The agency role of the physician in Ireland,Britain, and the USA

The USA and Britain have medical care delivery and financing systems which are polar opposites. The Irish system incorporates important features of both. Using original household survey data of medical care utilization in Ireland, and published data and studies of the USA and Britain, the effect of the incentive structures in the three systems on physician behavior, especially on the so-called agency role, is examined. We conclude that the incentive structure is of the utmost importance to policy makers concerned with health costs and economic rationality of medical care systems.     

The role of income in the formation of new cities

The richest neighborhoods in the unincorporated suburbs have a stronger incentive to form a new city to escape the redistribution that is occurring there. Wealthy families also may desire to establish a new city if this enables the provision of government services that middle income voters would not fund. With three different measures of household well being??based on educational attainment, income, and home values??we consistently found that the relatively wealthier neighborhoods were more likely to be part of a new city by the end of the decade. Population density also played a big role     

The role of the courts in certain educational policy formation

A study of recent court decisions indicates that courts tend to decide cases in education with apparently little or no citation in their opinions of the findings of research studies in the fields of education, economics, psychology, sociology, etc. This may be unique since the courts seem to be more liberal in other areas of the law where inputs from other disciplines (e.g. medicine) are cited and do find their way into the decisions of cases. The implications of this for educational policy formation and educational research need to be more thoroughly examined.This study merely describes a finding and does not purport to state a position or to offer suggestions for a future course of action.     

The congressional foundations of agency performance

When Congress delegates a policy mandate to a regulatory agency, Congress acts as a principal, choosing the institutional arrangements, or the ‘rules of the game’ for agency decision making. Individuals in the agency, acting as agents, take the rules of the game as given and do the best they can within these institutional arrangements. In this paper we develop a simple model that relates the congressional choice of institutional arrangements to two underlying environmental factors — uncertainty and conflict. We suggest that uncertainty and conflict of interest lead Congress, in delegating, to prescribe a greater scope of permissable regulatory activity, a wider array of regulatory instruments, and more confining regulatory procedures. Increased scope and stronger instruments tend to broaden the overall discretionary authority of the agency, while more confining procedures tend to narrow it. We conjecture that with increased uncertainty or conflict the narrowing tendency more than offsets the broadening tendency, for a net decrease in the agency's overall discretionary authority. Lastly, we argue that the performance of a regulatory agency in fulfilling its mandate is determined in large measure by the foundations Congress constructs for the implementation of delegated authority.     

The role of analysis in the formation of cable television regulatory policy

A summary of a panel discussion by seven participants in the Federal Communications Commission's cable television rulemaking. Analysis of the potential impact of cable on over-the-air broadcasting was a prominent part of the rulemaking; but did it make any difference in the outcome? The panelists discussed how analysis was used and what effect it had on the rules finally adopted. It was agreed that analysis was used, not as a tool in the hands of decisionmakers, but rather as a weapon in the hands of the contending parties. Nevertheless, analysis had an important effect by strengthening the FCC's perceptions of cable's possible benefits and damping fears of its offsetting harms, resulting in a compromise outcome that is more encouraging to cable growth than it otherwise would have been.     

Social capital formation: The role of NGO rural development programs in Bangladesh

Social capital can be generated by the expectations of the rural poor who are victimized by government and market failures. The demands of the rural poor of Bangladesh for economic and social goods and services, for example, have been instrumental to their economic and social well-being. Cooperation based on mutual trust and norms of reciprocity contributes to the creation of other kinds of capital, especially economic and human capital, that are mutually reinforcing. Both governments and the NGOs make use of social capital as a tool for implementing poverty policies.     

The transformation of cleavage politics The 1997 Stein Rokkan lecture

Abstract. In this lecture I discuss the development of the social divisions in Western Europe and their translation into politics. I successively take up the three aspects embraced by the notion of 'cleavages'— their structural base, the political values of the groups involved, and their political articulation. My main argument is that the decline of traditional cleavages does not necessarily signify the end of structuration of politics by social divisions. There is ample empirical evidence for the existence of a new social division between two segments of the new middle class, which has important consequences for politics. This new social division is shown to be closely linked to the new 'value cleavage' although it is not able to fully account for the enormous political implications which contrasting value–orientations have today. Finally, I suggest that the political articulation of both the transformed class structure and the new configuration of values is strongly shaped by the political legacy of traditional cleavages.     

The role of intermediaries in corruption

The aim of the article is to examine a briber initiated corrupt transaction and the role of intermediaries in such a transaction, using a game theoretical model. Clients applying the intermediaries do so to be able to get rid of high red tape applied by the officers. They prefer using intermediary instead of offering a bribe to the officers directly since they do not know which officers are corrupt (accepts a bribe offer) and how much bribe should be given to the corrupt officers. In our model, the client wants to offer a bribe to get rid of red tape, however, she hesitates due to the possibility of offering a bribe to an honest public officer and as a result getting a penalty. Client also hesitates due to the possibility of offering an amount of bribe lower than the reservation price of the corrupt officer; thus being rejected. Intermediaries, knowing which officers are corrupt and the reservation prices of those corrupt officers, decrease the risk of offering a bribe. Two cases; one with intermediary, the other without, in such a scenario is examined and the results of the two are compared.     

Niches of agency: managing state-region relations through law in Russia

State-region relations involve negotiations over the power to (re)-constitute local spaces. While in federal states, power-sharing ostensibly gives regions a role over many space-making decisions, power asymmetries affect this role. Where centralization trends may erode regional agency, law can provide an important tool by which regions can assert influence. We examine a case where, in response to a proposed Russian federal law highly unpopular with a regional population, the region's government sought to ameliorate its potential impacts by using opportunities to co-produce the law, amending regional legislation, and strategically implementing other federal and regional laws to protect its territory.     

Lived citizenship as the locus of political agency in participatory policy

Participatory policies seeking to foster active citizenship continue to be dominated by a territorial imagination. Yet, the world where people identify and perform as citizens is spatially multifarious. This article engages with the tension between territorially grounded perceptions and relational modes of practicing political agency. Studying empirically the Finnish child and youth policies, we address jointly the participatory obligations that municipalities strive to fulfill, and the spatial attachments that children and young people establish in their lived worlds. To this end, we introduce the concept of lived citizenship as an interface where the territorially-bound public administration and the plurality of spatial attachments characteristic to transnational living may meet. We conclude by proposing a re-grounding of lived citizenship in both topological and topographical terms as an improvement in theoretical understanding of mundane political agency and as a step towards more proficient participatory policies.     

The complications of controlling agency time discretion: FDA review deadlines and postmarket drug safety

Public agencies have discretion on the time domain, and politicians deploy numerous policy instruments to constrain it. Yet little is known about how administrative procedures that affect timing also affect the quality of agency decisions. We examine whether administrative deadlines shape decision timing and the observed quality of decisions. Using a unique and rich dataset of FDA drug approvals that allows us to examine decision timing and quality, we find that this administrative tool induces a piling of decisions before deadlines, and that these “just-before-deadline” approvals are linked with higher rates of postmarket safety problems (market withdrawals, severe safety warnings, safety alerts). Examination of data from FDA advisory committees suggests that the deadlines may impede quality by impairing late-stage deliberation and agency risk communication. Our results both support and challenge reigning theories about administrative procedures, suggesting they embody expected control-expertise trade-offs, but may also create unanticipated constituency losses.     

From Stockholm to Leiden: the CIA's role in the formation of the International Student Conference

This study contributes to the growing knowledge of CIA covert operations among non-governmental organizations during the Cold War by examining the formation of the International Student Conference (1950) and the creation of its Coordinating Secretariat (COSEC). The ISC objectives were global in scope — to organize the world's national student unions into a network that could deny the pro-Soviet International Union of Students its claim to represent the world student population. The CIA's reach depended heavily on the US National Student Association, which provided both a rationale for funding flows from the United States, and a steady stream of personnel. The structure of the relationship was complex and cumbersome, since the CIA had to work secretly through two organizations (NSA and ISC) whose legitimacy rested on democratic processes. This complexity suggests that issues of power and control require a more nuanced formulation than is usually presented in much Cold War political research.     

Leadership in collaborative policy-making: An analysis of agency roles in regulatory negotiations

Regulatory negotiation is a process by which representatives of affected interests, along with the regulatory agency, attempt to negotiate a consensus agreement on the content of a regulation. This study represents an empirical effort to begin to identify and sort out the roles that an agency plays in a collaborative policy-making process such as regulatory negotiation. Three regulatory negotiation cases were examined to determine the perceived roles of the U.S. Environmental Protection Agency (EPA) officials and other participants, and the study suggests a number of findings. First, that EPA fulfills a number of different roles (Expert, Analyst, Stakeholder, Facilitator and Leader) in a negotiation process; second, that EPA is expected to be an active participant in the negotiations, not simply an overseer or facilitator of interests; and finally, EPA interprets its primary role much more narrowly – as that of an expert – than do other participants. Non-agency participants view EPA's primary role as a leader, which combines technical and substantive components as well as process components. Where previously and in the theoretical literature, agencies exercise leadership through statutory authority or technical expertise, this study suggests that there are additional dimensions to that leadership role. In a collaborative process such as regulatory negotiation, the agency finds itself in a realm that demands that they effectively merge the roles of expert, analyst, and stakeholder into a more complex leadership role than has been suggested in the past.     

Socio-spatial agency and positive peace in Mostar,Bosnia and Herzegovina

ABSTRACT

Mostar has been divided since 1992, which marked the start of the civil war in Bosnia and Herzegovina. In 1995 the violent conflict ended and in 2004 the city was reunified by an interim city statute even though it remains highly contested. Drawing on research conducted in Mostar from 2014 to 2018, this article presents spatial interventions to discuss how socio spatial agency contributes to the experience of a ‘positive peace’. As such, the article presents examples of shared spaces in the divided city to focus on the temporal dimensions of the peace process.     

Ideas and agency in immigration policy: A discursive institutionalist approach

Political science literature tends to depict the role of ideas in policy in two distinct ways: as strategic tools mobilised by agents to achieve pre‐given preferences; or as structures imposing constraints on what is considered legitimate or feasible. Discursive institutionalism seeks to combine these insights, suggesting that while actors are indeed constrained by deeply entrenched ideas, they nonetheless enjoy some autonomy in selecting and combining ideas. This article seeks to further develop this approach in two ways. First, it identifies three discursive strategies through which policy actors can selectively mobilise ideas: they may foreground one level over others; exploit ambivalence in public philosophies; or link programme ideas over time by invoking ‘policy legacies’. Second, the article elucidates the mechanisms through which such strategic selections can in turn modify existing public philosophies and programme ideas, thereby influencing policy change. These claims are examined by comparing discourse on immigration policy liberalisation in Germany and the United Kingdom between 2000 and 2008. Evidence is found of all three discursive strategies. Moreover, the article shows how, in the German case, these discursive representations led to longer‐term adjustments in underlying programme ideas and public philosophies on immigration.