Health care finance in the US: Past,present, and future

Presently the US is the only major industrialized nation that does not insure universal access to health care for all of its citizens. Although the US spends one out of every eight dollars on health care, over one-eighth of all Americans lack basic health insurance coverage. Another concern is health care cost inflation. The quest for comprehensive health care coverage for all Americans began shortly after the turn of the century and has received varying degrees of support since then. Since the historical course of health policy in the US has followed an evolutionary rather than revolutionary course, unless consistent policies are developed to rationalize the incentives facing consumers, providers, and insurers, alike, the future path of American health policy will continue to be characterized by disjointed incrementalism. National health insurance can provide decision makers with a tool to structure and focus the American health care system. In order for cost control measures to be effective they must be coordinated with measures to promote universal access, and vice versa. NHI can be a catalyst to focus attention on the dual goals of access to care and cost containment.     

Money-laundering in Southeast Asia: liberalism and governmentality at work

This article discusses the diffusion of a regulatory system against money-laundering in Southeast Asia. To this end, the article reconstructs how the Financial Action Task Force has securitised the issue of money-laundering into a global problem requiring a global solution and how this has spread to developing nations. The article seeks to demonstrate how these international norms and practices spread and are transformed into national law within Southeast Asia. The article further shows that these transformations reflect an increasing level of multilateral cooperation within the region and that this phenomena can be better understood as the articulation of a global expression of governmentality where a set of strategies and policing techniques emerges to effect control.     

Chinese influence,U.S. linkages,or neither? Comparing regime changes in Myanmar and Thailand

This study examines the potential influence of foreign linkages on regime outcomes by comparing Myanmar and Thailand. Linkages with the West are supposed to facilitate democratization, whereas those with autocracies usually promote regime survival. This study focuses on Myanmar and Thailand’s linkages with the U.S. and China, which at first sight seem to demonstrate the hypothesized effects. Myanmar gradually liberalized while strengthening its Western linkages, whereas Thailand experienced democratic breakdown amid a shift in alignment from the U.S. to China. However, in-depth analysis suggests that the influence of foreign linkages on domestic political change was minimal and that the relationship may very well be endogenous. The findings of this study call for a more careful theorization and handling of the external factors in studies of regime change and highlight the importance of simultaneously analyzing democratic and autocratic linkages.     

Genetic polymorphism at three STR loci--CSF1PO, HUMTHO1 and TPOX, and the AMP-FLP locus D1S80 for the Chinese population in Hong Kong

Allele frequencies for three STR loci, namely, CSF1PO, HUMTHO1 and TPOX, and the AMP-FLP locus D1S80 were obtained from a sample of 351 unrelated Chinese in Hong Kong.     

Allele frequencies for nine STR loci in Beijing Chinese

Allele frequencies for nine STR loci namely, D3S1358, HUMvWA, HUMFIBRA/FGA, D8S1179, D21S11, D18S51, D5S818, D13S317 and D7S820 were obtained from a sample of 198 unrelated Chinese in Beijing, China.     

Genetic variability of RyR2 and CASQ2 genes in an Asian population

We analyzed the coding regions of the cardiac calcium-handling genes, ryanodine receptor 2 (RyR2) and calsequestrin 2 (CASQ2) for genetic variants in a healthy Chinese population (n = 95) and in a cohort of 28 sudden unexplained death victims. Mutations in RyR2 and CASQ2 have been shown to alter calcium homeostasis during excitation–contraction coupling and predispose individuals to fatal cardiac arrhythmias. The genetic screening was accomplished by denaturing high-performance liquid chromatography and DNA sequencing methods. Genetic analysis revealed the following non-synonymous genetic variations: two reported RyR2 polymorphisms; 5654G>A (G1885E) and 5656G>A (G1886S), two reported CASQ2 polymorphisms; 196A>G (T66A) and 226G>A (V76M) and one novel CASQ2 mutation; 529G>C (E177Q). The functional significance of the novel CASQ2 mutation has not been evaluated and characterized. This study shows that multiple genetic variations of the RyR2 and CASQ2 genes exist in the two study populations. The inter-individual genetic variability may underlie the different susceptibility of individuals to developing ventricular tachycardia. The research results will be valuable for which future work involving clinical and forensic samples can be based upon to distinguish potential disease-associated mutations from common polymorphisms.     

Anger disturbances among perpetrators of intimate partner violence: clinical characteristics and outcomes of court-mandated treatment

In the present study, the authors clustered a pretreatment sample of 190 perpetrators of intimate partner violence (IPV) mandated to attend group counseling based on State-Trait Anger Expression Inventory scores and examined whether these profiles were associated with differential outcomes 1 year postadjudication. Cluster analysis revealed 3 groups: (a) high anger-expressive (HA-E, n = 56), (b) moderate anger-inexpressive (MA-IE; n = 13), and (c) low anger (LA; n = 118). HA-E men perpetrated more IPV, reported experiencing and witnessing more abuse during childhood, scored higher on psychopathology measures, and reported more substance problems. HA-E and MA-IE males had higher program attrition and rearrest rates; MA-IE males were more likely to be arrested for assault-related offenses. Thus, although the majority of partner-abusive men do not present with anger-related disturbances, the presence of anger problems may be a marker for an array of traits that may complicate the treatment process.     

Three conditions under which experiments and observational studies produce comparable causal estimates: New findings from within‐study comparisons

This paper analyzes 12 recent within‐study comparisons contrasting causal estimates from a randomized experiment with those from an observational study sharing the same treatment group. The aim is to test whether different causal estimates result when a counterfactual group is formed, either with or without random assignment, and when statistical adjustments for selection are made in the group from which random assignment is absent. We identify three studies comparing experiments and regression‐discontinuity (RD) studies. They produce quite comparable causal estimates at points around the RD cutoff. We identify three other studies where the quasi‐experiment involves careful intact group matching on the pretest. Despite the logical possibility of hidden bias in this instance, all three cases also reproduce their experimental estimates, especially if the match is geographically local. We then identify two studies where the treatment and nonrandomized comparison groups manifestly differ at pretest but where the selection process into treatment is completely or very plausibly known. Here too, experimental results are recreated. Two of the remaining studies result in correspondent experimental and nonexperimental results under some circumstances but not others, while two others produce different experimental and nonexperimental estimates, though in each case the observational study was poorly designed and analyzed. Such evidence is more promising than what was achieved in past within‐study comparisons, most involving job training. Reasons for this difference are discussed. © 2008 by the Association for Public Policy Analysis and Management.     

缅甸佛教与王权

本文考察了缅甸上座部佛教发展的历史及其特征,指出缅甸佛教的久远流传与王权的护持密不可分。王权、僧伽与佛法之间共存共荣是缅甸政治发展、僧伽繁荣与佛教流传的根本原因。佛教作为缅甸民族文化的核心与根基,对缅甸社会产生了广泛而深远的影响。