Rehabilitation: small goals, sustained interventions.

Rehabilitation to restore and maintain functioning in older people is relatively new. Traditionally, ageist prejudices and the medical preoccupation with cure have led to neglect of chronic disabilities in older people. With a focus on an aging population, however, a new approach to rehabilitation is taking shape at the confluence of geriatric and psychosocial approaches. Significant components of this emerging approach are: setting small goals as incentives for motivating the patient, the timing of the disability within the individual's life course, coping behavior and the way the disability is defined, the importance of social support to the recovery potential, and the incorporation of sustained interventions into daily routines and life-styles. This article illustrates this approach with examples from common disabling conditions, proposing that the quality of aging can be markedly enhanced for older people suffering from functional disability.     

Allocative medicine: efficiency, disease severity, and the payment mechanism.

Health care expenditures now account for nearly 10 percent of our gross national product, the highest share ever recorded. Concerned that this represents too many resources being devoted to health care, policymakers are searching for ways to control health care expenses. These include higher coinsurance and deductibles, measures to increase market shares of health maintenance organizations, and conversion from cost reimbursement to prospective reimbursement. These measures contain many incentives for patients and providers to alter use of health care services. However, aggregate resource use may or may not be lower and more efficient under these new programs. To determine whether limited resources would be devoted to maximizing the nation's health, incentives inherent in each policy option must be examined. This article describes a classification of types of disease and medical care outputs. The framework is then used to examine incentives offered to patients and providers by three alternative payment mechanisms--capitation, fee-for-service, and payment by diagnosis--regarding types of disease treated and mix of outputs produced. This type of analysis is required to select an appropriate payment mechanism for obtaining a socially acceptable allocation of resources.     

Political aspects of repatriation: Germany,Russia, Kazakhstan. A comparative analysis

This paper is based on a study which compares repatriation policies of Germany, Russia, and Kazakhstan. The choice of cases is based on a “most similar case design.” The Russian case results in unsuccessful and unsustainable repatriation, the German case exhibits a change from sustainable repatriation to a slow termination of the program, while the case of Kazakhstan is one of sustainable and relatively successful repatriation. The main argument of the paper is that in order for a repatriation program to be sustainable, the program must contain both a practical component and an ideological component. If a repatriation program lacks ideological backing which permeates other aspects of political life in a state, then the repatriation program grinds to a halt. If a repatriation program has ideological backing, but is rendered impractical and does not meet the economic, demographic and labor market needs of a state, then the further development of the program stops. The findings of this study merit further reflection on issues of changing national identities, on transnational migration pathways, and on the “post-Soviet condition” which has set the stage for all of the aforementioned processes and transformations.     

Democracy,Al Qaeda,and the Causes of Terrorism: A Strategic Analysis of U.S. Policy

How will the strategy of spreading democracy affect the threat of terrorism from Al Qaeda and likeminded Islamic extremist groups? This article analyzes how spreading democracy would impact four different sets of underlying motivations that lead to this kind of terrorism. It will show that the widespread belief in the power of democracy is likely misplaced because democracy will be unlikely to change perceptions of occupation, will itself threaten Islamic identity and culture, will be unlikely to mitigate economic grievances, and will be unlikely to provide a more legitimate government than one based on religious law.     

中美气候变化合作与中美军事关系

气候变化是人类在二十一世纪面临的重大挑战,但这一重要命题却在金融危机导致的全球经济衰退背景下难以找到破解良方。作为对全球治理气候变化最具影响力的中美两国应按照求同存异的原则,在适应和后续应对方面进一步提升合作的深度和广度。特别是在气候变化导致极端天气和自然灾害日益增多的情况下,中美两国军队应加强在人道主义救援和灾难救助领域的协作和配合,尤其是在对两国均具有战略利益的地区。而中美在敏感军事领域的有效合作将有助于进一步提升两国之间的战略互信。