PPOs: the employer perspective

This paper reports the results of a national survey on employer experiences with preferred provider organizations (PPOs). The survey, conducted in 1987, included information from almost 700 telephone interviews with employee benefit managers. We found that 11 percent of employees are in PPOs. PPOs now have a strong presence among employers of all sizes. However, whereas they are a major force in the West, where almost one-third of employees are members, they have garnered only a 1 percent market share in the East. We examine the impact of PPOs on health insurance premiums and on employer satisfaction. The results show that in 1987, the year of the survey, PPOs appeared to provide mild cost savings compared to conventional insurance, and that employers were very satisfied with almost all aspects of PPOs, whereas they were surprisingly critical of their HMOs.     

Are hypnotically induced pseudomemories resistant to cross-examination?

Two experiments examined the effects of hypnotic procedures in response to interrogation and crossexamination in subjects who viewed a simulated robbery. Experiment 1 found that hypnotic and nonhypnotic leading interrogations were equally likely to produce misattributions and misidentification of mug shots. Moreover, under cross-examination subjects who had been given an hypnotic interrogation and those given nonhypnotic interrogations were equally likely to disavow their earlier misattributions and misidentifications. In both hypnotic and nonhypnotic treatments high hypnotizables were more likely than low hypnotizables to misattribute characteristics during interrogation and to disavow earlier misattributions during cross-examination. In Experiment 2 high hypnotizables given a cross-examination that legitimated their earlier errors as honest mistakes and that enabled them to disavow earlier testimony without discrediting themselves (hidden observer treatment) showed the highest and most consistent rates of disavowel. A stringent cross-examination that implied that subjects had been careless or dishonest during interrogation produced the lowest rates of disavowel.     

Book reviews

Ernest Gellner, Conditions of Liberty: Civil Society and its Rivals, (Hamish Hamilton, London 1994). 225pp. ISBN 0–241–00220–6 (hb).

James Petras and Morris Morley, Empire or Republic? American Global Power and Domestic Decay, (Routledge, London 1995). 172pp. ISBN 0–415–91064–1.

Keith Cowling and Roger Sugden, Beyond Capitalism: Towards a New World Order, (Pinter, London 1994), 195pp. ISBN 1 85567 301 0.

John Lewis Gaddis, The United States and the End of the Cold War. Implications, Reconsiderations, Provocations, (OUP, Oxford 1994). x. + 301 pp. ISBN 0–19–508551–5.

Alan Haworth, Anti‐Libertarianism: Markets, Philosophy and Myth, (Routledge, London 1994). 154pp. ISBN 0–415–08254–4.

Honi Fern Haber, Beyond Postmodern Politics. Selves, Community and the Politics of Difference, (Routledge, London 1995). 160pp. ISBN 0–415–90822–1.

Stjepan G. Mestrovic The Balkanization of the West: The Confluence of Postmodernism and Postcommunism (Routledge, London 1994). 226pp. ISBN 0–415–08755–4 (pbk).     

Is death and dying merely an ethical issue?

Some people worry about the current tendency to ignore the distinction of religious and ethical issues in the area of death and dying. This article attempts to identify sources and consequences of such blending. One of the countries offering a microcosm of religious and ethical trends with regard to death and dying is the Netherlands. Issues identified in Dutch society are, therefore, being compared with similar listings in North American and European literature on death and dying. In an even more paradigmatic way the unfinished debate on the distinction between active and passive euthanasia remains representatives of a religious approach to death and dying.