Carriers of the Creed: Examining Democrats’ Commitment to Egalitarianism as Principle and Policy

Political Behavior - The Democratic Party is a coalition of interests sharing a common desire to use government to ameliorate societal inequities. Research shows that the party’s programmatic...     

Public and private health‐care systems: what the literature says

Abstract: Since policy‐makers and health‐care administrators across Canada are currently interested in using privatization as a method of health‐system reform, an analysis of public‐private health systems and privatization initiatives is relevant, if not critical, at this time. The widespread and long‐standing popularity and considerable successes of the Canadian health‐care system demand such an analysis. The many investigations and other evaluative reports describing the performance of health systems and privatization make this analysis possible. The author conducted an extensive review of research and other literature on health‐sector privatization and private‐ or public‐health systems. Three themes depicting various public‐private relationships were found: 1) public or private delivery, payment, and administration of health care; 2) integration or separation of public‐ and private‐health sectors; and 3) the conceptualization of health care as a commodity or a right. These themes are examined through the prism of the Canadian health‐care system and recent developments in Alberta. A discussion of their operational successes, failures, limitations and other issues follows. The literature review shows that privatization, particularly if undertaken in what has been an essentially “public” health system such as Canada's, needs to be approached ‐ if at all ‐ with caution. Increased controls such as new forms of legislation and regulation would clearly be necessary. Research to monitor the effect of privatization initiatives would also be needed. Sommaire:EAtant donné que les décideurs et administrateurs de soins de santé Canadiens s'intéressent actuellement à la privatisation comme méthode de réforme du système de santé, une analyse des systèmes de santé public et privé et des initiatives de privatisation est par conséquent pertinente sinon essentielle. La vaste popularité de longue date et le succès considérable du système de soins de santé canadien exigent une telle analyse. Cette analyse a été rendue possible grâce aux nombreuses enquêtes et autres rapports d'évaluation décrivant le rendement des systèmes de santé et la privatisation. L'auteur a mené un examen approfondi des documents de recherche et autres écrits concernant la privatisation du secteur de la santé et les systèmes de santé public et privé. Trois thèmes dépeignant diverses relations entreles systèmes public et privé sont ressortis de cet examen: 1) la prestation, le paiement et l'administration des soins de santé, publics ou privés. 2) l'intégration ou la séparation des secteurs de santé public et privé; et 3) la conceptualisation des soins de santé, en tant que produit ou droit. Ces thèmes sont examinés à travers le système canadien de soins de santé et certains faits récents survenus et Alberta. Un débat s'ensuit sur les succès opérationnels, les échecs, les limitations de ces systèmes respectifs et sur d'autres questions. L'analyse documentaire montre que la privatisation ‐ en particulier si elle est entreprise dans un systeme de santé essentiellement public °Comme c'est le cas au Canada ‐ doit être abordée avec prudence ou pas du tout. Il serait absolument nécessaire d'instaurer des contrôles accrus par le biais de nouvelles lois et de nouveaux règlements. Il serait également nécessaire de contrôler les répercussions des initiatives de privatisation.     

Re‐evaluating US strategic priorities in the Caspian Region: balancing energy resource initiatives with terrorism containment

In the aftermath of September 11, US strategy has shifted in the Central Asian region from protecting the sovereignty of the southern post‐Soviet states to ensuring their stability in light of the dual impacts of energy development and the rising threat of Islamic terrorism. Although US–Russian cooperation has made strides, particularly concerning Russian acquiescence toward US and NATO military engagement in the region, geostrategic rivalry and conflicting economic goals have hindered a joint approach to initiatives regarding the region's energy development. While both agree on the goal of maximising Russian and Caspian gas and petroleum exports, US policy is increasingly prioritising Central Asian energy prosperity as a key factor in the region's ability to contain terrorism. Development of the region's energy resources has therefore become a critical US security concern. Yet, by failing to engage with Russia in a meaningful cooperation that could encourage Moscow to diversify its own energy export prospects, competition between the two powers is likely to reduce, rather than improve, the effectiveness of either in offering the Central Asian states the kind of support they need to strengthen their domestic profiles or withstand the incursion of terrorism.     

The 'sex war' and other wars: Towards a feminist approach to peace building

For more than a decade, resolutions from the UN and the European Commission havehighlighted women's suffering during wars, and the unfairness of their treatment upon thereturn to peace. Yet the injustices and the hypocrisy continue. Women are reified as thepeacemakers while they are excluded from peace processes. Women's suffering during war isheld up as evidence of inhumanity by the same organisations that accept, if not promote, themarginalisation of women's needs during peacetime. The author reviews the processes throughwhich these phenomena are perpetuated and outlines some ways forward which could help tobreak these cycles.     

ONE CASE–ONE SPECIALIZED JUDGE: WHY COURTS HAVE AN OBLIGATION TO MANAGE ALIENATION AND OTHER HIGH-CONFLICT CASES

This article challenges the traditional approach to alienation and other high-conflict cases in which many different generalist judges deal with the case. The objectives of the judicial process, dealing with cases in a just, timely, and affordable way that instils confidence in the public and litigants, cannot be met unless high-conflict cases are actively managed by one specialist family law judge. Allowing parents in high-conflict cases to decide when and how often their case should come before the court exacerbates the negative effects of the litigation on children. This article concludes that, unless the litigation is properly managed by specialist judges, the justice system unintentionally causes harm to children.     

Politics Without Borders: Internationalist Political Thought

This article examines the place of internationalism in the theory and practice of social revolutionaries from the middle of the 19th century to the end of the 20th in order to shed light on the nature and meaning of national boundaries and their transcendence. Theories of ideology are brought to bear on the legacy of internationalist political thought, revealing the preconditions of its existence and viability. Finally, questions are posed as to the relevance of internationalist thought for contemporary politics in the context of so-called globalization. The author concludes that economic and technological trends will not result in the automatic revitalization of transnational forms of political identity outside of the context of transnational political organizations.     

Post-project evaluation of the sustainability of development project outcomes: a case study in eastern Indonesia

The extent to which project outcomes are sustained years after development projects have ended is not routinely investigated. This study assessed the long-term impacts of a fire management project in eastern Indonesia seven years after the funding ended. Post-project evaluation increased understanding of the factors determining sustainability of project outcomes and links to development impacts. The continuation of community fire management and agroforestry groups was linked to demonstration of benefits to farmers and multi-level engagement. Activities had ceased where ownership was disputed. Some long-term impacts were outside the original aims of the fire project, including district government agencies applying fire mapping skills to other development issues.