public Health Ethics From Foundations and Frameworks to Justice and Global public Health

Ethics dilemmas have been present throughout the history of public health, and bioethics has devoted considerable attention to issues relevant to public health. Only recently, however, has public health ethics emerged as a recognized subfield of bioethics. Public health ethics requires that public health improvement come through just and respectful means. Bioethics in the future not only will take on more issues of public ethics, but will apply it extensive scholarship in distributive justice to questions of global public health.     

Controlling Internal Controls

Two recent examinations of management practices in three federal departments provide contemporary evidence of the need to incorporate procedures like those of the Sarbanes-Oxley Act in the public sector. Although each department established what appeared to be well-designed internal controls, all lacked sufficient monitoring and assessment of the efficacy of those controls. By requiring senior management to attest to the strength of their control mechanisms, as required by the newly revised OMB Circular A-123, the quality of this monitoring should improve. Findings from a recent study of private-sector implementation of these reforms are described, along with suggestions for public administration research and practice at all levels of government.     

Writing and the flesh of others

Prologue: Feminism and Fictocriticism in Australia The article that follows makes use of a selection of psychoanalytic writings to explore what theoretical writing on intertextuality so often occludes: that is, the dynamics of the passionate dimension of intertextual practices, by which I mean the fantasies of writers (and readers) that attend the actual practices of literary borrowings, in.uences, apprenticeships, and hauntings—by other writers, by the music of words, by memories. For the author may be dead, but writing subjects are very much alive and embodied—capable of moving and being moved, of remembering and forgetting, of relationships both real and imaginary with other writers living or dead, of love and of murder.     

The relevance of basic needs for political and economic development

This article addresses the “basic needs’ approach to development policy from the perspectives of the political and economic development literature. The central questions concern the compatibility of a basic needs approach with political and economic development and the impact of development on population welfare. Will a basic needs approach weaken or strengthn the processes of legitimation and state consolidation in developing systems? What impact will it have on participation and democracy? What will be the impact of such an approach upon attempts to industrialize and diversify production? While there are no definitive responses to these concerns the literature suggests that the approach has real potential value both for improving “human capital” and strengthening economic development, and for developing locally based political institutions.     

Book review

Veronica Doubleday, Three Women of Herat. London: Jonathan Cape, 1988, ix + 222 pp., glossary, illustrative chapter headings, colour photographs; L12.95. ISBN 0–224–02440‐X.