Rationing care in the community: engaging citizens in health care decision making

This article examines the theoretical and practical logics of community engagement exercises in health care rationing. To evaluate such exercises in Canada, it is necessary to compare suspected rationing exercises (such as those in Nova Scotia and Saskatchewan) with clear examples of rationing. The Oregon Medicaid reform process is considered an important example of transparent and community-level rationing from which Canadian executive-driven governments can learn a few valuable lessons. While the Oregon experiment seems to have been a (qualified) success, in the Canadian context, formal citizen participation in decision making might be incompatible with social rights and present an incongruous and antagonistic pairing of executive and popular sources of authority.     

Our quest to be perfect

You don't have to be wrinkled or rich to go under the knife. New techniques are luring more and younger patients, while doctors hurry to set up shop. But there are risks as well as options in cosmetic surgery's new age.     

Reversal of fortune: the politics and economics of the superconducting supercollider

Congress approved the superconducting supercollider (SSC), but later cut all funding after construction for the project had begun. We claim that this reversal was due, in part, to a problem of time inconsistency. Representatives from states in contention to receive the project had an incentive to support it early in the process. Once Texas was chosen as the SSC site, the other contender states had a greatly diminished incentive to continue to support it. Our empirical results show that the probability of switching from ‘for’ to ‘against’ the project is significantly higher for representatives from the former contender states.     

Same and Other: Interdependency Between Participation in Same- and Other-Sex Friendships

Linear and curvilinear associations between experiences in the same- and other-sex peer groups and the protective functions of friendship with an other-sex peer for early adolescents without a same-sex friend were examined in a sample of 231 fifth, sixth, and seventh grade girls and boys. Findings indicate that (a) at the level of the individual, early adolescent girls and, to a much smaller extent, early adolescent boys show a preference for same-sex peers; (b) this unilateral difference in expansiveness accounts for differences in participation rates in same -and other-sex friendships; (c) children of both sexes who are either very popular or very unpopular are more likely than other children to have other-sex friends; and (d) among children without a same-sex friend, having an other-sex friend is linked to higher levels of perceived well-being for boys and lower levels of well-being for girls. Each of these results is discussed according to our understanding of how the same- and other-sex peer systems function as a system to affect development in early adolescence.