Subsidizing the affluent: the case of medical education.

State and federal funds are important sources of revenue for medical schools, and a strong case can be made for public support for these institutions. Although the federal role is more widely known, the states in fact provide the bulk of direct support for medical training. The nature of aid from the two sources differs in significant ways. Most federal aid supports research or patient care, but much of state aid goes to support unconditional tuition subsidies. The primary beneficiaries of these subsidies are relatively affluent nonminority students who are beginning lucrative careers in the medical field--careers that would be lucrative even if no subsidies were provided. Nor does it appear that general subsidies are needed to attract poor and minority applicants. While targeted loans and scholarships to individuals may be justified, general tuition subsidies are not.     

HIV-infection in forensic autopsy cases

Sudden and unexpected death and violent death of persons with a high risk of acquiring HIV-infections, especially homosexual males and intravenous drug abusers, have to be investigated by forensic autopsies. Therefore every forensic pathologist has to be aware of this infection and should try to make the proper diagnosis. Three typical cases are described: (1) suicide by hanging, (2) homicide by cutting the throat and (3) intravenous heroin overdose. Merely retrospectively it could be cleared up that the deceased were homosexual but did not manifestly suffer from AIDS. The morphological findings in the lymph nodes and the postmortem serological findings are described in detail.     

ILLEGAL ENTERPRISE: A THEORETICAL AND HISTORICAL INTERPRETATION *

Illegal enterprise—defined as the sale of illegal goods and services to customers who know that the goods or services are illegal—has long been a central part of the American underworld, but it has received little attention as a separate criminological category. Although such activities are often relatively short term and small scale when compared with legal businesses, three major factors explain the cooperation that sometimes emerges among illegal entrepreneurs. The first factor is systematic corruption, which often permits police or politicians to bring order to illegal activities within a political subdivision. A second factor is overlapping partnerships by which entrepreneurs often launch and maintain illegal businesses. A third factor is the internal economic characteristics of illegal businesses, which shape the manner in which they operate. The paper explores the implications of each factor through historical examples and suggests hypotheses concerning the changing structure of illegal enterprises in American cities.