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SPEAAdvance News from the Indiana University Bloomington School of Public and Environmental Affairs MARCH 2018 • V3 N1 INSIDE outgoing students doctoral students and recent graduates on the job market | inside cover asked & answered: highlights of faculty research and outreach | page 1 first person the faculty speak out | page 3 notable around the school | page 7 boldface names | page 14 photo finish | page 17 Advancing Knowledge for the Greater Good outgoingStudents DOCTORAL STUDENTS AND RECENT GRADUATES ON THE JOB MARKET Our Ph.D. students and recent graduates deliver impactful research and thoughtful policy consideration in public affairs, public policy, and environmental science. While they bring diverse academic backgrounds and interests, they are each dedicated to leading for the greater good whether it be in continuing research or educating the next generation. David M. Bredenkamp • Email: [email protected] Research Interests: Public Management, Organizational Behavior, Public Service, Civil Service Employee Attitudes, Human Resources Kellie McGiverin-Bohan • Email: [email protected] Research Interests: Nonprofit Finance and Management, Public and Small Business Finance and Management, Philanthropy, Organizational Theory, Research Methods Maithreyi Gopalan • Email: [email protected] Research Interests: Racial and Socioeconomic Disparities in Student Outcomes, Education Policy, Social Policy, Behavioral Insights for Public Policy, Child Development Hyesong Ha • Email: [email protected] Research Interests: Organizational Theory & Behavior, Organizational Performance, Human Resource Management, Employee Empowerment & Performance Management, Corruption & Ethical Behavior, Program Evaluation & Policy Analysis, Health Policy, Child Support Enforcement (CSE), Education Policy Noah Hammarlund • Email: [email protected] Research Interests: Health Economics and Policy, Applied Machine Learning and Data Science, Clinical Decision Making, Racial Health Disparities Yousueng Han • Email: [email protected] Research Interests: Accountability, Performance Management, Human Resource Management, Organizational Behavior, Public Budgeting Hongseok Lee • Email: [email protected] Research Interests: Public Management, Representative Bureaucracy, Organizational Behavior, Ethical Behavior, Workplace Inclusion Shinwoo Lee • Email: [email protected] Research Interests: Public Management, Public Personnel Management, Organizational Behavior and Theory, Performance Management, Public and Nonprofit Financial Management Pamela Rickly • Email: [email protected] Research Interests: Chemical Kinetics, Photochemistry, Ozonolysis, LabVIEW Applications, Radical Reactions, Urban and Forested Environments, Criegee Intermediates asked answered HIGHLIGHTS OF& FACULTY RESEARCH AND OUTREACH Medicaid Expansion Leads to Increase in Early-Stage Cancer Diagnoses The Affordable Care Act led to an increase in the number of cancer diagnoses – particularly those at early stages – in states where Medicaid was expanded, according to research co- authored by SPEA’s Kosali Simon. The research, published in the American Journal of Public Health, suggests that public health insurance may increase cancer detection, which can lead to fewer cancer deaths and better outcomes for patients. Kosali Simon “Early detection is a key step to reducing cancer mortality, and our findings suggest that Medicaid associate professor in health policy There was no detectable impact expansion under the ACA led to more and management at the University on late-stage diagnoses. The overall and earlier cancer detection,” said the of Pittsburgh; and John Cawley, cancer diagnosis rate increased by 3.4 study’s corresponding author, Aparna professor of policy analysis and percent in Medicaid expansion states, Soni, a doctoral candidate in business management and of economics at compared with non-expansion states. economics and public policy in the IU Cornell University. “These data indicate increases Kelley School of Business. In their study, researchers looked in health coverage lead to increased Previous research by Soni and at cancer registry data from 2010 early detection, which raises the Simon, the Class of 1948 Herman B through 2014 to estimate post-ACA overall diagnosis rate,” Simon Wells Endowed Professor at SPEA, changes in county-level cancer said. “Medical research already found that the Affordable Care Act diagnosis rates, both overall and shows that early cancer diagnosis increased insurance coverage among by stages, in states that expanded is important for increasing the people already diagnosed with cancer. Medicaid in 2014 versus those that probability of successful treatment, Other co-authors of “Effect of did not. Medicaid expansion led to an reducing mortality and controlling Medicaid Expansions of 2014 on increase of 15.4 early-stage diagnoses costs. However, Medicaid expansion Overall and Early-Stage Cancer per 100,000 people, or 6.4 percent, appears to have no effect on the Diagnoses” were Lindsay Sabik, from pre-ACA levels. diagnosis of late-stage cancers.” 1 Using information about patients’ age, tumor location and whether the David Konisky cancer could be screened for, the researchers found that the increase in early-stage diagnoses was largely seen among those age 35 to 54 and with cancers that are easiest to detect. “The fact that the increase in early-stage diagnoses was concentrated in cancers amenable to screening is consistent with the increase resulting from the expansion of health insurance and access to care,” the researchers wrote in the paper. The increase in overall diagnoses was largely driven by increases among those age 45 to 54 and among those with prostate cancer. For example, the likelihood stewardship and practice an ethic of SPEA researcher says that a Christian survey respondent ‘creation care,’ while others believe survey results show expressed a great deal of concern in human dominion over the Earth, a about climate change dropped by belief that undermines any obligation Christians becoming about a third between 1990 and 2015. to protect the environment.” less concerned about The pattern generally holds Konisky said more research is across Catholic, Protestant and needed to determine whether that the environment other Christian denominations and belief in human dominion or some There has been no “greening does not vary depending on levels of other aspect of how people experience of Christianity” among people in religiosity. religion is influencing a reduced the pews, despite efforts by some “This relationship between concern for the environment. religious leaders to emphasize religion and the environment is His study, “The greening of environmental stewardship, significant because of the increasing Christianity? A study of according to new research by SPEA’s importance of climate change,” environmental attitudes over David Konisky. Konisky said. “There may come a time,” was published in the peer- Konisky analyzed 20 years of time when religious leaders and reviewed journal Environmental survey results from Gallup public faith-based organizations generate Politics. opinion polls in one of the first major more interest in protecting the studies of how attitudes about the environment and more willingness to environment by self-identified U.S. demand action, but we haven’t seen it SPEA alums: Meta- Christians have shifted over time. yet.” He found that environmentalism analysis finds The current lack of enthusiasm is not increasing, and there are comes despite high-profile calls for significant evidence signs it is actually in decline. For action such as the encyclical letter on of race- and income- example, Konisky’s analysis of the the environment released by Pope survey responses from 1990 through based urban forest Francis in 2015 and despite initiatives 2015 indicates that Christians, led by Evangelical Protestant inequity. compared to atheists, agnostics, and groups, such as the formation of In two recently published studies individuals who do not affiliate with the Evangelical Environmental by SPEA graduates, Bloomington a religion, are less likely to prioritize Network. Urban Forestry Group researcher Dr. environmental protection over While those efforts are relatively Shannon Lea Watkins (Cal-San economic growth, and they are more recent, Konisky said there is a Francisco) and Dr. Ed Gerrish (U. likely than others to believe global historical divide in how Christians of South Dakota) found significant warming is exaggerated. view their relationship to the planet: evidence of both race- and income- “Some believe in the importance of based urban forest inequity. Race- 2 based inequity was particularly high on public land, where city governments and nonprofits have the most influence. Methodological differences explained some of the variation across original studies. Urban forestry professionals and city governments should consider the equity consequences of urban forestry activities. As cities increasingly invest in urban environmental resources, they have a choice: do they continue a status quo approach that perpetuates a system of environmental injustice, or do they engage underserved communities in environmental protection and in so doing, promote Shannon Lea Watkins and Ed Gerrish environmental and health justice? Given the sensitivity of results to study methodology, authors of future results of 67 original studies that had for variation in methodology, study studies should be thoughtful in estimated the statistical relationship