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Each of the three essays in this dissertation examine an aspect of health or health care in society. Areas explored within this dissertation include health care as a public value, proscriptive genomic policies, and socio-technical futures of the human lifespan. The first essay explores different forms of health care systems

Each of the three essays in this dissertation examine an aspect of health or health care in society. Areas explored within this dissertation include health care as a public value, proscriptive genomic policies, and socio-technical futures of the human lifespan. The first essay explores different forms of health care systems and attempts to understand who believes access to health care is a public value. Using a survey of more than 2,000 U.S. citizens, this study presents statistically significant empirical evidence regarding values and other attributes that predict the probability of individuals within age-based cohorts identifying access to health care as a public value. In the second essay, a menu of policy recommendations for federal regulators is proposed in order to address the lack of uniformity in current state laws concerning genetic information. The policy recommendations consider genetic information as property, privacy protections for re-identifying de-identified genomic information, the establishment of guidelines for law enforcement agencies to access nonforensic databases in criminal investigations, and anti-piracy protections for individuals and their genetic information. The third and final essay explores the socio-technical artifacts of the current health care system for documenting both life and death to understand the potential for altering the future of insurance, the health care delivery system, and individual health outcomes. Through the development of a complex scenario, this essay explores the long-term socio-technical futures of implementing a technology that continuously collects and stores genetic, environmental, and social information from life to death of individual participants.
ContributorsWade, Nathaniel Lane (Author) / Bozeman, Barry (Thesis advisor) / Sarewitz, Daniel (Committee member) / Cook-Deegan, Robert (Committee member) / Arizona State University (Publisher)
Created2019
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Many different levels of government, organizations, and programs actively shape the future of energy in Arizona, a state that lacks a comprehensive energy plan. Disparate actions by multiple actors may slow the energy policy process rather than expedite it. The absence of a state energy policy or plan raises questions

Many different levels of government, organizations, and programs actively shape the future of energy in Arizona, a state that lacks a comprehensive energy plan. Disparate actions by multiple actors may slow the energy policy process rather than expedite it. The absence of a state energy policy or plan raises questions about how multiple actors and ideas engage with state energy policy development and whether the absence of a comprehensive state plan can be understood. Improving how policy development is conceptualized and giving more focused attention to the mechanisms by which interested parties become involved in shaping Arizona energy policy. To explore these questions, I examine the future energy efficiency. Initially, public engagement mechanisms were examined for their role in policy creation from a theoretical perspective. Next a prominent public engagement forum that was dedicated to the topic of the Arizona's energy future was examined, mapping its process and conclusions onto a policy process model. The first part of this thesis involves an experimental expert consultation panel which was convened to amplify and refine the results of a public forum. The second part utilizes an online follow up survey to complete unfinished ideas from the focus group. The experiment flowed from a hypothesis that formal expert discussion on energy efficiency policies, guided by the recommendations put forth by the public engagement forum on energy in Arizona, would result in an increase in relevance while providing a forum for interdisciplinary collaboration that is atypical in today's energy discussions. This experiment was designed and evaluated utilizing a public engagement framework that incorporated theoretical and empirical elements. Specifically, I adapted elements of three methods of public and expert engagement used in policy development to create a consultation process that was contextualized to energy efficiency stakeholders in Arizona and their unique constraints. The goal of the consultation process was to refine preferences about policy options by expert stakeholders into actionable goals that could achieve advancement on policy implementation. As a corollary goal, the research set out to define implementation barriers, refine policy ideas, and operationalize Arizona-centric goals for the future of energy efficiency.
ContributorsBryck, Drew (Author) / Graffy, Elisabeth A. (Thesis advisor) / Dalrymple, Michael (Committee member) / Miller, Clark (Committee member) / Arizona State University (Publisher)
Created2013
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Description
The roles of American Universities/colleges assets, knowledge and partnerships with local governments during disasters and emergencies become more important but have not been emphasized sufficiently in the scholarship community. Universities/colleges have provided disaster services in partnership with local government through different ways: providing facilities and logistical support (e.g., disaster

The roles of American Universities/colleges assets, knowledge and partnerships with local governments during disasters and emergencies become more important but have not been emphasized sufficiently in the scholarship community. Universities/colleges have provided disaster services in partnership with local government through different ways: providing facilities and logistical support (e.g., disaster sheltering), critical knowledge support (e.g., disaster information forecasting), and human resources and special expertise support (e.g., university hospitals and voluntary work of nursing and medical students/faculty). Through 34 interviews with emergency managers from both universities/colleges and local governments, and a national survey of 362 university emergency managers, this dissertation finds that: First, previously established partnerships between universities/colleges and local governments can reduce coordination costs when disasters happen and can facilitate new partnerships on disaster preparedness. Second, local government capacity gap in responding to disaster needs is a critical precondition for universities/colleges to participate in the disaster service co-provision, which is not specified or examined by other co-production, co-creation, or co-management theories. Third, internal coordination efforts within universities/colleges can facilitate external coordination activities with local governments to guarantee efficient disaster service provision. Fourth, a disaster resilience culture needs to be facilitated within universities/colleges to develop a robust disaster response plan. Furthermore, first response providers’ health and wellbeing should get more attention from universities and local governments to maintain a sustainable and healthy workforce as well as efficient disaster response.
ContributorsYu, Suyang (Author) / Welch, Eric (Thesis advisor) / Bozeman, Barry (Committee member) / Gerber, Brian (Committee member) / Sapat, Alka (Committee member) / Arizona State University (Publisher)
Created2023
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Description
Research and Development (R&D) tax credits are one of the most widely adopted policies state governments use to incentivize R&D spending by firms operating in a state. R&D spending is associated with increases in firm productivity, innovation, and higher wages. However, most studies into these tax credits examine only the

Research and Development (R&D) tax credits are one of the most widely adopted policies state governments use to incentivize R&D spending by firms operating in a state. R&D spending is associated with increases in firm productivity, innovation, and higher wages. However, most studies into these tax credits examine only the effect the credit has on firm-based R&D spending and assume the increases in R&D spending mean states are receiving the social and economic benefits endogenous growth theory predicts. This dissertation connects R&D tax credits with the expected outcomes of R&D spending increases to evaluate the efficacy of the tax credits. Specifically, the dissertation connects R&D tax credits to the movement of researchers between states, innovative activity, and state fiscal health. The study uses a panel of U.S. PhD graduates and a fixed-effects linear probability model to show R&D tax credits have a small but statistically significant impact on PhDs moving to states that have the tax credit. Using a structural equation model and a latent innovation variable, the dissertation shows R&D tax credits have a small but significant impact on innovative activity mediated by R&D spending. Finally, the dissertation examines the effect of R&D tax credits on a state’s short- and long-run fiscal health by using a distributed lag model to illustrate R&D tax credits are associated with decreases with fiscal health.
ContributorsSelby, John David (Author) / Bretschneider, Stuart (Thesis advisor) / Bozeman, Barry (Committee member) / Siegel, Don (Committee member) / Swindell, David (Committee member) / Arizona State University (Publisher)
Created2020