Cody, John with Robert Cavana and David Pearson, "Maintaining Disparity: Thresholds of Defection", 2011 July 24-2011 July 28
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An earlier Conference paper used a small model to illustrate oscillations in local responses to health disparities. It was noted that further work would address medium term trends and thresholds shaping public action to eliminate health disparities. This paper begins to address those issues using Heckathorns model of The Dynamics and Dilemmas of Collective Action. Among many other things the model illustrates the implications of hypotheses related to the relative fitness of voluntary action, norms of reciprocity and selective incentives or sanctions. The hypotheses can be used to explore implications of the governance variable in the causal loop diagram adopted by the WHO Commission on Social Determinants of Health. The conclusion is that the model (a) provides a framework for analysing elite responses evident in decisions made and avoided by governance groups with duties to promote public health, and (b) has the theoretical depth necessary to be recognised as a canonical situation model as defined by David Lane.