Health policy and the politics of research in the United States

During the past decade research has been more important to the health policy-making process in the United States than at any time in the past. This article describes and assesses three competing normative models for research on health affairs: economizing, social conflict, and collective welfare. The three models provide a context for the history of research bearing on health policy in the past half century, with particular pertinence to the years since 1980. The article concludes with a discussion of some of the consequences of the new legitimacy of research.     

英美司法鉴定制度简介

本文主要介绍了英美的司法鉴定制度,包括:鉴定机构的设置、鉴定人的诉讼地位及适用规则、鉴定人的资格、鉴定结论的功能范围、鉴定人的义务、鉴定结论的披露等。此外,作者还将上述制度与我国的司法鉴定制度作了比较,并认为,英美的司法鉴定制度对我国当前的鉴定制度改革有一定的借鉴意义。     

Domestic food policy in the United States

In this paper we review the major outlines of domestic food programs, assess their adequacy, and recommend ways to improve the relationship between food programs and hunger relief. In the Food Stamp Program we treat problems of outreach, coverage and the adequacy of benefits, and rationing access through imposition of costs on recipients. For WIC and commodity distribution programs we also discuss problems associated with the fragmentation of authority and dependence on nonprofit distributors.     

Animal protection and legislators in Britain and the United States

This article considers the reaction of legislators to the emergence of animal protection as a political issue. A quantitative analysis of legislative behaviour in the House of Commons and the House of Representatives in the late 1980s and early 1990s reveals (mainly through the identification of a small but significant group of legislators willing to promote concern for animal welfare) that the growing societal concern for animals has permeated into the political institutions of Britain and the United States. Examining the characteristics of these legislators suggests, moreover, that the most significant variable is party label, with concern for animals being associated with parties of the centre‐left. It is further suggested that there are good reasons to suppose that this association is no accident and that ideologically, there is a fit between animal protection and the ideals of the left.     

Rethinking retirement-age policy in the United States and Canada

More than legislation, the recent amendments to the Age Discrimination in Employment Act also symbolize a growing interest in the older working population, both in the United States and Canada, particularly the question of their "failing" job skills and the effects of retirement age on the economy. Sociologist Rix examines this issue in terms of demographic, economic and biomedical factors, discussing their implications for management, employee counselors, insurance and pension planners, the tax payers and employees of all ages.     

States and the politics of incrementalism: health policy in Wisconsin during the 1990s

Wisconsin officials during the 1990s seemed poised to enact innovative and comprehensive health care reform. During that era, an ambitious, popular, and reform-minded governor led the state. The state had an unusually professional legislature. The state's economy was strong. Even with these advantages, however, the report card on the state's efforts is mixed. The state enacted a fairly modest set of reforms that were financed largely by the federal government and subject to extensive federal oversight. The Wisconsin story thus seems to be about the politics of incrementalism. But while critics of incrementalist politics point out that the number of uninsured continues to grow, the catalytic federalism witnessed in Wisconsin in the 1990s may well be the best model for implementing health care reform.     

IP law and policy in the United States: trends and developments

Many scholars in political science and international relationshave discussed the obvious shift in world politics from theCold War period to the post-9/11 era. Nation-states now sharethe turbulent global stage with other important actors (eg non-governmentalorganizations and multinational corporations). The field ofUS intellectual property (IP) law is no different. The presentforces of globalization and technology have shaped the developmentand direction of IP policy. In a collection of six essays, ProfessorHugh Hansen, as editor of US Intellectual Property Law and Policy,invites readers to explore the trends of American IP law. Thesesix essays, as Professor Hansen rightly     

War and peace: Drug policy in the United States and the Netherlands

National drug policy has recently been a source of much debate and discussion in the United States. This paper provides a comparison of the key components of the respective drug policies that have been developed in the United States and in the Netherlands. It is argued that the Dutch approach has generally produced more desirable outcomes than have U.S. efforts, and that policy planners here should consider adopting and/or modifying several of these methods for local application.     

Playing fair: fairness beliefs and health policy preferences in the United States

Conventional wisdom suggests that the best way to persuade Americans to support changes in health care policy is to appeal to their self-interest - particularly to concerns about their economic and health security. An alternative strategy, framing problems in the health care system to emphasize inequalities, could also, however, mobilize public support for policy change by activating underlying attitudes about the unfairness or injustice of these inequalities. In this article, we draw on original data from a nationally representative survey to describe Americans' beliefs about fairness in the health domain, including their perceptions of the fairness of particular inequalities in health and health care. We then assess the influence of these fairness considerations on opinions about the appropriate role of private actors versus government in providing health insurance. Respondents believe inequalities in access to and quality of health care are more unfair than unequal health outcomes. Even after taking into account self-interest considerations and the other usual suspects driving policy opinions, perceptions of the unfairness of inequalities in health care strongly influence respondents' preferences for government provision of health insurance.     

Heroin maintenance in Britain and heroin for the relief of pain in the United States of America

SUMMARY

The British themselves have recognized that heroin may not be the safest and most appropriate form of treatment for heroin addicts. The percentage of narcotic addicts in Britain being treated with methadone alone has risen steadily from 58% (of 1,549 addicts) in 1971 to 67% (of 2,588 addicts) in 1981. Also, the percentage of narcotic addicts receiving heroin alone has dropped from 7.1% (of 1,549 addicts) in 1971 to 2.6% (of 3,844 addicts) in 1981. The amount of heroin prescribed to addicts also fell from 22,778 grams in 1969 to 8,501 grams in 1978.

Further increases in the use of oral methadone and sterile injectable methadone, and resulting decreases in unsterile injections of heroin, would no doubt greatly diminish the incidence of death and severe disability in the treatment of British addicts.

On the issue of heroin's use for intractable pain, there is no evidence that heroin has unique advantages over other drugs. When given in equivalent doses, morphine has been proven to be as effective as heroin, orally or subcutaneously, for the relief of pain. In fact, heroin is rapidly converted into morphine in the body. Given the fact that heroin is the drug most narcotic addicts prefer, legally stocking the drugs in pharmacies, hospitals, and hospices would pose serious security and personal safety risks at these facilities. It is possible, in fact, that most pharmacies would refuse to stock the drug.