THE CASE OF COMPARABLE WORTH IN WASHINGTON STATE

Twelve years after its precedent-setting comparable worth study, Washington State has approved an agreement guaranteeing implementation of its comparable worth system by 1993. A history is presented of state actions on comparable worth. The causes for the slow course of policy formation and implementation are seen to lie with the following: being the first to conduct a study, taking too long to act, the changes in persons in key positions, the state economy, attitudes towards state workers, lack of focus of responsibility, and denial that sex-based differences in wages are the bases for Comparable worth adjustments.     

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.     

COORDINATION IN STATE ADMINISTRATION: A CASE STUDY

Abstract: "Coordination is one of the perennial concerns of public administration, and has been a particular problem of State-level policy-making in Australia. This paper describes a policy initiative under the Dunstan government in South Australia which was necessarily an exercise in State administrative coordination. The story illustrates the complexity of a multi-Departmental program aimed at producing an innovative, flexible and decentralized policy. While it shows the awkwardness of conventional administrative and policy-making procedures in such a situation, it also provides examples of constructive cooperation among and readjustment within departments. The general policy "parameters" inspired by the Dunstan government are regarded as a significant influence on the outcome of the program.     

THE STATES AND DEREGULATION: THE CASE OF SURFACE MINING

The Surface Mining Control and Reclamation Act of 1977 (SMCRA), passed to correct the abuses of surface mining, assigned key implementation roles to the states. While the federal government originally enforced SMCRA, states could operate the program themselves. Once states decided to run their own program the federal government would oversee them to insure they properly enforce the Act. This research examines the enforcement behavior of states in the 1980s. The results indicate that early in the Reagan administration eastern states enforced the SMCRA less stringently than other states. Eastern states increased their level of enforcement later in the 1980s in response to pressures for increased federal oversight from Congress, interest groups and others.