The American Catholic Church has a long history in health care. At the turn of 19th century, Catholic nuns began developing the United States’ first hospital and health care systems, amassing a high level of professionalization and expertise in the field. The bishops also have a well-established record advocating for healthcare, stemming back to 1919 with the Bishops’ Program for Social Reconstruction, which called for affordable and comprehensive care, particularly for the poor and vulnerable. Moving into the latter part of the 20th century, the bishops continued to push for health care reform. However, in the aftermath of Roe v. Wade (1973), the American bishops insisted that any reform or form of universal health care be consistent with the Church’s teaching against abortion, contraception, and euthanasia. The bishops were also adamant that health care policy respect religious liberty and freedom of conscience. In 1993, these concerns caused the bishops to pull their support for the Clinton Administration’s Health Security Act, since the bill covered abortion as a medical and pregnancy-related service. The debate over health care in the 1990s served as a precursor for the United States Conference of Catholic Bishops’ (USCCB) opposition to the Obama Administration’s Affordable Care Act (ACA) and the Department of Health and Human Services’ (HHS) contraception mandate. The ACA also highlighted a divide within the Church on health care among religious leaders. For example, progressive female religious leadership organizations, such as the Leadership Conference of Women Religious (LCWR) and their affiliate NETWORK (a Catholic social justice lobby), took a different position than the bishops and supported the ACA, believing it had enough protections against federally funded abortion. Though some argue this divide lead to institutional scrutiny of the sisters affiliated with the LCWR and NETWORK, both the bishops and the nuns have held common ground on lobbying the government for affordable, comprehensive, and universal health care.
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Catholic Church Advocacy and the Affordable Care Act
Jeanine Kraybill
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Croatia and the European Union
Pero Maldini
Croatia’s accession to the European Union (EU) meant, in political terms, the recognition of its political and normative-institutional achievements in the establishment of a nation state and the democracy. At the same time, for the vast majority of Croatian citizens EU membership also had a symbolic meaning: a departure from the troubled past and a return to the Western, European cultural circle, which they have always felt they belong to. This feeling is the source for the strong pro-European orientation, which, as state independence was being achieved, and democracy established—as an expression of the strong political will of Croatian citizens for freedom and autonomy—helped achieve those historical and political goals. The EU was perceived as a framework that would enable those goals to be realized, so there was a general political consensus about joining it among all relevant political actors, and the vast majority of Croatian citizens granted their consent.
The path to full EU membership was long and arduous, primarily because of the specific conditions that marked the process of establishing a Croatian state and a democratic order. On the one hand, these are endogenous structural and socio-cultural factors: the structure and activity of political actors and the functioning of institutions, which were significantly marked by their authoritarian political and historical legacy. On the other hand, was a war of aggression and a struggle for freedom and independence with long-lasting and difficult social and political consequences. These specific conditions—which none of the other acceding countries had—slowed down the process of democratization and, consequently, hampered the EU accession process.
All these reasons are why Croatia had the most comprehensive and longest accession negotiations, including the most extensive body of pre-accession conditions. Although the extent and duration of negotiations, as well as the lack of expected support from the EU (especially during the war) have led to an increase in Euroskepticism and criticism of the EU—and consequently to the low turnout in the referendum for accession—the pro-European orientation remained dominant in Croatia. In general, public support for EU accession in Croatia was based on a set of mutually connected factors: identity-based (cultural affiliation), institutional-political (democracy), and utilitarian (socioeconomic benefits).
In the period after joining the EU, due to insufficient preparation, Croatia has relatively slowly used the opportunities (especially economic) provided by EU. Nevertheless, EU membership has accelerated the increase in institutional capacity and better use of European Structural and Investment Funds (ESIF). At the same time, the free movement of people, goods, capital, and services, and the opportunities brought by the open EU market, had a double impact: strengthening the economy due to greater orientation toward the EU market, but also slower economic growth, due to structural problems (the lingering power of the state, and regulations to the economy and the market) and increased emigration of the highly educated younger population (chronic labor-force deficit).
Nonetheless, through Croatia’s participation in the EU institutions, the real benefits of full membership are becoming increasingly visible, and the sense of integration in the EU’s social, political, cultural, and economic space is growing stronger. At the same time, EU membership affects further improvement of the normative-institutional framework of Croatia.
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The Politics of Language Education in Africa
Russell H. Kaschula and Michael M. Kretzer
Language policies in sub-Saharan African nations emerge out of specific political, historical, socioeconomic, and linguistic conditions. Education plays a crucial role for all spheres of language policy. Policies either upgrade or downgrade indigenous languages through their application at various educational institutions. The most significant example is the selection of the language(s) used as languages of learning and teaching at higher-education institutions. The region’s colonial history also influences the language policies of the independent African states. Language policy in Senegal is an example of a francophone country focusing on a linguistic assimilation policy in which minor reforms in favor of indigenous languages have taken place. Rwanda’s language policy is unique as the former francophone nation now uses English as an exoglossic language in a type of hybrid language policy. Botswana is an example of an anglophone country that follows a language policy that is dominated by a very close connection to the notion of nation-building through its concentration on a single language, Setswana, alongside English. Tanzania is an anglophone African country whose policy focuses on Kiswahili, which is one of the very few indigenous and endoglossic languages. Kiswahili is broadly used in Tanzanian educational institutions until the tertiary level, but its use as medium of instruction focuses on the primary level. South Africa demonstrates the very close relationship between general political decisions and language policy and vice versa. Language policy decisions are never neutral and are influenced by the politics of a specific country. As a result, individual and societal language attitudes influence language policies. In addition to this, the overt and official language policy on a macro level may differ from the implementation of such policies on a micro level. At the micro level, practice can include covert language practices by various stakeholders.
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Religious Frames: Egypt’s Muslim Brotherhood
Meir Hatina and Uri M. Kupferschmidt
When the Arab Spring of 2011 sparked a second revolution in Egypt (the first having occurred in 1952), it caught the longstanding Muslim Brotherhood almost by surprise. Arguably the oldest Sunni political mass movement in Egypt (having been established in 1928), it had proven remarkably resilient during more than eight decades of alternating repression and toleration by subsequent governments. Though its social composition changed over the years, its principles, as laid down by its founder Hasan al-Banna, continued to inspire large segments of the population in a quest for a state based on Shariʿa, and provided an alternative vision for a more just and moral society. Meanwhile, the Brotherhood built a wide network of social, educational, and welfare institutions.
From the early 1980s onwards, with Mubarak in power, the Brotherhood was condoned, if not officially recognized, and members were allowed to participate in several parliamentary and other elections. As an organization with formal traditional leadership bodies, but also a younger generation versed in the modern social media, the Brotherhood was seen to be slowly nearing a point where it would be able to make the transition to a party. It began to formulate a political platform and an economic blueprint for the country. A modicum of democracy was adopted, and more openness towards the integration of women was seen. After winning a relatively large (minority) representation in the 2005 parliamentary elections, the regime was scared enough to allow the Brotherhood to win only one token seat in 2010.
The revolution of 2011 ousted Mubarak and then led to relatively free elections with a solid victory for the Freedom and Justice Party, which had been formed by the Brotherhood, as well as a new Islamist-inspired constitution and the election of Muhammad Mursi as president. However, within a year the Muslim Brotherhood government had missed this historical window of opportunity. It proved inadequately prepared for efficient and orderly governance, did not bring order and stability, nor did it advance the aspirational goals of demonstrators. This is how the army, not for the first time in Egypt’s history, came to intervene and depose Morsi in July 2013, replacing him with Defense Minister ʿAbd al-Fattah al-Sisi. It was not long before the Brotherhood was once more suppressed and outlawed. With many leaders in jail, but latent support continuing, observers tend to believe it is not the end of the Brotherhood’s existence.
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Religious Regulation: The Regulation of All Religion in a Country
Jonathan Fox
Countries can regulate both the majority religion and minority religions. Although most countries do both, the motivations and dynamics of these two types of regulation are distinct. The regulation, restriction, or control by a government of all religion in a country, including the majority religion, can take multiple forms. These include regulating (1) religion’s role in politics, (2) religious institutions and clergy, (3) religious practices, and (4) other aspects of religion. At least one form of religious regulation is engaged in by 95.5% of governments, and religious regulation is becoming more common over time. Regulating, restricting, and controlling religion is the norm worldwide regardless of world region, government type, and majority religion.
Multiple motivations exist for regulating, restricting, and controlling majority religions. (1) Some countries have secular or anti-religious national ideologies. (2) Some countries support religion, but countries that support a religion often also want to influence and control that religion. In fact, control is a nearly inevitable consequence of support. (3) Politicians often fear religion’s potential political power and seek to keep it in check. (4) Autocratic governments often seek to restrict any aspect of civil culture they cannot control, and this includes religion. On the other hand, regulation is costly. It requires resources that can be used elsewhere, so regulating religion represents a decision to use resources despite these costs.
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State-Level Public Opinion and Public Policy on LGBT Issues
Sarah Poggione
Initial research at the state level argued that there was little relationship between citizen preferences and policy. Later work successfully contested this view. First using state demographics or party voting as proxies for state opinion and then later developing measures of state ideology and measures of issue-specific state opinion, scholars found evidence that state policy is responsive to public preferences. However, lesbian, gay, bisexual, and transgender (LGBT) policies are often recognized as distinct from other policy areas like economic, welfare, and regulatory issues. Scholars note that LGBT policies, due to their high saliency and relative simplicity, promote greater public input.
Research on LGBT policies demonstrates the effects of both ideology and issue-specific opinion, exploring how the linkage between opinion and policy differs across more and less salient policy areas. This work also examines how political institutions and processes shape democratic responsiveness on LGBT issues. Recent research also considers how LGBT policies shape public opinion. While these strands in the literature are critical to understanding LGBT politics in the United States, they also contribute to the understanding of the quality of democratic governance in the U.S. federal system and the mechanics of the linkage between public opinion and policy.
