Does Institutional Structure Effect Public Health Expenditures?

This paper explores supply‐side costs and institutional structure in a shared authority state public health system. It is found that in a shared governance public health system, intermediary district structure influences the movement of limited resources to serve populations and persons most in need. This early empirical test suggests that policy making and public administration concerning public health expenditures in a shared governance system are in a practical sense local, but decisions made at the intermediary level by regional district administration are an important influence on local public health expenditures.     

Reassessing Power

<正>Fukushima accident increases global concern over nuclear safety The accident at the Fukushima Daiichi Nuclear Power Plant in Japan has had an immediate impact on resurgent interest in nuclear power worldwide.Numerous governments have announced plans to re-examine nuclear energy policy and review the safety of their reactors and the adequacy of their regulatory frameworks.     

The ‘Too Difficult Box’: Its Temptations and How to Avoid Them

Within our democratic political system too many of the pressing and serious political, economic and social challenges of our times are delayed or put off, deposited in the ‘Too Difficult Box’. This happens for a variety of reasons which include failure correctly to identify the best solution, failure to understand obstructions in implementing the proposed solution, difficulties in placating or overcoming a range of vested interests, glitches in circumnavigating a range of legal constraints, lack of appreciation of the international dimension of the issue, succumbing to the vicissitudes of the political process and evaporation of the necessary political creativity and energy. It is a responsibility of democratic politics to find ways of dealing with these problems, through more collaborative or consensual politics if necessary. Otherwise citizens will lose confidence in the ability of democracy to solve the problems which concern them.