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Concept: Donald Trump


The aerial view of the concept of data sharing is beautiful. What could be better than having high-quality information carefully reexamined for the possibility that new nuggets of useful data are lying there, previously unseen? The potential for leveraging existing results for even more benefit pays appropriate increased tribute to the patients who put themselves at risk to generate the data. The moral imperative to honor their collective sacrifice is the trump card that takes this trick. However, many of us who have actually conducted clinical research, managed clinical studies and data collection and analysis, and curated data sets have . . .

Concepts: Experimental design, Clinical trial, Medical statistics, Avicenna, Clinical research, Morality, Contract bridge, Donald Trump


Donald Trump’s presidency heralds public health retreat in the short term. Yet the surging opposition to his regime-redolent of the civil rights and anti-Vietnam War mobilizations of the 1950s and 1960s-could portend better things ahead. (Am J Public Health. Published online ahead of print March 21, 2017: e1-e3. doi:10.2105/AJPH.2017.303729).

Concepts: Rights, Civil and political rights, Donald Trump, Ivana Trump, Fred Trump


Tuberculosis (TB) killed more people in 2015 than any other single infectious agent, but funding for research to develop better prevention, diagnosis, and treatment methods for TB declined to its lowest level in seven years. TB research and development (R&D) is woefully underfunded, a situation best viewed as a crisis of political will and a failure on the part of governments to see unmet innovation needs in the TB response as a human rights issue requiring immediate action. Over 60 percent of available money for TB R&D comes from public sources, and 65% of public money comes from a single country: the United States. The election of Donald Trump to the U.S. presidency in November 2016 has introduced great uncertainty into the support that science generally, and TB research in particular, will receive in the coming years. Advocacy on the part of all actors-from civil society to TB-affected communities to scientists themselves-is urgently needed to increase U.S. government support for TB research moving forward.

Concepts: United States, President of the United States, Federal government of the United States, Human rights, Research and development, Donald Trump, 2016, 2015


One week after President Donald Trump signed a controversial executive order to reduce the influx of refugees to the United States, we conducted a survey experiment to understand American citizens' attitudes toward refugee resettlement. Specifically, we evaluated whether citizens consider the geographic context of the resettlement program (that is, local versus national) and the degree to which they are swayed by media frames that increasingly associate refugees with terrorist threats. Our findings highlight a collective action problem: Participants are consistently less supportive of resettlement within their own communities than resettlement elsewhere in the country. This pattern holds across all measured demographic, political, and geographic subsamples within our data. Furthermore, our results demonstrate that threatening media frames significantly reduce support for both national and local resettlement. Conversely, media frames rebutting the threat posed by refugees have no significant effect. Finally, the results indicate that participants in refugee-dense counties are less responsive to threatening frames, suggesting that proximity to previously settled refugees may reduce the impact of perceived security threats.

Concepts: Understanding, Demography, United States, Sociology, President of the United States, Human migration, Canada, Donald Trump


This paper argues that the election of Donald Trump is the product of a confluence of historical factors rather than the distinctive appeal of the victor himself. By paying particular attention to the geography of unusual voting behaviour the analytical question comes into view: why did so much uncharacteristic voting occur in the Rust Belt states of the upper Midwest? It is impossible to answer this question adequately using conventional categorical attributes. The usual hypotheses of ‘economic anxiety’ and white revanchism are unable to account for sudden shifts in the voting behaviour of both white and black voters in post-industrial territories. Instead, it is necessary to turn to the history of the region and the institutional apparatus that connected voters there to the federal government and the Democratic Party. From this perspective we can see that the active dismantling of the Fordist social order set the region on a divergent path from the rest of the country. But this path had no political outlet due to the reorientation of the Democratic Party around a new class and geographic base. Due to this, the party pursued policies that would magnify the region’s difficulties rather than alleviate its circumstances. Moreover, the elaborate institutional ties that connected the region’s voters to the Democratic Party and the federal government meant that the political implications of regional decline would be muted. However, as these institutions frayed, Rust Belt voters were made available to candidates that challenged the policy consensus that had done so much damage to the region. The election was decided by a Rust Belt revolt that unified black and white working-class voters against Hillary Clinton and the Democratic Party.

Concepts: United States, Federal government of the United States, Voting, Election, Democracy, Hillary Rodham Clinton, Indiana, Donald Trump


Any effort to situate Trump’s ascendance in the broader currents of cross-national developments, or in the longer course of American political development, must begin by recognizing it as a curious hybrid of populism and plutocracy. Although American right-wing populism has real social roots, it has long been nurtured by powerful elites seeking to undercut support for modern structures of economic regulation and the welfare state. American political institutions offered a distinctive opportunity for a populist figure to draw on this fury to first capture the nomination of the GOP, and from that position to ascend to the White House. Yet the administration’s substantive agenda constitutes a full-throated endorsement of the GOP economic elite’s long-standing demands for cuts in social spending, tax reductions for the wealthy, and the gutting of consumer, worker and environmental protections. The chasm between Trump’s rhetoric and his actions justifies a more skeptical assessment of the breadth and depth of American populism, one that acknowledges how its contours are shaped by the nation’s unusual political institutions, its intensifying political polarization and the out-sized influence of the wealthy.

Concepts: President of the United States, Right-wing politics, Political spectrum, Unemployment, Right-wing populism, White House, Donald Trump, Populism


As one of his first acts as President of the United States, Donald Trump signed an executive order reinstating a version of the global gag rule. Under this rule, US grantees are barred from receiving global health funding if they engage in abortion-related work: not only abortion services, but also abortion referrals and counseling or advocacy for the liberalization of abortion laws. Critics of the Trump global gag rule generally raise three classes of objections: (1) that the rule fails to accomplish its presumed objective of reducing the number of abortions; (2) that it negatively affects the health and well-being of individuals and populations in affected countries; and (3) that it interferes with governments' ability to meet their international obligations. In this commentary, we examine the scientific and policy bases for these criticisms.

Concepts: President of the United States, Barack Obama, Abortion debate, Donald Trump, Ivana Trump, Fred Trump


On 8 November 2016 the American electorate voted Donald Trump into the Presidency and a majority of Republicans into both houses of Congress. Since many Republicans ran for elected office on the promise to ‘repeal and replace’ Obamacare, this election result came with an expectation that campaign rhetoric would result in legislative action on healthcare. The American Health Care Act (AHCA) represented the Republican effort to repeal and replace the Affordable Care Act (ACA). Key elements of the AHCA included modifications of Medicaid expansion, repeal of the individual mandate, replacement of ACA subsidies with tax credits, and a broadening of the opportunity to use healthcare savings accounts. Details of the bill and the political issues which ultimately impeded its passage are discussed here.

Concepts: Health care, Health insurance, President of the United States, Political philosophy, Barack Obama, Massachusetts, Health care in the United States, Donald Trump


Is industry consolidation a response to President Donald Trump’s repeated denunciation of high drug prices and congressional hearings on the issue? The author considers whether any of this corporate collaboration will get at some of the significant, underlying problems in the drug-pricing space.

Concepts: Marketing, Prescription drug prices in the United States, Donald Trump, Ivana Trump, Fred Trump


In this article, we introduce a prototype of an innovative technology for proving the origins of captured digital media. In an era of fake news, when someone shows us a video or picture of some event, how can we trust its authenticity? It seems that the public no longer believe that traditional media is a reliable reference of fact, perhaps due, in part, to the onset of many diverse sources of conflicting information, via social media. Indeed, the issue of “fake” reached a crescendo during the 2016 U.S. Presidential Election, when the winner, Donald Trump, claimed that The New York Times was trying to discredit him by pushing disinformation. Current research into overcoming the problem of fake news does not focus on establishing the ownership of media resources used in such stories-the blockchain-based application introduced in this article is technology that is capable of indicating the authenticity of digital media. Put simply, using the trust mechanisms of blockchain technology, the tool can show, beyond doubt, the provenance of any source of digital media, including images used out of context in attempts to mislead. Although the application is an early prototype and its capability to find fake resources is somewhat limited, we outline future improvements that would overcome such limitations. Furthermore, we believe that our application (and its use of blockchain technology and standardized metadata) introduces a novel approach to overcoming falsities in news reporting and the provenance of media resources used therein. However, while our application has the potential to be able to verify the originality of media resources, we believe that technology is only capable of providing a partial solution to fake news. That is because it is incapable of proving the authenticity of a news story as a whole. We believe that takes human skills.

Concepts: United States, President of the United States, United States Constitution, Washington, D.C., Technology, Introduction, United States presidential election, Donald Trump