The dilemmas of pendulum politics: balancing paid work,care and citizenship

The relationship of paid work and care to citizenship is a central issue in feminist citizenship theory, echoing the longstanding dilemma between ‘equality’ or ‘difference’-based claims to full citizenship. The implications for feminist politics are discussed in the UK context where such politics can be characterized as a pendulum swinging away from an ‘equality’ towards a ‘difference’ model, in reaction to New Labour’s fetishism of paid work. The article explores the dilemmas this raises. It proposes an alternative model, which promotes both a more equitable gendered distribution of time and work (paid and unpaid) and also a more balanced way of life, which allows women and men time just to be. Social policies, it is argued, are crucial to the achievement of such a model.     

Health care and democratization in Indonesia

Analyses of Indonesian democracy often emphasize elite capture of democratic institutions, continuity in oligarchic power relations, and exclusion of popular interests. Defying such analyses, over the last decade, Indonesia has experienced a proliferation of social welfare programmes, some with a redistributive element. This article analyses the expansion of social welfare protection by focusing on health care. At the national level, Indonesia has introduced programmes providing free health care to the poor and approved a plan for universal social insurance. At the subnational level, in the context of far-reaching decentralization reforms, politicians have competed with each other to introduce generous local health care schemes. Taking its cue from analyses of social welfare expansion in other East Asian states, the article finds the origins of policy shift in the incentives that democracy creates for elites to design policies that appeal to broad social constituencies, and in the widening scope for engagement in policymaking that democracy allows. The article ends with a cautionary note, pointing to ways in which oligarchic power relations and the corruption they spawn still undermine health care quality, despite expansion of coverage.     

Prison Birthday: "It's All Good"

Due to an overreliance on arrests in the late 1990s, the incarceration of young women in the United States increased dramatically. On any given day in 2010, over 9000 girls were held in residential placement. Largely hidden from public view, little is known about the health requirements of female adolescent offenders in US secure custody. Less is known about how those needs are met while in detention. Curiously, while most theories regarding female juvenile delinquency draw upon non-criminogenic health-related factors – sexual abuse, family violence, and low self-esteem – their specific legal troubles are rarely, if ever, framed in public health terms. Drawing on original interviews with 100 court-involved girls, detainees’ perceptions of their medical, psychological, sexual, and social health concerns are highlighted. The data link court-involved girls’ prior health issues to their coming to the attention of juvenile authorities as well as demonstrating possible non-compliance with domestic and international standards for the health rights of juveniles deprived of their liberty.     

Kinship Guardianship,Adoption, and Foster Care: Outcomes from a U.S. National Sample

Using data from a national longitudinal survey of children referred to child protective services (NSCAW II), this article compares behavioral, child/caregiver relationship, and school performance outcomes for children residing in kinship and nonkinship settings. Up to three waves of data were gathered for each child. The analysis sample comprises 4,202 children and 10,881 observations. Two sets of regressions were completed. One represents family living settings using child-mean centered predictors while the other does so with dummy-coded variables. An advantage of the child-mean centered predictors is that omitted variables that vary between children but that are constant within each child do not introduce bias. The regressions using dummy-coded variables evidenced, on balance, somewhat better outcomes for kinship settings than for nonkinship ones. Good outcomes in these regressions were found for kinship adoption. Results with the child-mean centered regressions were more equivocal, though perhaps still favored kinship settings. Limitations and policy recommendations conclude the article.     

俄罗斯民生制度改革对我国民生建设的启示研究

俄罗斯在向市场经济转型的20余年中,多次对民生制度进行了改革。养老保障、医疗保障以及住房保障是解决民生问题的关键所在,世界上其他国家在解决民生问题上,也多予之制度保障和法律保障。经济转型时期以及全面深化改革时期的中国与俄罗斯有许多相似之处,因此,借鉴俄罗斯等其他国家的优秀经验无疑是十分有利和十分必要的。     

基于“治养并重”理论，运用推拿联合易筋经治疗 神经根型颈椎病临床观察

[摘要]目的 基于国医大师李业甫“治养并重”理论,观察推拿联合易筋经治疗神经根型颈椎病（cervical spondylotic radiculopathy,CSR）的临床疗效。方法 前瞻性收集60例CSR住院患者,依据其是否愿意接受易筋经习练分别纳入治疗组和对照组,两组各30例。治疗组患者在院接受推拿联合易筋经治疗,出院后1个月继续习练易筋经;对照组在院接受推拿治疗,出院后1个月无任何干预。分别于治疗前、治疗后、出院1个月后观察两组患者颈部肌肉弥散张量成像（diffusion tensor imaging,DTI）参数、疼痛视觉模拟量表（visual analogue scale,VAS）评分、颈椎功能障碍指数（neck disability index,NDI）量表评分,并于出院1个月后评定疗效。结果 与治疗前比较,治疗后两组患者DTI参数中患侧胸锁乳突肌、头夹肌ADC值,VAS评分,NDI评分均明显降低,患侧胸锁乳突肌、头夹肌FA值均明显升高,差异均有统计学意义（P＜0.05）;治疗组胸锁乳突肌、头夹肌ADC值,头夹肌FA值,NDI评分改善程度均明显优于对照组（P＜0.05）。与治疗后比较,出院1个月后除对照组患者患侧胸锁乳突肌、头夹肌FA值差异无统计学意义（P＞0.05）外,两组患者胸锁乳突肌、头夹肌ADC值,VAS评分,NDI评分均明显改善,差异有统计学意义（P＜0.05）;且治疗组DTI参数、VAS评分、NDI评分改善程度均明显优于对照组（P＜0.05）。治疗组临床疗效优于对照组（P<0.05）。结论 “治养并重”指导下推拿联合易筋经治疗CSR可修复颈肌纤维、减轻疼痛、提高颈椎功能及临床疗效,较单纯推拿疗效更佳。     

试析就医权的滥用及其规范

本文在明确医患关系中就医权与行医权的法律涵义基础上,剖析了我国当前医患关系中存在的患方滥用就医权的常见情形,分析了限制就医权相关权能的法理依据,提出了引导患方依法行使就医权的三种途径。     

The governance of justice and internal security in Scotland: between the Scottish independence referendum and British decisions on the EU

This article examines how the governance of justice and internal security in Scotland could be affected by the outcome of the Scottish independence referendum in September 2014. The article argues that it is currently impossible to equate a specific result in the referendum with a given outcome for the governance of justice and internal security in Scotland. This is because of the complexities of the current arrangements in that policy area and the existence of several changes that presently affect them and are outside the control of the government and of the people of Scotland. This article also identifies an important paradox. In the policy domain of justice and internal security, a ‘no’ vote could, in a specific set of circumstances, actually lead to more changes than a victory of the ‘yes’ camp.     

Barriers to Cross-Systems Collaboration in Child Welfare,Education, and the Courts: Supporting Educational Well-being of Youth in Care Through Systems Change

Cross-systems collaboration between child welfare, education, and the courts benefits when challenges and priorities are identified early. We measured perceptions of educational stability in foster youth with a statewide survey of 1,603 professionals in education, child welfare, and the courts. Results reveal commonalities among perceived challenges to collaboration across systems (e.g., multiple foster care placements; school changes) and differences in perceived importance or significance of a given issue by professional group. Results guided collaborative work in Kansas and may assist other states seeking strategies that inform cross-systems collaboration to improve educational well-being for youth in foster care.