State and local tax reform for the 1990s: Implications from Arizona

The state of Arizona recently established a temporary, blue-ribbon committee to evaluate the state's fiscal system and to recommend changes that would improve the system. The impetus for the committee was a series of budgetary difficulties in the 1980s that lawmakers hoped might be avoided in the future by implementing major structural changes suggested by a long-run analysis of the state's economy and taxes and expenditures. The findings and recommendations of the committee are relevant for states across the country. It is likely that many states will be faced with tough budgetary challenges in the decade of the 1990s because the states' revenue systems have not adapted to the changes in the level and nature of state spending responsibilities.     

The Effect of Microneighborhood Conditions on Adult Educational Attainment in a Subsidized Housing Intervention

The ACHIEVEability model of affordable housing aims to promote self-sufficiency by requiring enrollment in postsecondary education in exchange for subsidized housing. In this study, we exploit the quasi random assignment of ACHIEVEability participants (N = 84) to subsidized housing units to evaluate whether microneighborhood environments moderated participants’ progress in postsecondary education. Participants progressed in their educational pursuits in line with program requirements, earning about 12 college credits per year. Neighborhood block group characteristics moderated this progress. Participants who were assigned to housing located in poorer, more violent, and less educated block groups earned credits at a significantly slower rate than participants assigned housing in more advantaged block groups. Our results suggest that the micro environments immediately surrounding residents of subsidized housing matter, even if they are situated within broader contexts of spatial and personal disadvantage.     

Workers' compensation in Canada: a case for greater public accountability

Abstract: In this article, the authors argue that workers' compensation policies in Canada should be made more accountable to elected governments. The changing nature of occupational risks has created a range of workplace injuries against which current workers' compensation programs do not adequately insure. The existence of workers' compensation alongside the other components of the social‐safety net may have created significant numbers of individuals who are either not receiving compensation when they should be or are receiving compensation when they should not be. The implication is that other programs bear some of the costs that should be borne by workers' compensation and, conversely, that some of the costs borne by workers' compensation should be borne by other social programs. These “gaps and overlaps” indicate that workers' compensation should be better integrated with the rest of the programs that make up the Canadian social‐safety net. The article concludes with a menu of reforms, including the establishment, through legislation, of a formal reporting relationship; changes to the composition and size of governance structures; the introduction of strategic planning; and the establishment of performance measurement processes. Sommaire: Selon les auteurs de cet article, les politiques concernant les accidents du travail au Canada devraient relever davantage des gouvernements élus. L'évolution des risques professionnels a Créé toute une gamme d'accidents du travail pour lesquels l'assurance des régimes actuels d'indemnisation est inadéquate. L'existence des régimes d'assurance contre les accidents du travail parallèlement aux autres éléments de sécurité sociale aurait pour effet de multiplier le nombre de personnes quisoit ne reçoivent pas de prestations lorsqu'elles devraient en recevoir, soit l'inverse. Par conséquent, d'autres programmes défraient certains des coûts qui incombent au régime des accidents du travail, tandis que ce dernier défraie des coûts imputables a d'autres programmes sociaux. Ces lacunes et chevauchements indiquent que le régime d'assurance contre les accidents du travail devrait être mieux intégré au reste des programmes qui constituent le filet de sécurité sociale au Canada. L'article propose une série de réformes, dont l'adoption légiférée d'une relation formelle de compte rendu, la modification de la composition et de la taille des structures de gouvernance, l'adoption de la planification stratégique, et l'établissement de processus de mesure du rendement.     

Delinquent Girls Grown Up: Young Adult Offending Patterns and Their Relation to Early Legal, Individual, and Family Risk

Although the number of girls served by the juvenile justice system has grown dramatically, little is known about the adult offending patterns of delinquent girls and the factors associated with their persistence and desistance from adult crime. To address this gap, we prospectively track 499 girls (62% Black, 16% Hispanic) discharged from juvenile justice facilities in the early 1990s and document their adult arrests, convictions, and incarcerations between the ages of 16–28. Trajectory analysis reveals four distinct early adult offending paths: Rare/Non-Offending (RN), Low Chronic (LC), Low-Rising (LR), and High Chronic (HC). Girls assigned to the LR and LC path are responsible for a disproportionate amount of adult arrests and are more likely than girls on the RN and LC path to come from homes characterized by high levels of family dysfunction and child maltreatment. Adoption of a therapeutic, trauma-sensitive and family-centered approach to female delinquency programming is recommended.

Moral Values and Responsible Administration: Live Organs Transplant Systems in the United States and Germany

This article explores the unexpected ways in which recently introduced accountability mechanisms shape hospital administrators’ and physicians’ actions in Germany and in the United States. Though the reforms were designed to provide governments with more control over hospitals by increasing doctors’ and managers’ direct answerability to clients, this research finds that they fail to achieve these objectives by overlooking and clashing with existing behavioral settings within the medical sector. This analysis employs a newly synthesized theoretical framework at the nexus of ethics and accountability, as well as a comparative empirical exploration of the organ transplant systems in Germany and the U.S.     

Ivory Tower Meets Smoke-Filled Back Rooms of Politics: An Academic Perspective on Illinois' School Funding Debate

In anticipation of an upcoming legislative debate, in the early summer of 1996 public advocacy groups in Illinois contracted with the Institute of Government and Public Affairs of the University of Illinois to provide analysis of school funding reform proposals. The intent was to make the analysis and models widely available for use by government officials as well as concerned citizens. We prepared a report on options for Illinois to help focus the school funding discussion on the fundamental policy choices facing lawmakers. In this article, we summarize the process of and the university's contribution to the policy debate. Five illustrative alternatives to the current system are analyzed. While we think these options are of interest for their own sake, our primary goal in writing this article is to provide an example of how academic analysts can make a constructive contribution to heated political debate without advocating any particular plan.     

A Balanced Budget with Side Effects—A Case Study of Implementation of a Hospital Cost Savings Program in Sweden

This study examines the implementation of a hospital cost savings program in a Swedish county hospital to understand how and why a downsizing intervention works and what outcomes it produces. Data were gathered from interviews and documents. Substantial differences were found among the healthcare professionals’ perceptions of the downsizing process. These diverse perceptions likely limited the scope of staffs’ participation and innovations of new savings strategies. Our findings stress the need for impact analyses addressing both intended aims and unintended side effects. Full attention should be paid to communication processes required to establish a trustful and committed change climate.