Maximizing social equity as a pillar of public administration: An examination of cannabis dispensary licensing in Pennsylvania

Public administration upholds four pillars of an administrative practice: economy, efficiency, effectiveness, and social equity. The question arises, however, how do administrators balance effectiveness and social equity when implementing policy? Can the values contributing to administrative decisions be measured? This study leverages the expansion of medical cannabis programs in the states to interrogate these questions. The awarding of dispensary licenses in Pennsylvania affords the ability to determine the effect of social equity scoring on license award decisions, relative to criteria that represent the other pillars. The results show that safety and business acumen were the most important determining factors in the awarding of licenses, both effectiveness concerns. Social equity does not emerge as a significant determinant until the second round of licensing. This study then discusses the future of social equity provisions for cannabis policy, as well as what the findings mean for social equity in public administration.     

Uses and Abuses of Drug Decriminalization in Portugal

In 2001, Portugal decriminalized the acquisition, possession, and use of small quantities of all psychoactive drugs. The significance of this legislation has been misunderstood. Decriminalization did not trigger dramatic changes in drug‐related behavior because, as an analysis of Portugal's predecriminalization laws and practices reveals, the reforms were more modest than suggested by the media attention they received. Portugal illustrates the shortcomings of before‐and‐after analysis because, as is often the case, the de jure legal change largely codified de facto practices. In the years before the law's passage, less than 1 percent of those incarcerated for a drug offense had been convicted of use. Surprisingly, the change in law regarding use appears associated with a marked reduction in drug trafficker sanctioning. While the number of arrests for trafficking changed little, the number of individuals convicted and imprisoned for trafficking since 2001 has fallen nearly 50 percent.     

The Evolution of Malcolm Fraser's China Policy

This article explores the evolution of Malcolm Fraser's views on China. While Gough Whitlam is fondly remembered as a trailblazer for normalizing Australia‐China relations, Fraser was a pioneer in rendering a sense of bipartisanship in Australia's China policy. Fraser was not initially a Sino‐enthusiast, however. He came from a background of staunch anti‐Communism and throughout the 1950s and 1960s believed that China posed a major threat to stability in the Asia‐Pacific. The Liberal Party fiercely opposed the Whitlam government's decision to normalise diplomatic relations with China in 1972. Following the Whitlam dismissal in 1975, Fraser became Prime Minister and, in what seemed to be an abrupt departure from the Liberal Party's position, thoroughly embraced relations with China. As Leader of the Opposition, Whitlam called out the hypocrisy of the Liberal Party's radical policy shift. This study examines the domestic and international dynamics that shaped Fraser's views on China and ultimate adoption of a successful China policy. This is the untold story of a crucial turning point in Australia‐China relations under the leadership of a conservative government, in which a strong relationship with China became a cornerstone of bipartisan Australian foreign policy.     

Preserving Community Assets: Do Foreclosure Sales Need to Negatively Impact the Neighborhood?

Research has linked concentrated foreclosures with negative neighborhood outcomes; for instance, increased crime and decreased property values. These outcomes drain community asset holdings and impact the longer term trajectory of the neighborhood. However, data reported in this article from a Boston study challenge the assumption that negative neighborhood outcomes are a foregone conclusion in the face of foreclosures. Analysis of interviews with real estate agents and other foreclosure professionals, neighborhood ethnographic observation, and citywide sales and foreclosure sales documents demonstrate that the distinct nature of the foreclosure sales process creates market disruptions heightening the risk for documented negative neighborhood outcomes. Attempts by the seller to reduce financial risks in the sale increase the likelihood of vacancy and create a market oriented toward investor–buyers. Understanding the risk preferences of key decision makers in the foreclosure sale process reveals new intervention points—such as intervening at the short sale, or expanding and updating foreclosure laws to reflect current foreclosure sales markets—to reduce market disruptions and preserve community assets in the face of foreclosures.     

Medical and legal aspects of genital mutilation and circumcision part I: female genital mutilation (FGM)

Female genital mutilation (FGM) is considered to be against the law and against morality not only in Western countries, although a woman of age and able to consent may sometimes think differently. The procedure may have serious physical and emotional consequences for the girl or woman. Nevertheless there are attempts to justify the procedure with medical and hygienic pseudoarguments, ideology, freedom of religion, cultural identity and social adequacy. Outside the Western world, some people claim that religion and culture alone justify the practice. In Germany, parents can lose the right to determine the residence of their daughter, if she is faced with the risk of genital mutilation in order to prevent that the child or girl is taken to her home country. Genital mutilation as a gender-specific threat is recognized as a reason to grant asylum or prevent deportation. Proposals to make genital mutilation a separate punishable offence are presently discussed by the legislator.     

Is There a Relationship Between Bladder Outlet Obstruction due to Benign Prostatic Hyperplasia and Pulmonary Thromboembolism?

Benign prostatic hyperplasia with chronic bladder outlet obstruction has been associated with deep venous thrombosis (DVT) and fatal pulmonary thromboembolism (PTE). To evaluate this further, 60 autopsy cases of men with PTE were compared with 60 age-matched controls. The criteria for outlet obstruction were macroscopic prostatic enlargement with bladder trabeculation and benign prostatic hyperplasia on microscopy. Ten of the 60 men (16.7%) with fatal PTE had evidence of bladder outlet obstruction (age 57-78 years; mean 71.4 years). Of the 60 controls, 12 had evidence of bladder outlet obstruction (20%) (age 67-86 years; mean 75.5 years). No significant relationship could be demonstrated between bladder outlet obstruction and fatal PTE cases (p = 0.8). Given reports of this association, however, it is possible that bladder distension with venous compression may act as a risk modifier in certain individuals in association with other significant comorbidities, but this risk appears low.     

Introduction: Nation-building in China and Vietnam

This introduction explores the changing nature of Chinese and Vietnamese nation-building in the era of globalisation and specifically, transnationalism. The first part sets out a conceptual framework designed to put contemporary Chinese and Vietnamese nation-building in comparative, international perspective. The second part looks at the borders of nation-building from the point of view of diasporas living the nation-state, while the third part focuses on a series of trends working to reinterpret the nation from within.