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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

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
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As Arizona enters its fifteenth year of drought and Lake Mead hits historic lows, water management and policy planning will become increasingly important to ensure future water security in the Southwestern region of the United States. This thesis compares water demand trends and policies at the municipal level in Phoenix

As Arizona enters its fifteenth year of drought and Lake Mead hits historic lows, water management and policy planning will become increasingly important to ensure future water security in the Southwestern region of the United States. This thesis compares water demand trends and policies at the municipal level in Phoenix and Tucson, Arizona over the time period from 1980-2010. By analyzing gallons per capita per day (GPCD) trends for each city in the context of population growth, drought, and major state and local policies over the twenty year period, reasons for declines in per capita water demand were explored. Despite differences in their available water sources and political cultures, both the City of Phoenix and the City of Tucson have successfully reduced their per capita water consumption levels between 1980 and 2010. However, this study suggests that each city's measured success at reducing GPCD has been more a result of external events (supply augmentation, drought, and differing development trends) rather than conservation and demand reduction regulations adopted under the auspices of the Groundwater Management Act.
ContributorsSnyder, Rachel Claire (Author) / Larson, Kelli (Thesis director) / Hirt, Paul (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / School of Sustainability (Contributor) / School of Politics and Global Studies (Contributor)
Created2015-05
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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

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
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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

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
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Description
Immigration policy in the United States today is complex and far-encompassing. This project aims to present it in an easily accessible way: Through the eyes of those who have experienced its effects in a deeply personal manner. This online project, housed at http://immigrant-experience.com/, includes profiles of four people who have

Immigration policy in the United States today is complex and far-encompassing. This project aims to present it in an easily accessible way: Through the eyes of those who have experienced its effects in a deeply personal manner. This online project, housed at http://immigrant-experience.com/, includes profiles of four people who have immigrated to the United States from other countries. The website includes graphics and multimedia elements, that help to tell their stories. It also provides information about immigration statistics, research and policy. The DREAMer who came to the country as a child, the young Mexican man on a seasonal visa, and the Eritrean refugee share in the immigrant experience, but the effects of U.S. policy on their lives are vastly different. Factors at play include age, education, country of origin and socioeconomic status. These factors are what shape the policy that dictates whether an immigrant can become an American citizen. They are also what make Gloria, Adrian and Azarya's stories so unique. It is a multitude of personal stories that collectively define the immigrant experience. These stories may be drastically different, depending on the country of origin and circumstances of each individual, but some aspects of the experience are shared. The difficulties inherent in uprooting oneself from a familiar community are common to "immigrants" of all shapes and sizes: students moving out of state for college, new hires moving to a new city, parents moving their children into a better neighborhood, etc. Through in-depth profiles of immigrants from a wide variety of backgrounds, this project highlights those shared experiences while showing the diversity of personal stories, challenging contemporary stereotypes about immigrant populations.
ContributorsMiller, Faith Anne (Author) / Rodriguez, Rick (Thesis director) / Manning, Jason (Committee member) / Walter Cronkite School of Journalism and Mass Communication (Contributor) / School of International Letters and Cultures (Contributor) / Department of English (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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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

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