| Literature DB >> 36247081 |
Charley E Willison1, Phillip M Singer2, Melissa S Creary3, Soha Vaziri3, Jerry Stott2, Scott L Greer3.
Abstract
COVID-19 is not the first, nor the last, public health challenge the US political system has faced. Understanding drivers of governmental responses to public health emergencies is important for policy decision-making, planning, health and social outcomes, and advocacy. We use federal political disaster-aid debates to examine political factors related to variations in outcomes for Puerto Rico, Texas, and Florida after the 2017 hurricane season. Despite the comparable need and unprecedented mortality, Puerto Rico received delayed and substantially less aid. We find bipartisan participation in floor debates over aid to Texas and Florida, but primarily Democrat participation for Puerto Rican aid. Yet, deliberation and participation in the debates were strongly influenced by whether a state or district was at risk of natural disasters. Nearly one-third of all states did not participate in any aid debate. States' local disaster risk levels and political parties' attachments to different racial and ethnic groups may help explain Congressional public health disaster response failures. These lessons are of increasing importance in the face of growing collective action problems around the climate crisis and subsequent emergent threats from natural disasters.Entities:
Keywords: disaster response; health policy; health politics; race
Year: 2021 PMID: 36247081 PMCID: PMC9545961 DOI: 10.1002/wmh3.476
Source DB: PubMed Journal: World Med Health Policy ISSN: 1948-4682
Figure 1Congressional 2017 hurricane aid debate participation by state disaster risk
Figure 2Congressional 2017 hurricane aid debate participation by state disaster risk and party ID
Figure 3Partisan federal congressional discourse of 2017 hurricanes
Figure 4Hurricane aid deliberations: Perceptions of responsibility, need for aid, and mood towards response. The figure includes Parent and Child Qualitative Codes. The inner circle is Parent codes or the top‐level codes. The outer circles are the Child Codes paired with the corresponding Parent Code. For example, for the code “Responsibility,” “Responsibility” is the Parent Code and levels of government (Federal, State, Local) are child or subcodes. The figure displays the prevalence of these overlapping or co‐occurring codes for each hurricane. For example, how often does the code for “Federal government” within “Responsibility” occur in a “Mood” that is coded as “Positive”? Perceptions of responsibility include debate discourse over what structures should be responsible for carrying out hurricane responses; Need for aid includes debate discourse over the sufficiency of the response to date in the debates and whether or not there is a need for more aid; Mood towards the response includes whether or not actors in the debates discuss the hurricane response to date as positive, negative, or neutral