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THE SURGEON GENERAL and the BULLY PULPIT Michael Stobbe a Dissertation Submitted to the Faculty of the University of North Carol
THE SURGEON GENERAL AND THE BULLY PULPIT Michael Stobbe A dissertation submitted to the faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the degree of Doctor of Public Health in the Department of Health Policy and Administration, School of Public Health Chapel Hill 2008 Approved by: Ned Brooks Jonathan Oberlander Tom Ricketts Karl Stark Bryan Weiner ABSTRACT MIKE STOBBE: The Surgeon General and the Bully Pulpit (Under the direction of Ned Brooks) This project looks at the role of the U.S. Surgeon General in influencing public opinion and public health policy. I examined historical changes in the administrative powers of the Surgeon General, to explain what factors affect how a Surgeon General utilizes the office’s “bully pulpit,” and assess changes in the political environment and in who oversees the Surgeon General that may affect the Surgeon General’s future ability to influence public opinion and health. This research involved collecting and analyzing the opinions of journalists and key informants such as current and former government health officials. I also studied public documents, transcripts of earlier interviews and other materials. ii TABLE OF CONTENTS LIST OF TABLES.................................................................................................................v Chapter 1. INTRODUCTION ...............................................................................................1 Background/Overview .........................................................................................1 -
THE SURGEON GENERAL and the BULLY PULPIT Michael Stobbe a Dissertation Submitted to the Faculty of the University of North Carol
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Carolina Digital Repository THE SURGEON GENERAL AND THE BULLY PULPIT Michael Stobbe A dissertation submitted to the faculty of the University of North Carolina at Chapel Hill in partial fulfillment of the requirements for the degree of Doctor of Public Health in the Department of Health Policy and Administration, School of Public Health Chapel Hill 2008 Approved by: Ned Brooks Jonathan Oberlander Tom Ricketts Karl Stark Bryan Weiner ABSTRACT MIKE STOBBE: The Surgeon General and the Bully Pulpit (Under the direction of Ned Brooks) This project looks at the role of the U.S. Surgeon General in influencing public opinion and public health policy. I examined historical changes in the administrative powers of the Surgeon General, to explain what factors affect how a Surgeon General utilizes the office’s “bully pulpit,” and assess changes in the political environment and in who oversees the Surgeon General that may affect the Surgeon General’s future ability to influence public opinion and health. This research involved collecting and analyzing the opinions of journalists and key informants such as current and former government health officials. I also studied public documents, transcripts of earlier interviews and other materials. ii TABLE OF CONTENTS LIST OF TABLES.................................................................................................................v Chapter 1. INTRODUCTION ...............................................................................................1 -
Understanding the 2016 Gubernatorial Elections by Jennifer M
GOVERNORS The National Mood and the Seats in Play: Understanding the 2016 Gubernatorial Elections By Jennifer M. Jensen and Thad Beyle With a national anti-establishment mood and 12 gubernatorial elections—eight in states with a Democrat as sitting governor—the Republicans were optimistic that they would strengthen their hand as they headed into the November elections. Republicans already held 31 governor- ships to the Democrats’ 18—Alaska Gov. Bill Walker is an Independent—and with about half the gubernatorial elections considered competitive, Republicans had the potential to increase their control to 36 governors’ mansions. For their part, Democrats had a realistic chance to convert only a couple of Republican governorships to their party. Given the party’s win-loss potential, Republicans were optimistic, in a good position. The Safe Races North Dakota Races in Delaware, North Dakota, Oregon, Utah Republican incumbent Jack Dalrymple announced and Washington were widely considered safe for he would not run for another term as governor, the incumbent party. opening the seat up for a competitive Republican primary. North Dakota Attorney General Wayne Delaware Stenehjem received his party’s endorsement at Popular Democratic incumbent Jack Markell was the Republican Party convention, but multimil- term-limited after fulfilling his second term in office. lionaire Doug Burgum challenged Stenehjem in Former Delaware Attorney General Beau Biden, the primary despite losing the party endorsement. eldest son of former Vice President Joe Biden, was Lifelong North Dakota resident Burgum had once considered a shoo-in to succeed Markell before founded a software company, Great Plains Soft- a 2014 recurrence of brain cancer led him to stay ware, that was eventually purchased by Microsoft out of the race. -
Research Report Report Number 704, November 2011 Nominating Candidates the Politics and Process of Utah’S Unique Convention and Primary System
Research Report Report Number 704, November 2011 Nominating Candidates The Politics and Process of Utah’s Unique Convention and Primary System HIGHLIGHTS For most of its history, Utah has used a convention- g Utah is one of only seven states that still uses a primary system to nominate candidates for elected office. convention, and the only one that allows political parties to preclude a primary election for major In the spring of election years, citizens in small caucus offices if candidates receive enough delegate votes. g Utah adopted a direct primary in 1937, a system meetings held throughout the state elect delegates to which lasted 10 years. represent them at county and state conventions. County g In 1947, the Legislature re-established a caucus- convention system. If a candidate obtained 70% or conventions nominate candidates for races solely within more of the delegates’ votes in the convention, he or she was declared the nominee without a primary. the county boundaries, while the state convention is used g In the 1990s, the Legislature granted more power to the parties to manage their conventions. In 1996, to nominate candidates for statewide offices or those the 70% threshold to avoid a primary was lowered to 60% by the Democratic Party. The Republican that serve districts that span multiple counties. At these Party made the same change in 1999. conventions, delegates nominate candidates to compete g Utah’s historically high voter turnout rates have consistently declined in recent decades. In 1960, for their party’s nomination in the primary election, or, 78.3% of the voting age population voted in the general election. -
The Honorable Orrin Hatch Senator of Utah Senate Finance Committee, Chairman 104 Hart Senate Office Building Washington, DC 20510
The Honorable Orrin Hatch Senator of Utah Senate Finance Committee, Chairman 104 Hart Senate Office Building Washington, DC 20510 July 14, 2015 Dear Senator Hatch, While the undersigned often hold policy views which differ from those currently espoused by the Centers for Medicare & Medicaid Services (CMS), we write collectively to urge the confirmation of Andy Slavitt as CMS Administrator. Mr. Slavitt’s previous professional roles provide the required understanding of health markets and mechanisms, which CMS desperately needs at this time. Absent that perspective, the agency could naturally lean toward an overly prescriptive regulatory construct. Mr. Slavitt is well respected by both ideological camps and can play a constructive role in solving problems. CMS spends more tax payer money than any other federal government agency. The Administrator’s role requires a strong, seasoned executive able to make sound policy and operational judgments. Mr. Slavitt has demonstrated that ability in and out of government, in times of crisis and calm. Congress requires a relationship with the CMS Administrator characterized by civil dialog and candor. Each of us has worked with Mr. Slavitt and believes he is able to communicate and work with Congress constructively. Each of us has served either as Secretary of the United States Department of Health and Human Services, to whom the Administrator of CMS reports, or as Administrator of CMS (acting or confirmed). As former high-level officials at the Department of Health and Human Services, we are uniquely positioned to understand the Administrator’s role. Thank you for considering our views. Each of us is available to members of the Senate or their staffs who wish to have personal conversations related to this confirmation. -
Buying Influence, Selling Death
BuyingBuying Influence,Influence, SellingSelling DeathDeath Campaign Contributions By Tobacco Interests Quarterly Report: October 2004 Campaign Contributions By Tobacco Interests Quarterly Report: October 2004 These quarterly reports provide regular, detailed updates of the tobacco industry's campaign contributions to sitting members of Congress, candidates for federal office, political parties, leadership PACs and other political action committees. Each issue also provides additional information on the tobacco companies' political influence, including analyses of the correlation between these contributions and the tobacco-related legislation that members of the U.S. Congress support. Quarterly Highlights • So far in the 2003-2004 election cycle1, the tobacco industry has given nearly $2.8 million in PAC contributions to federal candidates, political parties and other political action committees. Since 1997, tobacco interests have given more than $28.7 million in political donations to federal candidates, national parties and non-party political action committees. • In the 2003-2004 election cycle to date, tobacco company PACs have donated more than $1.4 million directly to federal candidates.2 Overall, 74 percent of the tobacco PAC contributions went to Republican candidates. In the 2001-2002 election cycle, these PACs donated $2.4 million directly to federal candidates, with 77 percent ($1.8 million) of the total donations going to Republican candidates. • Tobacco PACs have also donated nearly $1.3 million to non-candidate committees so far in the 2003-2004 election cycle. Donations to non-candidate committees include nearly $467,000 to Democratic and Republican party committees, $758,500 to leadership PACs established by individual members of Congress and more than $74,000 to other non-party committees (including PACs associated with a particular issue, industry or ideology). -
2006 Annual Report
years of continuous service to Americans seeking access to quality healthcare million contacts for information & assistance since 1996 donors in 1996 to 577 donors in FY2005/2006 thousand links to the PAF website currently Paf AR 06-07final1004 10/20/06 12:34 PM Page 1 Mission Statement PATIENT ADVOCATE FOUNDATION Patient Advocate Foundation is a national non-profit 501(c)3 organization that serves as an active liaison between the patient and their insurer, employer and/or creditors to resolve insurance, job retention, and/or debt crisis matters relative to their diagnosis through case managers, doctors and healthcare attorneys. Patient Advocate Foundation seeks to safeguard patients through effective mediation assuring access to care, maintenance of employment and preservation of their financial stability. 700 Thimble Shoals Blvd., Suite 200 • Newport News, VA 23606 Tel: (757) 873-6668 • Fax: (757) 873-8999 1.800.532.5274 internet: www.patientadvocate.org • email: [email protected] www.copays.org PAF is a tax exempt 501 (c) (3) non-profit organization Federal Tax ID No. 54-1806317 paf timeline 10/20/06 2:18 PM Page 1 Patient Advocate Foundation...A 10 Year History Nancy Davenport - Ennis and PAF publishes the first volume of John H. Ennis, Jr. found PAF in the “National Financial Resource Anpril 1996. PAF office opens i PAF published it's first full- Guiide: A State by State Directory“ Newport News, VA in a 10'X10' length publication, "The office space Managed Care Answer Guide" PAF hosts the 1st annual PAF hosts the first annual -
The Malheur Occupations and the Hyper-Masculine Drive for Control
The Patriarch and the Sovereign: The Malheur Occupations and the Hyper-Masculine Drive for Control COURTNEY IRONS* On January 2, 2016, a group of armed protestors seized control of the Malheur National Wildlife Refuge. The occupation followed a long tradition of resistance in western states of federal land management policy, but the members took a stricter approach to federalism than most. The group fully rejected federal sovereignty over the land, and in doing so demonstrated a particularly gendered approach to power and government. The purpose of this Note is to explore how the occupier‟s understanding of federalism relates to theories on masculinity. Drawing on statements made during the course of the occupation, news reports, and testimony during the subsequent legal proceedings, this Note will argue the occupiers‟ patriarchal beliefs about masculinity influenced and informed their understanding of federalism with the belief that doing so may help us understand the growing nationalist and extremist views in conservative movements today. * Executive Notes Editor, Colum. J.L. & Soc. Probs., 2017–2018. J.D. Candidate 2018, Columbia Law School. The author would like to thank her advisor Professor Chris- tina Duffy Ponsa for her guidance and feedback, and the staff of the Columbia Journal of Law and Social Problems for all of their helpful comments and hard work. 480 Columbia Journal of Law and Social Problems [51:3 I. INTRODUCTION For forty days in 2016, a group of anti-government protesters occupied the Malheur Wildlife Refuge in Southeastern -
Trump's HHS, CMS Leadership Choices Underscore Focus on ACA Reform
REGULATORY UPDATE LEGISLATION MANUFACTURING QUALITY Brexit: EMA Could Lose Up To Half Its US FDA Getting More Money Up Front FDA’s Revised Quality Metrics Program: Staff If It Has To Move, p. 10 Under Cures Bill Revisions, p. 5 Voluntary Now, Mandatory Later, p. 19 Pharma intelligence Pinkpink.pharmamedtechbi.comSheetVol. 78 / No. 49 December 5, 2016 informa costs, both Tom and Seema will play an in- Trump’s HHS, CMS Leadership Choices tegral role in leading that effort.” Price, a physician and current chairman of the House Budget Committee, has been Underscore Focus On ACA Reform a vocal critic of the ACA. He has sponsored CATHY KELLY [email protected] legislation (HR 2300) that would repeal the law completely and then establish a resident-elect Donald Trump’s choices series of programs designed to broaden to lead HHS and the Centers for Medi- insurance coverage, such as refundable tax Pcare and Medicaid Services demon- credits and high-risk insurance pools. The strate his focus on implementing alterna- legislation would also seek to lower costs tives to the Affordable Care Act – and not through medical liability reforms and fur- just repealing it. ther eliminating fraud and abuse in Medi- The Trump transition team announced care and Medicaid. Nov. 29 that Rep. Tom Price, R-Ga., will be Price’s bill is not generally expected nominated as HHS secretary and a health to serve as the template for a Trump-en- care policy consultant with ties to incom- dorsed attack on the ACA but it shows his ing Vice President Mike Pence, Seema Ver- interest and engagement in developing ma, will be named CMS administrator. -
Constitutional Authority and the History of Acquisition, Disposal, and Retention
Order Code RL34267 Federal Land Ownership: Constitutional Authority and the History of Acquisition, Disposal, and Retention December 3, 2007 Kristina Alexander Legislative Attorney American Law Division Ross W. Gorte Specialist in Natural Resources Policy Resources, Science, and Industry Division Federal Land Ownership: Constitutional Authority and the History of Acquisition, Disposal, and Retention Summary Federal land ownership began when the original 13 states ceded their “western” lands (between the Appalachian Mountains and the Mississippi River) to the central government between 1781 and 1802. Substantial land acquisition in North America via treaties and purchases began with the Louisiana Purchase in 1803 and culminated with the purchase of Alaska in 1867. In total, the federal government acquired 1.8 billion acres in North America. The U.S. Constitution addresses the relationship of the federal government to lands. Article IV, § 3, Clause 2 — the Property Clause — gives Congress authority over federal property generally, and the Supreme Court has described Congress’s power to legislate under this Clause as “without limitation.” The equal footing doctrine (based on language within Article IV, § 3, Clause 1), and found in state enabling acts, provides new states with equality to the original states in terms of constitutional rights, but has not been used successfully to force the divestment of federal lands. The policy question of whether to acquire more, or to dispose of any or all, federal lands is left to Congress to decide. The initial federal policy generally was to transfer ownership of many federal lands to private and state ownership. Congress enacted many laws granting lands and authorizing or directing sales or transfers, ultimately disposing of 1.275 billion acres. -
Regulating Non-Federal Property to Further the Purpose of National Parks and Wilderness Areas, 11 B.C
Boston College Environmental Affairs Law Review Volume 11 | Issue 3 Article 3 4-1-1984 The copS e of Congress’ Constitutional Power Under the Property Clause: Regulating Non- Federal Property to Further the Purpose of National Parks and Wilderness Areas Blake Shepard Follow this and additional works at: http://lawdigitalcommons.bc.edu/ealr Part of the Environmental Law Commons Recommended Citation Blake Shepard, The Scope of Congress’ Constitutional Power Under the Property Clause: Regulating Non-Federal Property to Further the Purpose of National Parks and Wilderness Areas, 11 B.C. Envtl. Aff. L. Rev. 479 (1984), http://lawdigitalcommons.bc.edu/ealr/vol11/iss3/3 This Comments is brought to you for free and open access by the Law Journals at Digital Commons @ Boston College Law School. It has been accepted for inclusion in Boston College Environmental Affairs Law Review by an authorized editor of Digital Commons @ Boston College Law School. For more information, please contact [email protected]. THE SCOPE OF CONGRESS' CONSTITUTIONAL POWER UNDER THE PROPERTY CLAUSE: REGULATING NON-FEDERAL PROPERTY TO FURTHER THE PURPOSES OF NATIONAL PARKS AND WILDERNESS AREAS Blake Shepard* I. INTRODUCTION The National Park System has been heralded as one of the "few unambiguous triumphs of American public policy."l It is com prised of roughly forty-five million acres of predominantly federally-owned land2 that has been removed from the public domain and reserved by Congress for a specific public use.3 The fundamental purpose of the national parks is "to conserve the scenery and the natural and historic objects and the wildlife therein and to provide for the enjoyment of the same in such manner and by such means as will leave them unimpaired for the enjoyment of future generations."4 In recent years, however, the activities of private industries and individuals have threatened to prevent many national parks and other specially protected federal reserves5 from fulfilling their declared purposes. -
Department of Health & Human Services (HHS) Records Provided To
Description of document: Department of Health & Human Services (HHS) records provided to Chairman Darrell Issa, House Oversight and Government Reform Committee, concerning the administration of the Freedom of Information Act (FOIA), 2010-2011 Requested: 10-December-2011 Released date: 07-August-2014 Posted date: 12-October-2015 Source of document: FOIA Request Department of Health and Human Services (HHS) Freedom of Information Officer Hubert H. Humphrey Building, Room 729H 200 Independence Avenue, SW Washington, DC, 20201 Fax: 202-690-8320 Email: [email protected] Note: This is one of several files on the same subject for various agencies available on governmentattic.org. See: http://www.governmentattic.org/5docs/chairmanIssa.htm The governmentattic.org web site (“the site”) is noncommercial and free to the public. The site and materials made available on the site, such as this file, are for reference only. The governmentattic.org web site and its principals have made every effort to make this information as complete and as accurate as possible, however, there may be mistakes and omissions, both typographical and in content. The governmentattic.org web site and its principals shall have neither liability nor responsibility to any person or entity with respect to any loss or damage caused, or alleged to have been caused, directly or indirectly, by the information provided on the governmentattic.org web site or in this file. The public records published on the site were obtained from government agencies using proper legal channels. Each document is identified as to the source. Any concerns about the contents of the site should be directed to the agency originating the document in question.