New report profiles syringe access in California

A case study conducted by Human Rights Watch in California reveals that counties have to declare a local health emergency if they want to set up a needle exchange program. Even where such programs have been established, police harrassment of the needle exchange clients is widespread.     

Human rights in Vancouver: do injection drug users have a friend in city hall?

In april 2003, the Vancouver Police Department (VPD) initiated a crackdown in the city's Downtown Eastside, an area frequented by drug users and the site of one of the developed world's worst AIDS epidemics. Human Rights Watch (HRW) visited the city and issued a report documenting first-hand accounts of unnecessary use of force by police officers and other human rights abuses. In this article, HRW staffers Joanne Csete and Jonathan Cohen describe how the initial euphoria that greeted the election of Vancouver Mayor Larry Campbell has worn off; how a crackdown that was supposed to be aimed at drug traffickers had the effect of driving drug users away from health and harm-reduction services; and how both the VPD and city tried to discredit the HRW report. Finally, the authors discuss how concerns about the VPD have led to official complaints being filed, and they question whether police forces should be allowed to investigate themselves.     

Book reviews

How Nuclear Weapons Spread By F. Barnaby. Routledge, London, 1993, Hbk. £30.00.

Germany and the Approach of War in 1914 By V.R. Berghahn. Macmillan, London, second edition 1993 (first edition 1973), Hbk. £35.00, Pbk £10.99.

The Age of Migration’, International Population Movements in the Modern World By Stephan Castles and Mark Miller. Macmillan, Basingstoke, 1993, Hbk. £35.00, Pbk. £10.99.

Ideas and Foreign Policy, Beliefs, Institutions and Political Change Edited By Judith Goldstein and Robert O. Keohane. Cornell University Press, Ithaca, 1993, Hbk. S41.25, Pbk. S16.45.

European Monetary Union: Lessons from the Classical Gold Standard By Milivoje Panic. St. Martin's Press, New York, 1993.

In Defense of Naval Supremacy: Finance, Technology and British Naval Policy, 1889–1914 By Jon Tetsuro Sumida. Routledge, London, 1993, Pbk. £12.99.     

Reviews

E. H. Carr, The Russian Revolution from Lenin to Stalin, 1917–1929. London and Basingstoke: The Macmillan Press, Ltd., 1979. x + 200 pp. £6.95.

Paul Dukes, October and the World: Perspectives on the Russian Revolution. London and Basingstoke: The Macmillan Press, Ltd., 1979. viii + 224 pp. £10.00 and £4.95.

Graeme J. Gill, Peasants and Government in the Russian Revolution. (The London School of Economics and Political Science) London and Basingstoke: The Macmillan Press, Ltd., 1979. xiv + 233 pp. £12.00.

John L. H. Keep, The Debate on Soviet Power: Minutes of the All‐Russian Central Executive Committee of Soviets, Second Convocation, October 1917‐January 1918. (British Library Cataloguing in Publication Data) Oxford: Oxford University Press, 1979. xiv + 465 pp. £15.00.

Robert Service, The Bolshevik Party in Revolution: A Study in Organisational Change, 1917–1923. London and Basingstoke: The Macmillan Press, Ltd., 1979. 246 pp. £12.00.

Theda Skocpol, States and Social Revolutions: A Comparative Analysis of France, Russia, and China. Cambridge, London, New York and Melbourne: Cambridge University Press, 1979. xvii + 406 pp. £19.50 and £5.50.

Marc Ferro, October 1917: a social history of the Russian Revolution. London: Routledge and Kegan Paul, 1980. xiv + 345 pp. £13.50.

Arcadius Kahan and Blair A. Ruble (eds.), Industrial Labor in the U.S.S.R. (Pergamon policy studies), New York and Oxford: Pergamon Press, 1979. xv+ 421 pp. $9.95

Murray Yanowitch (ed.), Soviet Work Attitudes—The issue of Participation in Management, Oxford: Martin Robertson, 1979. xiv+ 133 pp. £12.00.

Nicholas Lampert, The Technical Intelligentsia and the Soviet State. A Study of Soviet Managers and Technicians 1928–1935. London and Basingstoke: The Macmillan Press Ltd, 1979. x + 191 pp. £12.00.

Neils Erik Rosenfeldt, Knowledge and Power: The Role of Stalin's Secret Chancellery in the Soviet System of Government. Copenhagen University, Institute of Slavonic Studies, no. 5. Copenhagen: Rosenkilde and Bagger, 1978. 219 pp. 80 D. kr., paper.

Ljubo Sirc, The Yugoslav Economy Under Self‐Management. London: The Macmillan Press, 1979. xx + 270 pp. Index. £15.00.

Marshall I. Goldman, The Enigma of Soviet Petroleum—Half Empty or Half Full. London: George Allen and Unwin, 1980. 214 pp. £10.95.

Jonathan P. Stern, Soviet Natural Gas Development to 1990. London: D. C. Heath, 1980. xiii + 190 pp. £13.50.

Jozef M. van Brabant, Socialist Economic Integration: Aspects of Contemporary Economic Problems in Eastern Europe. Cambridge: Cambridge University Press, 1980. xiii + 362 pp. £15.00.

David E. Albright (ed.), Africa and International Communism. London and Basingstoke: Macmillan in association with Indiana University Press, 1980. viii + 277 pp. £12.50 and £4.95.

Michael J. Deane, Strategic Defense In Soviet Strategy. Coral Gables, Fla: Advanced International Studies Institute, University of Miami, 1980. 119 pp.

David W. Paul, The Cultural Limits of Revolutionary Politics: Change and Continuity in Socialist Czechoslovakia. Boulder: East European Quarterly, 1979. x + 361 pp. $23.10.

Christian Rakovsky, Selected Writings on Opposition in the USSR, 1923–30 (edited with an introduction by Gus Fagan). London: Allison & Busby, 1980. 185 pp. £13.95 (cloth), £4.95 (paper).

Alan W. Fisher, The Crimean Tatars, Stanford, California: Hoover Institution Press, 1978. xii + 264 pp. $14.95.     

The Use of Contracting in the Public Sector—Recent New Zealand Experience

This research note examines the expanding use of contracting within the public sector in New Zealand. The term 'contracting' is interpreted broadly to include both external contracting (ie outsourcing) as well as the use of more explicit or formal 'contracts' within and between public sector organisations. No attention is given here to the separate, albeit related, processes of corporatisation, commercialisation and full privatisation (ie asset sales and the termination of public funding as well as provision). The empirical data, although limited, suggest that the recent increase in contracting in New Zealand has brought significant gains in terms of fiscal savings, productive efficiency, consumer choice and managerial accountability. Recent trends, however, have also posed some important policy issues, among them the limits to contracting out and the potential dangers associated with 'hollow' government.     

Richard Rorty and the Problem of the Person1

In Richard Rorty's persuasive alternative to contemporary liberal theory he maintains that a contingent, rather than a universalist, liberalism can better engender human solidarity and that the ironic stance can better safeguard liberal freedom than any metaphysical buttress. In an internal critique I argue that irony is an aesthetic, rather than, as solidarity, a moral ideal. Moreover, Rorty's notion of agency is too voluntaristic to supply the necessary communitarian sentiments for solidarity to be achieved. Hence the twin ideals of irony and solidarity cannot both be situated in his decentered notion of selfhood.     

Moving rocks: block-funding in pEI as an incentive for Cross sectoral reallocations among human services

Abstract: In 1993, Prince Edward Island introduced block-funding to five Health and Community Services regional boards for all human services except education. We view this as the introduction of a financial incentive (or removal of a disincentive) to undertake cross-sectoral reallocations to address the broader determinants of health. We use case-study methods to evaluate the way in which this incentive was communicated from policy makers to the regions, how the regions interpreted the policy makers' signals, and how the regions responded. The block-funding incentive became a “fuzzy” signal to the regions, because it was communicated as part of a larger reform package that included expenditure reductions, devolved governance, and the need for integration and coordination. Nevertheless, the regional boards interpreted the block-funding as facilitating cross-sectoral reallocations, but because of various concerns, including opposition expressed by their employee providers, as well as their physicians and the public, they moved only cautiously to exploit the incentive. Most regions focused more on enhancing administrative efficiency through integration and coordination than on cross-sectoral reallocations to address the determinants of health. Finally, lessons for other jurisdictions are outlined based on the PEI experience. Sommaire: En 1993, l‘île-du-Prince-Édouard a adopté le mode de financement en bloc Jonathan Lomas has a master of arts degree and is professor in the Department of Clinical Epidemiology and Biostatistics, McMaster University, and the Centre for Health Economics and Policy Analysis. Michael M. Rachlis is a doctor of medicine and has a master of science degree. He is assistant professor in the Department of Clinical Epidemiology and Biostatistics, McMaster University. This study would not have been possible without the exemplary research assistance of Sameer Kumar. We are also grateful for the help of Mita Giacomini and Laurie Goldsmith, overall leader and coordinator of the larger project, “Financial Incentives in the Canadian Healthcare System,” of which this was a part. Funding for the project was provided by Health Canada through the National Health Research and Development Program. Useful comments on an earlier draft were provided by John Eyles and Jerry Hurley. Finally, the time and assistance provided by all our interviewees in Prince Edward Island were central to our ability to complete the analysis, and any misrepresentations that may remain after their input and feedback is our responsibility alone. The Journal's anonymous referees are gratefully acknowledged. en ce qui concerne cinq Conseils régionaux de services de santé communautaires, pour tous les services humains sauf l’éducation. À notre avis, il s'agit là d'un incitatif financier (ou de l‘élimination d'un anti-incitatif) pour entreprendre des réallocations entre les secteurs afin qu'on s'occupe des éléments plus fondamentaux qui déterminent la santé. Nous utilisons des méthodes d’étude de cas pour évaluer la manière dont cet incitatif a été communiqué par les décideurs politiques aux régions, la manière dont les régions ont interprété ce que leur disaient les décideurs, et la réaction des régions. L'incitatif de financement en bloc est devenu un signal «vague» pour les régions parce qu'il faisait partie d'un ensemble de réformes plus vaste comprenant la réduction des dépenses, la gérance decentralisée et le besoin d'intégration et de coordination. Néanmoins, les Conseils régionaux ont interprété ce financement comme un moyen permettant de faciliter la réallocation entre secteurs, mais à cause de diverses préoccupations, dont l'opposition exprimée par leurs employés, leurs médecins et leur public, ils se sont montrès très prudents dans Sexploitation de cet incitatif. La plupart des régions se sont concentrées davantage sur l'efficacité administrative que permettaient l'intégration et la coordination plutôt que sur les réallocations entre secteurs afin de s'occuper des déterminants de la santé. Enfin, on mentionne des leçons que peuvent tirer d'autres territoires en fonction de l'expérience dans l‘île-du-Prince-Édouard.     

The Ethics of Immigration

This review essay examines recent work in political theory on the ethics of immigration admissions. It considers arguments put forward by Michael Walzer, Peter Meilaender and David Miller, among others, for state control of borders. Such arguments tend to appeal to the value of political communities and/or the exclusion rights of democratic associations, and I argue that neither of these are successful. Turning to work by Joseph Carens, Phillip Cole, Michael Dummett and others who advocate open or much more open borders, the article considers various arguments that would support this stance, including appeals to freedom of movement, utilitarianism and social justice. I argue that rights to immigration need embedding in global principles of resource redistribution. In the conclusion I sketch a cosmopolitan approach to immigration by which impartial criteria such as population density and gross domestic product would determine how many migrants states have a duty to admit.     

Municipal Government Financial Reporting: Administrative and Ethical Climate

This article examines financial disclosure in U.S. cities. It considers factors that affect the level of municipal financial disclosure, in particular the effect of administrative factors. It finds that participation in the Government Finance Officers Association Certificate of Excellence in Financial Reporting program, and the Chief Financial Officer's familiarity with the activities of the Governmental Accounting Standards Board are positively associated with more disclosure. These latter factors are interpreted as measures of professionalism and are furthered by the adoption of municipal codes of ethics which stress openness and responsiveness to stakeholder interests. Such general policies are indirectly associated with heightened levels of financial disclosure. Financial disclosure is also associated with city size and demands from capital markets.