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The gay voice in popular music: a social value model analysis of "Don't Leave Me This Way".

The gay voice in popular music and its potential to create positive social change regarding societal values about homosexuality is the focus of the present study. The historical development of the gay voice in popular music is reviewed as an introduction to a critical analysis of the Communards' music video "Don't Leave Me This Way." Using a modified version of the Social Value Model proposed by Rushing and Frentz, the video is analyzed on three levels: (a) narrative content, (b) use of symbols in the narrative, and (c) lyrical content. It is suggested that this video effected a dialectical synthesis of mainstream and homosexual values because it achieved mainstream commercial success while realistically expressing a gay perspective.

Conflict, Psychological↗

The QALY--a measure of social value rather than individual utility?

The paper examines different interpretations of the QALY concept. It is suggested that the QALY interpreted as a measure of amounts of well-life does not carry sufficient empirical meaning. As a measure of individuals' personal appreciation of outcomes in their own lives the QALY does not seem to work in comparisons of life saving interventions with interventions that improve health or increase life expectancy. For the QALY to be a generally empirically meaningful concept, it looks as though it needs to be interpreted as a measure of social value. This conclusion has direct implications for how values for health states should be elicited.

Cost-Benefit Analysis↗

Shared values, social trust, and the perception of geographic cancer clusters.

Extensive scientific investigations often fail to identify specific carcinogens that have caused geographic clusters of cancer cases. In many such examples, public health officials and other experts have concluded that the cluster is not the result of a particular local environmental condition. Despite this conclusion by experts, concerned members of local communities often persist in believing that the cancer cluster was not random. The present study accounts for the persistence of this belief on the basis of two factors: (a) the tendency of the human mind to identify patterns (and causes), rather than randomness; and (b) a lack of social trust in public health experts. It was expected that perceived shared values evoke social trust. Individuals who conclude that public health experts share their values should be more likely to accept the experts' conclusion that a cancer cluster reflects randomness, not a particular local cause. Individuals who trust authorities should be more inclined than individuals not having trust to accept that a geographic cluster of cancer cases is a coincidence. Data from Swiss students (N = 334) supported these expectations. Additionally, significant gender differences were observed. Females had less trust in authorities and perceived the cancer cluster as less likely to be a result of pure chance than did males. Practical implications of the results are discussed.

Adult↗

Resource allocation, social values and the QALY: a review of the debate and empirical evidence.

Most health economists agree that public preferences should play a major role in setting criteria for distributing scarce resources. The quality-adjusted life year (QALY) is used as a preference-based measure for the outcome of health-care activities in health economic evaluative studies. Traditionally, health economists proposed maximizing the additional health gain in terms of QALYs so as to maximize social welfare. Evidence has grown however, that neither potential health gain as a single relevant determinant of value, nor the rule of maximizing this health gain are sufficient. Concerns about fairness and equity are also important to the public in distributional decisions. This paper reviews the debate on the role and limitations of the QALY in health-care priority setting and the empirical evidence surrounding it. A framework is used to systematically explore the available data on factors considered to be important to the public in health-care resource allocation, and to investigate how these fit with the implicit value judgements inherent in the original QALY formulation. Potential sources of social value are classified into (1) factors that relate to the characteristics of patients and (2) factors related to the characteristics of the intervention's effect on patients' health. As well as these main categories, the article considers preferences for distributional rules. Recent approaches that aim to capture public preferences more comprehensively and to better reflect the value attributed to different health-care programmes in economic evaluation methods are outlined briefly.

Health Care Rationing↗