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A network analysis of committees in the U.S. House of Representatives.

Network theory provides a powerful tool for the representation and analysis of complex systems of interacting agents. Here, we investigate the U.S. House of Representatives network of committees and subcommittees, with committees connected according to "interlocks," or common membership. Analysis of this network reveals clearly the strong links between different committees, as well as the intrinsic hierarchical structure within the House as a whole. We show that network theory, combined with the analysis of roll-call votes using singular value decomposition, successfully uncovers political and organizational correlations between committees in the House without the need to incorporate other political information.

Journal Article↗

The Human Cloning Prohibition Act of 2001: vagueness and federalism.

On July 31, 2001, the U.S. House of Representatives passed The Human Cloning Prohibition Act of 2001. The legislation proposes a complete ban on somatic cell nuclear transfer to create cloned human embryos; it threatens transgressors with criminal punishment and civil fines. House Bill 2505 is the first human cloning prohibition to pass either chamber of Congress. This note argues that the bill is unconstitutionally vague and inconsistent with the Supreme Court's recent Commerce Clause jurisprudence.

Cloning, Organism↗

CHA testimony supports not-for-profits' tax exemption.

As the activities of not-for-profit healthcare facilities have extended increasingly into new areas indirectly related to their healthcare mission, a controversy has grown about whether these activities represent unfair competition for small businesses because of the tax-exempt advantages the not-for-profits enjoy. As a result, policymakers have been examining the unrelated business income tax as it applies to these income-producing activities of not-for-profit organizations. In June 1987, the subcommittee on Oversight of the Ways and Means Committee of the U.S. House of Representatives held five days of hearings in which it heard testimony from over 100 groups regarding UBIT. Among those testifying was a spokesperson for The Catholic Health Association (CHA), Sr. Bernice Coreil, DC, provincial of the Daughters of Charity of St. Vincent de Paul, West Central Province, St. Louis, and secretary-treasurer of the CHA Board of Trustees. Although she was limited to just three minutes of oral testimony, Sr. Coreil also presented a detailed written explanation of the value of not-profit healthcare providers and of the environment in which they must carry out their mission today. This issue is a concern at the state, local, and federal levels as hospitals are being challenged to defend their tax-exempt status. To present the viewpoint of Catholic healthcare facilities, we publish these excerpts of Sr. Coreil's written statement.

Catholicism↗

APA's expert panel in the congressional review of the USS Iowa incident.

In 1989, an explosion aboard the USS Iowa killed 47 sailors. The Navy attributed the explosion to the intentional suicidal acts of Gunners Mate Clayton Hartwig, a conclusion supported primarily by an "equivocal death analysis" conducted by the Federal Bureau of Investigation (FBI). The U.S. House of Representatives Armed Services Committee (HASC) was highly critical of the FBI's report and the Navy's conclusions, in part because of the peer review provided by 12 psychologists organized by the American Psychological Association (APA). This article (a) reviews the nature of equivocal death analysis and related reconstructive psychological evaluations, (b) describes the nature of APA's consultation and involvement with the HASC, (c) discusses the conclusions reached by the HASC and the influence of the APA panelists, and (d) suggests limitations on the use of equivocal death analysis and related procedures in light of scientific concerns and ethical considerations.

Adult↗

Preventive care.

OBJECTIVE: To examine the impact of provider continuity on preventive care among adults who have a regular site of care. DESIGN: Logistic regression analyses were conducted to explore whether continuity, categorized as having no regular care, site continuity, or provider continuity, was associated with receipt of 3 preventive care services (influenza vaccination, receipt of a mammogram, and smoking cessation advice), independent of predisposing, need, and enabling factors. PARTICIPANTS: This study examined 42664 persons with private, Medicaid, Medicare, or no health insurance coverage who reported either having no site of care or being seen in a physician's office, HMO, hospital outpatient department, or other health center. SETTING: The 1996/1997 Community Tracking Study (CTS) household survey, a telephone-based survey providing a cross-sectional sample of 60446 U.S. adults aged 18 and older representing the U.S. housed, noninstitutionalized population. MEASUREMENTS AND MAIN RESULTS: After adjustment for differences in predisposing, enabling, and need factors, site continuity was associated with significant increases of 10.4% in influenza vaccinations (P =.006) and 12.6% in mammography (P =.001), and a nonsignificant increase of 5.6% in smoking cessation advice (P =.13) compared to having no regular site of care. After adjustment for these factors, provider continuity was associated with an additional improvement of 6.0% in influenza vaccinations (P =.01) and 6.2% in mammography (P =.04), and a nonsignificant increase of 2.5% in smoking cessation advice (P =.30) compared to site continuity. CONCLUSIONS: Provider continuity and site continuity are independently associated with receipt of preventive services. Compared to having no regular site of care, having site continuity was associated with increased receipt of influenza vaccination and mammography and, compared to having site continuity, having provider continuity was associated with further increases in the receipt of these two preventive services.

Adolescent↗