IDEAS home Printed from https://ideas.repec.org/a/oup/publus/v41y2011i1p101-125.html
   My bibliography  Save this article

Sticky Dollars: Inertia in the Evolution of Federal Allocations for HIV Care through the Ryan White HIV/AIDS Program

Author

Listed:
  • Erika G. Martin
  • Patricia S. Keenan

Abstract

While substantial research examines the dynamics prompting policy adoption, few studies have assessed whether enacted policies are modified to meet distributional equity concerns. Past research suggests that important forces limit such adaptation, termed here "policy inertia." We examine whether block grant allocations to states from the Ryan White HIV/AIDS Program have evolved in response to major technological and political changes. We assess the impact of initial allocations on later funding patterns, compared to five counterfactual distributional equity standards. Initial allocations strongly predict future allocations; in comparison, the standards are weak predictors, suggesting the importance of policy inertia. Our methodology of employing multiple measures of equity as a counterfactual to policy inertia can be used to evaluate the adaptability of federalist programs in other domains. Copyright 2011, Oxford University Press.

Suggested Citation

  • Erika G. Martin & Patricia S. Keenan, 2011. "Sticky Dollars: Inertia in the Evolution of Federal Allocations for HIV Care through the Ryan White HIV/AIDS Program," Publius: The Journal of Federalism, CSF Associates Inc., vol. 41(1), pages 101-125, Winter.
  • Handle: RePEc:oup:publus:v:41:y:2011:i:1:p:101-125
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1093/publius/pjp041
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. David B Hanna & Kate Buchacz & Kelly A Gebo & Nancy A Hessol & Michael A Horberg & Lisa P Jacobson & Gregory D Kirk & Mari M Kitahata & P Todd Korthuis & Richard D Moore & Sonia Napravnik & Pragna Pat, 2013. "Association between U.S. State AIDS Drug Assistance Program (ADAP) Features and HIV Antiretroviral Therapy Initiation, 2001–2009," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-11, November.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:oup:publus:v:41:y:2011:i:1:p:101-125. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Oxford University Press (email available below). General contact details of provider: https://academic.oup.com/publius .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.