Health care costs and personal bankruptcy

In response to published but unconfirmed reports that health care costs were a leading cause of personal bankruptcy in the U.S., court records of all bankruptcy petitioners in one judicial district were examined. The records were analyzed by income, employment, debt categories and amounts. Within the limitations of the study, health care costs seem not to have played a significant role in the financial lives of this population.     

Relationship to Perpetrator and Posttraumatic Symptomatology Among Sexual Abuse Survivors

This study investigated the association of several dimensions of relationship to perpetrator of childhood sexual abuse to posttraumatic symptomatology in adulthood. A structured clinical interview, the Impact of Event Scale, and the TSC-40 were administered to 67 women survivors seeking psychotherapy. The t-tests for significant differences indicated that subjects whose perpetrators were not caretakers experienced higher levels of posttraumatic symptomatology (PTS) in adulthood than those abused by caretakers. No significant differences were found in traumatic symptomatology between those whose perpetrators were family members and those whose perpetrators were not or between those abused by someone in the home and those abused by someone outside the household. Implications for future research and clinical practice are explored.     

The European Biotech Directive: Past as Prologue

The directive on the legal protection of biotechnological inventions (the ‘Biotech Directive’) represents the end of a decade‐long dialogue on how best to encourage biotechnology innovation in Europe while addressing ethical concerns. The Biotech Directive represents an interesting compromise between Parliament, Commission, and Council based on divergent policy concerns, treaty limitations, and international trade rules. In this article, the authors explore the meaning and implication of the Biotech Directive by examining its contentious history, its provisions, and its jurisdictional foundations. Drawing on this base, the authors examine questions left unanswered by the Biotech Directive and analyse how the Biotech Directive fits in with existing international law.     

State Actions Affecting Cities and Counties, 1990–1993: De Facto Federalism

States experienced considrable fiscal stress during the first four years of the 1990s. This has led to changes in five policy areas: (1) state financial aid; (2) local revenue diversification; (3) "sorting out" of responsibilities between the state and local governments; (4) tax and spending limitations; (5) and mandate relief. Some of the most significant changes occurred in California, Colorado, Maryland, Massachusetts, Minnesota, New Jersey, Oregon, and Wisconsin.     

Gibraltar at the United Nations: Caught Between a Treaty,the Charter and the “Fundamentalism” of the Special Committee

On account of Spain's long-standing claim to the sovereignty of the British Overseas Territory of Gibraltar, “the Rock” remains one of sixteen non-self-governing territories on the United Nations list awaiting decolonization. This article examines the principles of self-determination and territorial integrity adopted by the United Nations in consideration of the issue of decolonization as they have been applied to Gibraltar, together with the consequences for the parties concerned. With the fiftieth anniversary of the first United Nations Resolution on decolonization on the horizon and the recent adoption by Gibraltar of what is considered to be a non-colonial constitution, the article suggests that it is timely for the United Nations to consider taking a more flexible approach to Gibraltar's status that would put to one side Spain's claim but allow Gibraltar to be removed from the UN list.     

Physicians' "Right of Conscience"— Beyond Politics

During the past few months, the discussion over the physicians' "Right of Conscience" (ROC) has been on the rise. The intervention of politics in this issue shifts the discussion to a very specific and narrow area, namely the "reproductive health laws" which bear well-known predisposing attitudes.
In this article, the physician's ROC is discussed in the context in which it naturally belongs: the Patient Physician Relationship (PPR). I suggest that the physicians' rights demand is a comprehensible, predictable, and even inevitable step as part of the "evolution" of the PPR. Thus, the most appropriate way to comprehend and tackle the demand for physicians' ROC is within the context of medical professionalism. While searching for practical solutions to the "reproductive health" problems, there is a need to recognize the ethical and practical implications of the change in the PPR and balance between patient and physician rights.     

Application of hypervariable genetic markers to forensic identification of 'wild' from hatchery-raised red drum, Sciaenops ocellatus

Forensic identification of 'wild' versus hatchery-produced (cultured) red drum (Sciaenops ocellatus), an economically important marine fish in the southern United States, was assessed using hypervariable nuclear-encoded microsatellites and sequences of mitochondrial DNA. Both genotype exclusion and likelihood-ratio tests successfully identified 'wild' and 'cultured' individuals within requisite error bounds and within the context of complete parental sampling. Of the two, genotype exclusion was more effective, producing satisfactory results with fewer microsatellites and larger allowable error rates. Assignment tests proved ineffective, most likely because of the low level of genetic divergence between the sampled populations. An optimal, minimum set of ten markers that will reduce potential genotyping costs is identified. Results of the study should allay concerns regarding identification of 'wild'-caught fish sold illegally.