Sharing governmental authority: Blue Cross and hospital planning in New York City.

Hospital planning in New York has been since the 1930s an intensely political process with high stakes. The leaders of Blue Cross and their allies used the hospital planning process in the city and the state as a means to extend and protect corporate authority in what they took to be the public interest. When Blue Cross was established in the 1930s, its leaders used the mechanisms of formal planning as part of their solution to pressing problems in the organization and distribution of hospital services. In the decade after World War II, Blue Cross had an immense impact on hospital planning in New York as a result of its growth and its underwriting policies. Conflicts between Blue Cross and state regulators beginning in the 1950s led to a new formulation of the politics of planning. Blue Cross became a partner with the state in regulating hospitals. The state and Blue Cross behaved as co-regulators until the 1980s. The interpretation in this paper revises the earlier accounts of health politics in New York by Law (1976) and Alford (1975).     

Effect of hypothermia on breath-alcohol analysis

Mild hypothermia, induced by experimental immersion of ten subjects in cold water, distorted the decay curve of breath ethanol of intoxicated subjects by as much as 22% while not altering overall ethanol clearance rate. The results provide in vivo verification of the in vitro temperature correction factor of 6.8% X degrees C-1, and support previous recommendations that temperature monitoring be included in procedures for breath-ethanol testing. We recommend that mouth temperature be obtained before breath sampling to screen for abnormal body temperature and to allow for potential use of a temperature correction factor. This modification to existing analytical procedures would help to optimize the reliability of breath-ethanol analysis in predicting blood-ethanol concentration.     

Marmagão exchange

After two years of fighting in World War II, the US and Japan agreed on a second exchange of interned nationals. Neutral territory in Goa, Portuguese India, was chosen in October 1943, The US Consulate in Bombay directed the entire complicated operation. Two ships, each carrying approximately 1,500 refugees, all of whom required nationality checks, stateroom assignments, money settlements, sick passengers had to be transferred, and many other services had to be performed. As all were still enemies, they had to be kept separated throughout the operation. Remarkably, the acutal physical excahnge was completed in only three hours, on Tuesday, 19 October.     

Bringing Peace Into the Room

What are the essential qualities a person needs to be an effective mediator? In addition to understanding conceptual frameworks and mastering fundamental skills of mediation, what role do the personal characteristics of the mediator play in the resolution of conflict? Bringing Peace Into the Room is a groundbreaking collection of essays addressing these questions. In a thoughtful and provocative way, the authors ask us to examine ourselves and our field. They invite us to consider the ways in which our own individual development as human beings impacts the parties and cases with whom we work. Ultimately, the book challenges us to re‐imagine our roles as mediators by asking us to internalize and to embody the highest principles of our profession.     

Health policy and the politics of research in the United States

During the past decade research has been more important to the health policy-making process in the United States than at any time in the past. This article describes and assesses three competing normative models for research on health affairs: economizing, social conflict, and collective welfare. The three models provide a context for the history of research bearing on health policy in the past half century, with particular pertinence to the years since 1980. The article concludes with a discussion of some of the consequences of the new legitimacy of research.