The competition strategy for medical care

This article reviews the so-called competition strategy for medical care. It sets out the policy goals of the strategy and the problems in the present medical and insurance system that it seeks to address. It then describes several distinct formulations of the competition strategy, showing that it is not a single, rigid, monolithic approach, but rather a flexible combination of market-oriented approaches. Finally, it briefly discusses the technical and political problems and prospects of the strategy.     

Two Decades of Change: A Ranking of Key Issues Affecting Intergovernmental Relations

This article describes the results of a 1981 survey of 1,000randomly selected scholars of American government and politicswho were asked to rank the most significant intergovernmentalevents and trends of the past twenty years. Responses were receivedfrom almost 40 percent of these scholars; no significant returnbiases were detected. These scholars ranked civil rights andvoting rights acts as the most significant events of these decades.General Revenue Sharing and the reapportionment cases were rankedsecond and third in importance. The increased flow of federaldollars to states and local governments was ranked the mostimportant trend affecting intergovernmental relations, followedby the increased public disaffection with government and thegrowing dependence of local governments on state and federalaid. The Vietnam War and the inflationary spiral it initiatedwas ranked as the most significant social event affecting thecourse of intergovernmental relations, followed closely by theenergy crisis and the beginnings of the "Great Society." Thearticle also examines the effects of party identification, age,year of degree, government experience, region, and city sizeon scholarly attitudes toward these events and trends. Whilethe overall rankings were not dramatically altered, partisanship,region, and city size all were factors found to be noticeablyrelated to scholarly rankings of these important events andtrends.     

Educational trajectory and “action orientation”: Grade and track differences

A life-span developmental perspective suggests that variations in social context will lead to differences among individuals in their action orientations. An action orientation is defined by an individual's values, control beliefs, goal orientation, and decision-making perspective. To investigate differences in the action orientations of adolescents embedded in different contexts, 83 sophomore and senior high school students on either a vocational training or college-preparatory trajectory participated in the study. A discriminant function analysis of action orientations showed that the action orientations of vocational training and college-preparatory students differed: College-preparatory students had a career preparation action orientation and vocational students had an adult preparation action orientation; also, sophomores may have had a socializing orientation. The findings are discussed in terms of the developmental tasks facing students in different grades and on different life-course trajectories. Received Ph.D. from West Virginia University. Research interests are cognitive and social cognitive development in cultural and institutional contexts.Received Ph.D. from the University of Iowa. Research interests include adult developmental and problem solving.     

Book reviews

The Imaginary War: Understanding the East‐West Conflict By Mary Kaldor. Oxford: Basil Blackwell. 1990. 290 pp. £19.95.

The Nonsuperpowers and South Africa ‐ Implications for U.S. Policy. By Richard J. Payne. Indiana University Press. 336 pp. $35.00.

Elites and the Idea of Equality: A Comparison of Japan, Sweden, and the United States. By Sidney Verba, Steven Kelman, Gary R. Orten, Ichiro Miyake, Joji Watonuki, Ikuo Kabashima, G. Donald Ferreer, Jr. Harvard University Press. 276 pp. £10.25.

Controlling the Sword: The Democratic Governance of National Security By Bruce Russett. 261 pp. £17.95.

America's Germany: John J. McCloy and the Federal Republic of Germany By Thomas Alan Schwartz. Harvard University Press: 1991. 404 pp. £23.95.     

Post-mortem cooling of the human head: an infrared thermology study

The post-mortem cooling of the human head, over the first fifteen hours after death, was measured by infrared thermology. A detailed temperature map of the head and face was obtained by the use of image processing techniques and the cooling behaviour of twelve preselected facial features was observed. The two main findings of the study were a difference in cooling pattern between the upper and the lower part of the head, and a consistency in the cooling pattern of the lower part of the head in all the cases studied. A comparison of various model fits to the raw data was undertaken and the "best" bodies, models and features were determined on a statistical basis. The formula that best fitted the raw data was a novel double application of Newton's law. The features with the least error in data fitting were the chin and zygoma; that with the most error was the mouth.     

Child witnesses and the confrontation clause

InMaryland v. Craig, the United States Supreme Court relied heavily on a brief prepared by a committee of the American Psychology-Law Society on behalf of the American Psychological Association (APA). The APA brief concluded that sexually abused children may be particularly vulnerable to distress in the legal process, especially when forced to confront the defendant face to face, and that such acute distress may be inconsistent with the state's interests in promotion of reliable testimony and child welfare. APA also argued that psychological theory and research provide foundations for individualized determination of the need for measures to protect children from face-to-face confrontation. *** DIRECT SUPPORT *** AFE06051 00002     

Technology transfer in the navy: The historical background

This report reviews technology transfer in light of the Stevenson-Wydler Technology Innovation Act of 1980. Following a brief introduction, a section on “Definitions” explains the several meanings that the phrase “technology transfer” now carries in policy discussions. The next section, on “Passive Technology Transfer”, reviews traditional Department of Defense scientific and technical information programs that relate to technology transfer. A section on “Military Industrial Transfer” examines technology transfer from the Defense Department to private industry, expecially to defense contractors. A section on “The Stevenson-Wydler Act and Active Technology Transfer” describes the principal provisions of the new act and why Congress passed it. The next two sections, on “NASA’s Technology Transfer Program” and “The Federal Laboratory Consortium” outline the two existing Government programs Congress relied upon in developing ideas for the new law. A section on “Implementation of the Stevenson-Wydler Act”, discusses several important issues that must be considered by Navy laboratory management as the new law is put into effect in the Navy. Finally, a brief conclusion emphasizes the major point of the report: That Congress, in passing the Stevenson-Wydler Act, did not fully consider what relationship the new technology transfer programs it was requiring in the Executive Branch should bear to existing programs with similar purposes. If the public interest is to be served, the report argues, the Navy must consciously and carefully determine the proper nature of this relationship.