Beyond competition: the normative implications of consumer-driven health plans

The Federal Trade Commission/Department of Justice 2004 report Improving Health Care: A Dose of Competition appeals to efficiency arguments in promoting a wide range of health care market reforms. But the market-based reforms discussed in Improving Health Care are not simply neutral with regard to equity in access to services; they are likely to have substantial and inequitable distributional effects. We use the case of consumer-driven health plans (CDHPs), the pillar of the Bush administration's private-sector health reform efforts, to illustrate the limitations of viewing health policy reform through the lens of Improving Health Care. We conclude that the speculative efficiency gains from CDHPs need to be balanced against well-documented equity concerns within a normative framework. Moreover, other important ethical issues arise with regard to the risks imposed on the population by the introduction of policies that are based on a faith in markets rather than empirical evidence.     

Dialogue in American Political Campaigns? An Examination of Issue Convergence in Candidate Television Advertising

The theory of issue ownership holds that competing candidates should avoid discussing many of the same issues during a campaign. In contrast, theories of democracy suggest that competitive elections are the mechanism by which the public can hold politicians accountable. To determine the extent to which each theory depicts current campaigns, we develop a new measure of "issue convergence" and test whether or not issue convergence increases as the competitiveness of the race increases. Using new data based upon television advertising aired in U.S. Senate campaigns from 1998 through 2002, we find that issue engagement or dialogue occurs more frequently than indicated by previous research. We also find that issue engagement increases with the competitiveness of the race but that issue engagement decreases as the gap in financial resources between candidates increases.     

“The Information Gap?”

While the “achievement gap” generally and appropriately focuses upon gaps in test scores and other outcome measures, there may also be an “information gap” between higher and lower income parents that creates a disadvantage for lower income families in choosing good schools. In this article, we examine the extent to which there is such a gap, with a focus on data from a new survey of low‐ and moderate‐income parents who have made school choices. We find that, at least in relatively mature school choice environments like Milwaukee, Wisconsin, and Washington, DC, most low‐ and moderate‐income parents report being quite well informed and they engage in a variety of different activities to become informed. Thus, the information gap between lower and higher income parents may not be as large as scholars and policymakers had assumed. We do find that parents at the very lowest end of the income spectrum, especially those earning less than $10,000 per year, do feel less well‐informed and gather less information, but even here the differences are not enormous, relative to higher income parents.     

The impacts of public interventions: An examination of the forestry sector

This article measures welfare and distributive effects of public market interventions in forestry. These interventions represent both the demand (Jones Act shipping restrictions and minimum wage restrictions) and supply (state forest practice acts, forest incentives payments, taxes and public land management) sides of the market. The authors evaluate how well these programs promote the three standard economic justifications for market intervention: market failure, distributive justice, and stabilization. Their results indicate that, with the single exception of Timber Mart South (a government-sponsored price-reporting service), all market interventions fail to accomplish their efficiency and distributive objectives. Furthermore, the authors find that targeted regulatory programs (such as State Forest Practice Acts) have small impacts when compared to effects of taxation and public ownership.     

Redefining goals and images

He directs longitudinal studies designed to test general models of deviant adaptations to stress. A past editor of the Journal of Health and Social Behavior,his recent publications include “Self-Rejection and the Explanation of Deviance,” “Escalation of Marijuana Use,” and “The Sociological Study of AIDS”; as well as Social Psychology of Self-Referent Behavior, Patterns of Juvenile Delinquency,and Psychosocial Stress.     

Doing homebirth like a man? Constructions of masculinity in South African men’s narratives of homebirth

The intersections between homebirth and masculine identities have not been widely explored. In this paper, we focus on the construction/contestation of masculinity in South African men’s narratives of planning and experiencing homebirth. Drawing on 20 interviews conducted with a sample of 5 men and couples in 2013–2014, a narrative analysis found men constructed ideal masculinities and ways of being a man in relation to homebirth. The paper focuses on the multiple representations of masculinity constructed in men’s talk about homebirth and traces their efforts to articulate a masculine perspective of birth. Men grappled with the meanings of ‘being there’ as a man during labour/birth and articulated alternative modes of being a man that valued and accommodated relationality, passivity and containment. Men thus articulated ways of being present and passive during homebirth that challenged normative constructions of masculinity. The notion of selfless masculinity emerged as a key masculine ideal in which giving and service during birth was constructed as integral to being a good father and man. However, competing forms of normative masculinity constructed in men’s narratives meant gender tensions remained in the continued salience of traditional masculine meta-narratives, such as being the ‘breadwinner’.     

The Ethiopian Orthodox Church in the Holy Land

ABSTRACT

The Ethiopian Orthodox Tawahedo Church community has had a presence in the Holy Land for at least several hundred years. Throughout most of this period it was composed of a small ecclesiastical corps of monastic clergy who sought to protect the national church’s rights at various holy places in the region of Christianity’s birth. Only in the twentieth century, were these clergy joined by lay people. In this paper, I discuss the way the type of food served at church celebrations and the rhythm of fasts and feasts emphasize the shared national origins of the small diaspora. At the same time, where people sit when eating, and in what order they are served, expresses distinctions within the ranks of the clergy, between clergy and lay people, between men and women, and between Ethiopians and their former compatriots from Eritrea.     

Psychopathy Among Mexican American Gang Members: A Comparative Study

High-risk Mexican American males were assessed for levels of psychopathy. The Hare Psychopathy Checklist-Screening Version was compared in a random sample of gang members with a matched community sample of violent non-gang members and samples of forensic and psychiatric patients and undergraduate students. Analysis involved t-test, chi-square, and Cronbach's alpha statistics. More than half of the gang sample were categorized as low, 44% as moderate, and only 4% as high on psychopathy. The gang members had higher scores on the total, affective, and behavioral scores than the non-gang members. High scores on adolescent antisocial behavior, poor behavioral controls, and lack of remorse were found in both samples. Gang members scored twice as high as non-gang members on lack of empathy. Both samples were lower on psychopathy than the forensics and higher than psychiatric patients and undergraduates. The results provide grounds for early intervention efforts for this high-risk population.     

A More Efficient Method for Synthetic Textile Fiber Analysis Using Polarized Light Microscopy

The efficiency of conventional polarized light microscopy (PLM) methods for analyzing synthetic fiber evidence analyses is improved. Historically, using PLM for fiber identification relied on measuring refractive index. This prior PLM technology is reliable, but it is not efficient. Most fibers are optically anisotropic, having two principal refractive index values, N_(High) and N_(Low). When the fiber is mounted in intermediate refractive index medium, efficiency is improved by observing the change in contrast while the polarized light’s vector is rotated relative to the fiber’s axis. Minimum contrast occurs when the refractive indices of the mounting medium and fiber are equal. This angle of equality is determined by orienting the fiber’s highest refractive index parallel to the polarized light’s electric field vector, rotating the fiber or polarizing element, observing minimum contrast and measuring the angle of equality. This method is rapid, reduces remounting fibers in different mounting media and provides a quantitative measure for fiber comparisons.