Local Politics and the Provision of Indigent Defense Counsel*

In this study we examine the decisions of local governments regarding the form and funding of indigent defense programs. We draw theoretical propositions from the literature on state and local policy making, and we test these propositions using data from Georgia. We find that the provision of indigent defense counsel by local governments is influenced by both economic and political factors: by the wealth on which counties can draw for revenue, which produces interjurisdictional disparities; and by the political resources that interested parties can bring to bear on the policy process. These findings add to a growing body of literature that maps the relationships between trial courts and their political environments. The analysis may also have implications for the allocations of functional responsibilities among levels of governments.     

The Swedish mental health system. Past, present, and future

In sum, the evolution, strengths, and weaknesses of the Swedish mental health system are quite similar to mental health systems in other Western countries; early reliance on stand-alone, state psychiatric hospitals, followed by deinstitutionalization and development of largely ambulatory, community mental health care. This evolution has been complicated in Sweden by the multiple levels and system components, the state, the county councils and the municipalities. Unlike the United States, but similar to Britain, community mental health care in Sweden is provided by two systems; treatment (and forensic services) by the county councils' mental health providers, and generic services by the municipalities' social welfare system. The resulting division of roles and responsibilities creates a strong need for collaboration and coordination of activities on behalf of consumers. It can also have the unintended disincentives to serving more difficult consumers. All these difficulties not withstanding, the Swedish mental health system has made major stride in providing quality, appropriate care.     

The Law‐Before: Legacies and Gaps in Penal Reform

This article introduces the law‐before as an analytic tool for enhancing explanations of legal reform. Based on an integration of neo‐institutional law and organizations studies and punishment studies of local variation in penal policy, I define the law‐before as the past organizational practices and power arrangements that precede law‐on‐the‐books and shape present day implementation. I utilize the law‐before as a heuristic to investigate the legacy effects of variations in local practice on the implementation of the prison downsizing law, AB 109, or “Realignment,” in California. I analyze organizational documents produced by county practitioners in the aftermath of AB 109's enactment in 2011 as empirical windows into how actors shape the meaning of law in local settings. I find that practitioners in counties with divergent historical imprisonment patterns enact four processes (overwriting or underwriting law, selective magnification, and selective siting) to arrive at distinct interpretations of AB 109 as mandating system‐wide decarceration or the relocation of incarceration from state prisons to county jails. Although my data do not speak to the ultimate implementation of AB 109, the processes revealed have practical implications for the reform goal of decarceration by rationalizing distinct resource allocations at an early stage in the implementation process.     

Ethnic politics, policy fragmentation, and dependent health care access in California

One out of every six nonelderly Americans without health insurance lives in California. The problem of access to competent and dependable health care is especially problematic among the state's minority, and especially Hispanic, population. Because one-third of the country's Hispanics live in California, how this state deals with health access issues will affect the practice and progress toward universal care in the nation as a whole. Expanding health care access to California's dependent population will involve overcoming a number of well-known administrative and fiscal obstacles, including an underfunded, highly fragmented public health care system that has developed incrementally and incoherently over decades. However, a key to understanding the problem of access to health care in California involves a story of how ethnic conflict and partisan politics often conspire to deny or discourage access for eligible women and children.     

New report profiles syringe access in California

A case study conducted by Human Rights Watch in California reveals that counties have to declare a local health emergency if they want to set up a needle exchange program. Even where such programs have been established, police harrassment of the needle exchange clients is widespread.     

A survey of public sector use of federally generated innovations

Several agencies of the U.S. Government make available technical information in hopes that it will be used by the public and/or private sector. This paper is a study of the awareness and/or use of such technical information by the managers in small city and/or county governments. Five technical sources were used in the survey. In general it was found that the managers of city, county and special districts in Central California had very limited knowledge about the five information sources.     

The conversion of coroner systems to medical examiner systems in the United States: a lull in the action

Coroner and medical examiner systems in the United States conduct death investigations for most deaths that are sudden and unexplained, or which involve external causes such as injury and poisoning. They play a very important role in the criminal justice, public health, public safety, and medical communities, and they also contribute a substantial portion of autopsy-based mortality data to the state and federal mortality statistics systems. Death investigations often involve complex medical issues and necessarily require the involvement of appropriately trained physicians. Over the years, there has been a trend to replace the elected lay coroner systems with systems run by appointed, physician medical examiners. Presently, about 31% of counties in the United States are served by a medical examiners at the county, district, or state level. Between 1960 and 1989, there was considerable conversion to medical examiner systems, but this trend slowed in the 1990s. Since 2000, only 6 counties in the United States have converted to a medical examiner system, no states have converted since 1996, and 1 county has reverted to a sheriff-coroner system. Possible reasons for this decline are discussed, including legislative, political, geographical, financial, population-based, and physician manpower distribution factors. It is important to ensure that all death investigation systems have appropriate access to medically educated and trained physicians such as forensic pathologists.     

The constitutionality of current legal barriers to telemedicine in the United States: analysis and future directions of its relationship to national and international health care reform

The current health care crisis in the United States compels a consideration of the crucial role that telemedicine could play towards deploying a pragmatic solution. The nation faces rising costs and difficulties in access to and quality of medical services. Telemedicine can potentially help to overcome these challenges, as it can provide new cost-effective and efficient methods of delivering health care across geographic distances. The full benefits and future potential of telemedicine, however, are constrained by overlapping, inconsistent, and inadequate legal and regulatory frameworks, as well as the repertoire of standards imposed by state governments and professional organizations. Proponents of these barriers claim that they are necessary to protect public health and safety, and that the U.S. Constitution gives states exclusive authority over health and safety concerns. This Article argues that such barriers not only fail to advance these public policy goals, but are unconstitutional when they restrict the practice of telemedicine across state and national borders. Furthermore, the interstate and international nature of telemedicine calls for increasing the centralized authority of the federal government; this position is consistent with the U.S. Constitution and other governing principles. Finally, this Article observes that the U.S. experience bears some similarities to that of other nations, and represents a microcosm of the international community's need and struggle to develop a uniform telemedicine regime. Just as with state governments in the U.S., nations are no longer able to view health care as a traditional domestic concern and must consider nontraditional options to resolve the dilemmas of rising costs and discontent in the delivery of health care to their people.     

A Phantom Doctrine: The Origins and Effects of Just v. Marinette County

No branch of zoning law is more perplexing than the constitutional limits of the police power. How severely may the government reduce the value of land by regulation without compensating the owner? This issue has become particularly prominent during the last decade, as state and local governments have sought to preserve the landscape by novel and sometimes stringent land-use controls. Recently, some scholars have suggested that the familiar “diminution-of-value” test for determining when regulations become unconstitutional should be abandoned, even in cases where the prohibited use is not akin to a nuisance, and the effect of the regulation is to render the tract worthless. In Just v. Marinette County, the Wisconsin Supreme Court seemed to adopt this idea, declaring that development of a shoreland marsh may be forbidden irrespective of the economic impact on the landowner. Naturally, such decisions create the impression that property owners are regularly being sacrificed for the sake of environmental quality. But a study of Just's origins and effects reveals that in Wisconsin and Minnesota this impression of regulatory zeal is inaccurate. As a rule, all four of the counties studied allowed owners of shoreland marshes to fill enough of the marsh to make a remunerative use of the tract. Their main concern was not to preserve marshes but rather to attach erosion-control conditions to the fill permits. Cases in which a county, by denying a fill permit, drastically reduced the value of the land, have been extremely rare, even in the three Wisconsin counties studied, where under Just such denials are clearly constitutionally permissible. In these counties, it appears that ideology and politics, not constitutional law, are the major factors limiting the severity of conservancy zoning and consequently the extent to which this technique preserves open space. In jurisdictions where this is so, it seems likely that judicial decisions that permit the government to prohibit all remunerative uses are more likely to rationalize unjust treatment of an occasional landowner than to make a major contribution toward preserving environmental quality.     

Side effects: a dose of competition and access to care

The Federal Trade Commission and Department of Justice 2004 report Improving Health Care: A Dose of Competition argues in favor of increasing competition among health care providers. Several of the proposals within the report, however, may pose risks for access to care. The report urges that the current system of implicit cross-subsidies for indigent care be replaced with insurance expansions that provide coverage to individuals. Such a substitution would certainly enhance access, but would be very costly and likely require considerable government intervention in the health care system. In the absence of a substantial expansion in coverage, reductions in cross-subsidies could limit access to care through the existing safety net. The report argues that insurance mandates limit access to care by driving up cost and reducing choice. In some cases, such as mental health and substance abuse, however, the unregulated market may not cover a benefit at all, leaving people with less coverage and less choice. Finally, the report stresses the importance of linking costs to quality. Such a linkage is likely to lead to a health care system in which poor people obtain poor-quality care at low prices--a result that many would find disturbing.     

Reforming Natural Gas Fracking Regulations in 2017–2018: How Should States Enforce Regulations?

While much scholarly work has been published on hydraulic fracturing regulatory frameworks, there is little discussion on the enforcement mechanisms of these regulations and statutes. This article explores state hydraulic fracturing regulations and the expansion of a criminal framework to enforce compliance. More specifically, this article takes a comparative look at fracking enforcement regimes in California and several states with the most hydraulic fracturing activities. First, the article discusses fracking's economic benefits and environmental issues. The article then analyzes federal regulations, (which essentially leaves the bulk of regulation and enforcement to state and local governments) and state enforcement systems in California and the four states with the most fracking wells (Texas, Wyoming, Pennsylvania, and Colorado). California, a state that is pushing for more renewable resources, has robust regulations under Senate Bill 4. In the end, states that rely heavily on fracking should reform the enforcement mechanisms to disincentive noncompliance. Regulatory regimes in the other states appear to have deficiencies that could be remedied by adopting stricter enforcement mechanisms—such as criminal sanctions—that would disincentivize noncompliance, which could lead to large-scale environmental disasters. This article postulates that a model system incorporating a variety of methods including increased criminal enforcement could provide for proper remedies, justice, and deterrence. An ideal enforcement framework for effective deterrence should focus on transparency, flexibility, trusted delegation, and proportionality.     

Measurement Error in County-Level UCR Data

Maltz and Targonski (2002) have provided an important service by disaggregating the county level data to help researchers examine measurement errors in the county level data, but their conclusion that county-level crime data, as they are currently constituted, should not be used, especially in policy studies is not justified. All data has measurement error, presumably even their measures of this error. Unfortunately, however, Maltz and Targonski provide no systematic test for how bad the data are. Their graphs obscure both the small number of counties affected, that these are rural counties, and that just because some of the population in a county is not represented in calculating the crime rate, that is not the same thing as showing that the reported number is in error. Nor do they provide evidence for the more important issue of whether there is a systematic bias in the data. The evidence provided here indicates right-to-carry laws continue to produce substantial reductions in violent crime rates when states with the greatest measurement error are excluded. In fact, restricting the sample results in somewhat larger reductions in murders and robberies, but smaller reductions in aggravated assaults.     

质疑“规定行政措施”

我国宪法和地方政府组织法授权国务院和县级以上地方各级人民政府可以规定行政措施,该项权力的内涵易生歧义,且与法治行政的若干理念、原则与制度格格不入。宪法和组织法应删除规定行政措施的内容,将其归属于行政立法权和决定、命令制定、发布权范畴内,依法理顺行政机关抽象行为权的内部秩序。     

Local Governance and Redistributive Policy: Explaining Local Funding for Public Defense

In many American states, public defense is provided at the county rather than state level (Langton & Farole 2009 ). Local governments have discretion over implementing and funding the right to counsel, resulting in considerable variability in programs and funding levels. Placing this issue in the theoretical context of redistributive policies and politics, we investigate decisions on funding this service across upstate New York counties. Using as a point of departure Paul Peterson's classic explication of community politics, we first model variation in funding as a function of counties' fiscal capacity, need for services, and costs of supplying legal representation. We also test Peterson's prediction that local political factors will play little if any role in budget decisions. Second, through interviews with program administrators we explore the characters of twelve defender programs in which expenditures departed from the model's predictions. We find that three factors—which we term “influence,” “infrastructure,” and “ideas"”—also vary directly with levels of funding. We conclude with a discussion of the implications of these findings for theoretical thinking about due process policies and local politics, and for policy debate over how best to ensure adequate counsel in criminal court.     

从奶粉事件看地方政府在维护民族品牌中的责任

从2003年的"空壳奶粉事件"到2008年的"三聚氰胺奶粉事件",表明了个别地方政府在民族品牌维护中责任的缺失,体现为监管责任的缺失、道德责任的缺失、社会责任的缺失及执法责任的缺失.地方政府责任缺失造成的后果是,民族品牌深陷诚信危机与生存困境,损害消费者健康并对民族经济文化造成冲击.地方政府建立民族品牌责任机制的有效途径为:完善对民族品牌的监管机制,增强民族品牌企业的社会责任感,强化民族品牌的法律责任,加强对民族品牌的扶持力度,完善民族品牌的危机管理制度.     

The political management of managed care: explaining variations in state health maintenance organization regulations

In the 1990s, strong incentives for managed care organizations to control costs, once regarded as a fortuitous confluence of interests, came to be seen as antithetical to consumers' interests in quality of care. In response to this change in political climate, many states have greatly increased their regulatory control of managed care organizations since the mid-1990s. This activity is surprising in an era when public policy on health care issues is usually described as frozen, gridlocked, and/or stalemated as a result of intense activity on the part of organized interests. We take advantage of the variation in state regulations of health maintenance organizations (HMOs) to discover why some governments are able to address policy problems that are often perceived as intractable in a political if not in a true policy sense. From the history of HMOs, the backlash against managed care, and state responses to that backlash, we first extract a number of hypotheses about state regulatory activity. We then test these hypotheses with data on regulatory adoptions by states during the late 1990s and the early 2000s. Last, we discuss the findings with special attention to the role of politics in health care.     

Preemption of local smoke-free air ordinances: the implications of judicial opinions for meeting national health objectives.

Elimination of state laws that preempt local antismoking ordinances is a national health objective. However, the tobacco industry and its supporters have continued to pursue state-level preemption of local tobacco control ordinances as part of an apparent strategy to avoid the diffusion of grassroots antismoking initiatives. And, an increasing number of challenges to local ordinances by the tobacco industry and persons supported by the tobacco industry are being decided in state supreme courts and courts of appeals. The outcomes of seemingly similar cases about the validity of local smoke-free air ordinances vary significantly by state. This paper examines the common and unique aspects of the decisions and the potential implications of court rulings on preemption for future state tobacco control efforts and achievement of national health objectives around the elimination of preemption. Using a search strategy developed for the Centers for Disease Control and Prevention's State Tobacco Activities Tracking and Evaluation (STATE) System, cases where a state or federal appellate level court made a finding on the validity of a local smoke-free air ordinance or regulation were identified in 19 states. In contrast to previous studies, we found that cases in approximately half of states were decided for local governments. We also found that across the states, courts were considering similar factors in their decisions including the extent to which: (1) the local government possessed the authority to pass the ordinance, (2) the ordinance conflicted with the state constitution, and (3) state statutes preempt the ordinance.