scholarly journals Casinos and Economic Growth: An Update

2013 ◽  
Vol 7 (2) ◽  
pp. 80-87 ◽  
Author(s):  
Douglas M Walker
Keyword(s):  
United States ◽  
Economic Growth ◽  
State Government ◽  
Negative Impact ◽  
Relevant Literature ◽  
National Level ◽  
State Level ◽  
The United States ◽  
Casino Industry ◽  
Causality Model

As U.S. politicians and voters continue to grapple with the slower-than-expected recovery from the 2007-09 recession, the legalization (or expansion) of commercial casinos has become an increasingly popular policy. Casinos are politically popular because the state government legalizes them, and can thus create a new industry which pays high taxes and may stimulate employment and economic development. Despite the fact that casinos are now widespread in the United States – there are around 1,000 commercial and tribal casinos – the empirical evidence on their economic impacts is still negligible.In two previous studies ( we have tested the relationship between state-level casino revenues and per capita income (i.e., economic growth) to provide evidence on whether or not casinos have a positive economic impact on states’ economies. We have utilized a Granger causality model modified for use with panel data. Our initial evidence, from a paper published in 1998, indicated that casinos do Granger cause economic growth. However, when we re-tested the model using up-to-date data (at the time, through 2005), we found no significant results. The casino industry has grown extensively since 2005, and although the recession of 2007-09 had a negative impact on the casino industry, the national-level revenue numbers are again climbing.We extend our previous analyses in order to provide updated evidence on the economic growth impact of commercial casinos in the United States. Section 2 provides a more detailed background of our previous analysis and an overview of other relevant literature. Section 3 describes the data and model, and provides the results. Section 4 is a discussion and conclusion. 

Peak Car Travel in the United States: Two-Decade-Long Phenomenon at the State Level

2015 ◽  
Vol 2531 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Timothy J. Garceau ◽  
Carol Atkinson-Palombo ◽  
Norman Garrick
Keyword(s):  
United States ◽  
Economic Growth ◽  
State Level ◽  
Developed Countries ◽  
The United States ◽  
The State ◽  
Economic Consequences ◽  
National Scale ◽  
Peak Car ◽  
Car Travel

Peak car travel is an international phenomenon that became evident in the United States on a national scale in 2004. Potentially related to peak car travel is the decoupling of economic growth from driving levels. A wealth of research has addressed these phenomena on a national scale in the United States and other developed countries. Yet few studies have been undertaken on other geographic scales, especially the statewide scale in the United States. This study investigated U.S. state-level driving and economic patterns from 1980 to 2011 to understand occurring changes. The research results showed that peak car travel first occurred at the state level as early as 1992 in Washington State, whereas another 10 states peaked in 2000. By 2011, 48 of the 50 states had peaked. The longevity of this phenomenon at the state level provided evidence that peak car travel in the United States was a more permanent phenomenon than previously thought. In addition, the decoupling of economic growth from driving was evident at the state level. In the 1980s, these indicators were positively correlated at the state level. A significant change occurred by the 2000s, however, when any significant connection ceased for most states. For four of the earliest peak car travel states, the relationship between economic growth and driving turned negative. This finding showed that decreases in driving were not associated with negative economic consequences. Rather, in several states, driving reductions were now associated with increased, rather than decreased, economic growth.

scholarly journals Evaluating Surveillance for and Estimating Administration of Rabies Postexposure Prophylaxis in the United States, 2012–2018

2021 ◽  
Vol 15 (10) ◽  
pp. e0009878
Author(s):  
Erin R. Whitehouse ◽  
Marissa K. Person ◽  
Catherine M. Brown ◽  
Sally Slavinski ◽  
Agam K. Rao ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
National Level ◽  
State Level ◽  
The United States ◽  
Surveillance Data ◽  
Human Rabies ◽  
Accurate Assessment ◽  
Postexposure Prophylaxis ◽  
Ed Visits

Background An evaluation of postexposure prophylaxis (PEP) surveillance has not been conducted in over 10 years in the United States. An accurate assessment would be important to understand current rabies trends and inform public health preparedness and response to human rabies. Methodology/Principle findings To understand PEP surveillance, we sent a survey to public health leads for rabies in 50 U.S. states, Puerto Rico, Washington DC, Philadelphia, and New York City. Of leads from 54 jurisdictions, 39 (72%) responded to the survey; 12 reported having PEP-specific surveillance, five had animal bite surveillance that included data about PEP, four had animal bite surveillance without data about PEP, and 18 (46%) had neither. Although 12 jurisdictions provided data about PEP use, poor data quality and lack of national representativeness prevented use of this data to derive a national-level PEP estimate. We used national-level and state specific data from the Healthcare Cost & Utilization Project (HCUP) to estimate the number of people who received PEP based on emergency department (ED) visits. The estimated annual average of initial ED visits for PEP administration during 2012–2017 in the United States was 46,814 (SE: 1,697), costing upwards of 165 million USD. State-level ED data for initial visits for administration of PEP for rabies exposure using HCUP data was compared to state-level surveillance data from Maryland, Vermont, and Georgia between 2012–2017. In all states, state-level surveillance data was consistently lower than estimates of initial ED visits, suggesting even states with robust PEP surveillance may not adequately capture individuals who receive PEP. Conclusions Our findings suggest that making PEP a nationally reportable condition may not be feasible. Other methods of tracking administration of PEP such as syndromic surveillance or identification of sentinel states should be considered to obtain an accurate assessment.

Perceptual basemaps reloaded: The role basemaps play in eliciting perceptions

2018 ◽  
Vol 6 (2) ◽  
pp. 145-166
Author(s):  
Paulina Bounds ◽  
Charles J. Sutherland
Keyword(s):  
United States ◽  
National Level ◽  
State Level ◽  
The United States ◽  
The State ◽  
The Other ◽  
Striking Difference ◽  
Perceptual Dialectology ◽  
Other Hand ◽  
Perceptual Maps

This article describes the influence of various basemaps in Perceptual Dialectology, on the national and state levels. The 180 perceptual maps of the United States and Tennessee were divided into six types of basemaps; tabulated results show that basemaps play a different role on the national and state level. On the national level, basemaps that have features reminiscent of boundaries (state lines or interstates) bias the respondents’ answers. On the state level, on the other hand, the map features do not seem to influence the results in any discernible way: at times the informants seemingly go against the details present on the basemap. This striking difference indicates that, though the respondents rely on basemap details at the national level, where they may not have enough experience with the whole country, they don’t pay much attention to the state-level basemap details as they follow their own more detailed ideas about perceptions.

All Politics Is Local: The Reemergence of the Study of City Politics

2009 ◽  
Vol 7 (3) ◽  
pp. 611-618 ◽  
Author(s):  
Jessica Trounstine
Keyword(s):  
United States ◽  
Political Science ◽  
Local Politics ◽  
Local Level ◽  
National Level ◽  
State Politics ◽  
State Level ◽  
The United States ◽  
Political Events ◽  
Political Outcomes

The study of local politics has been relegated to the periphery of political science and many explanations have been offered for the marginalization of the subfield. I offer three related arguments for why scholars should revisit the study of sub-state politics. First, the local level is the source of numerous political outcomes that matter because they represent a large proportion of political events in the United States. Secondly, there are methodological advantages to studying local politics. Finally, analyzing politics at the sub-state level can generate thoroughly different kinds of questions than a purely national-level focus and can offer different answers to questions that apply more generally. Research on local politics can and should contribute to broader debates in political science and ensure that we understand both how and why cities are unique.

scholarly journals National- and state-level impact and cost-effectiveness of nonavalent HPV vaccination in the United States

2016 ◽  
Vol 113 (18) ◽  
pp. 5107-5112 ◽  
Author(s):  
David P. Durham ◽  
Martial L. Ndeffo-Mbah ◽  
Laura A. Skrip ◽  
Forrest K. Jones ◽  
Chris T. Bauch ◽  
...  
Keyword(s):  
United States ◽  
Cervical Cancer ◽  
Hpv Vaccination ◽  
National Level ◽  
Herd Immunity ◽  
State Level ◽  
Cost Effective ◽  
Health Impact ◽  
The United States ◽  
Cervical Cancers

Every year in the United States more than 12,000 women are diagnosed with cervical cancer, a disease principally caused by human papillomavirus (HPV). Bivalent and quadrivalent HPV vaccines protect against 66% of HPV-associated cervical cancers, and a new nonavalent vaccine protects against an additional 15% of cervical cancers. However, vaccination policy varies across states, and migration between states interdependently dilutes state-specific vaccination policies. To quantify the economic and epidemiological impacts of switching to the nonavalent vaccine both for individual states and for the nation as a whole, we developed a model of HPV transmission and cervical cancer incidence that incorporates state-specific demographic dynamics, sexual behavior, and migratory patterns. At the national level, the nonavalent vaccine was shown to be cost-effective compared with the bivalent and quadrivalent vaccines at any coverage despite the greater per-dose cost of the new vaccine. Furthermore, the nonavalent vaccine remains cost-effective with up to an additional 40% coverage of the adolescent population, representing 80% of girls and 62% of boys. We find that expansion of coverage would have the greatest health impact in states with the lowest coverage because of the decreasing marginal returns of herd immunity. Our results show that if policies promoting nonavalent vaccine implementation and expansion of coverage are coordinated across multiple states, all states benefit both in health and in economic terms.

scholarly journals Opioid legislation and narcotic filling in total hip arthroplasty: descriptive study of time and state-level trends in the United States

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniel J. Cunningham ◽  
Sean P. Ryan ◽  
Steven Z. George ◽  
Brian D. Lewis
Keyword(s):  
United States ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
National Level ◽  
State Level ◽  
Descriptive Study ◽  
The United States ◽  
National Database ◽  
Opioid Prescription ◽  
Total Hip

Abstract Background The opioid misuse epidemic focused national attention on reducing opioid overprescribing. The purpose of this study is to describe the relationship of time and state-level interventions and opioid filling surrounding total hip arthroplasty (THA) in the United States. Methods A national database with diverse insurance constituents was queried for first-prescription and cumulative perioperative opioid filling volumes and rates in oxycodone 5-mg equivalents (OE’s) in 487,942 patients undergoing primary THA from 30-days pre-operative to 90-days post-operative. Descriptive statistics evaluated pre-legislative and post-legislative opioid filling by state, legislative type, and surgery year. Results At the national level, initial opioid filling volumes have remained largely unchanged (56.2 OE’s in 2010 to 51.7 OE’s in 2018). Meanwhile, cumulative opioid filling volumes (151.9 OE’s in 2010 to 111.7 OE’s in 2018) have decreased considerably. Rates of initial opioid prescriptions exceeding 90 OE’s were similar in 2010 (6.4%) and 2018 (5.6%). States with legislation targeting duration and volume of opioid prescriptions saw the largest decreases in opioid prescription filling. That is, 75% of states with opioid legislation had large (> 10 oxycodone 5-mg equivalents) decreases in cumulative 90-day opioid filling compared to only 20% of states without opioid legislation having large decreases in cumulative 90-day opioid filling. Conclusions This descriptive study demonstrates decreases in perioperative opioid filling for THA. Although this study was descriptive in nature, states enacting opioid-limiting legislation had larger decreases. Although causal relationships could not be inferred from this analysis, the results suggest that states without legislation could improve prescriber compliance with national goals of decreased opioid overprescribing by enacting opioid-limiting legislation. Level of evidence Level III, retrospective prognostic cohort study.

Determinants of county migrant regularization policymaking in the United States: Understanding temporal and spatial realities

2018 ◽  
Vol 51 (1) ◽  
pp. 91-111 ◽  
Author(s):  
M.Anne Visser ◽  
Sheryl-Ann Simpson
Keyword(s):  
United States ◽  
Labor Market ◽  
State Government ◽  
Migrant Workers ◽  
National Level ◽  
The United States ◽  
Migrant Labor ◽  
Policy Adoption ◽  
Unique Type ◽  
Nation States

While immigration policymaking has traditionally been the sole prerogative of nation states, research has documented increased instances of migration policymaking at sub-national levels across migrant-receiving societies. This paper examines the temporally and spatially distinctive dynamics that underscore the adoption of these policies at the county level in the United States. The study considers the implementation of migrant labor market regularizations (LRs) for the time period 2004–2014. LRs are defined as discrete arenas of policymaking at the sub-national level that affect aspects of migrant workers’ status in labor markets and include laws and ordinances related to: anti-solicitation, language access, local enforcement of federal immigration law, and employment verification. Utilizing a multilevel event histories model, we analyze data from a unique dataset of over 5000 LR policies across 2959 counties in the United States, and address two research questions: (1) What are the social, economic, and political factors that influence the adoption of LRs by counties and municipalities in the United States; and (2) do policy adoption trends that occurred during 2004–2014 indicate a unique type of diffusion pattern? We find that the adoption of LRs by county governments are influenced by the racialization of immigration discourse and by policy behaviors at the municipal and state government levels, while economic characteristics of the local labor market and perceived ethnic competition from migrants have little direct impact on the probability of policy adoption.

The Impact of Healthcare Information Technology on Patient Outcomes

2020 ◽  
pp. 1858-1873
Author(s):  
Edward T. Chen
Keyword(s):  
United States ◽  
Information Technology ◽  
Relevant Literature ◽  
State Level ◽  
The United States ◽  
Fee For Service ◽  
Security Systems ◽  
Professional Networks ◽  
Wide Scale ◽  
The Impact

The purpose of this article is to review the existing literature on health information technology (HIT), specifically electronic health records (EHR) and life-long patient records, in order to provide a broad assessment of the current state of this technology in the United States. Relevant literature was reviewed to determine whether key hypotheses were validated. Areas for additional research and development were identified, and a potential path forward was proposed. HIT adoption is a worthwhile effort in the United States, and it is possible for us to enact an interoperable central records system within our current fee-for-service healthcare system. Wide scale adoption will require subsidies and regulatory involvement at the state level, but professional networks may be exploited to speed the rate of adoption. A four-tier architecture with autonomic security systems, properly validated, can provide the infrastructure necessary.

scholarly journals Made to Order: Using Gubernatorial Executive Orders to Promote Health in All Policies

2019 ◽  
Vol 4 (1) ◽  
pp. 1-15
Author(s):  
Max Gakh, JD, MPH
Keyword(s):  
Social Determinants Of Health ◽  
State Government ◽  
Social Determinants ◽  
Relevant Literature ◽  
State Level ◽  
The United States ◽  
Determinants Of Health ◽  
Health In All Policies ◽  
Executive Orders ◽  
The Social

The Health in All Policies (HiAP) approach presents different and often complementary avenues to address the social determinants of health. But at its core, HiAP relies on collaborations to make health a governmental priority across sectors. In the United States, HiAP efforts can involve multiple levels of government and strategies that may vary in formality. In some states, state-level HiAP efforts may be advanced by gubernatorial executive orders (GEOs). GEOs are often used to promote health. GEOs may be powerful in the HiAP context because of their potential to manage the different sectors that comprise state government and thereby address the social determinants of health. By synthesizing the relevant literature and providing illustrative examples of HiAPpromoting GEOs, this review explores how, why, and whether to use GEOs for HiAP. It demonstrates that GEOs may advance HiAP with or without using a HiAP label, along different steps in the policymaking cycle, and by addressing common HiAP challenges. Champions of HiAP should therefore examine the possible utility of GEOs to promote state-level HiAP efforts.

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