🚨 NEW REVIEW 🚨 Who participates in the democratic process? Who trusts public institutions? And who turns toward anti-democratic political movements? In a new review for @WHO, we emphasize that people's health is central to these questions. 🧵 1/8

🚨 Excited to share our new article in @AnnualReviews. Working with @kristin_linn, @5harad, @AmolNavathe, and @ravi_b_parikh, we examine the fairness debates of seven prominent and controversial healthcare algorithms.🧵  https://t.co/80Sp6IcqZ3

A “free market” for less expensive health services might improve prices, but it would shut a ton of people out of care. People skip even high-value care when it costs a bit more. Esp. low-income folks. Is our goal just low prices or getting the right care to the right people?

This is a false boogeyman. Both Sanders’s and Warren’s proposals allowed supplemental private coverage. Just like the single-payer systems in the U.K., Spain, etc., do. https://t.co/zNbtE5U5Kl

Source:

What's so interesting is that people on Medicare love it, so much so that they don't want to share it with others.

Uhh, so apropos of nothing, my research looks at how declines in health can drive people to the political extremes. Sometimes those extremes are on the far-right. In a forthcoming work, we find it can happen on the left. Here's a helpful review: https://t.co/eF1WFOyPJu

The use of race in clinical risk models is heavily debated. While race-aware models can be more accurate, some are concerned about reinforcing racialized views of medicine. In our paper in @AnnalsofIM, we offer a new perspective on this debate. 🧵👇 https://t.co/1e8tJ75wVg

Thanks @AdamLBeckman for this 🧵 One of the concerns with pay for performance is that it can distribute payment according to population characteristics as opposed to quality of care for a given population Should we worry less about this in attempts to "pay for equity"? Well...

Reminds me of a few papers: https://t.co/G2fEjgHQ2K https://t.co/PvbodnB2BP

Heads up to faculty: Consider introducing your program's job market candidates in random order or, better, separate tweets. The drop off in views and engagement in long threads is dramatic, so early-alphabet names tend to get more attention!

Lastly, some health politics folks who might be interested: @mayagoldman_ @ddiamond @noahweiland @sarahkliff @katie_thomas @landmanspeaking @dylanlscott @annawmathews @ByJessBartlett @_gaffknee @metraux_julia. Thank you for reading!

This review is a love letter to the health politics community, and I'm so grateful for their work: @onceuponA @povertyscholar @JacobBor @dhopkins1776 @askellyphd @mkruk @OberlanderUNC @SuzanneMettler1 @Julie6446 @aaronsreeves @jwswallace and so, so many more.

Here's our @WHO @OBShealth webinar, where we preview the brief and answer questions about it. https://t.co/jFk7S5UbvX

Link to the brief: https://t.co/eF1WFOyhTW Co-authored with @armenon_memorie. Grateful for @scottlgreer and @Flavia_Topan.

We talk about the limits of causal identification in the review, but health is clearly tied to people's politics. If we want functional, accessible democratic institutions, then we must have a population that is healthy enough to participate in them. 🧵 8/8

Policy makers can engage patient advocacy groups and make it easier for people in poor health to vote. Also, they can support health-promoting policies with universal, easily identifiable benefits. This can create a virtuous cycle — rather than the vicious one we face. 🧵 7/8

What can we do about it? For one, clinicians and health systems can support affirming health care experiences, rebuild trust, and encourage their patients to civically engage. We especially love the example of @AlisterFMartin and @Vot_ER_org. 🧵 6/8

2. Partly due to stigmatizing and demeaning experiences, people in poor health trust the health system, public institutions, and democracy less. 3. As a result, people in poor health are more likely to gravitate toward anti-establishment populist parties. 🧵 5/8

1. People in poor health are much less likely to vote, but they engage in politics in other ways, like signing petitions and writing letters. Patient advocacy groups are especially helpful in politically engaging this population. We love the example of @eupatientsforum. 🧵 4/8

As a result, health may be a powerful influence on people's political preferences and behaviors. We reviewed over 170 articles on the topic, ranging from political science to economics to public health. We summarized the literature in a few key points. 🧵 3/8