Civic Decline? Trends in Political Involvement and Participation in Norway, 1965–2001

Electoral turnout in Norway has been declining over a long period for local elections and, at the four most recent Storting elections, turnout has been at a lower level than in the preceding 25 years. This article investigates whether the fall in turnout generalises to other forms of political participation and political involvement. Data from the Norwegian Election Studies 1965–2001 and the Norwegian Values Studies 1982–1996 are analysed. In contrast to the decline of turnout, the authors find that the broader political activity of citizens has increased. The rise in political involvement and activism is quite widespread, covering dimensions like political interest, political discussion and political action. The increase includes forms of participation where political parties play a strong role and in direct action where parties are supposed to be less important. Education is strongly associated with most forms of civic participation and the rise in educational levels normally leads to an increase in participation rates. Data show that women are now as active as men in most dimensions of participation. In Norway, turnout at elections displays one pattern over time, while other indicators of political participation and involvement show different trajectories. There is no general civic decline. Using political involvement and participation as a criterion for judging the state of democracy, and taking into account the whole set of indicators studied in this article, one may reasonably conclude that Norwegian civic democracy is in better health than if one focused only on the fall in electoral turnout.     

Triage in the nation's medicine cabinet: the puzzling scarcity of vaccines and other drugs

For a variety of reasons, vaccines and other critical pharmaceutical products have become increasingly scarce in the last few years, and persistent shortages involving dozens of essential drugs may imperil the public health. Pressures emanating from regulatory agencies, the courts, and insurers have conspired to make some lines of the pharmaceutical business less than attractive. Although concerns about unpredictable tort liability received most of the blame in the past, two other factors may help to account for the latest round of drug shortages: stringent federal control of manufacturing facilities and aggressive cost-containment efforts that further erode profit margins. Whatever the cause, scarce supplies necessitate efforts at rationing that pose their own difficulties for health care providers. Policymakers could avoid putting physicians to such tough choices regarding patients by focusing on ways to ensure the production of adequate quantities of these highly cost-effective medical technologies. Some commentators have called for greater public sector involvement, but this Article concludes that, in addition to bolstering its emergency stockpiles, the federal government instead needs to take steps designed to encourage private manufacturers to continue supplying critical pharmaceuticals. To this end, the government should adopt more flexible regulations governing manufacturing facilities, provide companies with greater protection from the vagaries of tort liability, and avoid pursuing excessive cost-control strategies. Otherwise, patients may continue to lose access to important therapeutic products.     

Compulsory psychiatric care in Sweden: development 1979-2002 and area variation

As in many other countries, the Swedish legislation on compulsory psychiatric care has been revised several times during the last four decades. Great regional differences within the country in the use of compulsory psychiatric care have been reported. The aims of this study were to describe the development of compulsory psychiatric care in Sweden 1979-2002, and to analyse differences between two groups of counties, one group with high and one with low civil commitment rates, in terms of psychiatric care structure, resources and processes. Data on civil commitments and forensic psychiatric care in Sweden 1979-2002 were collected from public statistics. At least one responsible person in leading position (administrative manager or chief psychiatrist) in each of the included counties was interviewed. The total number of involuntarily hospitalised patients decreased about 80% between censuses in 1979 and 2002, but the rates of forensic patients were unchanged. No clear-cut differences were found in the analyses of structure, resources and processes of psychiatric services between counties with high and counties with low levels of compulsory care. The equality before the law may be questioned. The importance of leadership is emphasised for future analyses.     

Estimation of the time since death: sudden increase of ambient temperature

This work presents a procedure for the postmortem interval estimation in the presence of a rapid increase of ambient temperature occurred during the cooling phase. The resulting disturbance produced on the cooling curve is proved to obey a two-exponential law and is removed from the actually measured body temperature. This yields a theoretical/modified body temperature, which enables the estimation of the time since death by means of the standard Nomogram method.     

Empowering farmers? Collaborative research at Sokoine University of Agriculture,Tanzania

This article presents experiences with collaborative and on-farm research based on the implementation of a four-year Programme for Agricultural and Natural Resources Transformation for Improved Livelihoods (PANTIL) at Sokoine University of Agriculture (SUA) in Morogoro, Tanzania. It outlines the basic elements in the implementation of a programme aimed to be demand-based, and discusses the challenges encountered in combining collaborative research with the empowerment of farmers. Finally, the article draws out some lessons with implications for the future organisation of collaborative and on-farm agricultural research.     

Serving Clients When the Server Crashes: How Frontline Workers Cope with E‐Government Challenges

Implementing e‐government in the contemporary American state is challenging. E‐government places high technical demands on agencies and citizens in an environment of budget austerity and political polarization. Governments developing e‐government policies often mobilize frontline workers—also termed “street‐level bureaucrats”—to help citizens gain access to services. However, we know little about how frontline workers cope in these challenging circumstances. This article fills this gap by examining frontline workers implementing the Patient Protection and Affordable Care Act. Based on a qualitative analysis, the authors find that frontline workers “move toward clients” when coping with stress: they bend the rules, work overtime, and collaborate in order to help clients. They are less inclined to “move away” or “move against” clients, for instance, through rigid rule following and rationing. In other words, frontline workers try to serve clients, even “when the server crashes.” Frontline workers, then, can play a vital role in the successful implementation of e‐government policies.