India's experience—national,community, public or private health?

India, as the largest democracy, second most populous country, ninth largest industrial power and fifteenth poorest nation, has in respect of health care to be considered as a special case among developing countries. Nevertheless, the identification in India, as an alternative to national welfare provision, of opportunities for returning social and economic responsibilities for health care to local communities is important for both developing and developed countries. This article outlines and comments upon recent developments in providing primary health care in rural communities in India. It concludes by examining possible parallels between self-sustaining community health schemes and the search in developed countries for community and personal involvement so as to overcome emergent limitations of professionalized and welfare systems of care.     

The relationship of perceptions and emotions to behavior in the face of collective inequality

The present experiment investigated the role of emotions and perceptions in determining the overt behavior of disadvantaged group members. Three limitations to the existing psychological research are presented as a possible reason for the present inability to describe a consistent relationship between the emotions and perceptions of those faced with intergroup inequalities and their subsequent actions. The present experiment attempted to address these limitations by employing a laboratory paradigm in which subjects actually engage in overt behavior. As well, a broader array of emotions and perceptions were assessed and subjects were offered a variety of behaviors from which to choose. The findings point to a relatively strong relationship between emotions and perceptions on the one hand, and overt action on the other. Feelings of frustration and anger, the perception of one's personal treatment as satisfactory and just, and hope of future improvement of one's position combined to discriminate between subjects who accepted their disadvantaged position, those who took normative forms of action, those who reacted in an individual nonnormative way, and those who chose collective nonnormative behavior.     

Federalism with a Russian face: regional inequality, administrative capacity and regional budgets in Russia

The paper reviews fiscal federalism in Russian practice. Central control over sub-national budgets has tended to increase. In the classic literature on fiscal federalism such centralisation is potentially damaging to both static efficiency and growth. The paper reviews the propositions in that literature and the assumptions made in it, and notes that weak administrative capacity at sub-regional level, weak electoral competition and extreme unevenness of economic development across regions may provide grounds for greater central control than is treated as desirable in the established literature. The patterns of budgetary transfers from national to regional level are analysed and conclusions drawn about the effectiveness of the evolving fiscal-federal system in Russia.