American political culture and the search for lessons from abroad

The American health care system appears to suffer from higher costs and less access than the health care systems of other industrialized nations. This perception has set social scientists searching for "lessons from abroad." This paper places the dialogue about health system lessons within the context of American political culture. It sketches out some of the distinctive dynamics in the American policymaking process. Those dynamics help explain the problems we face, the programs we have pursued, and the alternatives we have foregone. The same political process which shaped past policies is likely to frame any lessons we try to import from abroad.     

Arsenic poisoning: acute or chronic? Suicide or murder?

The case of the death by arsenic poisoning of a 62-year-old white man is presented. One year prior to death, he developed intermittent bouts of severe gastroenteritis with vomiting and diarrhea, hyperpigmentation and keratosis of the skin, neutropenia, and Guillain-Barré-like neuropathy for which he was hospitalized several times. Urine test results 6 months prior to death indicating 36 mg/L arsenic were believed to be in error. At the patient's last admission, he appeared in the emergency room with severe gastroenteritis, hypotension, and dehydration. He died 3 days later. Antemortem as well as autopsy specimens revealed elevated arsenic concentrations. Arsenic micrograms/g analysis by neutron activation of hair pulled from the man's head revealed by centimeter segmental analysis proximal to distal: 226, 104, 28, 56, 41, 40, and 74. The wife of the decedent was charged with murder by arsenic poisoning of this, her fifth, husband. The defense alleged that the decedent had committed suicide. The judge awarded a directed verdict of "not guilty." Particulars of the medical, toxicological, and investigative findings are presented.     

Independent instances of "souvenir" Asian skulls from the Tampa Bay area

In the summer of 1984, police in Pinellas County, Florida, confiscated six identically colored imported Asian skulls (in a shipping case) from a private citizen. In May 1988, in nearby Hillsborough County, police confiscated a very similar skull from another private citizen, who allegedly had found it in an abandoned house. Aside from slight color differences between the six found in Pinellas County and the one found in Hillsborough County, the skulls are virtually identical in their osteological characteristics and condition and in the vital statistics derived from each. Each skull is as clean and dry as those typically sold by commercial scientific supply outlets in the United States. Each is edentulous (primarily premortem), between approximately 20 and 60 years of age at death, and morphologically Asian. Five of the seven are morphologically male, one is morphologically female, and one is a mosaic with respect to gender-related features. Police, medical examiners, coroners, and forensic anthropologists should be aware of such "souvenir" specimens, in the event that they encounter similar skulls. Discriminant function analyses for race and sex yield considerably conflicting results, which underscores the need for using extreme caution when interpreting forensic science estimates based on such techniques.     

Female in-migration,employment, and family in a parish of Mexico City: Santa Catarina, 1775-1790

"The purpose of this article is to identify and evaluate the impacts of growing female in-migration to Mexico City at the close of the eighteenth century, analyzing for the case of the parish of Santa Catarina the proportion of men/women in the certificates of baptisms and burials...." Consideration is given to family formation, government policy, urbanization, and employment opportunities and their impact on family life. (SUMMARY IN ENG)     

C. Reviews: general

THE HISTORY OF AL‐TABARI. VOL. III: THE CHILDREN OF ISRAEL. Translated by WILLIAM M. BRINNER. Albany, N.Y., SUNY Press, 1991. xii, 194 pp. $44.00 (hb), $14.95 (pb).

THE HISTORY OF AL‐TABARI. VOL. XXXIII: STORM AND STRESS ALONG THE NORTHERN FRONTIERS OF THE ‘ABBASID CALIPHATE. Translated by C.E. BOSWORTH. Albany, N.Y., SUNY Press, 1991. xix, 239 pp. $57.50 (hb), $18.95 (pb).

THE AWAKENING OF PERSIA: THE REIGN OF NASR AL‐DIN SHAH 1848–1896. By A.J. ABRAHAM. USA, Vande Vere Publishing, 1992. 64pp. $18.95.

THE EMERGENCE OF KURDISH NATIONALISM AND THE SHAIKH SAID REBELLION, 1880–1925. By ROBERT OLSON. Austin, University of Texas Press, 1992.

THE ARAB BUREAU: BRITISH POLICY IN THE MIDDLE EAST, 1916–1920. By BRUCE WESTRATE. University Park, PA, Pennsylvania State University Press, 1992. xvi, 240 pp. $35.

DIE TÜRKEI UND ÄGYPTEN IN DER WELTWIRTSCHAFTSKRISE 1929–1933. By CAMILLA DAWLETSCHIN‐LINDER. (Studien zur modernen Geschichte, 40). Stuttgart, Franz Steiner Verlag, 1989. xviii, 187 pp. 20 tables, 6 diagrams. DM 68‐.

EGYPT FROM INDEPENDENCE TO REVOLUTION, 1919–1952. By SELMA BOTMAN. Syracuse, Syracuse University Press, 1991.

EXPULSION OF THE PALESTINIANS: THE CONCEPT OF ‘TRANSFER’ IN ZIONIST POLITICAL THOUGHT 1882–1948. By NUR MASALHA. Washington, DC, Institute for Palestine Studies, 1992. iii, 235pp. $24.95 (hb), $11.95 (pb).

TRANSITION TO SELF‐GOVERNMENT: PRACTICAL STEPS TOWARD ISRAELI‐PALESTINIAN PEACE. Report of a study group convened by the American Academy of Arts and Sciences, ANN MOSELY LESCH, principal author. Indiana University Press, 1993. 160pp. £22.50 (hb), £9.99 (pb).

GREATER SYRIA: THE HISTORY OF AN AMBITION. By DANIEL PIPES. New York and Oxford, Oxford University Press, 1990. viii, 240pp.

IBN SAUD: FOUNDER OF A KINGDOM. By LESLIE McLOUGHLIN. Basingstoke, Macmillan in association with St Antony's College, Oxford, 1993. 240pp. £40.00.

THE DESPAIRING DEVELOPER: DIARY OF AN AID WORKER IN THE MIDDLE EAST. By TIMOTHY MORRIS. London, Tauris, 1991.

A MODERN CULTURAL HISTORY OF BAHRAIN. By SAMI A. HANNA. Bahrain, National Council for Culture Arts and Literature, 1991. 107pp.

THE ECONOMIC CONSEQUENCES OF THE GULF WAR. By KAMRAN MOFID. London, Routledge, 1990. xxiv, 177pp.

EARLY ARABIC POETRY: MARATHI AND SU'LUK POEMS, Vol. 1. Edition, translation, and commentary by ALAN JONES. (Oxford Oriental Institute Monographs, 14.) Reading, Ithaca Press, 1992. ix, 270 pp. Map. £25.00.

RELIGION, LEARNING AND SCIENCE IN THE ‘ABBASID PERIOD. Edited by M.J.L. YOUNG, J.D. LATHAM and R.B. SERJEANT. (The Cambridge History of Arabic Literature.) Cambridge, Cambridge University Press, 1991. xxi, 587pp. £ 60.00 (hb).

THREE SHADOW PLAYS. By MUHAMMAD IBN DANIYAL. Edited by PAUL KAHLE. Critical apparatus by DEREK HOPWOOD. Introductory Essay by MUSTAFA BADAWI. (E.J.W. Gibb Memorial, New Series, 32.) Cambridge and Warminster, Gibb Memorial Trust/Aris and Phillips, 1992. 154pp. in Arabic and 30pp. in English. £12.00.

GENRE AND LANGUAGE IN MODERN ARABIC LITERATURE. By SASSON SOMEKH. Wiesbaden, Harrassowittz, 1991.

DER ARABISCHE DIALEKT DER JUDEN VON ‘AQRA UND ARBIL (Semitica Viva, 5.) By OTTO JASTROW. Wiesbaden, Harrassowitz, 1990. 438pp. DM 112.‐

1 For technical reasons, the symbol ‘e’ has been substituted for the ‘inverted e’ of the original throughout this review. [—Ed.]

WADAAN: REINFORCING READING/WRITING/FIRST LEVEL ARABIC COURSE, Vol.4. By DIONISIUS A. AGIUS, and PARWEEN N. ARIF. Leeds, University of Leeds, 1991. 65 pp.

HAYYAN BINA: KITAB AL‐TAMARIN. DRILLS/FIRST LEVEL ARABIC COURSE, Vol.5. By DIONISIUS A. AGIUS. Leeds, University of Leeds, 1991. 111 pp.

MUGHAMARAT ‘AJIBA FI QISAS MUFIDA: THIRD LEVEL ARABIC COURSE BOOK 1. By PARWEEN N. ARIF and DIONISIUS A. AGIUS. Leeds, University of Leeds, 1991. 64 pp.

UNVEILING ISLAM. By ROGER DU PASQUIER. Cambridge, Islamic Texts Society, 1992. viii, 157pp. £6.95.

CULTURAL SCHIZOPHRENIA. By DARYUSH SHAYEGAN. London, Saqi Books, 1992. vii, 188pp.