Band of Brothers or Band of Others?: Rhetoric, Veterans, and Civil Rights Fights in Germany and the United States
Abstract: Research suggests that marginalized groups can use military service to win greater governmental and social acceptance by using civic republican rhetoric, however, conditions in which claims-making rhetoric is coercive are underspecified. Because rhetorical effectiveness requires sympathetic ears, we examine the influence of (1) expectations and political efforts of marginalized group members seeking greater acceptance, (2) whether majority group economic status is outpacing marginalized groups seeking improved treatment, and (3) whether marginalized groups have influential military veterans from majority groups as allies. We apply these factors to explain the claims-making failure of German Jews following the First World War and the success of African Americans after the Second World War. From the African American case, we also conclude that military service led to greater socio-political inclusion and rights based on development of future political actors through leadership development processes and inter-group contact, especially regarding Presidents Truman and Eisenhower.
Abstract: Introduction: Persistent inequities exist in obstetric and neonatal outcomes in military families despite universal health care coverage. Though the exact underlying cause has not been identified, social determinants of health may uniquely impact military families. The purpose of this study was to qualitatively investigate the potential impact of social determinants of health and the lived experiences of military individuals seeking maternity care in the Military Health System. Materials and methods: This was an Institutional Review Board-approved protocol. Nine providers conducted 31 semi-structured interviews with individuals who delivered within the last 5 years in the direct or purchased care market. Participants were recruited through social media blasts and clinic flyers with both maximum variation and homogenous sampling to ensure participation of diverse individuals. Data were coded and themes were identified using inductive qualitative research methods. Results: Three main themes were identified: Requirements of Military Life (with subthemes of pregnancy notification and privacy during care, role of pregnancy instructions and policies, and role of command support), Sociocultural Aspects of the Military Experience (with subthemes of pregnancy as a burden on colleagues and a career detractor, postpartum adjustment, balancing personal and professional requirements, pregnancy timing and parenting challenges, and importance of friendship and camaraderie in pregnancy), and Navigating the Healthcare Experience (including subthemes of transfer between military and civilian care and TRICARE challenges, perception of military care as inferior to civilian, and remote duty stations and international care). Conclusions: The unique stressors of military life act synergistically with the existing health care challenges, presenting opportunities for improvements in care. Such opportunities may include increased consistency of policies across services and commands. Increased access to group prenatal care and support groups, and increased assistance with navigating the health care system to improve care transitions were frequently requested changes by participants.