The ghosts of the past, the dreamlands of the future … or why fantasies are bound to fail in socialism and the market: The case of public health policy development in the Soviet Union and post-Soviet Russia

The transition ‘from planned to market economy’ in the former Soviet Union and in several countries in post-communist Europe is one of the most sweeping social transformations of the second half of the 20th century. It is widely accepted that this transformation was driven by a shared belief in the market's superior ability to deliver economic growth, to create wealth and contribute to the well-being of the populations after the demise of the defunct socialist ideology. However, the element of utopian fantasy undergirding the grand projects of socialism and the market is usually ignored, often with detrimental results. The study draws on Freudian and Lacanian psychoanalysis to propose an alternative reading of the process of transition, as an exchange of one powerful fantasy for another. My key contention is that as long as the common utopian dream of social harmony underlying both projects will not be recognised for what it is, which is in itself an unattainable desire of the human psyche, the illusory dreamlands will continue to exist and so will their violent political consequences. The study uses the example of public health policy development in the Soviet Union and post-Soviet Russia to illustrate how unacknowledged fantasy leads to violent utilitarianism as it was manifested in socialism, and is now repeated differently but no less tyrannically in the market. In conclusion, I argue for integrating fantasy as a constitutive element of political projects and explore the possibility of the autonomous (self-determined) mode of governance that Cornelius Castoriadis (1987/2005) theorised on and juxtaposed to the heteronomous ways of organising ruled by master signifiers present in various ideologies.     

The States' Role in U.S. Local Government Fiscal Crises: A Theoretical Model and Results of a National Survey

Abstract

This article hypothesizes four potential roles that states may play in dealing with local government fiscal crises: predict, avert, mitigate and prevent the recurrence of local fiscal crises. Based on a 50‐state telephone survey administered by the author to members of the National Association of State Auditors, Comptrollers and Treasurers in 2002, this article presents detailed information on states' roles in dealing with actual local government fiscal crises. The research found that ten states had formal definitions of local government fiscal crises while the remainder varied between having a working definition, having no definition, or leaving it to local authorities to define a fiscal crisis for themselves. Although the majority of states lacked a rigourous, legal definition of what constitutes a local government fiscal crisis, 36 states reported that they had had such crisis in recent history in their states. Seven overlapping categories of state approaches emerged: the directive approach, the proactive approach, the ad hoc approach, the special legislation approach, the reform approach, the takeover approach, and the responsive approach. States reported a wide range of activities under each of the hypothesized roles. In general, states tended to get involved after a crisis rather than before one occured.