Power rather than path dependency? The dynamics of institutional change under health care federalism

Proposals for government decentralization rank high on the political reform agenda of health systems worldwide. Their impact on welfare state performance and change, however, is still under theoretical scrutiny. This article examines the impact of devolution on the construction of the Spanish National Health Service (NHS) in an attempt to shed some light on this debate. Against widespread claims of path dependency, we argue that the specific nature of the devolution model developed in Spain, given the more egalitarian sociopolitical structure that resulted from democratization, fostered policy innovation and institutional change. Consolidation of an NHS system was compatible with some regional diversity and apparently prevented the rise of significant territorial inequalities. The Spanish case also suggests that policy change depends more on the distribution of social power than on institutions. It underlines the key role of financial and knowledge transfers vis-à-vis institutional reforms in effecting social change as well as the potential for state intervention in supporting the development of collective action resources by social groups.     

Genetic profile of a multi-ethnic population from Guiné-Bissau (west African coast) using the new PowerPlex 16 System kit

Allele and haplotype frequencies of 15 chromosome STR loci included in the kit PowerPlex16 System from Promega, were determined in a sample of unrelated males from Guiné-Bissau, a country from the west African coast. All individuals were subjected to an interview in order to make sure that their ancestors belonged to the same ethnic group. This way we intended to look for possible inter-ethnic differences. PowerPlex 16 includes STRs not studied before in any multi-ethnic population. The kit includes two new allele markers (Penta D and Penta E), which are very useful either in forensics or population genetic studies. The Guinean population presents significant differences when compared with other African populations.     

Resilience in Inner City Youth: Childhood Predictors of Occupational Status Across the Lifespan

The present prospective study has followed a cohort of inner city men from adolescence (14±2) until age 65. While previous studies of shorter duration have identified numerous childhood factors that powerfully influence outcomes in young adulthood, this study examined the effect of these well-documented prognostic factors on occupational status across the lifespan. Consistent with previous studies, childhood environmental protector factors and parental social class predicted occupational status at age 25 significantly, but showed progressively weaker prediction at ages 32, 47 and 65. Timely early childhood development proved over time to be a far more important predictor than childhood social environment in adulthood. Ana C. DiRago is a Psychology Ph.D. student in the Clinical Science and Psychopathology Research area. She is involved with the Minnesota Twin Family Study. Her research interests include resilience and behavioral genetics in mood and anxiety disorders. George E. Vaillant is a Professor at Harvard Medical School. He has spent the last 30 years as Director of the Study of Adult Development charting adult development and the recovery process of schizophrenia, heroin addiction, and alcoholism. George considers Dan Offer a friend and long distance teacher.     

Serotonin: What role has it in the making of a “Rotten apple”

Summary It has been suggested that social feedback causes increases and decreases in serotonin levels. This constant variation determines and individual’s current level of self-esteem. Increases in serotonin have been associated with a rise in an individual’s expectations and drive to achieve success. On the other hand, a lowered level of serotonin may cause an individual to act out inappropriately and to have a lowered expectation of themselves. When the serotonin level functions as it should, it allows individuals to cope in difficult situations and excel in positive endeavors. Some with low serotonin levels seek out alcohol or other drugs to temporarily raise serotonin levels to achieve the felling of euphoria and well-being but this is only temporary. This could explain how some people become psychologically addicted when they fell they need assistance to maintain the felling that all is well.     

Central bank independence in Latin America: Politicization and de-delegation

In the last three decades, legal delegation of monetary policy to independent central banks (CBI) has achieved the status of a global norm of good governance. The recent backlash against this independence is an important but understudied trend. Our article analyzes the potential for delegation reversals with a focus on Latin America where CBI was effective in maintaining price stability, but placed important policy constraints on governments. We theorize that, in the shadow of the global norm for CBI, the increasing distance in preferences between the government and the central bank, and the procedural hurdles to change the status quo, explain the intensity of challenges to the delegation contract or the delegated agent. An analysis of the frequency of irregular central bank leadership replacements, and instances of politicization and de-delegation show the plausibility of our argument. We also show that, in Latin America, reforms de-delegating monetary policy have been small, balancing the needs that justified delegation in the first place, but rolling back the most stringent constraints placed on financing the government.     

What do Household Surveys Really Tell Us about Risk,Shocks, and Risk Management in the Developing World?

We report on a project to explore empirical patterns in risk, shocks and risk management using recent household surveys with risk modules from 16 different developing countries. Natural disasters, health shocks, economic shocks, and asset loss are the most commonly reported types of shocks and, especially for the poor, often result in ‘bad’ coping responses that may perpetuate vulnerability. The information culled from these survey modules falls short of expectations in several ways.