Medicine law concept. Gavel and stethoscope on book close up

Transdisciplinary Integration: The Only Way Forward for Public Health

By Scott Burris

As we look toward National Public Health Week amid two long years of a pandemic, reflection for us at the Center for Public Health Law Research has focused on how we move forward in a mostly broken public health system. We see public health law as a central component of a strong future for public health, where transdisciplinary partnership leads the way.

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Pile of papers on laptop keyboard.

Yet Another Look at Health Law Citations

By Scott Burris

Brian Leiter has published his list of ten most-cited health law professors, and there’s a slightly expanded version on this blog thanks to Mark Hall and Glenn Cohen. They both use the Sisk data, which draws solely from the Westlaw journals file.

But the field of health law makes as big a scholarly contribution outside the legal literature as in, which is important when we think of who we write for and how health law faculty are assessed. As I have in the past, I took a down and dirty look at citations beyond Westlaw journals using the Google Scholar profile. (If you prefer Web of Science, there’s this list from a couple of years ago.)

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Image of the backs of two police officers

Security and Health: Police as Key Players in Public Health

For more than a decade, a variety of scholars and practitioners in public health, policing and the broader domain of security have been stoking a conversation about the links between their disciplines and the need to do a better job integrating the disciplines and practices.

This week, The Lancet published a special series on Security and Health. A global set of authors, myself included, make the case that military and police forces should be recognized as key players, rather than intruders, in public health, and therefore we need these relationships to be backed by investment in partnerships and reform. Take a look. You may even be inspired to put the next global Law Enforcement and Public Health Conference on your agenda, set for Edinburgh in October.

 

Health Law Scholar Citation Rankings: A Better Picture This Year

By Scott Burris

Glenn and Mark have done their bit for benchmarking our field with another round of health law professor rankings. It is a largely thankless task, so thank you professors.  Last year, I responded to their list with the observation that any count based on law review publication alone was problematic in assessing the contributions of those in our field whose scholarship is primarily empirical or aimed at the health world.  I offered a suggestive “top scholars list” based on Google Scholar profiles.  Using Google Scholar, which captures articles in all fields, plus books and gray literature, brought a number of different names into the top 20.  Since Google Scholar depends on individuals to create and clean their profiles, my list missed a lot of top scholars without profiles (I am talking about you, Michelle Mello and George Annas,  etc. etc.), but it was enough to suggest that some very productive and much-cited scholars were missed in the Hall-Cohen list.

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Zombie Ideas: Safe Injection Department

Recently, people in Vermont have been talking about launching a Safe Injection Facility (SIF) to address drug harms arising with the opioid epidemic. With more deaths than ever, trying new approaches make sense — especially “new” approaches like SIFs that have two decades of solid international evidence of efficacy behind them.  Several cities are actively considering the same intervention.

One of the biggest barriers is uncertainty about how federal drug control authorities will react.  Although there are reasonable arguments that SIFs for public health do not violate the Controlled Substances Act, and the national opioid task force has broadly called for extraordinary action, there has been no explicit support from the Trump administration and no effort to carve out space in the law from Congress. Read More

Sentinel Policy Surveillance: A New Front in Legal Epidemiology?

Paul Erwin, Associate Editor of the American Journal of Public Health, recently wrote about the establishment of a  Sentinel Practitioner Surveillance System for Policy Change Impact,  or what might be called “sentinel policy surveillance.” The network of twelve diverse health officers will be trying to identify and share instances of harmful impact from Trump administration policies.

Erwin is suitably circumspect about what such a network can do. It is, he writes, no replacement of research, and, indeed, may be reporting perceived or feared effects as often as real ones.  I found the idea intriguing to ruminate on, though.  What follows are some scattered thoughts about the concept. I hope readers will add theirs.  Mostly I am interested in how the practice fits with general policy surveillance and public health law researchRead More

Health Law Rankings — Another Perspective

Glenn and Mark recently published a list of most-cited health law scholars, using the methods generally used for these studies in legal academia.  Like any academic who steadfastly denigrates the importance of lists, I naturally checked right away to see where I ranked, which was somewhere so far down the list that only an outbeak of smallpox at the AALS meeting could ever get me into the top twenty.  Since I was still completely uninterested in this whole ranking issue, my next move was to look at the methods.  And this is where I did have a thought worth sharing.

The source of the data is the JRL library on Westlaw, which I believe primarily covers law reviews and other legal publications.   How often one is cited in law reviews is certainly a good measure of impact within legal scholarsip, but it does not capture (or support) health law as an interdisciplinary field.  Indeed, I think it is arguable that for many of us, our most important impact will be on research and scholarship in other fields.  Does our top-twenty list look different if we draw on a broader database of citations?

I can’t tell you.  That would be a lot of work.  But there is a way to do it “collectively.”  Google tracks citations that appear anywhere in the googleverse and reports them in Google Scholar — if you create a profile. Most of the people in the top 20 in the Hall-Cohen top 20 do not have Google Scholar Profiles, but a few do and the results suggest we might see some differences in impact ranking if we went beyond law reviews:

Name Hall/Cohen cites (rank) Google cites (rank) since 2012
Larry Gostin 510 (1) 7150 (1)
I. Glenn Cohen 320 (4) 1143 (3)
Frank Paquale 300 (6) 1081 (4)
Lars Noah 280 (9) 586 (5)
David Studdert 190 (19) 7129 (2)

Everyone gets many more cites from Google than Westlaw, which reflects some methodological differences but also shows a lot of extra-legal impact.  Larry Gostin is still on top, by quite a distance, but David Studdert — at the bottom of the law review top 20 — comes near to catching him.  (I may as well admit that the Google ranking puts yours truly well above Cohen but nowhere near Studdent and Gostin.)

Why does this matter?  The obvious point is the one I have already made: health law scholars should be aiming to make a difference in health policy, and that is not measured by law review citations alone. For us to thrive as a field, we need more than ever to be engaged with non-lawyers, as my colleagues and I argue for public health law here. Recognizing non-legal citations is also, in my experience, extremely important for supporting young scholars.  If all we recognize and seem to value are law review citations, then junior scholars will only write law review articles. That is not how we build a field of engaged, cross-disciplinary scholars and researchers.  I encourage junior scholars to create Google Scholar profiles and I use them when I am doing promotion and tenure reviews in this list-mad age.

One last point: Google Scholar profiles take about two minutes to create and a very minimal effort to curate (if you care to, you need to eliminate some dupes and misatributions).  Whether you like rankings or transdisciplinary impact, you can help the field at minimal cost by signing up.

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Making a Moral Case for Regulation

Valerie Braithwaite’s chapter in the ANU’s Press’s new Regulatory Theory: Foundations and Applications provides a general introduction to looking at regulation through a social lens.  If regulation is so great, she asks, why do so many people approach it with fear and loathing?

I won’t rehearse her argument here, but instead skip to some key points about how we who appreciate the social good provided by regulation can best make that case. One of ten suggestions she concludes with was particularly resonant to me: “Engage with dissent on moral grounds. Is it right morally to steer the flow of events in the way proposed?”

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Fantastic New Resource on Regulation

Peter Drahos and a roster of the minds that have made RegNet at the Australian National University the hub of regulatory research and theory have put (it seems) all they know into a new, FREE ebook, Regulatory Theory: Foundations and Applications.  It is a comprehensive account of the field, written to serve both as a reference for the essentials and a text book for classes in regulation and governance.  It even has a chapter on regulatory research methods in public health by this correspondent.

I am hoping to conduct a serial book review over the next couple of weeks. Here goes:

The first chapter is an introduction to the field by Drahos and Martin Krygier. It usefully orients the reader to the breadth of the field, a breadth that reflects the spread of regulatory activity beyond the state and across networks. Attention to those two phenomena, indeed, is properly presented as the foundation of the field.  There is a bit of intellectual history, highlighting the sigificance of Ayres and Braithwaite’s Responsive Regulation, and the emergence of RegNet as an intellectual gathering place. (I saw that first hand, and had a little experience of RegNet collegiality, when I spent a semester there and ended up writing an article on Nodal Governance with Drahos and Clifford Shearing — still my most downloaded paper.) Read More

Human Rights Advocacy under Attack

One of the world’s most important human rights law firms is now under attack from a government whose leader has, to put it mildly, a mixed record on human rights.  The firm is the Lawyer’s Collective, which has done some of the most important work within India on HIV, LGBT and gender issues.  The firm’s lawyers have also made great contributions internationally. Indira Jaising has served as a member of the UN Committee on the Elimination of Discrimination Against Women. Anand Grover was the UN Special Rapporteur on Right to Health from 2008 to 2014, during which service he issues several fearless reports that helped move the world forward towards an enabling environment for HIV among the most legally marginalized people.

On June 1, the Indian Union Ministry for Home Affairs suspended the firm’s license to receive foreign funding, contending that the Lawyer’s Collective had violated the Foreign Contribution Regulation Act. The Lawyer’s Collective faces the prospect of having their license cancelled permanently, which would seriously impact their work. Both the suspension order and the Lawyer’s Collective’s response have been widely reported in the Indian media. Read More