Understanding the Regulatory Thicket: Interactions Among State Environmental Regulators and Regulatees

Research exploring state-level regulatory interactions in the U.S. often employs survey methodology to ask front-line actors about their experiences. While these efforts are noteworthy, we argue that it is important to investigate these interactions utilizing a different approach. In this exploratory study, we use randomized vignettes, to which a respondent can react without fear of revealing practices or succumbing to social desirability. Our results are in concert with a growing body of literature that suggests cooperation between the regulator and regulatees is essential for future interactions in order to achieve compliance, yet each party’s perceptions may not be completely congruent.     

The impact of child SSI enrollment on household outcomes

We use data from the Survey of Income and Program Participation (SIPP) to investigate the impact that child Supplemental Security Income (SSI) enrollment has on household outcomes, including poverty, household earnings, and health insurance coverage. The longitudinal nature of the SIPP allows us to control for unobserved, time‐invariant differences across households by measuring outcomes in the same household in the months leading up to and immediately following the first reporting of child SSI income. Our regression analyses demonstrate that for every $100 increase in household SSI income, total household income increases by roughly $72, reflecting some modest offset of other transfer income and conditional household earnings. Our analyses further demonstrate that child SSI enrollment is associated with a statistically significant and persistent reduction in the probability that a child lives in poverty of roughly 11 percentage points. Additional analyses suggest that program enrollment has virtually no impact on health insurance coverage because most new SSI recipients have health insurance from Medicaid or another source at the time of enrollment. © 2007 by the Association for Public Policy Analysis and Management     

protagonists and victims: women leading the fight for a democratic Colombia

This paper offers an account of the relationship between gender, class and notions of happiness. It draws on recent research conducted into the experiences of working class women who play the UK National Lottery. In particular, it explores the notion that gambling offers working class women the opportunity to dream of the ‘good life’ – of enhancing their lives and of making ‘improvements’ to their own and their families’ well-being. In this paper, the discourse of happiness will be examined, and the tacit assumption that working class women in particular are prone to turning to gambling as a last ditch attempt to personal and emotional fulfilment will be challenged. The paper argues that developing understandings of culture and consumption practices is imperative for producing a more complex understanding of the subjective realities of working class women's everyday lives. By engaging with feminist accounts of respectability, daydream and fantasy, the paper will present a thorough exploration of National Lottery play in working class women's everyday experiences of happiness.     

B. Reviews: general

THE HISTORY OF AL‐TABARl (TA'RIKH AL‐RUSUL WA ‘L‐MULÜK). (An annotated translation] (Bibliotheca Persica) (SUNY Series in Near Eastern Studies):

VOLUME II: PROPHETS AND PATRIARCHS. Translated and annotated by WILLIAM M. BRINNER. Albany, State University of New York Press, 1987. xii, 207pp.

VOLUME IV: THE ANCIENT KINGDOMS. Translated and annotated by MOSHE PERLMANN. Albany, State University of New York Press, 1987. xii, 205pp.

THE FIRST DYNASTY OF ISLAM: THE UMAYYAD CALIPHATE ad 661–750. By G.R. HAWTTNG. London and Sydney, Croom Helm, 1986. xx, 141pp., 4 genealogical tables, 2 maps. £19.95.

THE ADVENTURES OF IBN BATTUTA, A MUSLIM TRAVELLER OF THE 14TH CENTURY. By ROSS E. DUNN. London, Croom Helm, 1986. xvi, 357 pages, 12 maps. £22.50

TRADE AND CIVILISATION IN THE INDIAN OCEAN. AN ECONOMIC HISTORY FROM THE RISE OF ISLAM TO 1750. By K..N. CHAUDHURI. Cambridge, C.U.P., 1985. xiv + 269 pp. £25.00 Hardback, £8.95 Paperback.

MAMLUK JERUSALEM: AN ARCHITECTURAL STUDY. By MICHAEL HAMILTON BURGOYNE and DONALD S. RICHARDS. London, World of Islam Festival Trust for the British School of Archaeology in Jerusalem, 1987. xii, 623pp. £115.00

ISLAMIC TECHNOLOGY: AN ILLUSTRATED HISTORY. By AHMAD Y. AL‐HASSAN and DONALD R. HILL. Cambridge, Cambridge University Press/Paris, Unesco, 1986. xiv, [ii], 304pp. 165 illustrations, 1 map. £25.00.

OIL, INDUSTRIALISATION AND DEVELOPMENT IN THE ARAB GULF STATES. By ATIF A. KUBURSI, London, Croom Helm, 1984. 144 pp. Paperback.

BRITAIN'S INFORMAL EMPIRE IN THE MIDDLE EAST: A CASE STUDY OF IRAQ 1929–1941. By DANIEL SILVERFARB. New York: Oxford University Press, 1986. xii + 200 pp. $24.95 cloth.

IRAQ BETWEEN THE TWO WORLD WARS: THE CREATION AND IMPLEMENTATION OF A NATIONALIST IDEOLOGY. By REEVA S. SIMON. New York: Columbia University Press, 1986. xviii + 233 pp. $30.00 cloth.

SADDAM'S IRAQ: REVOLUTION OR REACTION? London, Zed Press, 1986, for CARDRI (Committee against repression and for democratic rights in Iraq). 254pp. Paper.

THE EVOLUTION OF THE SHATT AL‐ARAB BOUNDARY DISPUTE. By RICHARD SCHOFIELD, London, MENAS Press, 1986. 111 pp. Paper.

JORDAN IN THE 1967 WAR. By SAMIR A. MUTAWI. Cambridge, Cambridge University Press, 1987. 228pp. £22.50.

UNDER SIEGE: P.L.O. DECISIONMAKING DURING THE 1982 WAR. By RASHID KHALIDI. New York, Columbia University Press, 1986. 241 pp.

EMPIRE ON THE NILE. THE ANGLO‐EGYPTIAN SUDAN, 1898–1934. By M.W. DALY. Cambridge University Press, 1986. xv + 524 pp. + Map and 21 illustrations. £40.00.

ISLAM AND THE THIRD UNIVERSAL THEORY: THE RELIGIOUS THOUGHT OF MU'AMMAR AL‐QADHDHAFI. By MAHMOUD MUSTAFA AYOUB. London, KPI Ltd., 1987. 155pp.

APPROACHES TO ISLAM. (World Religions in Education Series.) By RICHARD TAMES. London, John Murray, 1982. 264pp. P/B £4.95

MORALS AND MANNERS IN ISLAM. By MARWAN IBRAHIM AL‐KAYSI. Leicester, The Islamic Foundation, 1986. 200pp. H/B £9.50 P/B £4.50

REMEMBRANCE AND PRAYER. By MUHAMMAD AL‐GHAZAALI. Translated by Yusuf Talal de Lorenzo. Leicester, The Islamic Foundation, 1986. 232pp. H/B £10.00 P/B £4.95

THE ISLAMIC WAY OF LIFE. By SAYYID ABUL A'LA MAWDUDI. Edited by Khurshid Ahmad and Khurram Murad. Leicester, The Islamic Foundation, 1986. 80pp. H/B £6.50 P/B £2.00

ADMINISTRATIVE DEVELOPMENT: AN ISLAMIC PERSPECTIVE. By A. AL‐BURAEY. London, KPI Ltd., 1985.470pp.

ARAB SOCIETY. Edited by SAMIH K. FARSOUN. London, Croom Helm, 1985. 125pp.

WOMEN OF SAUDI ARABIA. By SORAYA ALTO'RKI. New York, Columbia University Press, 1986. 183pp. $30.00

THE DEVELOPMENT OF EARLY ARABIC DRAMA 1847–1900. By MOHAMED A. AL‐KHOZAI. London, Longman, 1984. ix, 245pp. £7.95.

FROM NATIONALISM TO REVOLUTIONARY ISLAM. Edited by SAID AMIR ARJOMAND. Albany, State University of New York Press, 1984. 256pp.

OCCIDENTOSIS: A PLAGUE FROM THE WEST. By JALAL AL‐I AHMAD (translated by R. CAMPBELL, edited by HAMID ALGAR). Berkeley, Ca, Mizan Press, 1984. 160pp. $5.95.

THE RISING OF AL‐HUSAYN: ITS IMPACT ON THE CONSCIOUSNESS OF MUSLIM SOCIETY. By SHAYKH MUHAMMAD MAHDI SHAMS AL‐DIN (translated by I.K.A. HOWARD). London, Muhammadi Trust (distributed by Routledge and Kegan Paul), 1985. 218pp.

IRAN SINCE THE REVOLUTION: INTERNAL DYNAMICS, REGIONAL CONFLICTS AND THE SUPERPOWERS. Edited by BARRY ROSEN. (Brooklyn College Studies on Societies in Change, No. 47.) New York, Columbia University Press, 1985. 187pp., 27 plates, 4 maps.

IN IRAN: STUDIES IN BÁBÍ AND BAHÁ'Í HISTORY. Volume 3. Edited by PETER SMITH. Los Angeles, Kalimat Press, 1986. 237pp. HC $19.95.     

The who, what, and why of risk adjustment: a technology on the cusp of adoption

Risk adjustment (RA) consists of a series of techniques that account for the health status of patients when predicting or explaining costs of health care for defined populations or for evaluating retrospectively the performance of providers who care for them. Although the federal government seems to have settled on an approach to RA for Medicare Advantage programs, adoption and implementation of RA techniques elsewhere have proceeded much more slowly than was anticipated. This article examines factors affecting the adoption and use of RA outside the Medicare program using case studies in six U.S. health care markets (Baltimore, Seattle, Denver, Cleveland, Phoenix, and Atlanta) as of 2001. We found that for purchasing decisions, RA was used exclusively by public agencies. In the private sector, use of risk adjustment was uncommon and scattered and assumed informal and unexpected forms. The most common private sector use of RA was by health plans, which occasionally employed RA in negotiations with purchasers or to allocate resources internally among providers. The article uses classic technology diffusion theory to explain the adoption and use of RA in these six markets and derives lessons for health policy generally and for the future of RA in particular. For health policy generally, the differing experiences of public and private actors with RA serve as markers of the divergent paths that public and private health care sectors are pursuing with respect to managed care and risk sharing. For the future of RA in particular, its history suggests the need for health service researchers to consider barriers to use adoption and new analytic technologies as they develop them.