Abolitional public health

Reinhart, Eric

doi:10.1016/s0140-6736(23)00817-6

The Lancet

2023

DOI: 10.1016/s0140-6736(23)00817-6

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Abolitional public health

Eric Reinhart

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2023

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Cited by 2 publications

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“…But following the recession that started in 2007 and 2008 and then the temporary resurgence of a social democracy during a pandemic that exposed neoliberal policy as a public health disaster, labor organizing against exploitation and public abandonment has been increasing. Amid growing concern about workforce attrition associated with the demoralization of nurses and physicians in a flailing medical industry shaped by profit rather than ethics, health care workers have become increasingly involved in this revival of labor politics.…”

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The Political Education of US Physicians

Reinhart

2023

JAMA Netw Open

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Since the beginning of Ronald Reagan's presidency, the proportion of workers in the United States who belong to a union has declined by approximately 50%, while income inequality has increased by approximately 20%. 1 Today, just 10% of all US workers are employed in unionized positions. 1 But following the recession that started in 2007 and 2008 and then the temporary resurgence of a social democracy during a pandemic that exposed neoliberal policy as a public health disaster, labor organizing against exploitation and public abandonment has been increasing. Amid growing concern about workforce attrition associated with the demoralization of nurses and physicians in a flailing medical industry shaped by profit rather than ethics, 2,3 health care workers have become increasingly involved in this revival of labor politics.A wave of nurses' strikes and house staff unionization has put this ideological shift front and center in contemporary health care politics. There are now approximately 70 000 physician union members in the US, representing 7% of physicians-a nearly 30% increase relative to a decade ago.Much of this interest in labor movements is likely due to house staff exploitation via high medicaleducation costs, undercompensation, excessive work hours, and an infantilizing hierarchical culture characterized by intensive personality policing under the veneer of racist, misogynistic, and classist

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The Political Education of US Physicians

Reinhart

2023

JAMA Netw Open

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“…Given the focus of medicine on infectious disease prevention in the period of the establishment of public health agencies, medical doctors were naturally selected as leaders for public health. However, the context of the current health care system and the ongoing divide between medicine and public health in the United States suggest that laws that determine the appointment of SHOs may benefit from review 6–9…”

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Laws Governing State Health Official Appointments: A Legal and Historical Review

Yeager,

Silverman,

Halverson

2023

Journal of Public Health Management and Practice

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Objective: The current study presents the legal epidemiological review of State Health Official (SHO) appointment laws, including the evolution of educational and experience requirements of SHOs over time. Findings can inform the discussion about state laws and the substantive, multidisciplinary qualifications essential to successfully leading state public health agencies in the 21st century. Methods: Standard policy surveillance methods were used to collect and assess the statutes governing SHO appointment and eligibility from all 50 states and the District of Columbia between 1995 and 2020. Results: SHOs are most frequently appointed by their jurisdiction's Health Secretary (n = 17), followed by Governor nominations with legislative approval (n = 15), and 13 states where the Governor is the sole SHO appointing authority. While a large majority of jurisdictions require certain professional and/or educational minimum qualifications to serve as an SHO, 11 states have no professional or experiential minimum qualifications. The most common minimum requirement found was possessing a medical degree, which is required in 22 jurisdictions (including Washington, District of Columbia). Twelve of these states require the physician to have additional education or experience, such as the possession of experience in public health (n = 5), experience in both public health and management (n = 3), or holding an additional health-related degree (n = 2). Four states added a medical degree as a requirement for SHOs over the last 25 years, while 5 states removed their medical degree requirement. Conclusions: States should reassess their eligibility requirements for SHO service in light of the advancement and demands of public health leadership in the 21st century, as many states continue to look to those with medical training as the primary source for such leadership.

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Abolitional public health

Cited by 2 publications

References 12 publications

The Political Education of US Physicians

The Political Education of US Physicians

Laws Governing State Health Official Appointments: A Legal and Historical Review

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