Project USA: American competitiveness and what must be done to restore it

The United States today faces a loss of influence as a world power, a reduction in American independence as a policymaker, and a decline in the standard of living on which Americans have come to depend. History teaches that nations weaker and less productive than the United States can rise to become economic powerhouses and rapidly increase their standards of living. History also teaches that nations failing to recognize their fundamental problems will inevitably decline. American politicians must face what is abundantly clear: the United States is losing ground and must act quickly to reverse its course. This White Paper outlines what must be done. Information about the nation's current status must be analyzed and communicated. Incentives to improve the level of competence in government must be provided and maintained. The emphasis of government policy must be changed to reflect broad economic and technological interests as opposed to special interests. Savings must be encouraged and increased. Infrastructure must be improved Tax laws must be modified to help bring these changes about. Economic and technological issues must be elevated to the importance they require. American thinking must reflect the new realities: that the age of leadership through military power is over, that the requirements for success in the world of the 1990s and beyond require a sound and growing economy that is internationally competitive. The US can accomplish these goals only through foundation-shaking, comprehensive, fundamental changealong the lines we propose herein.This paper is the executive summary (with minor editing modifications) of a white paper that is available from Cornell University's Johnson Graduate School of Management.     

Reviews

Alexander Yanov, The drama of the Soviet 1960s: a lost reform. Institute of International Studies, University of California, Berkeley, 1984, 141 pp. $8.50.

Karen Dawisha, The Kremlin and the Prague Spring. Berkeley: University of California Press, 1984, xiv + 426 pp. £22.50.

Christer Jônsson, Superpower: Comparing American and Soviet Foreign Policy. London: Francis Pinter, 1984, viii + 248 pp. £18.50.

Joseph Nye, The Making of America's Soviet Policy. Yale University Press, 1984, £20.00.

Alexander Dallin, Black Box: KAL 007 and the superpowers. Berkeley and Los Angeles: University of California Press, 1985, xii + 130 pp. £14.25.

Alex Kozulin, Psychology in Utopia. Toward a Social History of Soviet Psychology, Cambridge Massachusetts, London: The MIT Press, 1984, xi + 179 pp. £16.65.

Timothy Edward O'Connor, The Politics of Soviet Culture. Anatolii Lunacharskii. Ann Arbor: UMI Research Press, and London: Bowker Publishing Company, 1984,193 pp. £35.50.

Alexander Vucinich, Empire of Knowledge. The Academy of Sciences of the USSR (1917–1970). Berkeley and London: University of California Press, 1984, x + 484 pp. £23.95

Lawrence Badash, Kapitza, Rutherford, and the Kremlin. New Haven and London: Yale University Press, 1985, xi + 129 pp. £20.00.

Mark Popovsky, The Vavilov Affair. Archon, Hamden, Connecticut, 1984, viii + 216 pp. £21.40.

Timothy Dunmore, Soviet Politics 1945–53 London: Macmillan Press Ltd., 1984, vi + 167 pp. £20.00.

George Ginsburgs, The Citizenship Law of the USSR, Law in Eastern Europe No. 25 (general editor F. J. M. Feldbrugge). The Hague, Boston, Lancaster: Martinus Nijhoff Publishers, 1983, 406 pp. £50.00.

R. F. Miller and F. Féhér (eds.), Khrushchev and the Communist World. London and Canberra: Croom Helm and Totowa, New Jersey: Barnes and Noble Books, 1984, 243 pp. £15.95.

Michael Haynes, Nikolai Bukharin and the Transition from Capitalism to Socialism, Beckenham, Kent: Croom Helm Ltd., 1985, vii + 136 pp. £14.95.

Bernd Bonwetsch (ed.), Zeitgeschichte Osteuropas als Methoden‐ und Forschungsprob‐lem. Osteuropaforschung: Schriftenreihe der Deutschen Gesellschaft fur Osteuropa‐kunde, Band 13. Berlin: Verlag Arno Spitz, 1985, 192 pp. DM 28,00.

Marie Lavigne, Economie Internationale des pays Socialistes, Paris: Armand Colin, 1985, 255 pp.

Marcel Drach, La crise dans tes pays de l'Est, Paris: Editions La Découverte, 1984, 127 pp. FF. 31.

L. Csaba, Kelet‐Europa a Világgazdaságban. (Eastern Europe in the World Economy), Budapest: Közgazdasági és Jogi Könyvkiadö, 1984, 316 pp., bibliography but no index.

Michael Shafir, Romania: Politics, Society and Economics, London: Frances Pinter, 1985, xvii + 232 pp. h/b £18–50, p/b £6.95.

Nicholas G. Andrews, Poland 1980–81. Solidarity versus the Party, Washington: National Defense University Press, 1985, xii + 351 pp.

Peter Raina, Poland 1981. Towards Socialist Renewal, London: George Allen & Unwin, 1985, vii + 472 pp. £20.00.

Stephen D. Kertesz, Between Russia and the West: Hungary and the Illusions of Peacemaking 1945–1947, London and Notre Dame: University of Notre Dame Press, 1985, xix + 299 pp. £18.95.

Mårta‐Lisa Magnusson (ed.), Bogen i Sovjet. Fra forfatter til laeser, Esbjerg: Sydjysk Universitetsforlag, 1985, 106 pp. p/b, 74–75 DK Kr.

Margit Nielsen, Udenrigsøkonomi i Østeuropa—tilpasning eller krise? Esbjerg: Sydjysk Universitetsforlag, 1985, 99 pp. p/b, 65–00 DK Kr.     

Civil commitment of the mentally ill: an overview

This article discusses historical themes that led to the civil commitment reforms of the sixties and seventies. The changes in the substantive criteria for commitment are analyzed and critiqued. The author believes that the present criteria tend to focus so specifically on various external indicia of mental illness that they render commitment difficult for many seriously ill patients. An alternative commitment scheme is discussed.     

Defining risk

Risk is the focal topic in the management of many activities and technologies. For that management to be successful, an explicit and accepted definition of the term risk is essential. Creation of that definition is a political act, expressing the definers' values regarding the relative importance of different possible adverse consequences for a particular decision. Those values, and with them the definition of risk, can change with changes in the decisionmaker, the technologies considered, or the decision problem. After a review of the sources of controversy in defining risk, a general framework is developed, showing how these value issues can be systematically addressed. As an example, the approach is applied to characterizing the risks of six competing energy technologies, the relative riskeness of which depends upon the particular definition used.     

Causes of death in hospitalized intravenous drug abusers

The authors reviewed at autopsy the causes of death of 274 patients with evidence of intravenous drug abuse who had been admitted to a large public hospital. There were 127 who died from diseases unrelated to intravenous drug abuse, and in 41% of these, chronic alcoholism was implicated. Deaths from overdose syndromes and drug-related organ pathology comprised only 11% of all cases. The mean age at death was 39 years. There was a male/female ratio of 3.6:1. Half of all patients died from infection--72 from acquired immunodeficiency syndrome (AIDS) alone. These findings indicate that persons hospitalized with a history of intravenous drug abuse usually die from causes other than overdose and that AIDS and chronic alcoholism are significant problems. Emphasis should be placed upon detecting "hidden" intravenous drug deaths to provide more accurate statistical information.     

Book reviews

Transcaucasian Boundaries John F. Wright, Suzanne Goldenberg and Richard Schofield (editors) London: UCL Press, 1996, 248pp, £40 and £14.95

The Russian Policy Debate on Central Asia Irina Zviagelskaia London: Royal Institute of International Affairs, 1995, X, 41 pp, £12.50

CIS Integration Trends: Russia and the Former Soviet South Mark Webber London: Royal Institute of International Affairs, 1997, IX, 72 pp, £12.50 Both distributed by Plimbridge Distributors Ltd, Estover Road, Plymouth. Devon PL6 7PZ, and in North America by the Brookings Institutional Press, Washington DC.

Russia and Azerbaijan: A Borderland in Transition Tadeusz Swietochowski New York: Columbia University Press, 1995, xvi, 290 pp, $34.95

The Soviet Socialist Republic of Iran, 1920–1921 Cosroe Chaqueri Pittsburgh, Pa: University of Pittsburgh Press, 1995, xvii, 649 pp, $75.00

Bibliography of Islamic Central Asia Yuri Bregel (editor and compiler) Bloomington, Indiana: Research Institute for Inner Asian Studies, Indiana University, 1995, in three volumes: Pt. I, LXXTV+773 pp; Pt. II, XLIII+774–1512 pp; Pt. III, XXXII+1513–2276 pp, $299

Mohieddin Alempour. A Tajik Visionary Baqer Moin (editor) London: BBC Persian Service, Bush House, 1997, illus, 140 pp, £20

Tatar Costume M. Zavyalova Kazan: Zaman Publishers Fund Turan, 1996, illus, 252 pp, $50     

Physician recruitment after Hermann Hospital

The state of physician recruitment changed after the Internal Revenue Service required Hermann Hospital to publish its closing agreement with the IRS. The closing agreement released the long-awaited IRS "Hospital Physician Recruitment Guidelines." The IRS' recently proposed revenue ruling provides additional insight on acceptable physician recruitment practices as well.     

Reviews

Aleksei Ulyukaev, Reforming the Russian Economy 1991–1995. London: The Centre for Research into Post‐Communist Economies, 1996, x + 138 pp., £9.95.

Joseph R. Blasi, Maya Kroumova & Douglas Kruse, Kremlin Capitalism. Privatizing the Russian Economy. Ithaca: ILR Press/Cornell University Press, 1997, xix + 249 pp., $16.95.

Grigory Ioffe & Tatyana Nefedova, Continuity and Change in Rural Russia: A Geographical Perspective. Boulder, CO: Westview Press, 1997, ix + 315 pp., $59.95 h/b.

Patrick Artisien‐Maksimenko & Yuri Adjubei (eds), Foreign Investment in Russia and Other Soviet Successor States. Basingstoke: Macmillan, 1996, xxi + 277 pp., £45.00.

Kazimierz Poznanski, Poland's Protracted Transition. Institutional Change and Economic Growth 1970–1994. Cambridge: Cambridge University Press, 1996, xl + 337 pp., £50.00 h/b, £16.96 p/b.

Padraic Kenney, Rebuilding Poland: Workers and Communists 1945–1950. Ithaca: Cornell University Press, 1996, xx + 360 pp., £31.50.

Minton F. Goldman, Revolution and Change in Central and Eastern Europe: Political, Economic and Social Changes. New York: M. E. Sharpe, 1997, xiv + 497 pp., $32.95.

Jeffrey T. Checkel, Ideas and International Political Change. Soviet/Russian Behavior and the End of the Cold War. New Haven: Yale University Press, 1997, xiv + 191 pp., £18.00.

Roger E. Kanet & Alexander V. Kozhemiakin (eds), The Foreign Policy of the Russian Federation. London: Macmillan, 1997, xii + 208 pp., £40.00.

Vladimir Baranovsky (ed.), Russia and Europe: The Emerging Security Agenda. Oxford: Oxford University Press/Stockholm International Peace Research Institute, 1997, xviii + 582 pp., £45.00.

Walter L. Hixson, Parting the Curtain: Propaganda, Culture, and the Cold War, 1945–1961. Basingstoke: Macmillan, 1997, xvi + 283 pp., £45.00 h/b, £16.99 p/b.

Kevin McDermott & Jeremy Agnew, The Comintern: A History of International Communism from Lenin to Stalin. Basingstoke: Macmillan, 1996, xxv + 304 pp., £13.99.

Geoffrey Hosking, Russia: People and Empire, 1552–1917. London: HarperCollins, 1997, xxviii + 548 pp., £20.00.

John P. LeDonne, The Russian Empire and the World, 1700–1917: The Geopolitics of Expansion and Containment. Oxford: Oxford University Press, 1997, xxii + 394 pp., £19.99.

E. A. Rees (ed.), Decision‐making in the Stalinist Command Economy, 1932–37. London: Macmillan, 1997, xv + 331 pp., £40.00.

James Hughes, Stalinism in a Russian Province: Collectivization and Dekulakization in Siberia. Basingstoke: Macmillan, 1996, xi + 271 pp., £45.00.

Jonathan D. Smele, Civil War in Siberia. The Anti‐Bolshevik Government of Admiral Kolchak 1918–20. Cambridge: Cambridge University Press, 1996, xix + 759 pp., £50.00.

G. A. Bordyugov (ed.), Istoricheskie issledovaniya v Rossii: tendentsii poslednikh let. Moscow: AIRO‐XX, 1996, 464 pp.

Peter Waldron, The End of Imperial Russia, 1855–1917. Basingstoke: Macmillan, 1997, viii + 189 pp., £37.50 h/b, £11.99 p/b.

Catherine Evtuhov, The Cross and the Sickle. Sergei Bulgakov and the Fate of Russian Religious Philosophy, 1890–1920. Ithaca: Cornell University Press, 1997, x + 278 pp., £33.50.