ANTHROPOLOGY AND POLICY STUDIES: A NEW DELEGATION ENTERS THE U.N. OF ACADEME

Like all participating academic disciplines, anthropologists entering the policy studies field face a series of “unsolvable” problems that deal with intellectual values about how to ply one's trade. For example, what are one's obligations to agencies, and to the intended clienteles of public policies, especially when the citizens are “havenots” up against well-organized economic interests? Such questions raised by anthropologists in this volume allow one to assess the options available to applied social scientists studying public policy issues. They also lead us to recognize the existing biases of doing policy studies research. While weighing the propriety of doing applied research, anthropologists do possess critical concepts and research methods essential to the policy sciences. With a grounding in process or temporally-based concepts like “culture, context, and symbol,” applied anthropologists will strengthen the study of policy implementation. Further, with qualitative methods gaining a strong foothold in the policy sciences, anthropologists are contributing to the refinement of methods for studying the organizational behavior of actors charged with the implementation of public policy. Moreover, anthropologists in this volume demonstrate their discipline's potential to break new ground in the policy sciences. Specifically, the world view of anthropologists is likely to add a comparative, crosscultural perspective to existing areas of concentration like public health, and to increase the range of issues of interest to the policy sciences. Also, anthropologists are already developing new units of analysis different from the aggregation of individual scores, and adding new social indicators that are group or culturally grounded. In short, the policy sciences will be enhanced by anthropologists as they bring the strengths of their discipline to bear on the field.     

DISPUTING AND REGULATORY POLICY: THE EXAMPLE OF A STATE PUBLIC UTILITY AGENCY

The literature on policy making has largely ignored the formulation and implementation of policy when governmental agencies process citizen disputes. In this essay we provide an initial exploration of the dimensions of agency policy making and policy implementation during dispute processing. Using a case study of dispute processing by a state public utilities regulatory agency, it appears that dispute processing contributes to evolutionary policy formulation and implementation by providing a context for the incremental adjustment and legitimation of continuing policies, by sponsoring negotiations leading to the serial adaption of existing policies to new circumstances, and by screening disputes and sharpening the issues in disputes so they are amenable to policy development through agency adjudicatory procedures. The findings of the case study suggest that processing of citizen complaints flowing into the "bottom" of an agency is potentially as important as the politics of the rule making and licensing procedural contexts in the conduct of regulatory policy.     

MEDICAL ANTHROPOLOGY HEALTH POLICY AND THE STATE: A CASE STUDY OF SUDAN

Medical anthropologists have frequently limited themselves to studying cultural factors in illness, curing or resistance to the acceptance of modern Western medical services. This prevailing "socioculturalist" approach has serious analytical shortcomings resulting from underestimating the importance of the social formations in which cultural factors occur. Consequently, the policy recommendations produced in medical anthropology are often crippled by theoretical limitations. It is argued that the historically specific constellation of social relations governing production and the appropriation and distribution of the economic surplus-commonly embodied in the functions of the state-have profound effects on the pattern of health and illness as well as on the availability of health services. In underdeveloped countries an analysis of the role of the state in health is especially important, since the organs of state power play a stronger role in health care than in countries with well developed markets for medical services.
In the case of Sudan, the interests of the state in colonial and postindependence periods required a development strategy involving large-scale irrigated agriculture utilizing seasonal migrant labor. The labor and health policies aimed at economic productivity and political stability are analyzed here in relation to the adverse health effects and serious maldistribution of health services which resulted.     

IDEOLOGY AND POLICY RESEARCH: THE CASE OF MURRAY'S LOSING GROUND

Ideology and policy research are intertwined in many ways; an example is Murray's Losing Ground which uses “science” to justify racial, sexual, and class discrimination. Murray is utterly faithful to the neoconservative version of how liberalism went wrong in the 1960s. He says an intellectual elite shifted the blame for poverty, crime and low achievement to “the system” destroying individual responsibility. But his argument is not supported by evidence. Data are bent tofit foregone conclusions. He argues that more people are becoming dependent on government support, but his method of counting who receives assistance is a fiction. Nevertheless his argument has wide appeal among Americans. Why? His argument touches the self-interested Social Darwinist in almost all of us.     

SOCIAL SCIENCE DISCIPLINES AND POLICY RESEARCH: THE CASE OF POLITICAL SCIENCE

It has been argued that social science disciplines influence their members policy research via theoretical focus, methods, norms, and system maintenance mechanisms and that these forces inhibit the usefulness of policy research for policy-making. Political science is found to influence substantially its members policy research output and to decrease its policy usefulness, primarily by promoting explanations of policy, although the extent of influence and lack of usefulness are less than studies of other disciplines suggest. Whereas highly useful outcome analyses are produced less frequently than many advocates of policy research would hope, a sub-stantial body of policy research undertakes objectives that when satisfied, particularly in the area of problem definition, provide moderately useful output to decision makers. In addition, policy research output is remarkably diverse substantively, but less so in terms of the purposes it serves.     

THE NEW POLICY CHALLENGES OF FINANCIAL SERVICES GLOBALIZATION

Can nation states cope with numerous public policy challenges–ranging from regional financial crises to the failures of large financial services firms–posed by today's globalized financial and monetary landscape? As Benjamin Cohen has argued “governments must consciously adapt to a dramatic transformation of their status, from monopolists to oligopolists, if they are to adequately represent the interests of all their citizens in monetary affairs.” This article briefly examines the nature of the policy challenges facing states and reviews the findings of symposium contributors who explored the national, regional and international responses of states to the fast moving global financial and monetary developments.     

NEW ISSUES IN THE LOGIC OF POLICY ANALYSIS

Case studies of social interventions need not exchange relevance for rigor, provided analysts keep three methodological issues in mind. First, certain critical tests can and should be performed to help establish causal relations even when empirical data are limited. Second, "causell is an explanatory category representing a moral judgment. Third, case studies should provide some systematic attempt to evaluate the program under scrutiny. The article entitled "Social-Problem Solving in a Revolutionary Setting: Nicaragua's Pesticide Policy Reforms" by Douglas L. Murray (Policy Studies Review, November 1984) is used to illustrate these issues.     

POLICY MODELING TO SUPPORT ADMINISTRATIVE DECISIONMAKING ON THE NEW YORK STATE HIV TESTING LAW

A recent New York law requires medical providers to offer HIV tests as part of routine care. We developed a system dynamics simulation model of the HIV testing and care system to help administrators understand the law's potential epidemic impact, resource needs, strategies to improve implementation, and appropriate outcome indicators for future policy evaluations once postlaw data become available. Policy modeling allowed us to synthesize information from numerous sources including quantitative administrative data sets and practitioners’ content expertise, structure the information to be viewed both numerically and visually, and organize consensus for decisionmaking purposes. This case illustrates how policy modeling can provide an integrated framework for administrators to examine policy problems in complex systems, particularly when data time lags limit pre–post comparisons and key outcomes cannot be measured directly.