This blog serves my Public Policy Process course (Claremont McKenna College Government 116) for the fall of 2021.
About the Blog
I shall post videos, graphs, news stories, and other material. We shall use some of this material in class, and you may review the rest at your convenience. I encourage you to use the blog in these ways:
--To post questions or comments about the readings before we discuss them in class;
--To follow up on class discussions with additional comments or questions.
--To post relevant news items or videos.
There are only two major limitations: no coarse language, and no derogatory comments about people at the Claremont Colleges. This blog is on the open Internet, so post nothing that you would not want a potential employer to see.
During the last two weeks of the course, you will each make an oral presentation on your proposal. They will be seven minutes, maximum, including time for questions and answers. You may use PowerPoint for graphs and data, but not simply for repetition of what you are saying.
Vice President Harris and I look forward to having a formal signing ceremony for this bipartisan infrastructure soon. Because — but everybody is not — I’m not doing it this weekend because I want people who worked so hard to get this done — Democrats and Republicans — to be here when we sign it.
But we’re looking more forward to having shovels in the ground to begin rebuilding America.
Infrastructure has the benefit of for every dollar you spend on infrastructure, you get a dollar and a half in stimulus because there are ripple effects from building roads or bridges or sewer lines. But the problem is, is that spending it out takes a long time, because there's really nothing -- there's no such thing as shovel-ready projects.
A farmer went out to sow his seed. As he was scattering the seed, some fell along the path, and the birds came and ate it up. Some fell on rocky places, where it did not have much soil. It sprang up quickly, because the soil was shallow. But when the sun came up, the plants were scorched, and they withered because they had no root. Other seed fell among thorns, which grew up and choked the plants. Still other seed fell on good soil, where it produced a crop—a hundred, sixty or thirty times what was sown. Whoever has ears, let them hear.
Infant Mortality in the United States, 1915-2017: Large Social Inequalities have Persisted for Over a Century "The IMR in the US showed a consistently downward trend between 1915 and 2000, with the rate declining from 99.9 per 1,000 live births in 1916 to 6.9 in 2000, at an impressive pace of 3.1% per year (Figure 2). However, between 2001 and 2017, the IMR declined more slowly from 6.8 in 2001 to 5.8 in 2017, at an annual rate of 1.3%."
Aid to Dependent Children (later AFDC, aka "welfare");
Public health.
1945: In a special message to Congress, President Harry Truman proposes a comprehensive, prepaid medical insurance plan for all people through the Social Security system.
1963: Mollie Orshansky publishes the first version of poverty thresholds, which would become the "poverty line."
1972: Medicaid Eligibility for Elderly, Blind, and Disabled Individuals Linked to Supplemental Security Income (SSI) Eligibility. Provides a uniform baseline income for eligibility to Medicaid, in conjunction with eligibility for SSI.
1982: Arizona: The Last State to Opt into Medicaid and the First with Statewide Managed Care
2010: Obama signs the Patient Protection and Affordable Care Act (ACA), for the first time prohibiting health insurance companies from denying or charging more for coverage based on an individual’s health status, providing for expansion of the Medicaid program, and subsidies for insurance purchased through State-based Marketplaces to ensure that private insurance is affordable.
Financial Incentives and Other Nudges Do Not Increase COVID-19 Vaccinations among the Vaccine Hesitant
Can financial incentives, public health messages and other behavioral nudges –approaches deployed by state and local governments, employers, and health systems – increase SARS-CoV-2 vaccination rates among the vaccine hesitant in the US? In mid-2021, we randomly assigned unvaccinated members of a Medicaid managed care health plan to $10 or $50 financial incentives, different public health messages, a simple appointment scheduler, or control to assess impacts on SARS-CoV-2 vaccination intentions and vaccine uptake within 30 days of intervention. While messages increased vaccination intentions, none of the treatments increased overall vaccination rates. Consistent with backlash concerns, financial incentives and negative messages decreased vaccination rates for some subgroups. Financial incentives and other behavioral nudges do not meaningfully increase SARS-CoV-2 vaccination rates amongst the vaccine hesitant.
Thirumurthy, Harsha and Milkman, Katherine L. and Volpp, Kevin and Buttenheim, Alison and Pope, Devin G., Association Between Statewide Financial Incentive Programs and COVID-19 Vaccination Rates (August 27, 2021). Available at SSRN: https://ssrn.com/abstract=3912786 or http://dx.doi.org/10.2139/ssrn.3912786
To encourage COVID-19 vaccination, many states in the US have introduced financial incentives ranging from small, guaranteed rewards to lotteries that give vaccinated individuals a chance to win $1 million or more. We compiled information on statewide incentive programs along with data on daily vaccine doses administered per 100,000 individuals in each state. Leveraging variation across states in the daily presence of incentives, we used difference-in-differences regressions to examine the association between these incentive program indicators and vaccination rates. Difference-in-differences analysis showed that 24 statewide incentive programs were associated with a non-significant relative decline in daily vaccination rates of 8.9 per 100,000 individuals (95% CI [-64.3,46.5]; p=0.75). Furthermore, there was no significant difference in vaccination trends between states with and without incentives in any of the 14 days before or after incentives were introduced. Lotteries and other incentives offered by 24 states were not associated with a significant change in COVID-19 vaccination rates. More substantial incentives or mandates may be necessary to raise vaccination rates.
James Q. Wilson, Bureaucracy (New York: Basic Books, 1989), ch. 9, cited in Schuck, 323-324
Outputs: what employees do on a day-to-day basis.
Outcomes: how the world changes because of the outputs
Outputs
are visible to managers
are hard for managers to see
Outcomes are
easy to measure
productionorganization
(tax system) simple repetitive stable tasks; specialized skills. Easy to stress measurable outputs & outcomes over hard-to-measure (satisfaction)
craft organization
(Forest Service, wartime military) application of general sets of skills to unique tasks, but with stable, similar outcomes. Relies heavily on ethos and sense of duty of workers.
are hard to measure
procedural organizations
(OSHA, peacetime military -- see Powell passage below) specialized skills; stable tasks, but unique outcomes. SOPs are especially important
coping organization
(colleges, police departments) application of generic skills to unique tasks, but outcomes cannot be evaluated in absence of alternatives. "
If, for example, you are going to judge me on AWOL rates, I’m going to send a sergeant out by 6:30 a.m. to bloodhound the kid who failed to show up for 6:00 a.m. reveille. The guy’s not considered AWOL until midnight. So drag him back before then and keep that AWOL rate down. I vigorously set out to better every indicator by which my brigade was statistically judged. And then went on to do the things that I thought counted.
In episode 42, members of the Soprano crime family meet Chief Doug Smith, a sleazy casino operator.
SIL: No offense, chief, but, uh... you don't look much like an Indian. SMITH: Frankly I passed most of my life as white, until I had a racial awakening and discovered my Mohonk blood. My grandmother on my father's side, her mother was a quarter Mohonk. TONY: And all this happened when the casino bill got passed, right? SMITH: Better late than never.
In chapter 11, Schuck lists a number of policy successes. Having read Stone, you know that one person's success story is another person's horror story. Explain an alternative frame for one of Schuck's policy successes, showing how a critic would take a dimmer view. Which side would you agree with?
Pick an example of policy feedback since the 2016 election. Explain how an existing policy has created the political conditions for its own survival, growth, decay, or evolution. Examples could include the Affordable Care Act, renewable energy, Head Start, SNAP, SSI, and farm subsidies -- among many others.
Pick any chapter of Responsive States and write an update. That is, how have the patterns that Karch and Rose describe persisted or changed in recent years? Do shifts in the partisan composition of state governments require revision of the analysis?
Write an essay on any relevant policy topic, subject to my approval.
Turn in essays to the class Sakai dropbox by 11:59 PM, Friday, November 12. I reserve the right to dock late essays one gradepoint for one day’s lateness, a full letter grade after that.