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This study investigates the effects of federal policy and budgetchanges during the Reagan years as well as the revenue strategiesof governmental and private, nonprofit agencies in Stamford,Connecticut. Systematic examination of agency budgets and interviewswith agency directors in 1982 found widespread anxiety aboutpossible revenue decline, but few departures from traditionalrevenue strategies. In Stamford, federal changes produced revenueproblems for only a few agencies, most of which went about "businessas usual" and did not experience a budget crisis. This situationremained unchanged in late 1985. 相似文献
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Carleen H. Stoskopf Samuel L. Baker James R. Ciesla Donna L. Richter Elizabeth D. Schulman 《国际公共行政管理杂志》2013,36(8):1335-1361
Medicaid waivers play an important role in the health policy process. Various health care policy initiatives have encouraged states to experiment ith their Medicaid programs by expanding coverage to populations not traditionally covered by Medicaid, or by delivering Medicaid services in non traditional ways. Lessons learned by individual states' Medicaid waivers could be an important part of the health care reform debate. This paper presents an evaluation of a Medicaid waiver operating in South I Carolina. The South Carolina Community Long-term Care Waiver for the Elderly and Disabled is evaluated for cost effectiveness, quality of care, and client satisfaction. This evaluation shows that the waiver is highly effective in offering individuals who are medically and financially eligible for Medicaid supported nursing home care a viable, cost effective, high quality alternate to institutionalization. 相似文献
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Under s.91 (27) of the BNA Act, 1867, the Federal Parliament has the exclusive authority to legislate “criminal law.” This has not stopped the provinces from passing “quasi‐criminal” laws that are difficult to distinguish from criminal law. Recent legislation regarding “public fighting” and civil remedies for criminal acts suggest there are few legal obstacles to enacting provincial criminal law. This article identifies such provincial criminal laws, explains how the modern doctrines of federalism might invite and allow for their enactment, and discusses impacts on criminal justice policy and administration. It highlights the discretion afforded the Crown and police in charging individuals under the federal Criminal Code or similar provincial laws (or municipal by‐laws). While provincial or local laws may allow for more efficient law enforcement, they do so at the expense of the procedural guarantees associated with the criminal law. 相似文献
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Most studies of open developing economies, such as Peru, have found the foreign sector's impact on the domestic economy is very great. This is usually true whether the vehicle for changes in income is monetary or real.1 This study, following the basic models developed by Polak, Prais and Schotta, will attempt to explain short run changes in income in Peru using two different approaches: a monetary approach and an income approach. 相似文献