Information and party voting in “semipartisan” judicial elections

Research on the relationship between the quantity of information that voters possess and their party voting behavior in partisan elections has produced mixed and confusing empirical results. In an effort to provide a broader perspective, this paper explores that relationship in nonpartisan elections contested by candidates of opposing parties. The paper analyzes survey data on two 1984 contests for seats on the Ohio Supreme Court, using the presidential race for comparison. Despite a highly partisan campaign, party defections by voters were far more common in the supreme court races than in the presidential race, reflecting the importance of party designations on the ballot as a source of information on candidates' party affiliations. At the individual level, levels of information had differing effects in the two supreme court races and for Democratic and Republican voters; this finding suggests that the impact of imformation levels on voters' choices is conditioned by the content of information in particular campaigns.     

Looking Ahead: Addressing Ethical Challenges in Public Health Practice

Ethical challenges in public health can have a significant impact on the health of communities if they impede efficiencies and best practices. Competing needs for resources and a plurality of values can challenge public health policymakers and practitioners to make fair and effective decisions for their communities. In this paper, the authors offer an analytic framework designed to assist policymakers and practitioners in managing the ethical tensions they face in daily practice. Their framework is built upon the following set of six considerations: determining population-level utility of the proposed action; demonstrating evidence of need and effectiveness of actions; establishing fairness of goals and proposed implementation strategies; ensuring accountability; and, assessing expected efficiencies and costs associated with the proposed action. Together, these considerations create a structured guide to assist decision-makers in identifying potential ethical challenges and in assessing the moral considerations that underlie public health practice - and possibly even, if the conditions are met, reduce the creation of ethical tension. Although the authors'empirical experiences provide the basis for the framework advanced here, their approach remains to be tested and evaluated by public health practitioners.     

Why Tolerate Conscience?

In Why Tolerate Religion?, Brian Leiter argues against the special legal status of religion, claiming that religion should not be the only ground for exemptions to the law and that this form of protection should be, in principle, available for the claims of secular conscience as well. However, in the last chapter of his book, he objects to a universal regime of exemptions for both religious and secular claims of conscience, highlighting the practical and moral flaws associated with it. We believe that Leiter identifies a genuine and important contemporary legal and philosophical problem. We find much to admire in his reasoning. However, we raise questions about two claims that are crucial for his argument. The first claim is that it is not religion as such, but conscience that deserves toleration and respect. The second claim is that respect for religion and conscience demands ‘principled toleration’ but does not entail stronger policies of legal exemptions. Against the first claim, we argue that Leiter does not successfully distinguish religious belief from secular conscience and morality; and he does not explain why secular conscience (which shares many of religious conscience’s epistemic features) deserves respect. Against the second claim, we argue that the most promising theories of legal exemptions are not classical theories of liberal toleration.     

Developmental Associations Between Adolescent Change in Depressive Symptoms and Menstrual-Cycle-Phase-Specific Negative Affect During Early Adulthood

The causal factors associated with increases in depressive symptoms among adolescent girls remain an area of theoretical debate, and the limited research considering a hormonal influence has provided mixed results. The goal of the present study was to test a set of longitudinal associations, that, if found, would provide support for a hormonal contribution to these changes. Specifically, this study tested the hypotheses that changes in depressive symptoms among adolescent girls would be associated with phase-specific symptoms of the menstrual cycle during early adulthood; that these associations would differ across three phases of the menstrual cycle; and that the pattern of associations would differ for changes in depressive symptoms during early- and late-adolescence. The sample consisted of 47 women with longitudinal data from 12 to 21 years old (approximately 91% European Canadian, 4% Middle Eastern Canadian, 2% Haitian Canadian, and 2% Asian Canadian). Consistent with expectations, results showed that early-adolescent increases in depressive symptoms were negatively associated with menstrual-phase negative affect, and positively associated with mid-cycle negative affect, but not associated with premenstrual negative affect; whereas late-adolescent change in depressive symptoms was only associated with depressive symptoms at 20-21 years. Thus, early-adolescent changes in depressive symptoms are longitudinally associated with later mood change across the menstrual cycle, suggesting a common underlying cause, which is hypothesized to be hormonal. Moreover, results suggest that, with respect to variables that are involved in affective development, important differences exist between early- and late-adolescence. The discussion considers menstrual-cycle-related symptoms (e.g., dysmenorrhea) during adolescence, and the need to study their effects on development. It is suggested that focused intervention and prevention efforts may be indicated to interrupt negative developmental outcomes.     

'Designing Better Health Care in the South': A Case Study of Unsuccessful Transformational Change in Public Sector Health Service Reform

This article presents a case study of a project known as 'Designing Better Health Care in the South' that attempted to transform four separately incorporated health services in southern Adelaide into a single regional health service. The project's efforts are examined using Kotter's (1996) model of the preconditions for transformational change in organisations and the areas in which it met or failed to meet these preconditions are analysed, using results from an evaluation that was commenced during the course of the attempted reform. The article provides valuable insights into an attempted major change by four public sector health organisations and the facilitators and barriers to such change. It also examines the way in which forces beyond the control of individual public sector agencies can significantly impact on attempts to implement organisational change in response to an identified need. This case study offers a rare glimpse into the micro detail of health care reform processes that are so widespread in contemporary health services but which are rarely systematically evaluated.     

Britain's ‘betrayal’ of Hong Kong: A second look

Claims of British bungling and betrayal were repeatedly raised during the prolonged run‐up to the 1997 Hong Kong handover. This paper seeks to evaluate such claims. It examines five controversial episodes of reputed British mishandling of the Hong Kong transition: (1) Governor Murray MacLehose's reputed double faux pas of March 1979, when the governor first putatively erred by prematurely (and unnecessarily) raising the ‘1997 question’ in a routine meeting with Deng Xiaoping and then compounded his error by misrepresenting Deng's less‐than‐reassuring response; (2) Prime Minister Margaret Thatcher's 1982 miscalculation in requesting a 50‐year extension of the New Territories lease when it was already abundantly clear that Chinese leaders regarded the original lease as ‘unequal'—and therefore non‐binding; (3) Britain's 1987 decision to unilaterally postpone Hong Kong's first direct legislative elections, a decision defended on the disingenuous grounds that government surveys had revealed a majority of the Hong Kong public to be opposed to rapid democratization; (4) Britain's ostensible failure, in the aftermath of the 1989 Tiananmen debacle, to secure the inclusion of adequate democratic safeguards in the final draft of the Hong Kong Basic Law, completed early in 1990; and (5) Governor Chris Patten's ill‐starred democratic reform initiatives of 1992–95, which sharply reversed Britain's previous ‘convergence’ policy and ultimately led to the derailing of Hong Kong's vaunted ‘through train’. Examining available evidence on these five episodes (and one or two other, related cases), this paper argues that despite occasional, palpable policy miscalculations and a notable lack of official candor, Britain did not do serious harm to the vital interests of Hong Kong. On the contrary, the paper argues, given the substantial advantage in resources and leverage enjoyed by the Chinese side throughout the transition period, a more favorable outcome could hardly have been achieved. The one residual allegation of British betrayal that cannot readily be countered, however, is the charge that racism within Britain's ruling Conservative Party—manifested in Parliamentary legislation severely restricting the flow of immigrants from British colonial territories—played a significant role in the British Government's choice of tactics in dealing with the ‘1997 question’.