Public Policy

Unauthorized Disclosure: Judicial Violation of Mental Health Privacy

(Source) Brandon Sharp managed a gas company in East Texas. Healthy, in his thirties, Sharp rarely saw a doctor. And yet he owed thousands of dollars in medical bills. Sharp was the target of medical identity theft, which victimizes tens of thousands of people each year. Thieves steal patient information, including names, Social Security numbers, addresses, and medical histories, and then submit fraudulent insurance claims for surgery and prescriptions. Victims, like Sharp, face more than inconvenience: sometimes police arrest them instead of the thief for insurance fraud, or their information is conflated with the thief’s, leading to misdiagnosis. Contrary to popular opinion, the most common mode of theft is not computer hacking or breaking and entering but unauthorized disclosure by providers. Section 33.13 of New York’s Mental Hygiene Law aims to prevent unauthorized disclosure. It prohibits providers from releasing patient information, specifically mental health records, absent an exception. A mental health record includes “all pertinent documents relating to the patient” about legal status, examination, care, and treatment. However, New York state courts routinely violate Section 33.13. Claimants often sue New York when a patient in a state hospital injures them. In these cases, New York courts have ordered hospitals to [read more]

Supporting the Arts is TAXing: The Difficulty of Establishing Effective Arts Funding Schemes in Creative Cities

(Source) In the United States, the arts and culture industries are massive economic engines. In fact, the arts contribute $763.6 billion to the U.S. economy annually, which is more than both the agricultural and transportation industries. Furthermore, the arts drive job growth and promote cultural tourism in cities across the U.S. This data suggests that, across the nation, the arts contribute value to our communities and “play a meaningful role in our daily lives, including through the jobs we have, the products we purchase, and the experiences we share.” Because the arts are so vital to some state economies, it is important to consider the policies and procedures regarding the funding of this sector. Funding for the arts is a complicated matter due to the breadth of subjects, organizations, and fundraising schemes that fall under the umbrella of the “arts.” From the complex Broadway musical industry with many moving parts to an individual artisan jewelry-making business to nonprofit arts education programs, organizations and artists may face very different operating problems and therefore require different funding schemes. As one commentator noted in an article for Americans for the Arts, “Local Arts Agencies are like snowflakes; no two are exactly alike. Each [read more]

The Price is Wrong

The price is wrong! Bob Barker, you know it! The price—the dollars and cents we pay when we buy animal products—is really wrong.  Meat, eggs, milk, cheese, and all other sorts of animal foods that so many Americans buy so regularly are, in general, shockingly less expensive than market trends would predict. The sorcery of factory farming, fueled by agribusiness subsidies, churns out astonishingly cheap meat.  In Eating Animals, Jonathan Safran Foer writes: “In the past fifty years, as factory farming spread from poultry to beef, dairy and pork producers, the average cost of a new house increased nearly 1,500%; new cars climbed more than 1,400 %; but the price of milk is up only 350%, and eggs and chicken meat haven’t even doubled.  Taking inflation in account, animal protein costs less today than at any time in history.” So animal protein costs less today than at any time in history, but eating animal protein costs more today than at any time in history.  The price Americans pay for eating animal protein—in terms of personal health, public health, environmental and ecological health, the health and safety of factory farm workers, and our moral health—is more expensive than ever. As to [read more]