How do you solve a problem like Maria? The politics of disaster response in Puerto Rico, Florida and Texas

被引:4
|
作者
Willison, Charley E. [1 ]
Singer, Phillip M. [2 ]
Creary, Melissa S. [3 ]
Vaziri, Soha [3 ]
Stott, Jerry [2 ]
Greer, Scott L. [3 ]
机构
[1] Cornell Univ, Dept Populat Med & Diagnost Sci, S2005 Schurman Hall, Ithaca, NY 14850 USA
[2] Univ Utah, Dept Polit Sci, Salt Lake City, UT USA
[3] Univ Michigan, Sch Publ Hlth, Dept Hlth Management & Policy, Ann Arbor, MI 48109 USA
来源
WORLD MEDICAL & HEALTH POLICY | 2022年 / 14卷 / 03期
关键词
disaster response; health policy; health politics; race; RACE;
D O I
10.1002/wmh3.476
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
COVID-19 is not the first, nor the last, public health challenge the US political system has faced. Understanding drivers of governmental responses to public health emergencies is important for policy decision-making, planning, health and social outcomes, and advocacy. We use federal political disaster-aid debates to examine political factors related to variations in outcomes for Puerto Rico, Texas, and Florida after the 2017 hurricane season. Despite the comparable need and unprecedented mortality, Puerto Rico received delayed and substantially less aid. We find bipartisan participation in floor debates over aid to Texas and Florida, but primarily Democrat participation for Puerto Rican aid. Yet, deliberation and participation in the debates were strongly influenced by whether a state or district was at risk of natural disasters. Nearly one-third of all states did not participate in any aid debate. States' local disaster risk levels and political parties' attachments to different racial and ethnic groups may help explain Congressional public health disaster response failures. These lessons are of increasing importance in the face of growing collective action problems around the climate crisis and subsequent emergent threats from natural disasters.
引用
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页码:490 / 506
页数:17
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