The Role of Budget and Financial Reform in Making Government Work Better and Cost Less

Budgeting and Financial Management play a crucial role in organizing and disciplining the federal management culture. Consequently, addressing improvements in their practice is essential in the National Performance Review's examination of government-wide management systems. This article briefly describes the recommendations and anticipated implementing actions relating to budgeting and financial management within the context of the National Performance Review's themes of cutting red tape, putting customers first, empowering employees to get results, and cutting back to basics. External factors, such as innovations in private sector management practices, rapid changes in information technology, and statutory reforms such as the Government Performance and Results Act, also influence needed changes in budgetary and financial management practices.     

Professionalism and accountability. Controlling health services in the United States and West Germany

This paper examines the new Professional Standards Review Organizations (PSROs) program in light of a similar program ("Economic Monitoring") that has been used in West Germany for over forty years. In the first section the PSRO program is described as government-mandated peer review by professional organizations, and is compared with that of the West Germany system. The second section argues that the PSROs are likely to strengthen the organization of established medicine, to increase the bargaining power of professional organizations, and to further insulate professional behavior from public scrutiny. The third section describes some of the effects of bureaucratic rigidities in peer review on the practice of medicine: the preservation of old technologies, the development of fixed patterns of practice, and the strengthening of the technical and interventionist biases in medical care. The final section evaluates the PSRO program as a complete delegation of congressional authority and a failure of Congress to set any rules for the development and application of norms and standards. The lack of any mechanism for accountability of the PSROs to public and choices is emphasized.     

Trade,Development, and Nonproliferation: Multilevel Counterterrorism in Central Asia

This article was presented in its original form in October 2005 at the Conference on Central Asian Security in Tashkent, Uzbekistan. This article seeks to add to the discourse on counterterrorism by looking at the challenges posed by sub-state radicalism to development and regionalization. Specifically, adequate counterterror campaigns require addressing socioeconomic feeders of radicalism while simultaneously dealing with the threat of political violence itself. In terms of development, this means advocating increased trade volumes and export oriented growth while concurrently controlling for illicit trade (which often finances terrorist movements) and trade in strategic goods (which could serve to undermine the security of the state). The authors use the case study of Uzbekistan and Central Asian insecurity to illustrate the utility of customs modernization, border security, and export control legislation as integral components in wider counterterror campaigns. The study addresses circumstances specific to present day Central Asia but has wider implications in stymieing the relationship between “grey areas” and terrorist movements worldwide.     

Bismarck Ante Portas! Germany and the Seize Mai Crisis of 1877

The seize mai crisis of 1877 was the occasion for last of the three war scares that punctuated Franco–German relations in the 1870s. However, it has not been given the detailed scrutiny it deserves. It was not only important for the amount of influence that Bismarck exerted during a six month period to influence the course of French domestic politics at a critical juncture. This crisis also provides a cipher for understanding the earlier crises of 1873–1874 and 1875 since the German Chancellor pursued his key objective of supporting the establishment of a republic much more openly in 1877 and his tactics are much better documented than in the earlier scares. A closer look at the events of 1877 reveals more continuity in both the means and ends used by Bismarck in his dealings with France during the mid-1870s than was previously thought.