Health-Care Reform, Managed Competition, and Subnational Politics

"Managed competition" is Congress' likely response to health-carereform. At the center of managed competition are regional healthinsurance cooperatives or alliances. In some states, these allianceswill face daunting numbers of uninsured and underinsured peopleand a hostile reception from business leaders and state governmentofficials. In other states, alliances may be welcomed as a logicalextension of current efforts to expand access to health care.Uneven support for alliances among the states will affect theimplementation of reform, as is typically the case in federallyorganized programs. However, the visibility, power, and financialresources of alliances will also affect state governments. Henceforth,American federalism may include three centers of power, notjust two, and the impact on state politics could be profound.     

Land grabbing,social differentiation,intensified migration and food security in northern Ghana

This paper argues that large-scale land appropriation is displacing subsistence farmers and reworking agrarian social relations in northern Ghana. The recent wave of farmland enclosure has not only resulted in heightened land scarcity, but also fostered a marked social differentiation within farming communities. The dominant form of inequality is an evolving class of landless and near-landless farmers. The majority of households cope with such dynamics by deepening their own self-exploitation in the production process. The fulcrum of this self-exploitation is gendered property rights as part of the conjugal contract, with men exerting a far greater monopoly over land resources than had previously been the case. Due to acute land shortages, women’s rights to use land as wives, mothers and daughters are becoming insecure, as their vegetable plots are being reclassified as male-controlled household fields. The paper further documents the painful choices that landless farmers have to make in order to meet livelihood needs, including highly disciplined, yet low-waged, farm labor work and sharecropping contracts. In these livelihood pathways, there emerge, again, exploitative relations of production, whereby surplus is expropriated from land-dispossessed migrant laborers and concentrated with farm owners. These dynamics produce a ‘simple reproduction squeeze’ for the land-dispossessed. Overall, the paper contributes to the emerging land grabbing literature by showing geographically specific processes of change for large-scale mining operations and gendered differentiated impacts.     

Cloning for therapeutic purposes: ethical and policy considerations

This essay reviews how cloning techniques may be used for therapeutic purposes, analyzes ethical implications, and makes recommendations for public policy discourse. Although cloning may bring many potential benefits, they remain uncertain. Furthermore, human embryo research is morally problematic. Therefore, alternatives to human cloning for therapeutic aims should be sought at present. In addition to central ethical issues, public discourse should maintain an emphasis on the value of the human embryo over scientific expediency, the relativity of health, and the principle of justice. Society should support the laudable mission of medical research, while also attending to the moral concerns often threatened by the promises of scientific progress.     

The impact of protective shields and videotape testimony on conviction rates in a simulated trial of child sexual abuse

In Experiment 1 mock jurors watched a videotape simulation of a sexual abuse trial that included a 10-year-old child witness testifying in one of three different modalities: (1) The child testified in court while directly confronting the defendant (open court condition). (2) The child testified in court with a protective shield placed between the child and the defendant (shield condition). (3) The child testified outside the courtroom and the child's testimony was presented to the jury and the defendant on a video monitor (video condition). The mock jurors judged the guilt of the defendant after watching the entire trial. The modality of the child's testimony had no impact on conviction rates. In Experiment 2 subjects watched the same trial that was used in Experiment 1. The trial was stopped immediately after the child testified (the child was the first witness to take the stand), and subjects judged the guilt of the defendant. The modality of the child's testimony had a significant impact on conviction rates. Subjects in the open court condition were more likely to convict the defendant than subjects in the shield and videotape conditions. These findings are relevant to Supreme Court decisions regarding the use of protective devices with child witnesses.     

Development of Individuality in Children's Handwriting

Handwriting of children in early grades is studied from the viewpoint of quantitatively measuring the development of handwriting individuality. Handwriting samples of children, in grades 2–4, writing a paragraph of text in both handprinted and cursive, collected over a period of 3 years, were analyzed using two different approaches: (i) characteristics of the word “and” and (ii) entire paragraphs using an automated system. In the first approach, word characteristics were analyzed using statistical measures. In the second approach, pairs of paragraphs were compared. Both types of analysis, single word and complete writing, led to the same conclusions: (i) handwriting of each child remains relatively similar when handwriting has been just learnt and becomes markedly different from grades 3 to 4 and (ii) handwriting of different children becomes progressively more different from grades 2 to 4. The results provide strong support that handwriting becomes more individualistic with child development.     

Evaluating the Cultural Fit of an Approach for Practice Model Development for Tribal Child Welfare

Three American Indian tribes utilized Business Process Mapping (BPM) as a tool to develop culturally-based tribal child welfare practice models. This study employed a multi-methods design to evaluate the cultural fit of BPM when used in tribal settings. Findings indicated that although programs considered BPM a “mainstream” intervention, each still found the process to be an effective means of creating models reflecting child welfare practice within tribal cultural contexts. Findings further suggested that BPM can, however, benefit from examination of how it might better articulate cultural values and norms, as well as differences between tribal and mainstream child welfare approaches.