Communications

Abstract

President Nixon’s January 25th speech represented not the beginning but the end of negotiations. It signified that the U.S. is downgrading the Paris talks and that no further secret negotiations are taking place. Nixon’s statement of the “U.S.-South Vietnam Proposal for a Negotiated Settlement” and its rejection by the other side is the latest clarification of a truth which has underlain the Paris Peace Talks since they began, namely that the contradictions between the Nixon Administration’s vision of a peace in Indochina and that of the Provisional Revolutionary Government of South Vietnam (PRG) and the North Vietnamese are irreconcilable. Nixon has never been, and is still not, willing to make the kind of concessions necessary to make real progress in the negotiations because he has throughout been committed to the maintenance of a staunchly anti-communist government in Saigon and the continuation of dominant U.S. influence over the domestic politics of South Vietnam. As a result, the PRG has not been willing to make the kind of concessions which would allow scope for negotiation because this would mean committing political suicide by entrusting itself to the tender mercies of the Thieu government.     

POLICY MODELING TO SUPPORT ADMINISTRATIVE DECISIONMAKING ON THE NEW YORK STATE HIV TESTING LAW

A recent New York law requires medical providers to offer HIV tests as part of routine care. We developed a system dynamics simulation model of the HIV testing and care system to help administrators understand the law's potential epidemic impact, resource needs, strategies to improve implementation, and appropriate outcome indicators for future policy evaluations once postlaw data become available. Policy modeling allowed us to synthesize information from numerous sources including quantitative administrative data sets and practitioners’ content expertise, structure the information to be viewed both numerically and visually, and organize consensus for decisionmaking purposes. This case illustrates how policy modeling can provide an integrated framework for administrators to examine policy problems in complex systems, particularly when data time lags limit pre–post comparisons and key outcomes cannot be measured directly.     

China's provincial diplomacy to Africa: applications to health cooperation

There is a prevailing view of China as a unitary actor in its relationships with African countries. This view is incomplete: on the contrary, China is a collection of provinces, autonomous regions and municipalities with myriad strategic ties to African countries, with decentralization shaping the current form of Chinese government and its level of efficiency. In this paper, factors have been explored for why Chinese provinces have played a role in foreign cooperation in health of African countries, in addition to trade and foreign direct investment. Incentives and disincentives for Chinese provinces to engage internationally in foreign cooperation and health assistance have been identified. The concept of paradiplomacy for health has been presented and this typology has been applied to the example of Chinese medical teams. Finally, we draw linkages between China and other members of Brazil, Russia, India, China, and South Africa.     

Imperialism and Resistance: Canadian mining companies in Latin America

David Harvey's concept of accumulation by dispossession is a useful framework for understanding the predatory activities of Canadian mining companies in Latin America. Capitalist imperialism is rooted in the logic of a socioeconomic system that is driven by the competitive pursuit of profit based on the exploitation of labour, and which is prone to over-accumulation. Capital, backed by state power, pursues a spatial fix to resolve the systematic crisis of over-accumulation. The creation of new spaces of accumulation is not an innocuous process; it inevitably involves the forceful and violent reorganisation of peoples' lives as they are subordinated to the whims of capital. Strategies of accumulation by dispossession by capital therefore commonly spawn popular resistance from the affected communities. The Canadian mining industry is the largest in the world, and much of its outward investment targets Latin America. The Canadian company share of the larger company exploration market in Latin America (and the Caribbean) has grown steadily since the early 1990s, up to 35% by 2004, the largest by far among all its competitors, with seven Canadian companies among the top 20 mineral exploration investors in the region from 1989 to 2001. This paper charts these trends of Canadian mining expansion in Latin America and then focuses on the community, environmental and worker resistance it is generating in the cases of Chile and Colombia.