Substance abusers in jail: Health service breakdown in five New York jails

The New York State Commission of Correction Medical Review Board studied five inmate mortalities which occurred between 1986 and 1989 in different New York State jails. The jails varied in size and in health care delivery capacity, but shared several characteristics, particularly severe overcrowding, high annual rates of population growth, and high concentrations of substance abusing inmates. Each inmate mortality case revealed an unprepared failure in health care delivery in which, absent such failure, the outcome may have been different. Influx of ever-increasing numbers of acutely and chronically ill substance abusers under overcrowded conditions intensifies demand on unprepared health care systems which increasingly break down. Jail health care systems should be evaluated in light of current population size and changing inmate health care needs.     

Voter turnout and the benefits of voting

A model of voting behavior is developed that predicts that individuals vote if the absolute value of voting for or against a referendum exceeds the cost of voting. The results obtained from examining voting on city-county consolidation referenda and in New York state (1) provide support for the relatively untested prediction that turnout rises as the absolute value of the mean gains resulting from an electoral outcome increase and (2) augment the evidence that turnout rises as the probability of altering an electoral outcome increases and falls as the cost of voting rises.     

Provider medicaid fraud: A note on white-coat crime

To date, relatively few empirical studies have been conducted of provider medicaid fraud or, more generally, of “white-coat crime”--offenses by health professionals. Based on data accumulated by a quality control unit on the duplicate billings for a single service by New York State providers, the present research attempts to help fill this void by assessing the prevalence of medicaid fraud. Two conclusions are suggested by the data. First, unlike other realms of upperworld criminality, provider fraud does not appear to be pervasive. Second, provider occupations with more of a business orientation appear to have a greater involvement in fraudulent activities than groups that are more fully professionalized.     

From government to governance: External influences on business risk management

The influence of external organizations and pressures on business risk management practices has hitherto been examined through the influence of state regulatory regimes on businesses. This article concentrates on key socio‐legal concerns about the influence of the law in social and economic life. We know that the sources of regulation and risk management are diversifying beyond the state. What we do not have is much empirically informed research about the range of sources influencing the business world and in particular the weighting of influence exercised by them. In this paper we explore the understandings regulatory actors have of the different external pressures on business risk management through an empirical study of the understandings of those in the food retail sector about the management of food safety and food hygiene risks. A broader objective is to throw some further light onto the debate about regulation within and beyond the state.     

Merging content analysis and the policy sciences: A system to discern policy-specific trends from news media reports

In this article we set out to bridge a surprising methodological gap between two time-honored research traditions – news media content analysis and the policy sciences analytic framework. Lasswell, a recognized pioneer of both the method and the framework, discussed the mutual benefits of each decades ago. But few researchers, if any, have formally linked the two. To that end, in this article we (1) make the case for using news media content analysis to inform research studies using the policy sciences analytic framework; (2) introduce an original content analysis categorical system for that purpose; (3) demonstrate that system with a study of 90 national news articles about the stratospheric ozone hole; and (4) compare our system to others used to examine news content. We report that our system, used by human coders, is well geared to describing and mapping trends in the social process surrounding the development of the Montreal Protocol ozone treaty during the intelligence gathering and promotion phases encompassed by our data sample. We argue that other content analysis systems fall short – in structure and purpose – of meeting the promise ours holds to the policy scientist.