What do prosecutors maximize? An analysis of the federalization of drug crimes

Recent legislation has expanded the jurisdiction of the federalgovernment over crimes that were traditionally prohibited onlyby state law. We model the decision-making process of stateand federal prosecutors, and the determinants of prosecutors'decisions to allocate drug cases to the state versus the federalsystems. Using 1991 surveys of state and federal inmates incarceratedfor drug crimes, we find that individuals who hire private attorneysand who are high-human-capital and successful in the legitimatesector are more likely to end up in the federal system. Thisis consistent with the model in which prosecutors maximize boththe payoffs from eliminating crime and their private human capital.     

Medicare reimbursement of financial transactions: do present policies promote efficiency?

The Secretary of Health and Human Services denies Medicare reimbursement for certain indirect costs associated with health care delivery. This Note reviews arguments supporting and opposing reimbursement of costs that providers incur in three common financial transactions: the use of equity capital, acquisition of providers, and loan financing. The Note considers the Secretary's regulations in light of the congressional mandate to encourage efficient delivery of health care and concludes that current reimbursement policy promotes inefficiency.     

THE VIETNAMESE REFUGEES AT OUR DOORSTEP: POLITICAL AMBIGUITY AND SUCCESSFUL IMPROVISATION

In the spring of 1975, the United States was faced not only with military defeat in Vietnam, but also with the challenge of processing, caring for and eventually resettling more than 130,000 persons fleeing Vietnam.
This paper presents a case study of the operation-"New Life" which evacuated these refugees and cared for them on Guam until they could be resettled. The account focuses on the logistic problems and pragmatic solutions reached in a situation where there existed a wide gap between public policy and i t s application. This discussion is especially instructive in light of the growing national and international problem of refugee relocation.     

Cocaine‐Induced Intracerebral Hemorrhage in a Patient with Cerebral Amyloid Angiopathy*

Abstract: Intracerebral hemorrhage (ICH) is a well‐recognized complication of recreational cocaine use. The precise mechanism of the cocaine‐induced hemorrhagic event is unclear, although multiple factors have been implicated. We report a case of a 62‐year‐old woman who suffered left parieto‐occipital ICH with herniation and death, following a cocaine binge. Microscopic examination also revealed extensive cerebral amyloid angiopathy (CAA) in the vicinity of the hemorrhage. We additionally studied brain tissue in eight subjects between ages of 60 and 80 who were positive for cocaine metabolites at autopsy; of these, none had vascular amyloid‐β deposits by immunohistochemistry. Whereas we found no evidence that chronic cocaine use is a risk factor for CAA, given the age‐associated nature of CAA and the aging population using cocaine, CAA‐induced hemorrhage in the setting of cocaine use may be more common than recognized. This is the first reported case of CAA‐associated ICH precipitated by cocaine.     

Crime in Ireland north and south: Feuding gangs and profiteering paramilitaries

This paper provides a systematic overview of the emergence of organized crime in the Republic of Ireland and Northern Ireland since the late 1960s. It draws on two major studies of organized crime in the South (Hourigan 2011) and paramilitary activity in the North (Morrison 2014) to explore how conflict within and between organized criminal and paramilitary groups, shapes the distinctive dynamic of organized crime on the island of Ireland. The paper opens with an overview of the development of the drugs trade in the Republic of Ireland. The distinctive cultural characteristics of Irish organized crime groups are considered and the role played by paramilitary groups in criminal networks, North and South, is reviewed. As part of this analysis, the dynamic of inter-gang feuds and the spectrum of conflicts between organized criminal and paramilitary groups are analyzed. The competitive and mutually beneficial links between these organizations, North and South are explored as well as the tendency of paramilitaries to engage in vigilantism against criminals (mostly drugs dealers) as a means of building political capital within local communities.