Symbols, rationality, and justice: rationing health care.

Proposals to ration health care in the United States meet a number of objections, symbolic and literal. Nonetheless, an acceptance of the idea of rationing is a necessary first step toward universal health insurance. It must be understood that universal health care requires an acceptance of rationing, and that such an acceptance must precede enactment of a program, if it is to be economically sound and politically feasible. Commentators have argued that reform of the health care system should come before any effort to ration. On the contrary, rationing and reform cannot be separated. The former is the key to the latter, just as rationing is the key to universal health insurance.     

Introduction: China,Ltd

The study of Chinese nationalism is very popular—both in China and the West. This article introduces a special section of seven articles (four of which are in this issue) on ‘The Limits of Chinese Nationalism’, arguing that our understanding of nationalism in China is problematic. This special section aims to explore the limits of many of the statements about Chinese nationalism that have now become ‘common sense’: the rise of Chinese nationalism, nationalism filling an ideological vacuum, elites manipulating nationalism to gain legitimacy, and so on. Using critical IR theory this Introduction explores the concept of limits to argue that borders in China are not just territorial, but cultural, economic and thus political. It seeks to change the objective of our discussion of Chinese nationalism from seeking an Answer—either as a measure of the objective nature of Chinese nationalism or as a moral judgment of it as good or evil—to seeing ‘nationalism’ as a provocation which pushes us to think about China and identity in a host of different and productive ways.     

Elmer Boyd Staats and the Pursuit of Good Government

After more than a quarter-century of service at the Bureau of the Budget, Dr. Elmer Staats accepted a 15-year appointment as head of the General Accounting Office. Prior to his retirement in 1981, Staats oversaw an expansion and modernization of the GAO. He introduced sophisticated data processing, program evaluation beyond mere efficiency, as well as a more diverse workforce. Improving relationships with Congress and agency clients significantly advanced public accountability throughout government. His remarkable career achievements contain invaluable lessons for today's administrators involved with initiating organizational reforms.     

Policy implications of climate forecasts for water resources management in the Pacific Northwest

The Columbia River Basin management system suffers from conflicts over water use and allocation, and vulnerability to climate variability that disrupt hydropower, fisheries, irrigation, water supply, and other vital activities. Climate forecasts have the potential to improve water resource management in this system supporting management decisions that decrease its vulnerability to droughts, floods, and other crises related to climate variability. This study shows that despite the potential utility, managers do not use climate forecasts except for background information. The barriers to managers' use of climate forecasts include low forecast skill, lack of interpretation and demonstrated applications, low geographic resolution, inadequate links to climate variability related impacts, and institutional aversion to incorporating new tools into decision making. To realize the potential of climate forecasts for water resources management, we recommend strategies that include technical improvements to the forecast products, and joint efforts between forecast producers and the management community to develop and demonstrate climate forecast applications through reciprocal and iterative education.     

Life Extension: Rolling the Technological Dice

The idea of radically extending average human life expectancy is an ancient one, but for most of human history exceedingly utopian. There is now, however, a revival of that idea, with some scientists and others arguing that it is possible and desirable. But the main problem with most of the life extension enthusiasm is that it is based almost entirely on the desire of some individuals to make it happen. The social consequences of success of such a venture are, however, either ignored altogether or dismissed on the grounds that any problems can be dealt with. In the end, none of our present human and social problems would be helped by radically longer lives and no obvious social benefits have been advanced to support it.