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In this article, I probe an example of high‐technology medicine as a case study in the problems of the regulation of advancing technology. Specifically, I address the implications of pharmacogenomics—an emerging form of population‐based health care intervention—for public policies designed to eliminate racial disparities in health. Using the case of BiDil, a historical precursor to pharmacogenetic technology, I offer a framework for further studies of high‐technology medicine in which policy analysis is part of a social review based on the justice standard of ex ante mutual advantage. It is the contention in this article that the most just and reasonable deployment of pharmacogenomics is as a compensatory tool to alleviate health disparities.  相似文献   

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This study investigates the impact of governance index and gross fixed capital formation on the economic growth of Brazil, Russia, India, China and South Africa (BRICS) using annual data from 2002 to 2019. This study employs Fixed Effect Model, Driscoll and Kraay standard error with fixed effect, Fully Modified Ordinary Least Square, Dynamic Ordinary Least Square (DOLS) and Panel Dumitrescu Hurlin Causality test. The study has divided the variables into two models where model I includes the impact of governance index (jointly) on economic growth while model II examines the impact of governance index on economic growth individually. The findings demonstrate that the governance index, gross fixed capital formation, population, control of corruption, and governance effectiveness have a positive and significant impact on economic growth, whereas regulatory quality showed a significant and negative impact on economic growth. Furthermore, regarding the Panel test, we notice the presence of unidirectional causality among the constituent variables. Therefore, this study suggests that the government should encourage economic development in the BRICS countries and move away from outdated ideas and poor institutional quality in favor of a new comprehensive reform to achieve excellent governance, population growth control, labor law changes, and corruption control.  相似文献   

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The postmodern turn which has so marked social and cultural theory also involves conflicts between modern and postmodern politics. In this essay, we articulate the differences between modern and postmodern politics and argue against one-sided positions that dogmatically reject one tradition or the other in favor of partisanship for either the modern or the postmodern. Arguing for a politics of alliance and solidarity, we claim that this project is best served by drawing on the most progressive elements of both the modern and postmodern traditions. Developing a new politics involves overcoming the limitations of certain versions of modern politics and postmodern identity politics in order to develop a politics of alliance and solidarity equal to the challenges of the new millennium.  相似文献   

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Waugh  William L.  Jr. 《Publius》1988,18(1):189-198
This study indicates that there is a high level of confidenceamong county representatives that state officials will be responsiveto local needs, but less confidence in state willingness toprovide fiscal support for programs. The preference for continuedfederal funding of programs is strongly evident. County representativesfeel that their policymaking and administrative responsibilitiesare increasing but that their fiscal (taxing and borrowing)capacities are not being expanded as quickly. The highest levelsof trust in state officials were found among those county representativeswho perceived the greatest increases in local government capacitiesto respond to local problems.  相似文献   

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State and local governments along the Louisiana and Mississippi coasts were overwhelmed by Hurricane Katrina and lacked the capacity to function without outside assistance. Mutual aid agreements are common among communities and provide essential surge capacity when catastrophes strike. The Emergency Management Assistance Compact (EMAC) is just such a mechanism for sharing resources. How well or how poorly governors use EMAC depends on their familiarity with the system and how prepared their state and local agencies are to integrate EMAC personnel and other resources. Governor Kathleen Babineaux Blanco of Louisiana was less familiar with EMAC than was Governor Haley Barbour in Mississippi and had less assistance in using the system. State and local officials in Louisiana were also less familiar with mutual assistance compacts than their counterparts in Mississippi. The integration of EMAC assets into state and local operations was easier in Mississippi because officials had set up an area command to coordinate operations.  相似文献   

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勤、廉、仁、俭作为传统官德的重要内容,不仅为中国传统社会的现实状况所决定,且与儒家文化的浸染有着密切关联。从文化生成角度看,"勤"源自传统集权制的客观需要,"廉"肇端于政治主体的角色期待,"仁"是作为传统政治道德的核心价值而存在,而"俭"是与小农经济相适应的美德,它们构成传统官德的应有之义,共同维系着中国传统政治体系的稳定与平衡。深入理解勤、廉、仁、俭的内涵及其关联,不仅有助于更好地把握传统的官德文化,而且对于当前建构中国特色的社会主义反腐败文化体系具有一定的现实参考价值。  相似文献   

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Scholars have long debated whether John Stuart Mill became a socialist, as he claimed in his Autobiography . This article strengthens the case that he did, ironically, by examining Mill's longstanding adherence to a labor-based justification for private property in means of production. Even while he developed sharp criticisms of capitalist property relations based on democratic principles of individuality and freedom, Mill held on to this labor justification, which partly offset his growing socialist sympathies. But relatively late in life, Mill reconsidered and discarded the labor justification and began to argue for a more explicit utilitarian analysis of the relevant questions, thus bolstering the importance of his democratic critiques of the system of private property. A recognition of the slow gestation of Mill's views on the labor justification enriches our understanding of his thought on socialism versus capitalism and provides an insight into how he applied utilitarianism in a practical context.  相似文献   

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Robert R. Geyer 《管理》2003,16(4):559-576
Throughout much of the twentieth century, the Scandinavian countries have been a problem for leftist and rightist visions of global order because, with various adaptations, they have continued to successfully develop on their exceptional path of market openness and social inclusiveness. How can this be explained? From a traditional social‐science perspective, it cannot. However, from a complexity perspective, where there are no rigid hegemonic fundamental human orders such as globalization and Europeanization, nation‐states evolve through complex adaptation with their global surroundings. From this perspective, diversity and exceptionalism—not order—are the norm.  相似文献   

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Schneider  Saundra K. 《Publius》1990,20(3):97-116
This article examines intergovernmental performance during naturaldisasters. The United States has an ongoing response systemwhich requires the cooperation of national, state, and localgovernments. This system was severely tested during the fallof 1989 by four major crises: Hurricane Hugo in the Caribbean,South Carolina, and North Carolina, and the Loma Prieta earthquakein San Francisco. The intergovernmental response functionedvery differently in the four situations. Three patterns emergeto describe the intergovernmental dynamics of disaster relief.The article discusses the causes and consequences of these differentpatterns.  相似文献   

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The history of poverty lines suggests that they are determined jointly with poverty policy in the same political game. If the definition of poverty is endogenous, however, why do altruistic voters allow poverty to persist indefinitely, as seems to be the case in real life? A simple redistribution model shows that the persistence of poverty imposes fairly strong restrictions on the nature of voter altruism. Specifically, a voter's compassion for the poor must rise as the defined severity of the poverty problem worsens. Given such preferences, political actors face incentives to define poverty as a severe problem and then to use redistribution to reduce it significantly. There is no direct incentive to eliminate poverty, however; indeed, voters may prefer a state in which policy always attacks poverty vigorously and yet never defeats it. It follows that social policy should not be judged by its success in eliminating poverty, which may be directly counter to voter interests and therefore practically impossible. Rather, we should ask whether poverty policy provides enough help to people whom voters currently consider to be poor.  相似文献   

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