Antitrust, health care quality, and the courts

Antitrust law represents the principal legal tool that the United States employs to police private markets, yet it often relegates quality and nonprice considerations to a secondary position. While antitrust law espouses the belief that vigorous competition will enhance quality as well as price, little evidence exists of the practical ability of courts to deliver on that promise. In this Article, Professors Hammer and Sage examine American health care as a vehicle for advancing understanding of the nexus among competition, quality, and antitrust law. The Article reports results of a comprehensive empirical review of judicial opinions in health care antitrust litigation between 1985 and 1999, with specific attention to courts' handling of quality and other nonprice concerns. Professors Hammer and Sage conclude that, although antitrust law cannot be expected to serve as the sole oversight mechanism for industries as complex and quality dependent as health care, courts have been successful incorporating some nonprice factors into antitrust analysis.     

Organizing the War on Terrorism

The network of public agencies, private firms, nonprofit organizations, ad hoc groups, and individual volunteers that deals with natural and technological hazards and disasters did a remarkable job of responding to and helping us recover from the September 11th attacks. That national emergency management network, along with the national security and law enforcement networks, provides a foundation for our war on terrorism, helps us mitigate the hazard of terrorism, and improves our preparedness for future violence. However, coordinating the efforts of the networks will be a real challenge for the director of homeland security and his or her state and local counterparts. Coordination will necessitate using legal authority to assure compliance, economic and other incentives to encourage compliance, formal partnerships to encourage collaboration, informal understandings to encourage cooperation, and personal encouragement to influence appropriate action. A top–down, command–and–control approach to the war on terrorism, such as the proposed Department of Homeland Security is intended to provide, may be counterproductive.     

Learning and re-learning regime support: The dynamics of post-communist regimes

Abstract. The political support of citizens of new democracies reflects two sets of experiences. Initially, people are socialized into an undemocratic regime; then, they must re-learn political support in relation to a new regime. In an established democracy, it is difficult to disentangle the effect of early socialization and current performance because both refer to the same regime. However, this is both possible and necessary in countries where there has been a change in regime. Critical questions then arise: When, whether and how do citizens determine their support for their new regime? At the start of a new regime past socialization should be more important but, after a few years, current performance should become more important. We draw on 47 Barometer surveys between 1991 and 1998 in ten more or less democratic post-communist regimes of Central and Eastern Europe and the former Soviet Union to test the relative importance of early socialization influences, the legacy of the communist past, and the political and economic performance of new regimes. We find that economic and political performance explains the most variance in support and, secondarily, the communist legacy. Early socialization is insignificant. However, contrary to economic theories of voting, the impact of political performance is greater than the impact of economic performance in post-communist countries – and its impact is increasing.     

The ideological component of Senate voting: Different principles or different principals?

Evidence exists on both sides of the question of whether or not legislator-specific, ideologically-driven shirking of constituent interest occurs. In this paper, we use a well-known model of such shirking by senators as our point of departure and add measures of inter-state constituent interests, the role of campaign contributions and, hence, the importance of whether or not senators are up for reelection. We find some evidence that the model provides a stronger explanation for senators up for reelection than for those who are not and that campaign contributions help determine voting decisions by these legislators. Finally, accounting for inter-state constituent interests, shirking is not a significant variable in the voting decisions of senators facing reelection. Thus, it appears that the reelection interests of some senators have been mistaken for ideologically-driven shirking.     

Interpersonal trust and disaffected high school youth

The study consisted of two parts. First, a new scale of interpersonal trust for adolescents was constructed using a representative sample of 70 students from a community high school. Second, the hypothesis was tested that disaffected youth compared to the more conventional would show less interpersonal trust. Two matched groups of 57 students each were employed for the second part of the study. Results indicate that the new scale is a reliable and valid measure. Correlates of the scale disclose that trust is associated with interpersonal distance, certain developmental factors, and the quality of parent-adolescent relations. Results from the second part of the study tend to confirm the hypothesis in that greater trust scores were found among students with more conventional beliefs.This study was partly supported by NIMH Grant No. MH9210, Ford Foundation Grant No. 69-0264B, and the Jessie and C. Clement Stone Foundation.Received his Ph.D. from the University of Kansas. Currently working on personality and clinical problems of adolescents and adults.Recieved his Ph.D. from the University of Michigan. Plans to continue his work of program development in the area of affect education in secondary schools.Received his Ph.D. from Harvard University. Current work is in the area of community mental health.