Best hospitals. Raising questions of care

What should you do if finances--or geography or health plan rules--put a high-ranked hospital out of reach? Good question. Here are some answers, along with other hypothetical questions related to hospital choice, access and cost. The responses, developed with the help of medical and consumer experts, are real.     

Perennial Budget Reform Proposals: Budget Staff versus Elected Officials

This article defines budget reform perennials at the national level as those that reoccur multiple times, with little chance of passage and little change from one iteration to the next. The literature has seldom examined proposals that do not pass or the staff effort that goes into keeping flawed proposals from passing. The article describes the sources of such proposals and what can conceivably be done to lessen the tension they cause. The research is based primarily on qualitative interviews and legislative testimony. Examples of reform perennials include biennial and capital budgeting.     

Ideology,voting, and shirking

Since we first raised the issue in 1979, scholars have addressed two questions regarding ideology and congressional voting. Does ideology have an impact on such voting? Do representatives shirk by voting their own ideology rather than their constituents' interests? For the first question, it appears that there is a consensus that ideology does matter, although we present some confirming evidence for 1980. The second question has been confused; some think that ideology and shirking are identical, although they are logically separate categories. We show that even if ideological shirking exists, it is relatively unimportant. We also show that self interested (non-ideological) shirking exists. We conclude that research efforts to untangle constituents' and representatives' separate ideologies have been misguided and that further efforts to examine the determinants of constituent ideology should be pursued.     

The Economics of the Bill of Rights

We elucidate, connect, and synthesize the literature that employseconomics to study the individual rights and freedoms protectedby the constitutional amendments comprising the Bill of Rights,especially as they relate to crime. Economics is uniquely suitedto studying decisions involving tradeoffs, and each of the amendmentsrequires tradeoffs. Emphasizing these tradeoffs allows us todiscuss the constitutional rights in terms of "more or less,"as opposed to taking an absolutist approach. We find that theeconomic literature on the amendments of the Bill of Rightsis vibrant and growing, and that viewing the amendments withinthe framework of economics is highly useful.