Unauthorized immigrants and other immigrants who have been in the United States for less than five years have few options for accessing health care through public programs. In light of the ongoing national debate about immigration reform and the impact of the Affordable Care Act on immigrants, we examined differences in health care spending by nativity and legal status using Medical Expenditure...

A national report on mental health, produced by the Standing Senate Committee on Social Affairs, Science and Technology, indicates that Canada lags behind other developed countries in awareness of mental health and mental disorders. The report points out that health-care professionals are among the groups that perpetuate the stigma associated with mental illness. The authors, representing the C...

OBJECTIVE Encouraging help-seeking for mental illness is essential for prevention of suicide. This study examined the relationship between individual characteristics, neighbourhood contexts and help-seeking intentions for mental illness for the purpose of elucidating the role of neighbourhood in the help-seeking process. DESIGN, SETTING AND PARTICIPANTS A cross-sectional web-based survey was ...

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Attempts are being made to include members of excluded groups in societal institutions. Inclusion has been proposed as the solution to the injustice caused by exclusion. Yet, inclusion does not always achieve justice and might sometimes perpetuate injustice. This Article provides a framework for understanding inclusion that may fail to achieve social justice and uses this framework to assess th...

Motivation: A well known car company issued recalls in three successive years for the same design flaw. In another company, a production engineer fixed a problem in one model year, only to have the fix removed in the next year, because nobody understood why the fix had been installed. US Intelligence agencies have overlooked the signs of emerging crises because analysts in different areas didn’...