The hospice movement and its implications

Hospices, unheard of in this country a few years ago, have become a fast-growing American phenomenon. They promise effective pain relief for terminal cancer patients as well as a warm, homey atmosphere where fear and loneliness are minimized. Hospices are basically a creation of the British and it is still unclear how--or even whether--the principles they embody can be successfully incorporated into American medicine. However, hospices can make an important philosophical contribution by showing the way toward removing the stigma attached to death. Hospice principles also have implications for all of health care, in emphasizing the importance of treating the whole person rather than just the disease.     

A decade of rapid change: the outlook for human resources management in the '80s

The new decade also means a new chapter for personnel professionals. From our research, interviews and observations during the '70s come these predictions for the '80s.     

The ordinary and the extraordinary in institutional litigation

Institutional litigation, in which courts are requested to oversee the operation of large public institutions, has been frequently attacked as a departure from the traditional model of litigation. In this Article, Professors Eisenberg and Yeazell argue that the procedures and remedies employed in institutional litigation are not unprecedented but have analogues in older judicial traditions. Nor, they assert, do the doctrines of separation of powers and federalism present any obstacles to institutional litigation. They conclude that the novelty lies in the newly created substantive rights which courts are asked to enforce.     

Working with intergovernmental agreements – the Canadian and Australian experience

Abstract. Intergovernmental agreements represent one of the most significant yet least known or understood elements in the transformation of the Westminster system of government in the fédérations of Canada and Australia. They have come into being for a variety of reasons and to serve many purposes but their proliferation has been gradual, constant and silent. The central problem is the question of who is to be held accountable for the création and implementation of these agreements, to whom, and in what manner. For die most part such agreements are designed away from public scrutiny by the executive and implemented for fixed periods of time by methods which escape any searching analysis or debate in municipal, provincial, or national parliaments. Public servants are intimately involved in this process. This paper examines the reasons why intergovernmental agreements come into being, their nature and purpose, and the problems they have caused in the two countries. A number of solutions are suggested to overcome these problems before the situation becomes completely out of control. Sommaire. Les accords intergouvernementaux représentent l'un des elements les plus importants, et pourtant l'un des moins connus, de la transformation du systeme Westminster de gouvernement dans les fédérations du Canada et de l'Australie. Leurs raisons d'etre et leurs objectifs sont multiples mais leur proliferation, toujours progressive et constante, a été passée sous silence. Le principal probléme est de savoir qui détient la responsabilité de la création et de la mise en oeuvre de ces accords, a qui et comment il faut en rendre compte. lis sont, pour la plupart, concus par I'exeeutif, loin du public et mis en vigueur pour des périodes de temps définies, en se servant de méthodes qui les dérobent a l'analyse et aux débats des parlements municipaux, provinciaux ou nationaux. Les fonctionnaires participent de très près à ce processus. L'auteur de cette communication examine les raisons d'etre de ces accords intergouvernementaux, leur nature et leur but, ainsi que les problèmes qu'ils ont causes dans les deux pays. II propose un certain nombre de solutions pour surmonter ces derniers avant qu'il n'existe plus aucun moyen de reprendre la situation en main.     

Evaluation of automobile safety regulations: The case of compulsory seat belt legislation in Australia

A basic tenet of the new conservatism in political economy is that government policies frequently lead to unintended consequences which may offset the benefits of the policy. Auto safety legislation may be a case in point. As the first country to make the wearing of seat belts compulsory, Australia is highly suitable as a case study. Traffic accident casualties were regressed on six independent variables for the pre-seat belt period 1949–71. The equations were then used to predict casualties for the period 1972–77, using the actual values of the independent variables. In the aggregate, predicted occupant casualties were higher than the actual rates, whereas non-occupant casualties were underpredicted by the equations. An additional test, using a dummy variable to predict the effect of seat belts, supported these conclusions. The results are consistent with the hypothesis that drivers respond to a reduction in risk by increasing driving intensity, shifting some of the welfare cost of auto safety legislation on to non-occupants, whose casualty rates are higher than they would have been in the absence of seat belt legislation.I am grateful to Chris Adam and to an anonymous reviewer for helpful comments and suggestions.