Congress advances on health care reform: one step at a time

In adopting the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Congress made a series of small but significant steps toward improving access to health care benefits. The Act's centerpiece is its new requirements for group health plans and for the health insurance industry for assuring portability, access, and renewability of health insurance coverage. Of nearly equal importance is the pilot program established for testing the viability of medical savings accounts. Other health-related changes include adjustments in the rules governing duplication and coordinating of Medicare-related plans, recommendations with respect to privacy of health information of employees, an increase in the deduction for health insurance costs for self-employed individuals, and permission for unemployed persons to make withdrawals from IRAs and other qualified plans for certain medical services' costs. This article summarizes these and other key provisions of HIPAA.     

Reviews

Anders Aslund, How Russia Became a Market Economy. Washington, DC: The Brookings Institution, 1995, xviii + 378 pp., £25.75/£9.95.

Boris Kagarlitsky, Restoration in Russia: Why Capitalism Failed. London: Verso, 1995, 172 pp., £39.95/£11.95.

Simon Clarke (ed.), Management and Industry in Russia: Formal and Informal Relations in the Period of Transition. Aldershot: Edward Elgar, 1995, xii + 244 pp. £45.00.

Jan Adam, Why Did the Socialist System Collapse in Central and Eastern European Countries? The Case of Poland, the Former Czechoslovakia and Hungary. London: Macmillan, 1996, xii + 244 pp., £40.00.

? Bogeti? & Arye L. Hillman (eds), Financing Government in the Transition: Bulgaria. The Political Economy of Tax Policies, Tax Bases, and Tax Evasion. Washington, DC: The World Bank, 1995, xv + 254 pp., £19.95.

Vladimir Tismaneanu (ed.), Political Culture and Civil Society in Russia and the New States of Eurasia. Armonk, NY: M. E. Sharpe, 1995, xiii + 384 pp., $22.95.

Alexander Maksimovich Yakovlev, Striving for Law in a Lawless Land—Memoirs of a Russian Reformer. New York: M. E. Sharpe, 1996, xvi + 237 pp., $62.95.

Tuomas Forsberg (ed.), Contested Territory: Border Disputes at the Edge of the Former Soviet Empire. Aldershot: Edward Elgar, 1995, xi + 267 pp., £45.00.

Graham Smith (ed.), The Nationalities Question in the Post‐Soviet States. London: Longman, 1996, xiv + 524 pp.

Aleksandr’ G. Savel'yev & Nikolai N. Detinov, The Big Five: Arms Control Decision‐making in the Soviet Union. Westport, CT: Praeger, 1995, xiv + 204 pp., £47.95.

Keith L. Nelson, The Making of Detente: Soviet‐American Relations in the Shadow of Vietnam, Baltimore, MD: Johns Hopkins University Press, 1995, xvii + 217pp., £29.00.

George Ginsburgs, Alvin Z. Rubinstein & Oles M. Smolansky (eds), Russia and America: From Rivalry to Reconciliation, New York: M. Sharpe, 1993, xi + 353 pp.

Diego Cordovez & Selig S. Harrison, Out of Afghanistan: The Inside Story of the Soviet Withdrawal. Oxford: Oxford University Press, 1995, ix + 450 pp., $35.00.

Andrei S. Grachev, Final Days. The Inside Story of the Collapse of the Soviet Union. Boulder, CO: Westview Press, 1995, xviii + 222 pp., £22.50.

Ilya Prizel & Andrew A. Michta (eds), Polish Foreign Policy Reconsidered. Challenges of Independence. Basingstoke, Macmillan, 1995, xiii + 174 pp., £25.00.

James Riordan, Christopher Williams & Igor Uynsky (eds), Young People in Post‐Communist Russia and Eastern Europe. Aldershot: Dartmouth, 1995, xvi + 215 pp., £39.50.

James von Geldern & Richard Stites (eds), Mass Culture in Soviet Russia: Tales, Poems, Songs, Movies, Plays and Folklore 1917–1953. Bloomington and Indianapolis, IN: Indiana University Press, 1995, xxix + 492 pp., £39.50 h/b, £19.50 p/b.

Katerina Clark, Petersburg, Crucible of Cultural Revolution. Cambridge, MA: Harvard University Press, 1995, xii + 377 pp., £25.50.

Anna Feldman Leibovich, The Russian Concept of Work: Suffering, Drama, and Tradition in Pre‐ and Post‐Revolutionary Russia. Westport, CT and London: Praeger, xv + 166 pp., £44.95.

R. Antony French. Plans, Pragmatism & People. The Legacy of Soviet Planning for Today's Cities. London: UCL Press, 1995, xi + 233 pp.

Roger Brunet, Denis Eckert & Vladimir Kolossov, Atlas de la Russie et des pays proches. Montpellier‐Paris: Reclus‐La Documentation Franchise, 1995, 208 pp., 220Ff.

Bruce Grant, In the Soviet House of Culture: A Century of Perestroikas. Princeton, NJ: Princeton University Press, 1995, xvii + 225 pp., £12.00.

Michael Bourdeaux (ed.), The Politics of Religion in Russia and the New States of Eurasia, The International Politics of Eurasia, Volume 3. Armonk, NY and London: M.E. Sharpe, 1995, xiv + 321 pp., $49.95 h/b, $19.95p/b.     

“Know-nothings” revisited again

Analyses of the same NORC poll relied on by Hyman and Sheatsley and a 1994 poll for theTimes Mirror Center for The People & The Press show that sizable portions of the U.S. public were know-nothings on both occasions. OLS regressions on both polls show that, although there are slight differences, essentially the same factors affect knowledge of international politics in 1946 and 1994. At bottom, Americans tend to be uninformed about foreign affairs because they are inattentive to events abroad. If it is true, as some students of U.S. foreign policy claim, that public opinion has an important and growing impact on national security policy, widespread public ignorance recalls Lippmann's concern about the democratic malady.