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Edward Freeland Survey Research Center Princeton University September 6, 2014.

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Presentation on theme: "Edward Freeland Survey Research Center Princeton University September 6, 2014."— Presentation transcript:

1 Edward Freeland Survey Research Center Princeton University September 6, 2014

2 Globalization  Growth of trade  Spread of democracy  Long term decline of military and civil violence  Spread of health and affluence and the decline of poverty  Migration, travel, and student exchange  Growth of global scientific and professional networks  Global survey and polling infrastructure

3 Globalization of Public Opinion?  How much does awareness of what’s going on in other countries influence policy debate or public opinion in the U.S.?  Is there evidence of a “global” perspective and does it have any impact on domestic policy debates such as healthcare reform  The future of American exceptionalism

4 Reasons to Think Views on Health Care Policy Would Become More Globalized  Medicine and health sciences have become hyper-globalized  Similarity of health conditions and hazards in affluent nations  Similarity of physician training, treatment settings and regimens

5 Source: Anahad O‘Connor New York Times June 1, 2014 "Google Glass Enters the Operating Room."Google Glass Enters the Operating Room."

6 Source: WTO statistical data sets, April 2012WTO statistical data sets, April 2012

7 Source: Freedom House, World Comparative and Historical DataWorld Comparative and Historical Data

8 Source: “Measuring Systemic Peace” Global Conflict TrendsGlobal Conflict Trends

9 Source: Urbanomics. “Global Poverty Rates are Down” March 19, 2012.Urbanomics

10 Source: Global Trends: Wealth & Health of NationsWealth & Health of Nations Growth of GDP and Life Expectancy

11 Source: Chronicle of Higher Education. Nov. 12, 2012 “Growth in Study Abroad Approaches Standstill.”“Growth in Study Abroad Approaches Standstill.”

12 Source: Institute of International Education. Open Doors 2013 “Fast Facts”Open Doors 2013

13 Increase in Global Scientific Collaboration Source: The Royal Society Knowledge, Networks and Nations: Global scientific collaboration in the 21 st century. London. The Royal Society.Knowledge, Networks and Nations

14 Growth of Cross-National Survey Research  World Values Survey ( ) World Values Survey  Gallup World Poll Gallup World Poll  World Bank and IMF  Global barometers/ESS/ISS  UN and World Health Organization  Methodological research

15 Education for a Global Perspective  Popular theme in U.S. education since 1980s  Robert Hanvey: “An Attainable Global Perspective” (1982)“An Attainable Global Perspective” Cross-cultural awareness Knowledge of global dynamics  Universities – movement to coordinate international programs Universities – movement to coordinate international programs  Journal of Studies in International Education Journal of Studies in International Education

16 Debating Health Insurance Reform in the U.S.  Compare last two major attempts to implement national policy aimed at full coverage  – Clinton’s Health Security Act  – Obama’s Affordable Care Act  In both, U.S. has “last mover” advantage  Extensive media coverage of debates in both periods

17 Health Insurance Reform: Policy Design and Public Opinion  ACA evolves from remnants of previous US reform efforts that stalled or failed  Policymakers avoid stigma of any association with Europe  Public likes nearly all components of the ACA except the individual mandate  Opinion heavily dependent on partisanship and media consumption

18 Health Care: Public Perceptions and Global Comparisons  “The Best Healthcare System in the World”The Best Healthcare System in the World  Harvard Survey (2008) 45% say U.S. healthcare system is best in the world 55% say U.S. patients receive better quality of care than those in other nations High percentages of “Don’t Know” responses when asked about specific countries Source: Harvard School of Public Health. March 20, “Most Republicans think the U.S. health care system is the best in the world. Democrats disagree.”Harvard School of Public Health

19 Other Surveys on Perceptions  Pew Survey 2009  Most rate U.S. health care as no better than average compared to health care other industrialized nations “Above average” (23%) “Average” (32%) “Below Average” (27%) Source: Pew Research Center. July 24, “Few See U.S. Health Care as ‘Best in the World.’”Pew Research Center

20 Deloitte Consumer Survey (2011)  12-nation survey  Questions on Satisfaction with system performance Perceptions of wasted spending Comparisons with other countries Utilization; Health and wellness behaviors  U.S. consumers (including uninsured) less satisfied than consumers in other nations Source: Deloitte Survey of Health Care Consumers Global Report.2011 Survey of Health Care Consumers Global Report.

21 US Newspaper Mentions of Foreign Countries in Health Insurance Reform Debates

22 NY Times Mentions of Foreign Countries in Health Insurance Reform Debates

23 U.S. Media Coverage of Foreign News  US coverage ranks lower than most other nations in volume of coverage  However, public interest in foreign news in the U.S. is relatively high  Low news coverage correlates with low international hard news knowledge  Declining volume of foreign news coverage in U.S. media Source: Aalberg, Toril et al "International TV News, Foreign Affairs Interest and Public Knowledge" Journalism Studies 14: Journalism Studies

24 Source: Aalberg, Toril et al "International TV News, Foreign Affairs Interest and Public Knowledge" Journalism Studies 14: Journalism Studies Media Coverage of Foreign News

25 Source: Jones, Timothy M. et al "Foreign Nation Visibility in U.S. News Coverage: A Longitudinal Analysis ( )." Communication Research 40(3): Communication Research U.S. Foreign News Coverage Over Time  Jones et al. (2011) study of NY Times and NBC Nightly News ( )  Coverage related to: GDP Population Trade volume U.S. troop deployment  Foreign news coverage in long term decline

26 Source: Jones, Timothy M "Foreign Nation Visibility in U.S. Public Discourse: A Longitudinal Analysis, ”Foreign Nation Visibility in U.S. Public Discourse: A Longitudinal Analysis, Coverage of Foreign News Declines Over Time

27  Pew Research Global Attitudes Project  Question: “Our people are not perfect but our culture is superior.”  Americans more likely to see their culture as superior  Agreement declines among younger respondents and those with more education  Agreement in U.S. declines from Opinions On American Exceptionalism Source: Pew Research Center Global Attitudes Project "The American-Western European Values Gap"Pew Research Center Global Attitudes Project

28 Source: Pew Research Center Global Attitudes Project "The American-Western European Values Gap"Pew Research Center Global Attitudes Project

29 Final Questions and Issues  Potential for growing significance of global perspectives on domestic policy issues such as access to affordable health care  Prospects for increasing foreign news coverage in the U.S. media  Political implications of weakening exceptionalism and increasing cosmopolitanism

30 "I think the older people, when it comes right down to it, when you go to the hospital, with Obamacare you won't get the service like you would if it wasn't in." Jerry Hunnicutt, a retired supervisor at a snack- food plant, with his wife, Carolyn. “If somebody goes in and they need a surgery or something, if you’re older you may be put on the back burner.” Source: New York Times. September 25, “In Corner of Arkansas, Frustration but No Panic Over Possible Shutdown.“New York Times


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