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    5033 research outputs found

    Examining Pricing and Availability for Neglected Tropical Disease Therapies in the US

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    Background Neglected tropical diseases primarily affect vulnerable populations in low-resource settings worldwide. In the US, neglected tropical diseases such as Chagas, soil-transmitted helminthiases, and other infections historically impacted immigrants but are increasingly relevant for US residents with climate change. We examined the pricing, prescribing rates, and supply of therapies used to treat neglected tropical diseases in the US and their implications for accessibility and patient care. Methods A retrospective analysis of prescription rates, wholesale acquisition costs, and shortages was conducted for 11 treatment products from 2019 to 2024, aggregating data from Symphony Metys, First Databank, NAVLIN, Red Book, and the University of Utah Drug Information Service. Results While prices for most neglected tropical diseases were stable, albendazole prices decreased by 78%, while mebendazole prices rose by 60%. Miltefosine remained expensive at $48,000 per treatment course. There are limited manufacturers of neglected tropical disease treatments in the US, increasing vulnerability to shortages. Conclusions Addressing pricing irregularities and supply vulnerabilities requires legislative and policy interventions to enhance generic competition, public manufacturing, and strengthen supply chains. Such measures are critical to ensuring affordable and accessible treatment options for neglected tropical diseases in the US

    A Duty of Loyalty for Emotion Data

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    Emotion data is dangerous because of how much it reveals about us and how deeply it is coveted by industry and government. This data—purporting to represent the emotional, psychological, or physical status of people by processing their expressions, movements, behaviour or other physical or mental characteristics—is irresistible for companies to use to their advantage. Having failed to recognize this danger, the law has left people open to the exploitative whims of industry and government who process emotion data. This chapter proposes a duty of emotion data loyalty to prohibit recipients of emotion data from acting in ways that conflict with the best interests of the trusting party. The idea behind loyalty is simple: organizations should not process emotion data or design technologies that conflict with the best interests of trusting parties. Our emotions should not be tools with which to manipulate us. Loyalty is the antidote to opportunism: it shifts the legal duty from self-serving to other-serving and has a morality broader than the profit-maximization of neoliberal capitalism. Though loyalty has deep roots in our law, there is more than just abstract ethics and notions of honour to the duty of emotion data loyalty. Loyalty compels firm legal duties and prohibitions that, when breached, give rise to legal liability on the grounds of conflicts of interest or duty

    Inclusivity as Fairness

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    In their article Beyond Suppressing Testosterone: A Categorical System to Achieve a “Level Playing Field” in Sport, Jennings and Braun (Citation2024) accurately display how the World Athletics’ (WA) restrictions fail their own definition of fairness by narrowly focusing on testosterone in an alleged effort to reward dedication, talent, and hard work. We agree with their analysis but hope to further highlight that the exclusionary approach the WA has undertaken causes more harm than it prevents. The WA’s decision to further reduce the allowable testosterone levels to 2.5 nmol/L amidst a growing attack on transgender people, not simply athletes, raises doubts about whether the organization’s sole focus is truly on fairness (World Athletics Citation2023a; Ulrich Citation2024). Nevertheless, our aim is to demonstrate how the WA’s policy conflicts with the historical development of sports around inclusivity while creating risks and harms for all who participate in women’s sports, further contradicting their own alleged purpose of protection

    Demand the Impossible: One Lawyer\u27s Pursuit of Equal Justice for All

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    https://scholarship.law.bu.edu/clark_speakers/1105/thumbnail.jp

    Against Engagement

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    In this Article, we focus on a key dimension of commercial surveillance by data-intensive digital platforms that is too often treated as a supporting cast member instead of a star of the show: the concept of engagement. Engagement is, simply put, a measure of time, attention, and other interactions with a service. The economic logic of engagement is simple: more engagement equals more ads watched equals more revenue. Engagement is a lucrative digital business model, but it is problematic in several ways that lurk beneath the happy sloganeering of a “free” internet Our goal in this Article is to isolate engagement as a distinct and dangerous concept that should be specifically regulated. There is a benefit to seeing past the glib justificatory rhetoric and taking a hard look at engagement-based, surveillance-advertising-funded models as potentially problematic. Unfettered engagement strategies bear significant and underappreciated costs that are endangering our privacy, our democracy, and our culture itself. It’s time that wrongful engagement, and the asserted “free” business models it generates, started to bear the burden of those costs

    The Case Kamala Harris Can\u27t Stop Prosecuting

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    As Kamala Harris seeks to become the first career prosecutor to win the presidency, she has faced persistent questions: What kind of prosecutor was she? And how would that background shape her presidency? Instead of fitting into the familiar categories, she has been campaigning as another first: the first white-collar-crime prosecutor in chief. Instead of policies to reverse mass incarceration, the signature objective of progressive prosecutors, her approach seems to be for more equal incarceration, a new twist on an old populist economic theme

    Beyond Hard Skills: Teaching Outward - and Inward-Facing Character-Based Skills to 1Ls in Light of ABA Standard 303(B)(3)\u27s Professional Identity Requirement

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    In this article, we share some ways in which we have adjusted our teaching to comply with Standard 303(b)(3) by addressing professional identity formation through the vehicles of outward-facing and inward-facing character-based skills. We believe that if law students do not intentionally start *811 exploring their professional identities as soon as they step foot into law school, they run the risk of believing that legal education and practice are somehow separate from their inner, personal identities as lawyers when, of course, they are, and ought to be, enmeshed. By injecting skills into the 1L curriculum that force both the development and exploration of professional identity, we seek to avoid this type of fragmentation. We further believe that both inward-facing and outward facing skills are critical to helping students navigate the choices they must make as practicing attorneys. By introducing students to these skills early in their law school career, we hope we are helping to create thoughtful, empathetic, purposeful, and well-balanced lawyers, better equipped to represent their clients and thus, concurrently, providing them opportunities to consider their professional identities as they develop these skills and forecast how they might be used in practice. Part I of this article generally defines professional identity and introduces ABA Standard 303(b)(3)’s new professional identity formation requirement. Parts II and III explain outward-facing and inward-facing character-based skills, respectively, and explore why these skills are critical for future lawyers. Part IV discusses how the Lawyering Skills classroom is the ideal place to teach these skills to 1Ls, thus beginning an education around professional identity that will span all three years of law school. Finally, Part V shares some of our strategies for incorporating these skills into our 1L curriculum

    POV: Sisterhood for the Win

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    When Vice President Kamala Harris accepted President Joe Biden’s endorsement on Sunday to replace him on the Democratic ticket and to run for the party’s nomination, she emphasized her intention to “earn and win” support for her candidacy. Historically, earning widespread support has proved to be a challenge for women candidates seeking the highest political offices in a country—with a 2023 Pew study finding that women served as government heads in just 13 of the 193 member states of the United Nations, and that fewer than one-third of UN countries have ever had a woman leader

    Rethinking Foundations and Analyzing New Conflicts: Teaching Law after Dobbs

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    This Article draws on our diverse and complementary areas of scholarly expertise and teaching experiences across law school and public health curricula to offer a multidisciplinary model for teaching in a variety of courses after Dobbs. Teaching reproductive rights and justice poses extensive challenges in the wake of Dobbs\u27 overruling Roe v. Wade and Planned Parenthood v. Casey, upending a half century of precedents protecting a constitutional right to abortion, and returning the issue to the people and the states. This Article offers theoretical and pedagogical perspectives on teaching courses in Reproductive Rights and Justice, as well as relevant foundational courses like Constitutional Law, Family Law, and Health Law, in the uncertain and shifting post-Dobbs landscape. We argue that including historical and theoretical context alike will aid in and enhance learning. Likewise, developing data and historical literacy will help students understand doctrinal shifts over time and provide grounding for contextualization and application for such changes

    Ripples of Hope in the Mississippi Delta: Charting the Health Equity Policy Agenda

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    The Mississippi Delta consistently ranks as having some of the worst health outcomes in the United States. Even with this stark reality, researcher David K. Jones (1981–2021) found “ripples of hope.” For four years, Jones turned to residents and local leaders to learn firsthand the intricate connections between race, place, and health in the region. Using an innovative mix of photovoice, policy, and social science research, Jones weaves their insights with data analysis to show how local, state, and national policies and structures, whether or not intentional, constrain or expand daily choices that affect health. Blaming individuals for poor health choices isn’t the remedy. Jones describes how a community-led, goal-oriented approach to creating health equity policies is needed and that everyone benefits when we ensure that all people can pursue a healthy, fulfilling life. In this compassionate and practical book, Jones provides a roadmap for anyone who would like to make a difference, wherever they live. Jones calls on his readers to act for change and provides examples from the Delta to show how. He reminds us that small steps— ripples of hope”—can save lives and improve health.https://scholarship.law.bu.edu/books/1373/thumbnail.jp

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