Actuarial status of the HI (hospital insurance) and SMI (supplementary medical insurance) Trust Funds

This article is adapted from the 1987 Annual Reports of the Medicare Board of Trustees. It presents a summary of the current financial and actuarial status of the Hospital Insurance (HI) and Supplementary Medical Insurance (SMI) Trust Funds. The Board found that the present financing schedule for the HI program is sufficient to ensure the payment of benefits over the next 12-14 years if the intermediate (II-A and II-B) assumptions underlying the estimates are realized. Although steps have been undertaken to reduce the rate of growth in payments to hospitals, the Board urges Congress to take remedial measures to bring future HI program costs and financing into balance. The Board found the SMI program to be actuarially sound but recommends that Congress take action to curtail the rapid growth in that part of Medicare.     

Sketches for a Democratic Utopia

I want to sketch the general shape of several new structures that would in my view provide stronger support for democracy than is provided by any existing society. I call these sketches for a democratic Utopia not because I would expect these structures to inaugurate a perfect democracy, whatever that might be, nor because they are beyond human reach. On the contrary the institutions I want to suggest are well within human reach. I call them Utopian only because I am not able to point with confidence to the historical forces that are likely to bring them about.
The structures I have in mind are designed to strengthen freedom and equality among citizens of democratic orders.     

The nature of knowledge about public management: Lessons for research and teaching from our knowledge about chess and warfare

Knowledge about public management is similar in form to the knowledge about chess and warfare. It consists of general information about the formal and informal rules, principles of public management, and numerous examples that illustrate when, how, and why these principles apply. A master of public management, like a master in chess, has encoded in long-term memory a large managerial repertoire: patterns of managerial situations and successful actions that can be recalled and applied to new problems. The role of research on public management is to develop these principles and patterns, to weave theminto a repertoire of managerial actions, and to illustrate all this with vivid examples so that the ideas can be taught, learned, and remembered.     

THE ANALYSIS OF DESIGN OR THE DESIGN OF ANALYSIS?

The policy sciences have advanced in the past by introspection, and there appears to be a need for a return to such self-conscious examination of the field of inquiry. A design orientation offers a useful framework for such an examination. It requires reconsideration of some of the fundamental premises of policy inquiry. This article explores what impact design might have on the conventional process framework and then proceeds to discuss the development of a design perspective.     

Behavior problems of handicapped adolescent female students

Adolescent girls aged 12 through 16 years, identified as either educable mentally retarded, behaviorally disordered, learning disabled, or nonhandicapped, were rated by their teachers on the Behavior Problem Checklist. Analysis of these ratings revealed significant differences for pupil category, Behavior Problem Checklist dimension, and category-by-dimension interaction. Behaviorally disordered students showed a greater degree of maladjustment than the retarded and nonhandicapped students on all four checklist dimensions, and exceeded the learning disabled on three dimensions (not Personality Problem). Implications for further research and special educational practices based on the present findings are discussed.Received Ed.D. from University of Virginia. Main interest is the handicapped adolescent.Received Ms.Ed. from Northern Illinois University. Main interest is emotionally disturbed children.Received Ed.D. from University of Virginia. Main interest is educational programming.Received Ms.Ed. from Northern Illinois University. Main interest is educational research.