DOCSLIB.ORG

THE SURGEON GENERAL and the BULLY PULPIT Michael Stobbe a Dissertation Submitted to the Faculty of the University of North Carol

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
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 Research Hypothesis............................................................................................5 Project Components.............................................................................................5 Literature Review.................................................................................................6 Endnotes...............................................................................................................21 2. METHODS ..........................................................................................................23 Study Design and Data Sources...........................................................................23 Data Management and Analysis ..........................................................................29 IRB and Confidentiality Issues ............................................................................29 Endnotes...............................................................................................................32 3. HISTORY AND CASE STUDIES......................................................................33 How the Surgeon General Gained Power and a Bully Pulpit ..............................33 How the Surgeon General Lost Power, but not His Pulpit ..................................47 Jesse Steinfeld......................................................................................................55 Julius Richmond...................................................................................................67 C. Everett Koop ...................................................................................................80 iii Antonia Novello...................................................................................................99 Joycelyn Elders ....................................................................................................109 David Satcher.......................................................................................................121 Richard Carmona .................................................................................................135 Endnotes...............................................................................................................150 4. ANALYSIS AND DISCUSSION........................................................................177 Survey of Journalists............................................................................................177 Themes.................................................................................................................192 Endnotes...............................................................................................................213 5. PROPOSAL.........................................................................................................216 Discussion............................................................................................................216 A Bill....................................................................................................................226 Endnotes...............................................................................................................229 6. APPENDICES .....................................................................................................231 Consent form for key informants.........................................................................231 Guiding questions for key informants..................................................................234 Fact sheet for key informants...............................................................................236 Salutation and questions for survey participants .................................................239 House bill, “Surgeon General Independence Act” ..............................................243 Senate bill, “Surgeon General Integrity Restoration Act”...................................246 The 1998 bill, “Office of the Surgeon General Sunset Act”................................248 7. REFERENCES ..................................................................................................................253 iv LIST OF TABLES Table 1. Newsworthiness results, larger survey response set ..................................................186 2. Credibility results, larger survey response set ...........................................................186 3. Newsworthiness results, megaphone group respondents...........................................187 4. Credibility results, megaphone groups respondents ..................................................187 v CHAPTER 1 INTRODUCTION 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. BACKGROUND/OVERVIEW U.S. President Theodore Roosevelt once told a friend; “Most of us enjoy preaching, and I’ve got such a bully pulpit.” He was referring to the White House as being a splendid (or “bully”) platform from which to persuade the public. More properly defined, a bully pulpit is a public office of sufficiently high rank that it provides the office holder with an opportunity to speak out and be heard on any matter. The U.S. presidency is a bully pulpit, but there are similar offices in the world of public health. The U.S. Secretary of Health and Human Services has a bully pulpit, to a certain degree, as does the Director of the Centers for Disease Control and Prevention. The U.S. Surgeon General does also. But there’s a difference between the Surgeon General and these other offices, which is highlighted by another Roosevelt quote; “Speak softly and carry a big stick.” The saying is an advisory to leaders to have the resources to enforce their will beyond persuasion. President Bush, the chief executive of the nation, has such ability. U.S. Health and Human Services Secretary Mike Leavitt, who heads one of the largest divisions of the executive branch, commands significant resources as well. CDC Director Julie Gerberding has power, too, overseeing an agency with nearly 9,000 employees and a budget of $8 billion. [1] When Bush, Leavitt and Gerberding speak, their words are backed not only by the prestige of an office but also by their control over significant public health resources. That’s also true of leaders in the business world, in the military and other leadership realms. In those settings, great leaders demonstrate the ability to communicate a mission to their followers and persuade them to accomplish a goal. But though skill at utilizing a bully pulpit is important, it is not absolutely necessary in those settings. The Surgeon General is in a different position. The office of the U.S. Surgeon General was created in 1870 to oversee the Marine Hospital Service, a national hospital system for sailors that is the ancestor of the U.S. Public Health Service. In 1889, the Surgeon General gained the additional responsibility of running the Commissioned Corps, a personnel system of doctors and other professionals that from the beginning was organized along military lines. [2] Commissioned Corps members staffed the hospital service and subsequent federal public health agencies that were created. As the National Institutes of Health, the Food and Drug Administration and the Centers for Disease Control and Prevention came into existence, the Surgeon General was placed in charge
Load more

Recommended publications
  • Cultural Anthropology Through the Lens of Wikipedia: Historical Leader Networks, Gender Bias, and News-Based Sentiment
    Cultural Anthropology through the Lens of Wikipedia: Historical Leader Networks, Gender Bias, and News-based Sentiment Peter A. Gloor, Joao Marcos, Patrick M. de Boer, Hauke Fuehres, Wei Lo, Keiichi Nemoto [email protected] MIT Center for Collective Intelligence Abstract In this paper we study the differences in historical World View between Western and Eastern cultures, represented through the English, the Chinese, Japanese, and German Wikipedia. In particular, we analyze the historical networks of the World’s leaders since the beginning of written history, comparing them in the different Wikipedias and assessing cultural chauvinism. We also identify the most influential female leaders of all times in the English, German, Spanish, and Portuguese Wikipedia. As an additional lens into the soul of a culture we compare top terms, sentiment, emotionality, and complexity of the English, Portuguese, Spanish, and German Wikinews. 1 Introduction Over the last ten years the Web has become a mirror of the real world (Gloor et al. 2009). More recently, the Web has also begun to influence the real world: Societal events such as the Arab spring and the Chilean student unrest have drawn a large part of their impetus from the Internet and online social networks. In the meantime, Wikipedia has become one of the top ten Web sites1, occasionally beating daily newspapers in the actuality of most recent news. Be it the resignation of German national soccer team captain Philipp Lahm, or the downing of Malaysian Airlines flight 17 in the Ukraine by a guided missile, the corresponding Wikipedia page is updated as soon as the actual event happened (Becker 2012.
    [Show full text]
  • 1980 GENERAL ELECTION PRESIDENT & VICE-PRESIDENT Republican Ronald Reagan & George Bush 36,248 Democrat Jimmy Carter & Walter F
    1980 GENERAL ELECTION PRESIDENT & VICE-PRESIDENT republican Ronald Reagan & George Bush 36,248 democrat Jimmy Carter & Walter F. Mondale 29,930 UNITED STATES SENATOR republican Dan Quayle 27,813 democrat Birch Bayh 33,419 GOVERNOR & LT. GOVERNOR republican Bob Orr & John M. Mutz 39,009 democrat John Hillen brand, II & Robert E. Peterson 31,022 ATTORNEY GENERAL republican Linley E. Pearson 31,797 democrat Bob Webster 33,285 SUPERINTENDENT OF PUBLIC INSTRUCTION republican Harold H. Negley 33,151 democrat John Loughlin 29,803 REPORTER OF SUPREME COURT republican MariLou Wertzler 33,081 democrat Phyllis Senegal 30,510 CONGRESS DISTRICT 8 republican Joel Deckard 39,454 democrat Kenneth Snider 29,847 SENATOR DISTRICT 50 republican James R. Harris 17,095 democrat Louise Hennessy 12,982 STATE REPRESENTATIVE DISTRICT 71 republican Elizabeth Sowa 7,447 republican Barton R. Updike 5,616 democrat J. Jeff Hays 13,889 democrat Michael K. Phillips 12,029 STATE REPRESENTATIVE DISTRICT 72 republican Robert L. Rickard, Jr. 17,450 republican Greg Server 28,279 democrat Dennis T. Avery 26,569 democrat Jerrald A. Hume 16,308 STATE REPRESENTATIVE DISTRICT 73 republican Don L. Henry 1,732 democrat Lindel O. Hume 1,545 CLERK OF CIRCUIT COURT republican Helen L. Kuebler 36,155 democrat James McIntyre 30,998 COUNTY TREASURER republican Harry E. Thompson 30,375 democrat Lewis F. Volpe 37,074 COUNTY RECORDER republican Robert W. Steele 32,683 democrat Estella Moss 34,354 COUNTY CORONER republican David Wilson 34,085 democrat Kenneth D. Davis 33,110 COUNTY SURVEYOR republican Richard G. Nussmeyer 31,324 democrat Robert W.
    [Show full text]
  • Suicide Prevention in Georgia: Healing and Hope
    Suicide Prevention in Georgia: Healing and Hope Rosalynn Carter Georgia Mental Health Forum May 21, 2002 Atlanta, Georgia Table of Contents Opening Remarks ................................................................................................................................................................4 Rosalynn Carter A Personal Story: There is a Light at the End of the Tunnel ........................................................................................5 Art Buchwald Using a Public Health Approach to Prevent Suicide........................................................................................................7 Mark Rosenberg, M.D., M.P.P., Executive Director The Task Force for Child Survival and Development Community Leaders Discuss Suicide Prevention Efforts ..............................................................................................12 Moderator: Judy Fitzgerald, M.S.W., Executive Director National Mental Health Association of Georgia Ellyn Jeager, Director of Public Policy and Advocacy National Mental Health Association of Georgia Nancy Rithmire, R.N., Chair, Advisory Committee on Student Health and Achievement Georgia Department of Education Gary Gunderson, M.Div., D.Min., Director, Interfaith Health Program Rollins School of Public Health, Emory University Challenges for Suicide Prevention in the Public Sector ................................................................................................17 Moderator: Judy Fitzgerald, M.S.W., Executive Director National Mental Health
    [Show full text]
  • DOCUMENT RESUME AUTHOR Sayers, Evelyn M., Ed. Indiana
    DOCUMENT RESUME ED 288 803 SO 018 629 AUTHOR Sayers, Evelyn M., Ed. TITLE Indiana: A Handbook for U.S. History Teachers. INSTITUTION Indiana State Dept. of Public Instruction, Indianapolis. SPONS AGENCY Indiana Committee for the Humanities, Indianapolis.; National Endowment for the Humanities (NFAH), Washington, D.C. PUB DATE 87 NOTE 228p. PUB TYPE Guides - Classroom Use Guides (For Teachers) (052) EDRS PRICE MF01/PC10 Plus Postage. DESCRIPTORS American Indian History; Archaeology; *Citizenship Education; Cultural Education; Curriculum Development; Curriculum Guides; Geography Instruction; Instructional Materials; Middle Schools; *Social Studies; State Government; *State History; *United States History IDENTIFIERS *Indiana; Northwest Territories ABSTRACT This handbook was developed to encourage more effective state citizenship through the teaching of state history. Attention is given to geographical factors, politics, government, social and economic changes, and cultural development. The student is introduced to the study of Indiana history with a discussion of the boundaries, topography, and geologic processes responsible for shaping the topography of the state. The handbook contains 16 chapters, each written by an expert in the field. The chapters are: (1) Indiana Geography; (2) Archaeology and Prehistory; (3) The Indians: Early Residents of Indiana, to 1679; (4) Indiana as Part of the French Colonial Domain, 1679-1765; (5) The Old Northwest under British Control, 1763-1783; (6) Indiana: A Part of the Old Northwest, 1783-1800; (7) The Old Northwest: Survey, Sale and Government; (8) Indiana Territory and Early Statehood, 1800-1825; (9) Indiana: The Nineteenth State, 1820-1877; (10) Indiana Society, 1865-1920; (11) Indiana Lifestyle, 1865-1920; (12) Indiana: 1920-1960; (13) Indiana since 1960; (14) Indiana Today--Manufacturing, Agriculture, and Recreation; (15) Indiana Government; and (16) Indiana: Economic Development Toward the 21st Century.
    [Show full text]
  • Smithsonian Miscellaneous Collections
    BULLETIN PHILOSOPHICAL SOCIETY WASHINGTON. VOL. IV. Containing the Minutes of the Society from the 185th Meeting, October 9, 1880, to the 2020! Meeting, June 11, 1881. PUBLISHED BY THE CO-OPERATION OF THE SMITHSONIAN INSTITUTION. WASHINGTON JUDD & DETWEILER, PRINTERS, WASHINGTON, D. C. CONTENTS. PAGE. Constitution of the Philosophical Society of Washington 5 Standing Rules of the Society 7 Standing Rules of the General Committee 11 Rules for the Publication of the Bulletin 13 List of Members of the Society 15 Minutes of the 185th Meeting, October 9th, 1880. —Cleveland Abbe on the Aurora Borealis , 21 Minutes of the 186th Meeting, October 25th, 1880. —Resolutions on the decease of Prof. Benj. Peirce, with remarks thereon by Messrs. Alvord, Elliott, Hilgard, Abbe, Goodfellow, and Newcomb. Lester F. Ward on the Animal Population of the Globe 23 Minutes of the 187th Meeting, November 6th, 1880. —Election of Officers of the Society. Tenth Annual Meeting 29 Minutes of the 188th Meeting, November 20th, 1880. —John Jay Knox on the Distribution of Loans in the Bank of France, the National Banks of the United States, and the Imperial of Bank Germany. J. J. Riddell's Woodward on Binocular Microscope. J. S. Billings on the Work carried on under the direction of the National Board of Health, 30 Minutes of the 189th Meeting, December 4th, 1880. —Annual Address of the retiring President, Simon Newcomb, on the Relation of Scientific Method to Social Progress. J. E. Hilgard on a Model of the Basin of the Gulf of Mexico 39 Minutes of the 190th Meeting, December iSth, 1880.
    [Show full text]
  • House of Delegates Handbook (I-18
    Reference Committee on Amendments to Constitution and Bylaws BOT Report(s) 14 Protection of Physician Freedom of Speech CEJA Report(s) 01* Competence, Self-Assessment and Self-Awareness 02* Study Aid-in-Dying as End-of-Life Option / The Need to Distinguish "Physician-Assisted Suicide" and "Aid- in-Dying" 03* Amendment to E-2.2.1, "Pediatric Decision Making" 04* CEJA Role in Implementing H-140.837, "Anti-Harassment Policy" 05* Physicians' Freedom of Speech Resolution(s) 001 Support of a National Registry for Advance Directives 002* Protecting the Integrity of Public Health Data Collection 003* Mental Health Issues and Use of Psychotropic Drugs for Undocumented Immigrant Children * contained in the Handbook Addendum REPORT OF THE BOARD OF TRUSTEES B of T Report 14-I-18 Subject: Protection of Physician Freedom of Speech (Resolution 5-I-17) Presented by: Jack Resneck, Jr. MD, Chair Referred to: Reference Committee on Amendments to Constitution and Bylaws (Todd M. Hertzberg, MD, Chair) 1 INTRODUCTION 2 3 Resolution 5-I-17, introduced by the American Academy of Pain Medicine (AAPM), consisted of 4 the following proposals: 5 6 RESOLVED, That our American Medical Association strongly oppose litigation challenging 7 the exercise of a physician’s First Amendment right to express good faith opinions regarding 8 medical issues; and be it further 9 10 RESOLVED, That our AMA’s House of Delegates encourage the AMA Litigation Center to 11 provide such support to a constituent or component medical society whose members have been 12 sued for expressing good faith opinions regarding medical issues as the Litigation Center 13 deems appropriate in any specific case.
    [Show full text]
  • Honorary Degree Recipients 1977 – Present
    Board of Trustees HONORARY DEGREE RECIPIENTS 1977 – PRESENT Name Year Awarded Name Year Awarded Claire Collins Harvey, C‘37 Harry Belafonte 1977 Patricia Roberts Harris Katherine Dunham 1990 Toni Morrison 1978 Nelson Mandela Marian Anderson Marguerite Ross Barnett Ruby Dee Mattiwilda Dobbs, C‘46 1979 1991 Constance Baker Motley Miriam Makeba Sarah Sage McAlpin Audrey Forbes Manley, C‘55 Mary French Rockefeller 1980 Jesse Norman 1992 Mabel Murphy Smythe* Louis Rawls 1993 Cardiss Collins Oprah Winfrey Effie O’Neal Ellis, C‘33 Margaret Walker Alexander Dorothy I. Height 1981 Oran W. Eagleson Albert E. Manley Carol Moseley Braun 1994 Mary Brookins Ross, C‘28 Donna Shalala Shirley Chisholm Susan Taylor Eleanor Holmes Norton 1982 Elizabeth Catlett James Robinson Alice Walker* 1995 Maya Angelou Elie Wiesel Etta Moten Barnett Rita Dove Anne Cox Chambers 1983 Myrlie Evers-Williams Grace L. Hewell, C‘40 Damon Keith 1996 Sam Nunn Pinkie Gordon Lane, C‘49 Clara Stanton Jones, C‘34 Levi Watkins, Jr. Coretta Scott King Patricia Roberts Harris 1984 Jeanne Spurlock* Claire Collins Harvey, C’37 1997 Cicely Tyson Bernice Johnson Reagan, C‘70 Mary Hatwood Futrell Margaret Taylor Burroughs Charles Merrill Jewel Plummer Cobb 1985 Romae Turner Powell, C‘47 Ruth Davis, C‘66 Maxine Waters Lani Guinier 1998 Gwendolyn Brooks Alexine Clement Jackson, C‘56 William H. Cosby 1986 Jackie Joyner Kersee Faye Wattleton Louis Stokes Lena Horne Aurelia E. Brazeal, C‘65 Jacob Lawrence Johnnetta Betsch Cole 1987 Leontyne Price Dorothy Cotton Earl Graves Donald M. Stewart 1999 Selma Burke Marcelite Jordan Harris, C‘64 1988 Pearl Primus Lee Lorch Dame Ruth Nita Barrow Jewel Limar Prestage 1989 Camille Hanks Cosby Deborah Prothrow-Stith, C‘75 * Former Student As of November 2019 Board of Trustees HONORARY DEGREE RECIPIENTS 1977 – PRESENT Name Year Awarded Name Year Awarded Max Cleland Herschelle Sullivan Challenor, C’61 Maxine D.
    [Show full text]
  • Sawbones 214: Dr. Joycelyn Elders Published 31St July 2020 Listen Here on Themcelroy.Family
    Sawbones 214: Dr. Joycelyn Elders Published 31st July 2020 Listen here on themcelroy.family Intro (Clint McElroy): Sawbones is a show about medical history, and nothing the hosts say should be taken as medical advice or opinion. It‟s for fun. Can‟t you just have fun for an hour and not try to diagnose your mystery boil? We think you‟ve earned it. Just sit back, relax and enjoy a moment of distraction from that weird growth. You‟re worth it. [theme music plays] Justin: Hello everybody, and welcome once again to Sawbones: a marital tour of misguided medicine. I‟m your cohost, Justin McElroy. It is— Sydnee: I— I‟m Sydnee McElroy. Justin: It‟s such a thrill to be here, Sydnee. Sydnee: You tried to cut me off before I got to introduce myself. Justin: Do you know what‟s sad? Do you know what‟s actually sad? Do you know why I did that? Sydnee: Why? Justin: In my head, I was thinking, “This is sounding good.” That‟s what I was thinking to myself, like, “I‟m in fine voice today.” That‟s what I was thinking, and that kept me from letting you introduce yourself. And I feel guilty about it. Sydnee: Maybe you need to think a little bit more of others than yourself. Justin: You know, this is a great time to be thinking of others, Sydnee, and one of the great ways that people can do that is by thinking of the others that make the podcasts that they love. It‟s Max Fun Drive right now.
    [Show full text]
  • Presidents Worksheet 43 Secretaries of State (#1-24)
    PRESIDENTS WORKSHEET 43 NAME SOLUTION KEY SECRETARIES OF STATE (#1-24) Write the number of each president who matches each Secretary of State on the left. Some entries in each column will match more than one in the other column. Each president will be matched at least once. 9,10,13 Daniel Webster 1 George Washington 2 John Adams 14 William Marcy 3 Thomas Jefferson 18 Hamilton Fish 4 James Madison 5 James Monroe 5 John Quincy Adams 6 John Quincy Adams 12,13 John Clayton 7 Andrew Jackson 8 Martin Van Buren 7 Martin Van Buren 9 William Henry Harrison 21 Frederick Frelinghuysen 10 John Tyler 11 James Polk 6 Henry Clay (pictured) 12 Zachary Taylor 15 Lewis Cass 13 Millard Fillmore 14 Franklin Pierce 1 John Jay 15 James Buchanan 19 William Evarts 16 Abraham Lincoln 17 Andrew Johnson 7, 8 John Forsyth 18 Ulysses S. Grant 11 James Buchanan 19 Rutherford B. Hayes 20 James Garfield 3 James Madison 21 Chester Arthur 22/24 Grover Cleveland 20,21,23James Blaine 23 Benjamin Harrison 10 John Calhoun 18 Elihu Washburne 1 Thomas Jefferson 22/24 Thomas Bayard 4 James Monroe 23 John Foster 2 John Marshall 16,17 William Seward PRESIDENTS WORKSHEET 44 NAME SOLUTION KEY SECRETARIES OF STATE (#25-43) Write the number of each president who matches each Secretary of State on the left. Some entries in each column will match more than one in the other column. Each president will be matched at least once. 32 Cordell Hull 25 William McKinley 28 William Jennings Bryan 26 Theodore Roosevelt 40 Alexander Haig 27 William Howard Taft 30 Frank Kellogg 28 Woodrow Wilson 29 Warren Harding 34 John Foster Dulles 30 Calvin Coolidge 42 Madeleine Albright 31 Herbert Hoover 25 John Sherman 32 Franklin D.
    [Show full text]
  • Selected Highlights of Women's History
    Selected Highlights of Women’s History United States & Connecticut 1773 to 2015 The Permanent Commission on the Status of Women omen have made many contributions, large and Wsmall, to the history of our state and our nation. Although their accomplishments are too often left un- recorded, women deserve to take their rightful place in the annals of achievement in politics, science and inven- Our tion, medicine, the armed forces, the arts, athletics, and h philanthropy. 40t While this is by no means a complete history, this book attempts to remedy the obscurity to which too many Year women have been relegated. It presents highlights of Connecticut women’s achievements since 1773, and in- cludes entries from notable moments in women’s history nationally. With this edition, as the PCSW celebrates the 40th anniversary of its founding in 1973, we invite you to explore the many ways women have shaped, and continue to shape, our state. Edited and designed by Christine Palm, Communications Director This project was originally created under the direction of Barbara Potopowitz with assistance from Christa Allard. It was updated on the following dates by PCSW’s interns: January, 2003 by Melissa Griswold, Salem College February, 2004 by Nicole Graf, University of Connecticut February, 2005 by Sarah Hoyle, Trinity College November, 2005 by Elizabeth Silverio, St. Joseph’s College July, 2006 by Allison Bloom, Vassar College August, 2007 by Michelle Hodge, Smith College January, 2013 by Andrea Sanders, University of Connecticut Information contained in this book was culled from many sources, including (but not limited to): The Connecticut Women’s Hall of Fame, the U.S.
    [Show full text]
  • Sexuality Education for Mid and Later Life
    Peggy Brick and Jan Lunquist New Expectations Sexuality Education for Mid and Later Life THE AUTHORS Peggy Brick, M.Ed., is a sexuality education consultant currently providing training workshops for professionals and classes for older adults on sexuality and aging. She has trained thousands of educators and health care professionals nationwide, is the author of over 40 articles on sexuality education, and was formerly chair of the Board of the Sexuality Information and Education Council of the United States (SIECUS). Jan Lunquist, M.A., is the vice president of education for Planned Parenthood Centers of West Michigan. She is certified as a sexuality educator by the American Association of Sex Educators, Counselors, and Therapists. She is also a certified family life educator and a Michigan licensed counselor. During the past 29 years, she has designed and delivered hundreds of learning experiences related to the life-affirming gift of sexuality. Cover design by Alan Barnett, Inc. Printing by McNaughton & Gunn Copyright 2003. Sexuality Information and Education Council of the United States (SIECUS), 130 West 42nd Street, New York, NY 10036-7802. Phone: 212/819-9770. Fax: 212/819-9776. E-mail: [email protected] Web site: http://www.siecus.org 2 New Expectations This manual is dedicated to the memory of Richard Cross, M.D. 1915-2003 “What is REAL?” asked the Rabbit one day, when they were lying side by side near the nursery fender before Nana came to tidy the room. “Does it mean having things that buzz inside you and a stick-out handle?” “Real isn’t how you are made,” said the Skin Horse.
    [Show full text]
  • Rr714 Sk.Indd
    Research Report Report Number 714, June 2013 Sagebrush Rebellion Part II Analysis of the public lands debate in utah HIGHLIGHTS The federal government owns around 635 million acres, 1 Nearly 67% of the land in Utah is owned by the or 28% of the land comprising the United States. Within federal government, the fourth highest among all 50 states. Utah, nearly 67% of the state’s total acreage, or 35 million The Legislature passed the Transfer of Public Lands Act (TPLA) in 2012, which demands the acres, is owned by the federal government. Throughout the federal government transfer nearly 20 million acres of land by 2015. nation’s history, groups have debated who should control Supporters of the TPLA argue that when Utah became a state, the federal government this land and how it should be managed. In 2012, the promised to “extinguish title” to all federal lands within a timely manner. Because it hasn’t, it has Utah State Legislature passed H.B. 148, which demands put the state at an economic disadvantage, has hurt education funding, and manages the land the United States transfer their title to public lands to the ineffi ciently. State of Utah before December 31, 2014. Opponents of the TPLA argue that Utah agreed to “forever disclaim” all public lands when it Th is research report will explain the history of public lands in the U.S. and Utah, past became a state. They posit that the state was brought into the union under equal footing, there eff orts to transfer the land to state control, the arguments for and against keeping the are economic benefi ts to federal control of the lands under federal ownership, and assess the merits and faults of each argument.
    [Show full text]