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1.
The most significant health reform in American history was the passage of Medicare in 1965, but this was an accomplishment born of defeat. Medicare was designed and understood by its early promoters as an approach to health reform, not simply as a discrete program for a distinct target population. Although Medicare incrementalism has tended to be shunted aside when the opportunities for health reform are most promising, the final years of the Johnson administration reveal previously underappreciated efforts to expand Medicare eligibility to large new population groups and offer insights into the continuing potential of Medicare incrementalism in our own time.  相似文献   

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This paper discusses aspects related to the green technology sector (GT sector) in Germany. In a first step institutional reforms enabling diffusion of green technologies are analyzed. Cost arguments are also taken into account. In a second step a theoretical model developed by Tanguay et al. (Public Choice 120:1–27, 2004) is modified in order to evaluate the efficiency of the institutional setting in a political economy framework. The model is able to show that command and control policies (CCPs) are accompanied by cost-inefficiencies depending on the political weight of technology related interests groups. We further come to the result that relatively high marginal production costs may generate suboptimal high diffusion of a certain GT j. For relatively low marginal production costs policy induced demand may also be too low.  相似文献   

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The present article presents the results of a qualitative study whose purpose was to compare the structure and operation of the programs for intellectual property management and technology transfer, and the mechanisms through which to foster entrepreneurship, in five high-profile research institutions across the Americas. The institutions of focus included Stanford University and the University of California, Davis in the United States; the Universidad Católica and the Universidad de Concepción in Chile; and the National Scientific and Technical Research Council in Argentina. The purpose of the study was to elucidate commonalities and differences among these institutions with respect to their technology transfer practices, and to distill methodologies that could be used to establish or refine technology transfer offices in American regions. Research revealed common goals and core activities, shared and implemented in similar ways among all five institutions. However, the analysis also identified divergent areas within the structure and operation of the various technology transfer programs, representing significant differences between the five institutions.  相似文献   

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The analysis shows that there are agency problems in the legal political system. Thus there is a need for auditing services that have to be delivered by the supreme audit institution. There are considerable problems in motivating auditors to perform high-quality audits and there is an urgent need to develop effective performance and effectiveness technologies. However, even if these problems could be solved perfectly, an important problem remains: how to ensure that politicians really use the audit results.  相似文献   

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By primarily focusing on bill initiatives, the literature on legislatures and parliaments has understudied other important legislative instruments -such as non-binding resolutions, minutes or speeches- which might help parties and legislators achieve their electoral and policy goals. Non-binding resolutions (NBRs) do not carry the force of law and are primarily used for parties or legislators’ position taking and the request of government actions. This article examines the political goals of NBRs by examining these tools in the lower chamber of the Mexican Congress. Employing a novel dataset, we claim that legislators strategically utilise NBRs to strengthen their relationship with their political principals. We find differences on the use of these instruments across political parties, based on the types of policy areas they choose to target. The analysis also indicates that SMD legislators tend to introduce more particularistic NBRs that might further their political careers at the subnational level.  相似文献   

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"The article presents a brief overview of the historical study of the family in Spain, and deals with household work patterns, labor migration, adaptive strategies of households, and property devolution. From a belated and rater timid beginnings in the early part of the 1980s, the growth of this field in recent years has been noteworthy. The articles included in this volume are fitting testimony to the maturity achieved by this discipline in a very short amount of time. There are many important methodological and conceptual challenges facing family historians in Spain today. If they are able to respond to them successfully, the future of the discipline will be a bright one indeed."  相似文献   

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In the United States, the recently enacted Patient Protection and Affordable Care Act of 2010 envisions a significant increase in federal oversight over the nation's health care system. At the same time, however, the legislation requires the states to play key roles in every aspect of the reform agenda (such as expanding Medicaid programs, creating insurance exchanges, and working with providers on delivery system reforms). The complicated intergovernmental partnerships that govern the nation's fragmented and decentralized system are likely to continue, albeit with greater federal oversight and control. But what about intergovernmental relations in the United Kingdom? What impact did the formal devolution of power in 1999 to Scotland, Wales, and Northern Ireland have on health policy in those nations, and in the United Kingdom more generally? Has devolution begun a political process in which health policy in the United Kingdom will, over time, become increasingly decentralized and fragmented, or will this "state of unions" retain its long-standing reputation as perhaps the most centralized of the European nations? In this article, we explore the federalist and intergovernmental implications of recent reforms in the United States and the United Kingdom, and we put forward the argument that political fragmentation (long-standing in the United States and just emerging in the United Kingdom) produces new intergovernmental partnerships that, in turn, produce incremental growth in overall government involvement in the health care arena. This is the impact of what can be called catalytic federalism.  相似文献   

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This article examines the meaning of federalism for health care financing (HCF) and is based on two considerations. First, federal institutions are embedded in their national context and interact with them. The design and performance of HCF policy will be influenced by contexts, the workings of the federal institutions, and the interactions of these institutions with different elements of the context. This article unravels these influences. Second, there is no unique model of federalism, and so we have to specify the particular form to which we refer. The examination of the influence of federalism and its context on HCF policy is facilitated by using a transnational comparative approach, and this article examines four mature federations: the United States, Australia, Canada, and Germany. The relatively poor performance of the U.S. HCF system seems associated with the fact that it operates in a context markedly less benign than those of the other national HCF systems. Heterogeneity of context appears also to have contributed to important differences between the United States and the other countries in the design of HCF policies. An analysis of how federalism works in practice suggests that, while U.S. federalism may be overall less favorable to the development of well-functioning HCF policies, the inferior performance of these policies is to be principally attributed to context.  相似文献   

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The clash between social movements and political authority is often played out in the court rooms in criminal cases which are loosely described as “political trials.” While prosecutors, judges, and defendants rarely agree as to the “political” nature of a particular case, all parties usually regard the jury as the pivotal factor. The jury, of course, is enshrined in Anglo-American legal theory as the final check against suppression of liberty by the state. Plea bargaining is out of the question when the very legitimacy of the state is challenged and when dissident defendants are determined to use the trial process as a means of political expression. The crucial question is whether the jury has in fact lived up to its Constitutional role.The article attempts to answer this question at two levels. First, the history of political trials in the United States is reviewed with the general finding that radicals have faced juries which were both grossly unrepresentative of the general population and typically hostile to the ideas, life styles, and social origins of the defendants. Second, the article considers in some detail the impact of media coverage on potential jurors on one particular recent political case, the 1977–1978 trial of accused “guerrilla-bombers” Richard Picariello and Eduard Guilion in the Federal District Court of Southern Maine. The survey opinion data presented for this case strongly indicate that any chance of a fair trial for the defendants was compromised by effects of sustained hostile media coverage before the onset of the trial. Finally, the article considers available remedies in the form of either legislative reforms designed to ensure representative juries, or voir dire procedures aimed at eliminating biased jurors. A review of these remedies offers little hope that future political trials will be substantially fairer than in the past. Moreover, the direction of current criminal justice reforms, as in the proposed S-1722 Federal Criminal Code, promise to criminalize further important forms of political expression.The conclusion is not that jury trials should be avoided or minimized, since judges are apt to be even more predisposed against dissidents. Rather, the point is that the social and ideological biases which intrude especially in political trials are rooted in the political economy of capitalism which underlies the legal system itself. The jury system remains the best available defense against legal repression, but “justice” must ultimately await the outcome of continued social struggle, rather than further refinements of legal process.  相似文献   

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International wildlife trafficking has garnered increased attention in recent years with a focus on the illicit trade in ivory, rhinos, and other animals from Africa and Asia. Less is known about trafficking in the Americas. By conducting a systematic review of academic literature, popular accounts, and government reports, this case study attempts to identify the scope and methods of wildlife trafficking in the Americas and its connections to organised crime. Unlike arms or drug smuggling, individual operators with minimal connections to other criminal activities dominate the trade. Most perpetrators work independently and have expertise and interests in legitimate businesses involving animal products. Methods of concealment are frequently rudimentary and little appears to be known about primary trafficking routes. Overall, wildlife smuggling in the Western Hemisphere appears to be a small-scale activity, small in its aggregate amounts, and strongly linked to legitimate businesses operating in a low risk and technologically narrow environment.  相似文献   

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Part of the appeal of creating a new Scottish Parliament lay in the ability of legislators to re-define the institutional culture of politics. For advocates of change, the Westminster system, with its emphasis on adversarial and male-dominated politics, turned citizens off politics. Devolution advocates argued that a Scottish Parliament, composed of a new type of politician and operating according to modernised rules, would better serve the public. The four principles of the Consultative Steering Group report included among them references to a more open and accessible political system. The 1999 elections introduced a number of new faces but among the 129 Members of the Scottish Parliament (MSPs) are a number of sitting and former local councillors, Members of Parliament and party workers. This article examines these individuals and their behaviour in the first year of plenary debates to determine whether the social characteristics of these MSPs, their gender, their partisan ties or their previous political experiences affects the likelihood of a new model of political debate. It argues that initially the political experience of MSPs affected their levels of participation but that increasingly, position within the Parliament exerts a greater influence. Some social characteristics such as gender, however, continue to influence the extent and manner of participation.  相似文献   

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Bicameral legislatures have recently attracted considerable attention in comparative literature. However, this increased interest has been uneven and insufficient to close the many gaps existing in this area of research. Latin America, a continent with a long tradition of bicameralism, has been all but ignored. This study develops a system of scores with which to measure the strength of the bicameral systems of the Americas. Twelve cases are examined: the nine current bicameral legislatures, two unicameral cases that became in the 1990s and, finally, the United States, which provides a pattern of comparison and is the model on which Latin American constitutions have been based.  相似文献   

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