anderson, Ian (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2022-12