The 1992 health reform victory over pressure group politics

The 1988 health reform was substantially undermined by the influence of powerful pressure groups representing the interests of the medical profession and the pharmaceutical industry and resistance from the German federal states. Consequently, it failed to achieve its aim of ‘cutting costs’. The theory supporting ‘resistance to reform within the health care system’ was widely accepted in the literature on the subject. The 1992 reform appeared to contradict this theory, as the political leadership succeeded in overcoming both party policy and intergovernmental differences, as well as making considerable cost savings and structural changes in spite of resistance from the opposition ‘lobby’. Three factors were responsible for this. They were under enormous pressure to act due to the financial crisis and the interdependent costs within the welfare state, the changing motives within the health care system, and a new political strategy which responded to this. In the long term, prospects are for a trend towards ‘greater privatisation’.     

Usefulness of combining clinical and radiological dental findings for a more accurate noninvasive age estimation

The aim of this study was to establish correlations of clinical and radiological dental findings, alone or in combination, with chronological age in adults. Dental findings and orthopantomograms of 984 patients (aged 20-60 years; 524 females/460 males) were analyzed. DMF-T index and distance (alveolar bone level, ABL) between cemento-enamel junction and alveolar bone margin were recorded. Additionally, clinical and radiological findings at each tooth crown and root were collected according to the actual status of destruction and restoration, and a total score for each dentition (TSD) was calculated. After univariate correlation analysis, correlation coefficients for ABL and TSD were improved by using square root (sqrt). However, the determination accuracy was still not satisfactory; 90% of the residuals were in the range of about +/-10. The present study showed that clinical and radiological dental findings could not be used, not even in combination, for accurate age estimation as a single method, but that they could support other methods.     

The Politics of Governance Ratings

ABSTRACT

Some international organizations, and most prominently the World Bank, play a leading role in the supply of cross-country governance ratings. The paper draws on interviews of World Bank staff to understand why the World Bank produces cross-country comparable indicators and to bring to light the current controversies within the World Bank about existing indicators and future work on governance indicators. It also attempts to explain why so many external users rely on the Worldwide Governance Indicators, despite the limitations of these indicators and the large number of more meaningful, alternative indicators available. It argues that both robust and meaningful indicators and more qualitative research are necessary to give better reform advice to developing countries.     

Enter Ghost: Haunted Courts and Haunting Judgments in Transitional Justice

How can we account for trials in which the judgment speaks not only to and about the defendants and their deeds, but also about injustices from a more distant past? Building on approaches to ghosts and haunting by Jacques Derrida and Avery Gordon, I propose to examine a set of the German post-1990 trials for human rights violations committed in the former East Germany as instances of haunted justice. Here, the courts not only adjudicated the present cases, but also tried to ‘go back and make whole what has been smashed’ (Benjamin 1969) by their own lack of judgment in the failed trials of the Nazi perpetrators. In this instance, the ‘time is out of joint’, and we see the ghosts of the failed trials of Nazi perpetrators standing next to the inheritance of impunity fostered in West German courts, and next to the now present East German perpetrators. What can justice mean in such a complex constellation of injustices? I argue that the ghostly dimension of these cases point to a need for a kind of justice and engagement that can ultimately not be found in courts—yet the courts’ engagement with this ghostly matter is nevertheless important.     

Marriage at the intersection between tradition and globalization: Turkish marriage migration between Emirdag and Belgium from 1989 to present

In this paper, we will investigate the popularity of marriage migration between Turkish communities in Western Europe and emigration regions in Turkey. Our focus here is specifically on the Belgian case, namely the ‘Emirdag connection’. In Belgium, the majority of immigrants with a Turkish background come from the region of Emirdag, in the province of Afyon. On the basis of quantitative research methodologies, we first consider the magnitude of the phenomenon and the socio-economic situation of those involved. Using the qualitative research techniques of participant observation and in-depth interviews, we analyze the mechanisms in an attempt to explain marriage migration between these regions. Why do so many young people, born and raised in Western Europe, opt for an unknown partner from a region that is largely unknown to them but which proves to be their parents', or even grandparents', region of origin? Why does migration remain such a valuable life project for many young people in these regions of origin, despite the real danger of many negative side effects? The popularity of marriage migration is often explained by its role in making migration possible. However, migration theories alone cannot explain this phenomenon. Here we will argue that the existence of a ‘culture of migration’ that binds the region of origin with the region of destination and in which ‘the family’ as an institution is capable of building a bridge between traditional praxis, as well as the challenges linked to international migration, are crucial for understanding the enduring popularity of marriage migration.