Barcelona 2002: law, ethics, and human rights. Using the law to improve access to treatments

The XIII International AIDS Conference in Durban, South Africa in July 2000 focused worldwide attention on the problem of accessing treatments in developing countries. In the interim, thanks to the work of activists - from demonstrations to court cases, and from acts of public courage by people living with HIV/AIDS to ongoing lobbying of politicians and trade negotiators - some very significant developments have occurred. But the reality is that the vast majority of people living with HIV/AIDS still lack access to affordable, quality medicines. This article, a summary of a paper presented at "Putting Third First: Vaccines, Access to Treatments and the Law," a satellite meeting held at Barcelona on 5 July 2002 and organized by the Canadian HIV/AIDS Legal Network, the AIDS Law Project, South Africa, and the Lawyers Collective HIV/AIDS Unit, India, explores three approaches for improving access. In the first part, Richard Elliott provides an overview of the state of the right to health as embodied in international human rights law; comments on the experience to date in litigating claims to the right to health; and identifies potential strategies activists can adopt to advance recognition of the right to health. In the second part, Sharan Parmar and Vivek Divan describe price-control and drug-financing mechanisms used by industrialized countries to increase the affordability of medicines; and discuss how some of these mechanisms could be adapted for use in developing countries. Finally, Jonathan Berger describes the use of litigation in the courts by the Treatment Action Campaign in South Africa.     

Adolescents Coping with Poverty-Related Family Stress: Prospective Predictors of Coping and Psychological Symptoms

Examined prospective associations among poverty-related family stress, coping, involuntary stress reactivity, and psychological symptoms in a sample of 79 rural, low-income adolescents. Poverty-related family stress predicted adolescents’ anxious/depressed and aggressive behavior 8 months later, controlling for prior symptoms. Coping interacted with initial symptoms and involuntary stress reactivity to predict changes in symptoms over time, showing that primary and secondary control coping were most strongly associated with changes in symptoms for adolescents with low initial symptoms and involuntary stress reactivity. The only significant predictor of coping over time was prior coping, suggesting that coping is not symptom-driven and may be somewhat trait-like. Implications for interventions and additional research are offered. Assistant Professor, University of Denver. Received PhD from University of Vermont. Research interests include the effects of poverty on family functioning, developmental issues in stress and coping, and developmental psychopathology Doctoral student in Clinical Psychology, University of Denver. Research interests include close relationship influences on adolescent development and psychopathology.     

Variation in state education policies and effects on student performance

There have been few systematic studies of the effects that education policies adopted at the state level have on the quality of schooling within the state. This article, building on a framework developed by Eric Hanushek and Lori Taylor, measures the effects of state policies—in particular, the effects of state teacher certification requirements on SAT performance across states. In an examination of SAT data from 1972 to 1990, the results suggest that students in states with a master's degree requirement for teacher certification had lower SAT scores than students in states without a master's requirement. The empirical model accounts for inputs such as family background and other school factors typically used in education production functions.     

Explaining the electoral effects of public investments: The case of the expansion of the underground in Madrid, 1995–2007

According to the literature, governments have strong incentives to use the public budget tactically in order to either obtain the electoral support of new voters or strengthen the loyalty of their traditional supporters. Yet vote‐seeking strategies only become rational when voters follow their self‐interest and reward governments when their constituency benefits from public transfers. The literature has focused on the governments' incentives, largely ignoring the importance of knowing whether the electorate is responsive to public investments. This study tests empirically whether incumbents strategically use public investments to gather more electoral support; and whether voters take these investments into account at the polls. These two questions are pursued simultaneously by using as a case study the expansion of the underground network in Madrid, Spain. Only a little evidence is found to support the idea that regional governments constructed new metro stations in neighbourhoods where they had more to gain electorally. Also, the inauguration timing strictly followed the electoral cycle, something that indicates a strategic calculus on the part of the incumbent. However, the models are also consistent with the idea that the government's investments were primarily driven by motives of efficiency. Indeed, although governments are tempted to follow vote‐seeking strategies, they are also aware that they cannot deviate too much from an efficiency‐based allocation of public resources. From the perspective of the voters, robust evidence has been found to show that regional voters rewarded this policy at the neighbourhood level. Neighbourhoods that received new metro stations voted in higher numbers for the incumbent than those quarters without new investments. All in all, these findings may have some implications for normative democratic theory.     

Ernesto (Che) Guevara: The Last “Heroic” Guerrilla

We take the opportunity presented by the fiftieth anniversary of the death of Che Guevara to reexamine his life and revolutionary program and the legacy he left behind. Attention is given to the formative influences that led to his introduction to Fidel Castro and his involvement in the Cuban revolution. We take a close look at the stylized theory of revolution that emerged from this experience, his reflective writings on the subject, and his subsequent attempts to generalize and apply his revolutionary model in the Congo and Bolivia. This model is critically interpreted and evaluated through the lense of his eleven month Bolivian campaign. We conclude by examining the ‘paradox’ of Che Guevara. He was a failed guerrilla who remains an iconic symbol of the revolutionary Left. He was an authentic true believer who dreamed that it might be possible to one day forge a utopian society of ‘new men’ and yet, fifty years after his death, his revolutionary project is farther away from being realized than ever. His heroic image, in the meantime, has evolved to become one of the most successful capitalist brands in history.