Community control and pricing patterns of nonprofit hospitals: An antitrust analysis

Traditional control of nonprofit hospitals by the communities they serve has been offered as justification for restraining antitrust enforcement of mergers that involve nonprofit hospitals. The community is arguably a constraint on a nonprofit's inclination to exercise market power in the form of higher prices; however, community control is likely to be attenuated for hospitals that through merger or acquisition become members of hospital systems--particularly those that operate on a regional or multiregional basis. We report findings from a study in which we examined empirically the relationship between market concentration and pricing patterns for three types of nonprofit hospitals that are distinguishable based on degree of community control: an independent hospital, a member of a local hospital system, and a member of a nonlocal hospital system. Study results indicated that when conditions existed to create a more concentrated market, (1) all three types of nonprofit hospitals exercised market power in the form of higher prices, and (2) hospitals that were members of nonlocal systems were more aggressive in exercising market power than were either independent or local system hospitals. The results have important implications for antitrust enforcement policy.     

ASSESSING THE IMPACTS OF THE SURFACE MINING CONTROL AND RECLAMATION ACT

Even a dozen years since the passage of the Surface Mining. Control and Reclamation Act (SMCRA) there is little agreement on how well i t has worked. The paper attempts to assess the impacts of SMCRA in six major surface coal producing states. Although i t is not possible to make an unqualified overall national assessment, the evidence presented in the paper indicates that in many (but by no means all) cases, surface coal mining is now carried out in environmentally less destructive ways then before the Act. However, the accomplishments have fallen far short of expectations. The situation in some states has gotten worse than before the Act. Overall, the impact of the Act on the ground has been mixed and has depended on the rigor with which the Act has been implemented in individual coal states.     

Feminist international relations and women militants: case studies from Sri Lanka and Kashmir

This paper presents women's militant activities outside the binary framework of ‘victimhood’ and ‘agency’ and invokes postmodern feminist international relations analyses to engage with women's material and ideological contribution to militant activities and political violence. Women who support and indulge in both discriminate and indiscriminate violence against institutions of the state and unarmed civilians not only redefine notions of nationalism, gender and religious identity, but also highlight their complex and problematic relationship with feminism. To what extent does participating in militant activities and armed combat provide women with opportunities to transcend conventional gender roles? In other words, do they remain the ‘other’ within ‘the other’? How are militant women influenced by these political movements and how do they influence these movements? What happens when the ‘protected’ and ‘upheld’ become the ‘protectors’ and ‘upholders’? How does/should feminist international relations approach these militant women? I attempt to address these questions through a study of women militants and their constructions as gendered political subjects in Kashmir and Sri Lanka.     

A comparison of hair colour measurement by digital image analysis with reflective spectrophotometry

While reflective spectrophotometry is an established method for measuring macroscopic hair colour, it can be cumbersome to use on a large number of individuals and not all reflective spectrophotometry instruments are easily portable. This study investigates the use of digital photographs to measure hair colour and compares its use to reflective spectrophotometry. An understanding of the accuracy of colour determination by these methods is of relevance when undertaking specific investigations, such as those on the genetics of hair colour. Measurements of hair colour may also be of assistance in cases where a photograph is the only evidence of hair colour available (e.g. surveillance). Using the CIE L^*a^*b^* colour space, the hair colour of 134 individuals of European ancestry was measured by both reflective spectrophotometry and by digital image analysis (in V++). A moderate correlation was found along all three colour axes, with Pearson correlation coefficients of 0.625, 0.593 and 0.513 for L^*, a^* and b^* respectively (p-values = 0.000), with means being significantly overestimated by digital image analysis for all three colour components (by an average of 33.42, 3.38 and 8.00 for L^*, a^* and b^* respectively). When using digital image data to group individuals into clusters previously determined by reflective spectrophotometric analysis using a discriminant analysis, individuals were classified into the correct clusters 85.8% of the time when there were two clusters. The percentage of cases correctly classified decreases as the number of clusters increases. It is concluded that, although more convenient, hair colour measurement from digital images has limited use in situations requiring accurate and consistent measurements.     

Colonial legacies,armed revolts and state violence: the Maoist movement in India

Abstract

This article examines the connected histories of armed tribal and peasant revolts in colonial and postcolonial India with reference to the ongoing Maoist conflict in rural and tribal areas of central and eastern India. The article makes two interrelated arguments about the violent continuities that endure from colonial to postcolonial contexts: (1) the nation-state system, in its efforts to establish control and influence, creates a hierarchy of citizenship engaging in the hostile policing of marginalised subjects, thereby engendering armed revolts and political violence; (2) the postcolonial state’s response to these armed revolts by marginalised subjects who challenge its sovereignty and monopoly over violence, is equally violent and repressive. Most significantly, the state’s response is legitimised in the same colonial idioms and justifications that mark epistemic and physical violence against the third world.     

From national bourgeoisie to rogues,failures and bullies: 21st century imperialism and the unravelling of the Third World

The East Asian financial crisis, the bursting of the dot.com bubble and the launching of the war on terrorism can be seen as three aspects of a single historical moment that marks the passage from one strategy of US imperialism to another. No longer based primarily on financial globalisation as the means through which the power and control of the corporations and government of the USA is extended over the world, as it was in the 1990s, US strategy is now more openly based on the direct control of productive assets and territory. This historical moment has also marked the definitive end of the idea of the Third World and its associated ideology of Third Worldism. Although this end has, of course, been repeatedly proclaimed, and contested, over the past two decades, this article argues that the idea of the Third World, and the associated ideas of development and non-alignment, were predicated upon the core concept of the national bourgeoisie and associated notions of the inherently progressive potential of nationalism. It traces the historical emergence of this idea in the work of Lenin and its subsequent trajectory during its cold war heyday. I emphasise that the idea of a united and rising Third World had a greater reality as a hope than it had as an objective historical possibility. The present moment in US imperialism is one where even that hope cannot be sustained—thus the definitive end of the idea of the Third World.     

Book reviews

Jerry F. Hough, The Soviet Union and Social Science Theory. Harvard University Press, 1977. Russian Research Center Studies, 77. xiv + 275 pp.

Fredrick J. Fleron, Jr. (ed.), Technology and Communist Culture: The Socio‐Cultural Impact of Technology under Socialism. Praeger Publishers, New York and London, 1977, 518 pp.

David Lane, The Socialist Industrial State: Towards a Political Sociology of State Socialism. London: George Allen and Unwin, Ltd., 1976. 230 pp. £5.95.

Edward L. Warner, III. The Military in Contemporary Soviet Politics: An Institutional Analysis. New York: Praeger Publishers, 1977. 314 pp.

Economic Relations Between Socialist Countries and the Third World, edited by Deepak Nayyar. London: The Macmillan Press Ltd., 1977. xiv + 265 pp. £15.00.

Donald D. Barry, Georg Ginsberg, and Peter Maggs, Soviet Law After Stalin, Part I, The Citizen and the State in Contemporary Soviet Law. Leyden: A. W. Sijtoff, 1977. xv + 303 pp. D.fl.86.00. $36.00.

Fitzpatrick, Sheila (ed.), Cultural Revolution in Russia, 1928–1931. Bloomington and London: Indiana University Press, 1978. 309 pp. $17.50.

Tucker, Robert C. (ed.), Stalinism: Essays in Historical Interpretation. New York: Norton and Co., 1977, xx + 332 pp. $19.95.

Maurice Friedberg, A Decade of Euphoria. Western Literature in Post‐Stalin Russia, 1954–64, Indiana University Press, Bloomington & London, 1977. xii + 372 pp. £13.15.

Gregory Walker, Soviet Book Publishing Policy, Cambridge University Press, 1978. xvi + 164 pp. £6.95

Raymond Pearson, The Russian Moderates and the Crisis of Tsarism, 1914–1917. London: Macmillan, 1977. 208 pp. £8.95.

Andrew Borowiec, Yugoslavia After Tito, Praeger Special Studies in International Politics and Government, New York and London: 1977. 122 pp.

B. Knei‐Paz, The social and political thought of Leon Trotsky. Oxford University Press, 1978. 629 pp. £15.00.

Bogdan Szajkowski, ed. Documents in Communist Affairs 1977. Swansea: Christopher Davies (Publishers) Ltd. in association with the University College Cardiff Press, 1978. 363 pp. £6.95 or £4.50 paperback.

Nonconformity and Dissent in the Ukrainian SSR, 1955–1975: An Annotated Bibliography. Compiled by George Liber and Anna Mostovych. Cambridge, Massachusetts: Harvard Ukrainian Research Institute, 1978. xxxix + 245 pp.     

Viewing Spatial Consequences of Budgetary Policy Changes

While the research community is often very concerned with the distributional effect of public policy decisions, the geographic distribution of the affected populations is often overlooked. This paper argues that seemingly geographically neutral policies have spatial consequences and that the choice of how to measure them is important. We suggest that maps provide a powerful tool for communicating these ideas to policy makers and that geographical information systems supplemented by spatial statistics yield information that assist policy debates. We develop metrics to illustrate how geographic information provides insights into the spatial consequences of Medicaid expenditure changes in Ohio.