Health policy making is fraught with difficult decisions that result from conflicts between people’s values. Citizens are important stakeholders in this process, and it is through methods of public engagement that they can be involved in developing health policy. Deliberative forms, in particular, have the ability to improve decision quality and promote greater acceptance of decisions. This study used the Toronto Health Policy Citizens Council to examine citizens’ values on 7 specific health policy questions asked over a two-year period. A thematic analysis was performed on the transcript content derived from the audiotaped deliberations from Council meetings. Nineteen values were identified. The results suggest that it may be a combination of factors of the health policy topic discussed that shapes the values elicitation seen in this kind of public engagement. In conclusion, citizens councils appear effective at eliciting citizens’ values, and are a good way to actively educate participants about health care.

Health policy making is fraught with difficult decisions that result from conflicts between people’s values. Citizens are important stakeholders in this process, and it is through methods of public engagement that they can be involved in developing health policy. Deliberative forms, in particular, have the ability to improve decision quality and promote greater acceptance of decisions. This study used the Toronto Health Policy Citizens Council to examine citizens’ values on 7 specific health policy questions asked over a two-year period. A thematic analysis was performed on the transcript content derived from the audiotaped deliberations from Council meetings. Nineteen values were identified. The results suggest that it may be a combination of factors of the health policy topic discussed that shapes the values elicitation seen in this kind of public engagement. In conclusion, citizens councils appear effective at eliciting citizens’ values, and are a good way to actively educate participants about health care.

Thesis (Ph.D.)--Mississippi State University. Department of History. / Title from title screen. Includes bibliographical references.

In the early Cold War decades, the Citizens’ Councils of America (CCA) became the flagship conservative right-wing social movement organization (SMO). As part of its organizational activities, it engaged in a highly sophisticated propaganda effort to mobilize pro-segregationist opinion, merging traditional racist arguments with modern Cold War geopolitics to characterize civil rights activism and federal civil rights reforms as an effort to bring about a tyrannical, Soviet-inspired, dictatorship. Through a content discourse analysis, this research aims to contribute to understanding what factors determine how SMO’s deploy propaganda rhetoric. The main hypothesis is that geopolitical factors, defined here as specific geographic contexts in which sociopolitical issues are situated and from which propaganda rhetoric is deployed, are influential determinants. Since SMO rhetoric reflects its larger ideological orientation, SMO ideology is also influenced by geopolitical factors. For comparative analysis, propaganda literature from the Ku Klux Klan, as well as elite segregationist rhetoric from the same period is included. Relying on frame theory all rhetoric is quantitatively analyzed centering on the question of what factors drive SMO frame messaging. To contribute to frame theory a concept is proposed called frame constellation, which is a web of SMO frame rhetoric and symbolism that functions as an overlapping, intersecting and interrelated system of ideas which revolve around a central intellectual logic for collective action.