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21.
This article argues that the adverse impact of Medicaid on state budgets alleged in various public debates has been overstated, in some measure because of the inaccurate and misleading manner in which Medicaid expenditures are appropriated in state budgeting systems. Data on Medicaid and mental health spending in the state of New York is used for analysis. The first section provides a Medicaid spending and budgeting background. The second section discusses Medicaid and mental health in New York. The third section describes actual budgeted spending for mental health in New York, and the final section provides a discussion and concluding comments. 相似文献
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In order to maximize votes, incumbent politicians design and implement redistributional programs. These programs benefit some voters at the expense of others. In the simple two group (or tax payers and beneficiaries) case we identify the nature of vote maximizing transfer policies. This model's basic approach is shown to hold for multiple group models as well. Strategic implications for the organizers of sub groups of the population (or group leaders) are developed. Other extensions of the model are discussed. qu]Where the budget is clever is in its detail. Each little measure is designed to hurt (but not too much) people who are not politically important, while tossing a bone to people who are. You can see this in a host of different ways. 相似文献
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Local tax reform in Britain in 1993 (reinstating a propertytax) may have reversed some intended fiscal illusion reducing,and ``accountability'' improving, features of the poll tax(itself a reform introduced in 1990 with the specific aim ofpromoting accountability). We formalize these features withina median voter model of the demand for local publicexpenditure that distinguishes between accountability andfiscal illusion effects. The model shows that a prioriaccountability effects on expenditures are ambiguous.Available data for England and Wales are used to test themodel. We find strong evidence of grant illusion (the flypapereffect), similar across tax regimes, with evidence of renterillusion and of less accountability under the property tax.The degree of local income inequality appears to affectexpenditure levels only with the property tax. 相似文献
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Jamie Elizabeth Jacobs 《拉美政治与社会》2002,44(4):59-88
Grassroots environmental activism among Latin America's poor has altered the debate over environmental policy, social welfare, and citizenship. Yet the question remains whether this social mobilization of the poor is part of a larger trend toward broader environmental concerns and democratic political participation, or a shortlived movement susceptible to the same pressures that have dissolved community mobilization in the past. This article compares Brazil with other Latin American and European countries in surveys of environmental awareness, concerns, and reported behavior. It finds that Brazilians residing in the urban periphery link their own local environmental concerns to more global considerations, and that concern for and activism on environmental issues is positively related to wider community involvement. 相似文献
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The Process of Recovery and Rebuilding among Abused Women in the Conservative Evangelical Subculture
This study utilized a naturalistic methodology to develop a grounded theory of the process of recovery and rebuilding among abused women situated in the conservative evangelical subculture. Among all the women, spirituality and church participation were an integral part of their identity and generated culture-specific issues that needed to be addressed in therapy. The women's faith functioned as a meaning-making framework that could either engender shame and guilt or inspire hope and empower transformative change. The church functioned as an extended family system that could minimize, deny, and enable abuse or provide much-needed social support, spiritual encouragement, and practical assistance. The recovery process required that these women rebuild their personal and spiritual identity, redefine their relationship with the religious community, and find ways of expressing their new identity within the religious subculture. 相似文献
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Howard J. Osofsky Joy D. Osofsky Norman Kendall Renga Rajan 《Journal of youth and adolescence》1973,2(3):233-249
Pregnancy among adolescents, and especially among low-income adolescents, represents a high-risk situation from multiple points of view. When compared to data for the population at large, obstetrical outcome is worsened, subsequent educational attainment is poor, social prognosis is guarded, and repeat unwanted pregnancies are common. The surviving infants, similarly have relatively high incidences of medical and developmental problems. In recent years, comprehensive interdisciplinary programs have been organized to offer more meaningful help to these individuals. The present report describes the authors' 5-year experience with one early intensive program. Considerable medical, educational, and social successes have been noted. The results are especially striking when contrasted with the authors' current experience with an improving but still more fragmented and less successful program. Findings concerning infant development and the mother-infant interaction are also noted. Finally, issues related to the achievement of successes and the persistence of problems after provision of more adequate comprehensive services are discussed.This study was supported in part by Grant No. 03-H-000-079-03-0, Maternal and Child Health Service, H.S.M.H.A., H.E.W.While on the faculty of the State University of New York, College of Medicine at Syracuse, was a founder and the first medical director of the YMED program.Specialty is Developmental Psychology, and research interests concern infant and early child development and the effects of children on parents. While on the faculty of Cornell University, served as a consultant to the YMED program.Project director of the high-risk program.While on the faculty of the State University of New York, College of Medicine at Syracuse, was obstetrical director of the YMED program. 相似文献
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Sarah Jacobs 《British Journal of Middle Eastern Studies》2020,47(2):206-223
ABSTRACTIn 2017, following a fraught 22-year struggle, Israel appointed the first female judge (sing. qadiya, pl. qadiyat) to its Islamic (shari’a) courts. This contrasts with the earlier appointments of qadiyat around the world, most notably in the Palestinian Authority in 2009. The Israeli shari’a courts’ jurisdiction over family law, a field of law which engages in women’s issues, makes the introduction of qadiyat particularly salient. This article is among the first to focus academic research on the issue of qadiyat within Israel and is based on field interviews with practitioners and academic experts, as well as documentary primary and secondary sources. This article finds that the obstacles that delayed the appointment of Israel’s first qadiya were a manifestation of the political impact Muslim minority status had on the country’s Muslim and Jewish establishments. 相似文献