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71. Revising Organ Procurement Organization Guidelines to Obtaining Family Consent for Deceased Donation: An Anthropologically Informed Policy Proposal

Author:
Gillian Tisdale
Publication Date:
04-2024
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
Organ transplantation has become a widespread medical practice with public policy designed to increase rates of deceased donation. When individuals have not registered as organ donors, next-of-kin are called on to make donation decisions—requiring families to grapple with the often-confusing concept of ‘brain death’ and parse their understanding of what the deceased would have wanted. Current public policy is explicitly designed to promote high donation rates without clear regard to the experiences of donor-families; at best, these policies prime donation conversations to involve unethical practices, while at worst, the disregard of kin’s experiences may also diminish deceased donation rates. Anthropological literature has documented the often aggressive tactics used by transplant organizations that demonstrate a disregard for the emotional experiences of kin. In 2023, Congress passed the Securing the U.S. Organ Procurement and Transplantation Network Act, prompting the United States Department of Health and Human Services (HHS) to reevaluate organ donation policies and solicit requests for proposal for a new federal contractor to take over the network responsible for overseeing all organ sharing. This article leverages the relevant anthropological literature to provide guiding principles and proposed language amending the Centers for Medicare & Medicaid Services (CMS) Interpretive Guidance that HHS could implement as part of its modernization initiative. These principles aim to improve experiences for kin without lowering donation rates. The article recommends that HHS and its contractors collect metrics to measure the quality of Organ Procurement Organization (OPO) interactions, counterbalancing current benchmarks focused on procurement rates. It also recommends improved protocols to empathically and systematically support kin’s understanding of brain death.
Topic:
Legislation, Public Policy, Procurement, and Organ Transplants
Political Geography:
North America and United States of America

72. Migrant Death and Disappearability at Sea: Mediterranean Necropolitics as a European Strategy of Migration Deterrence

Author:
Bertille Motte
Publication Date:
04-2024
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
The Mediterranean Sea has become the deadliest passage in the world over the past decade, as thousands of migrants lose their lives at sea each year. It has become a key actant of European border violence perpetrated against migrants, as European national and supranational migration institutions instrumentalize the Mediterranean’s natural properties through necropolitical strategies of deterrence. The sea must be understood as a wet ontology and a fluid hybrid border. It is shaped by dynamic and complex interactions between human actors and more-than-human elements through which European violence is passed onto non-European migrants’ bodies. It conceals migrants’ deaths and disappearances, as they become ‘inevitable accidents’ caused by natural and untamable elements. The Mediterranean Sea therefore invisibilizes European structural violence occurring at the border zone and acts as an archive and witness to this violence.
Topic:
Migration, Border Control, Refugees, Violence, Deterrence, Asylum, Necropolitics, and Refugee Policy
Political Geography:
Europe and Mediterranean

73. Is the Government Ready to Take the Lead? Transition of Migration Management in Bosnia and Herzegovina

Author:
Rio Otsuka
Publication Date:
04-2024
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
Bosnia and Herzegovina (BiH) is approaching a critical tipping point as it assumes primary responsibility over migration management from the International Organization for Migration. However, few studies have examined whether the government has acquired the ability to take over this responsibility. Such an examination is crucial given the country’s turmoil since 2018, with increased migration inflows, casting doubt over the government's capabilities. Thus, this study explores the current state of migration management in BiH, both to determine whether the government has developed effective migration management capabilities as well as to highlight current migration challenges faced by BiH. Fieldwork at the Temporary Reception Center Usivak in 2023; interviews with 6 non-governmental organization (NGO) officers and 10 migrants in BiH; and analysis of literature and data provided by scholars, governments, international organizations, and NGOs suggest that authorities in BiH, primarily the Ministry of Security, have generally developed effective management capabilities and are ready to assume managing responsibility. Nevertheless, obstacles with providing living conditions in reception centers that meet international standards and with the implementation of coordinated responses among different institutions remain. As the transition proceeds, the Bosnian government should recognize these challenges and implement policies to address them through continued coordination with international organizations and NGOs.
Topic:
Migration, Refugees, Management, Migration Policy, and International Organization for Migration (IOM)
Political Geography:
Balkans and Bosnia and Herzegovina

74. Guam in Washington, 1972-Present: The Overlooked Strategic Implications of Congressional Polarization

Author:
Mirabai Venkatesh
Publication Date:
04-2024
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
Contrary to the long-held logic that giving Guam a stronger, more autonomous voice will undermine U.S. strategic interests, failing to provide Guam with a stable pathway of interest advancement beyond Congress hinders its development and with it the federal government’s ability to achieve soft-power advantages and basic military readiness in the Indo-Pacific theater. Since the United States assumed responsibility for administering the territory of Guam in 1898, it has treated the prospect of Guam’s status improvement as detrimental to U.S. strategic interests. This has informed its chosen method of territorial administration, which places U.S. territories under the authority of the Department of the Interior. Each territory is then given only one formal representative in Congress, specifically the U.S. House of Representatives, but without full-voting rights. This paper will explore how Guam has managed to advance its interests in Washington since 1972, highlighting how congressional representation has become Guam’s most successful pathway of interest advancement with the federal government to date. However, the agency and success of Guam’s congressional delegates must be framed within a broader discussion of the fragility of the U.S. approach to territorial administration, which has relegated Guam to a pathway of interest advancement incredibly vulnerable to political sea change. Ultimately, this paper will illustrate how Guam’s main pathway of interest advancement in Washington is quickly narrowing at the expense of U.S. strategic interests in the Indo-Pacific.
Topic:
Foreign Policy, Domestic Politics, History, Soft Power, Autonomy, and Strategic Interests
Political Geography:
Asia-Pacific, United States of America, Indo-Pacific, and Guam

75. Friends in Need: Russian Strategic Communications in Africa Before and After the Full-Scale Invasion of Ukraine

Author:
Christopher Babcock
Publication Date:
04-2024
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
Africa is becoming an important strategic hub for the Russian state as Putin’s regime faces rising ostracization elsewhere. In this paper, I analyze Russian influence in Africa by examining over 1,700 pieces of online content created or re-posted by 4 Russian embassies in Ghana, Ethiopia, the Republic of the Congo, and Tanzania between January 15 and December 31, 2022. I demonstrate that, despite new developments in Russian strategic communications, the full-scale invasion of Ukraine has mostly fed pre-existing narratives rather than drastically shifting the focus or direction of state rhetoric. All four of the embassies used in the analysis promoted narratives that depicted Russia as a revisionist power going up against a “neocolonial” West, portrayed Ukraine as a neo-Nazi puppet of the West, and attempted to contrast this with Russia’s purportedly friendly relations with Africa. The scale and intensity of these narratives exploded in the leadup to and in the wake of the invasion of Ukraine—to the extent that some embassies began to focus almost exclusively on Ukraine in their communications. Meanwhile, many African nations were willing to pragmatically engage with Russia as an alternative (or complementary) ally to the West. Using both quantitative and qualitative analysis, I show that the war in Ukraine has revealed the fault lines of Russian and African thinking, loyalty, and strategy.
Topic:
Foreign Policy, Strategic Engagement, Russia-Ukraine War, and Strategic Communication
Political Geography:
Russia and Africa

76. A Land of Violence, A Land of Conquest: Memory, Truth, Historical Continuity, and Imperialism in Rwanda

Author:
Paolo Bellone
Publication Date:
04-2024
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
How is the imperialism of a small African country connected with questions about its own identity and troubled past? In this paper, I try to analyze through the lenses of historical continuity how the ghosts of a dramatic past have crafted Rwanda’s foreign policy. My analysis goes deeper into the pre-colonial era, observing patterns of similarities throughout Rwandan history, starting from the kingdoms of Rwanda in the 18th century until Paul Kagame’s presidency (2000–present). Moreover, instead of seeing a historical break between the pre- and post-1994 genocide governments, I have found historical parallels with the Rwandan independent governments, especially between those of Juvénal Habyarimana (1973–1994) and Paul Kagame. Those similarities swing around the necessity of controlling ethnic dissent, determining a common truth, centralizing power, and establishing the cult of the leader. Nonetheless, the dramatic consequences of the genocide and the international legitimation that has brought on Kagame’s party Rwandan Patriotic Front (RPF) have had, as a result, an imperialistic project based on the necessity of defending “national security.” Rwanda’s delicate balance between managing internal dissent, the homogenization of the society through shared collective memory, and the imperialistic project is at the center of this work.
Topic:
Genocide, Imperialism, History, and Memory
Political Geography:
Africa and Rwanda

77. RBPI and the Study of IR: Fostering a Multifaceted Platform for Global Dialogue, Debate and Academic Cooperation

Author:
Haroldo Ramanzini Junior, Antônio Carlos Lessa, and Wilton Dias
Publication Date:
12-2024
Content Type:
Journal Article
Journal:
Revista Brasileira de Política Internacional (RBPI)
Institution:
Instituto Brasileiro de Relações Internacionais (IBRI)
Abstract:
This paper provides an in-depth analysis of the evolving landscape of international politics, the challenges this scenario presents for the field of International Relations (IR) and the pivotal role played by Revista Brasileira de Política Internacional (RBPI) in shaping both academic knowledge and policy frameworks. The study aims to achieve two primary objectives. First, to contextualize the significant shifts in international politics in the last few years, such as the rise of China and the impact of the COVID-19 pandemic, while advocating for interdisciplinary approaches and highlighting the contributions of Latin American, particularly Brazilian, scholars to global academic debates. Second, to trace the history, evolution, and international impact of RBPI since its inception in 1958, emphasizing its role in leveraging the standards of academic publishing in Brazil and Latin America, fostering international collaborations, and influencing policy decisions. The paper proposes that RBPI serves as an indispensable platform for advancing rigorous academic inquiry and offers a more inclusive perspective on international relations, thereby having a lasting impact on both the academic and policy landscapes globally
Topic:
International Relations, Foreign Policy, Research, and Publishing
Political Geography:
Brazil, South America, and Global South

78. Domestic regimes and national preferences as factors of regionalism’s crisis. The case of Guatemala’s regional integration policy

Author:
Francisco Santos-Carillo and Luis Andrés Padilla Vassaux
Publication Date:
12-2024
Content Type:
Journal Article
Journal:
Revista Brasileira de Política Internacional (RBPI)
Institution:
Instituto Brasileiro de Relações Internacionais (IBRI)
Abstract:
The article analyzes the influence of internal factors in the Central American integration crisis, based on Guatemalan politics and from a liberal intergovernmental approach. The results confirm the relationship between national preferences, some alignment with the preferences of partner states, and the results and effects of the process. For Guatemala, integration is an ideational commitment conditioned by the absence of negative externalities for the interests of governments and other key actors. National preferences limited the scope and determined the institutional design. The identity commitment and the creation of regional institutions seem to be insufficient for integration.
Topic:
Foreign Policy, Government, Regional Integration, and Regionalism
Political Geography:
Latin America, Central America, and Guatemala

79. Spatiotemporal enabling/disabling factors of local agency in peacebuilding processes. Analysis from present time history and critical peace geography

Author:
Gonzalo Vitón
Publication Date:
12-2024
Content Type:
Journal Article
Journal:
Revista Brasileira de Política Internacional (RBPI)
Institution:
Instituto Brasileiro de Relações Internacionais (IBRI)
Abstract:
The aim of this paper is to analyze how there are spatiotemporal factors that can disable/enable local agency capacities in peacebuilding processes. Those local agency capacities depend on the context, which are shaped both by time and space. The traditional conception of time and space allows only a narrow understanding that reduces the possibilities of agency, and to rethink and broaden the concept of time and space I rely on History of the Present Time and Critical Geography. This paper illustrates the theoretical debate through the women’s agency capacities in the Mozambican peace process. This example demonstrates the complexities and multifaceted disabling/enabling capacity of spatiotemporal factors for the exercise of agency and provide some guidelines to identify them.
Topic:
Women, History, Peacebuilding, and Agency
Political Geography:
Africa and Mozambique

80. “The thing with sexual exploitation”: gender representations and the Brazilian military in an UN peace mission

Author:
Izadora Xavier do Monte
Publication Date:
12-2024
Content Type:
Journal Article
Journal:
Revista Brasileira de Política Internacional (RBPI)
Institution:
Instituto Brasileiro de Relações Internacionais (IBRI)
Abstract:
Based on thematic analysis of 40 semi-directive interviews, observation in Port-au-Prince and Brasilia and following a standpoint feminist and international political sociology approach, the article aims to explore gender representations among Brazilian peacekeepers. Using the Brazilian experience in Haiti as a case study, the article seeks to show how the UNSC agenda on Women, Peace and Security is appropriated by actors on the field. It argues that peacekeepers seek to reduce dissonance between the existing military understanding of gender and UN expectations. UN “gender mainstreaming” is reinterpreted to accommodate naturalizing and traditional discourses on not only women, but also men.
Topic:
United Nations, Peacekeeping, Gender Based Violence, Gender, and Military
Political Geography:
Brazil, South America, Caribbean, and Haiti