Public Members on Medical Licensing Boards and the Choice of Entry Barriers

This paper investigates the impact of medical and consumerinterests on the choice of physician licensing requirements inthe United States. Using data on licensing requirements in thefifty states between 1986 and 1993, we find that, in general,public members on licensing boards are associated withlicensing requirements that have educational justification. Incontrast, medical interests, measured in terms of licensingboard independence and campaign contributions by medicalassociations, are associated with licensing requirements thatare more difficult to justify with educational criteria.     

Moral dilemmas and pedagogical challenges in teaching about genocide

Human Rights Review -     

Governance, Management, and Performance: They Matter

Books reviewed in this article:
Carolyn J. Heinrich and Laurence E. Lynn, Jr., eds., Governance and Performance: New Perspectives
Patricia W. Ingraham, Philip G. Joyce, and Amy Kneedler Donahue, Government Performance: Why Management Matters
Janet M. Kelly and William C. Rivenbark, Performance Budgeting for State and Local Government     

Ethnicity,decentralisation and the fissile state in Georgia

This article addresses the problems entailed in decentralising a successor state of the former Soviet Union. On many different scales, Georgia should be a wealthy country. The population is well educated, there is rich agricultural land, a thriving wine industry, several mineral extraction industries and access to oil. The central argument of this article is that it is governance, or rather the failure of governance that is at the heart of many of Georgia's problems—in particular, a failure over a number of years to find a balance between the considerable ethnic diversity of the country and their aspirations regarding self‐government, and the need for the assertion of central power from Tblisi in occupying the power vacuum left by the demise of the Soviet Union. The structure of the article moves through an analysis of the context of decentralisation, into a brief survey of the major ethnic groups and the nature of the local government system, paying particular attention to the attempts by Tblisi to provide a coherent glue for a state that is liable to break apart. The concept of the ‘fissile state’ is used to convey this brittle context within which institutional reform needs to take place given the pressures from below and the pressures exerted by external actors as Georgia seeks to move closer to the European polity. Copyright © 2004 John Wiley & Sons, Ltd.     

The Federal Line Item Veto Experiment: After the Supreme Court Ruling,What's Next?

The federal line item veto has ceased to exist, thanks to the Supreme Court's June 1998 ruling invalidating the expansion of the president's rescission authority that was contained in the Line Item Veto Act. This article reviews the application of the Act during 1997, its effect on spending and the deficit, the judicial reaction to its use, and the prospects for the restoration of some version of the power. President Clinton was quite restrained in the use of his new power, with the exception of his cancellations in the Military Construction appropriation bill; these were ultimately restored by the Congress. Because of the president's restraint, the Line Item Veto Act had a miniscule affect on spending and the deficit; total cancellations represented less than .04 percent of FY98 discretionary budget authority. Ultimately, the Supreme Court held that the Act violated Article I, Section 7 because it created a Constituionally impermissable way for the president to change laws. There is no clear fallback position for supporters of the Act; alternatives are either difficult to enact, hard to administer, or too weak to be considered an effective substitute. Given the problems in enacting any alternative, it may be that the federal line item veto will end up only as a historical anomaly.     

Taking the Keys from Grandpa

Recent highly publicized traffic accidents involving older drivers have led to renewed interest in state policies and administrative practices that award and renew drivers’ licenses in the American states. Because the probability of traffic accidents is linked to the medical conditions that are more prevalent among the elderly, and because the number of older drivers is expected to rise over the next several decades, one might expect that this will be an increasingly important policy issue. This article discusses variations that are observed across states in law and administrative practice. A longitudinal analysis of data on crashes involving elderly drivers in fifteen states indicates that crash rates are directly related to the length of the renewal cycle for older drivers and inversely related to the stringency of testing at renewal. It is also likely that states requiring physicians to report conditions that would impair driving will experience lower crash rates. A secondary analysis of policy impacts on the licensing rates is not conclusive, a finding that is attributable to inaccuracies in the reported numbers of licensed drivers.