Search results for ""author conor m. dowling""

How partisanship, polarization, and medical authority stand in the way of evidence-based medicineThe U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics.

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How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures--and too few treatments that really work. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation. This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending. It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." The book shows how the government's efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us. Unhealthy Politics offers vital insights not only into health policy but also into the limits of science, expertise, and professionalism as political foundations for pragmatic problem solving in American democracy.

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An insider's look into the largely anonymous volunteers in local party organizations who make decisions in elections with profound implications for American democracy. Although scholars have long recognized that local American parties play an important role in elections, surprisingly little is known about the individuals who lead these typically small, volunteer-based organizations. As David Doherty, Conor M. Dowling, and Michael G. Miller show in Small Power, local party leaders influence the electoral process in myriad ways: They recruit and support candidates, interface with state-wide and federal campaigns, and get out the vote in their communities. Drawing from a survey of over 850 Democratic and Republican local party chairs, a nationally representative sample of voters, and dozens of in-depth interviews, the authors describe how parties are organized, who party chairs are, and how they serve the party. Leveraging novel experiments that illuminate how chairs make choices about which individuals to recruit as candidates--as well as whether those choices reflect voters' preferences--Small Power sheds new light on how seemingly mundane local decisions can shape party goals, influence candidate pipelines, and affect who ends up winning elections. The book therefore offers unprecedented insight into the substantial influence that local parties and their chairpersons are positioned to wield and how they shape American politics.

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