New public management and the Thatcher healthcare legacy: enough of the theory, what about the implementation?

Initial evaluations of Thatcherism suggest that it represented a policy formulation success but implementation failure (Marsh and Rhodes 1992), with healthcare reforms particularly unsuccessful because they did not challenge the autonomy of the medical profession (Wistow 1992a and 1992b). More extensive analyses of the implementation of new public management (NPM) within health care take this challenge more seriously. According to Ferlie et al. (1996), doctors were gainers and losers, since the rise of the management function coincided with a rise in medical involvement in management decisions. However, this article argues that the rise of the purchasing function of health authorities undermined this 'gain' to the medical profession. Further, the significance of the case study—AIDS policy in Scotland—is that profound change has occurred in a policy area in which one would least expect this to happen.     

Die drei Welten der sozialen Ungleichheit: Belohnungen,Prestige und Citizenship

Talcott Parsons’s contribution to an analysis of social inequality seems to have had a strange destiny: it was either neglected as if Parsons had not contributed to the problem at all; or it was rejected as an allegedly useless kind of functional analysis of social stratification of modern societies. However, I argue, there is no single theory of functional stratification. Rather, there are at least three versions that have to be seen as separate approaches: First, the theory of rewards as it was developed by Parsons and, more important, by Kingsley Davis and Wilbert E. Moore; second, the theory of moral respect, that Parsons presented in two different versions; third, the theory of a balance of equality and inequality in modern societies that Parsons developed following T.H. Marshall’s theory of citizenship. The article presents a historic and systematic analysis of these three strands of Parsons’s contribution to the debate on social inequality. While the theory of functional stratification failed as a whole, I show that Parsons nevertheless anticipated crucial aspects of recent sociological debates, like the importance of the vagueness and fluidity of social stratification, or the crucial significance of education being the most important resource for a realization of individual life chances in modern societies.     

Psychosocial Correlates of Intimacy Achievement Among Adolescent Fathers-to-Be

We investigated the relation between urban psychosocial stressors and intimacy achievement in a sample of 59 African American, Hispanic American, and White adolescent fathers-to-be. Participants received an intimacy score based on Orlofsky's Intimacy Status Rating Scale. Those with higher cumulative psychosocial stressors had lower levels of intimacy. One psychosocial risk factor, low interpersonal empathy, was significantly associated with intimacy levels. African Americans had lower levels of intimacy than Hispanic or White participants.     

A comparison of rent-seeking models and economic models of conflict

This paper provides a comparative analysis of the basic rent-seeking model and a simple economic model of conflict. Each model is concerned with a game in which players invest resources in pursuit of a prize. The purpose of the analysis is to elucidate structural differences between the two models, and to analyse the consequent behavioral differences and equilibrium outcomes in the two cases. A key finding is that, where such comparisons are possible, the conflict model tends to involve greater relative expenditure on wealth-redistribution activities than does the rent-seeking model.     

Building majority coalitions for sub-majority benefit distributions

Public Choice - This paper poses a deceptively simple question. It asks, how can a program or group of programs that provides distributive benefits to recipients in a minority of legislative...     

Research in Context: Measuring Value Change

Abramson and Inglehart find a significant trend toward postmaterialist values in Western Europe, which they argue is largely driven by the gradual processes of generational replacement. Clarke, Dutt, and Rapkin argue that this trend is a methodological artifact of the wording of Inglehart's four-item measure of materialist/ postmaterialist values. They claim that because this battery does not include a question about unemployment, in periods of high unemployment respondents tend to choose postmaterialist goals. The long-term trend toward postmaterialism in Western Europe, they argue, results from rising levels of unemployment during the past two decades. Abramson and Inglehart point out that increases in inflation have a short-term impact on decreasing postmaterialism, but maintain that the positive relationship between unemployment and postmaterialism is spurious. As this analysis shows, Clarke, Dutt, and Rapkin find a positive relationship between unemployment and postmaterialism by building a model that has little theoretical justification and that is not robust to changes in specification. As this analysis demonstrates, unemployment is actually linked with support for materialist goals, and the trend toward post-materialism is robust in the face of alternative time frames, models, and specifications. The weight of the evidence demonstrates that the long-term trend toward postmaterialism in Western Europe is driven by generational replacement.