Chronic disease and disadvantage: the new politics of HIV infection

HIV infection is now perceived as the end stage of a chronic disease that is spreading most rapidly among blacks and Hispanics. The politics of the HIV epidemic in the 1980s were dominated by four interacting factors: fear and fascination; who had the disease and to whom it seemed to be spreading; the endemic problems of United States social policy; and the impact on policy of advances in scientific knowledge. This paper analyzes the political history of each of these factors and describes the dominant policies of the federal government and the states regarding HIV in the areas of surveillance, prevention, research, and financing. Four uncertainties will have a profound influence on the future politics of the HIV epidemic: how the states and the federal government will address the general problems of paying for the care of people with chronic diseases and providing access to care for the uninsured and the underinsured; the number and distribution of the sexual behaviors that transmit infection with HIV and the effectiveness of policies to persuade people to modify these behaviors; precisely who uses addictive drugs and the effectiveness of measures to change their behavior; and the natural history of the virus.     

Introduction to the Baby Jane Doe papers

A conference was held at the State University of New York at Stony Brook in October 1984 to discuss the controversy concerning treatment of a newborn with severe congenital defects that became known as the Baby Jane Doe case. Fox provides some background information on the case to introduce a set of of six articles consisting of papers delivered at the conference. These articles deal with historical aspects of the treatment debate (Stanley J. Reiser), problems of clinical decision making (John M. Freeman), the legal issues involved (John A. Robertson), coverage of the case by the media (Stephen Klaidman and Tom L. Beauchamp), federal efforts to regulate the treatment of handicapped newborns (Lawrence D. Brown), and the alliance that arose between opponents of abortion and advocates of the rights of the handicapped (Constance Paige and Elisa B. Karnofsky).     

Reviews

Aleksei Ulyukaev, Reforming the Russian Economy 1991–1995. London: The Centre for Research into Post‐Communist Economies, 1996, x + 138 pp., £9.95.

Joseph R. Blasi, Maya Kroumova & Douglas Kruse, Kremlin Capitalism. Privatizing the Russian Economy. Ithaca: ILR Press/Cornell University Press, 1997, xix + 249 pp., $16.95.

Grigory Ioffe & Tatyana Nefedova, Continuity and Change in Rural Russia: A Geographical Perspective. Boulder, CO: Westview Press, 1997, ix + 315 pp., $59.95 h/b.

Patrick Artisien‐Maksimenko & Yuri Adjubei (eds), Foreign Investment in Russia and Other Soviet Successor States. Basingstoke: Macmillan, 1996, xxi + 277 pp., £45.00.

Kazimierz Poznanski, Poland's Protracted Transition. Institutional Change and Economic Growth 1970–1994. Cambridge: Cambridge University Press, 1996, xl + 337 pp., £50.00 h/b, £16.96 p/b.

Padraic Kenney, Rebuilding Poland: Workers and Communists 1945–1950. Ithaca: Cornell University Press, 1996, xx + 360 pp., £31.50.

Minton F. Goldman, Revolution and Change in Central and Eastern Europe: Political, Economic and Social Changes. New York: M. E. Sharpe, 1997, xiv + 497 pp., $32.95.

Jeffrey T. Checkel, Ideas and International Political Change. Soviet/Russian Behavior and the End of the Cold War. New Haven: Yale University Press, 1997, xiv + 191 pp., £18.00.

Roger E. Kanet & Alexander V. Kozhemiakin (eds), The Foreign Policy of the Russian Federation. London: Macmillan, 1997, xii + 208 pp., £40.00.

Vladimir Baranovsky (ed.), Russia and Europe: The Emerging Security Agenda. Oxford: Oxford University Press/Stockholm International Peace Research Institute, 1997, xviii + 582 pp., £45.00.

Walter L. Hixson, Parting the Curtain: Propaganda, Culture, and the Cold War, 1945–1961. Basingstoke: Macmillan, 1997, xvi + 283 pp., £45.00 h/b, £16.99 p/b.

Kevin McDermott & Jeremy Agnew, The Comintern: A History of International Communism from Lenin to Stalin. Basingstoke: Macmillan, 1996, xxv + 304 pp., £13.99.

Geoffrey Hosking, Russia: People and Empire, 1552–1917. London: HarperCollins, 1997, xxviii + 548 pp., £20.00.

John P. LeDonne, The Russian Empire and the World, 1700–1917: The Geopolitics of Expansion and Containment. Oxford: Oxford University Press, 1997, xxii + 394 pp., £19.99.

E. A. Rees (ed.), Decision‐making in the Stalinist Command Economy, 1932–37. London: Macmillan, 1997, xv + 331 pp., £40.00.

James Hughes, Stalinism in a Russian Province: Collectivization and Dekulakization in Siberia. Basingstoke: Macmillan, 1996, xi + 271 pp., £45.00.

Jonathan D. Smele, Civil War in Siberia. The Anti‐Bolshevik Government of Admiral Kolchak 1918–20. Cambridge: Cambridge University Press, 1996, xix + 759 pp., £50.00.

G. A. Bordyugov (ed.), Istoricheskie issledovaniya v Rossii: tendentsii poslednikh let. Moscow: AIRO‐XX, 1996, 464 pp.

Peter Waldron, The End of Imperial Russia, 1855–1917. Basingstoke: Macmillan, 1997, viii + 189 pp., £37.50 h/b, £11.99 p/b.

Catherine Evtuhov, The Cross and the Sickle. Sergei Bulgakov and the Fate of Russian Religious Philosophy, 1890–1920. Ithaca: Cornell University Press, 1997, x + 278 pp., £33.50.     

Reviews

Anders Aslund, How Russia Became a Market Economy. Washington, DC: The Brookings Institution, 1995, xviii + 378 pp., £25.75/£9.95.

Boris Kagarlitsky, Restoration in Russia: Why Capitalism Failed. London: Verso, 1995, 172 pp., £39.95/£11.95.

Simon Clarke (ed.), Management and Industry in Russia: Formal and Informal Relations in the Period of Transition. Aldershot: Edward Elgar, 1995, xii + 244 pp. £45.00.

Jan Adam, Why Did the Socialist System Collapse in Central and Eastern European Countries? The Case of Poland, the Former Czechoslovakia and Hungary. London: Macmillan, 1996, xii + 244 pp., £40.00.

? Bogeti? & Arye L. Hillman (eds), Financing Government in the Transition: Bulgaria. The Political Economy of Tax Policies, Tax Bases, and Tax Evasion. Washington, DC: The World Bank, 1995, xv + 254 pp., £19.95.

Vladimir Tismaneanu (ed.), Political Culture and Civil Society in Russia and the New States of Eurasia. Armonk, NY: M. E. Sharpe, 1995, xiii + 384 pp., $22.95.

Alexander Maksimovich Yakovlev, Striving for Law in a Lawless Land—Memoirs of a Russian Reformer. New York: M. E. Sharpe, 1996, xvi + 237 pp., $62.95.

Tuomas Forsberg (ed.), Contested Territory: Border Disputes at the Edge of the Former Soviet Empire. Aldershot: Edward Elgar, 1995, xi + 267 pp., £45.00.

Graham Smith (ed.), The Nationalities Question in the Post‐Soviet States. London: Longman, 1996, xiv + 524 pp.

Aleksandr’ G. Savel'yev & Nikolai N. Detinov, The Big Five: Arms Control Decision‐making in the Soviet Union. Westport, CT: Praeger, 1995, xiv + 204 pp., £47.95.

Keith L. Nelson, The Making of Detente: Soviet‐American Relations in the Shadow of Vietnam, Baltimore, MD: Johns Hopkins University Press, 1995, xvii + 217pp., £29.00.

George Ginsburgs, Alvin Z. Rubinstein & Oles M. Smolansky (eds), Russia and America: From Rivalry to Reconciliation, New York: M. Sharpe, 1993, xi + 353 pp.

Diego Cordovez & Selig S. Harrison, Out of Afghanistan: The Inside Story of the Soviet Withdrawal. Oxford: Oxford University Press, 1995, ix + 450 pp., $35.00.

Andrei S. Grachev, Final Days. The Inside Story of the Collapse of the Soviet Union. Boulder, CO: Westview Press, 1995, xviii + 222 pp., £22.50.

Ilya Prizel & Andrew A. Michta (eds), Polish Foreign Policy Reconsidered. Challenges of Independence. Basingstoke, Macmillan, 1995, xiii + 174 pp., £25.00.

James Riordan, Christopher Williams & Igor Uynsky (eds), Young People in Post‐Communist Russia and Eastern Europe. Aldershot: Dartmouth, 1995, xvi + 215 pp., £39.50.

James von Geldern & Richard Stites (eds), Mass Culture in Soviet Russia: Tales, Poems, Songs, Movies, Plays and Folklore 1917–1953. Bloomington and Indianapolis, IN: Indiana University Press, 1995, xxix + 492 pp., £39.50 h/b, £19.50 p/b.

Katerina Clark, Petersburg, Crucible of Cultural Revolution. Cambridge, MA: Harvard University Press, 1995, xii + 377 pp., £25.50.

Anna Feldman Leibovich, The Russian Concept of Work: Suffering, Drama, and Tradition in Pre‐ and Post‐Revolutionary Russia. Westport, CT and London: Praeger, xv + 166 pp., £44.95.

R. Antony French. Plans, Pragmatism & People. The Legacy of Soviet Planning for Today's Cities. London: UCL Press, 1995, xi + 233 pp.

Roger Brunet, Denis Eckert & Vladimir Kolossov, Atlas de la Russie et des pays proches. Montpellier‐Paris: Reclus‐La Documentation Franchise, 1995, 208 pp., 220Ff.

Bruce Grant, In the Soviet House of Culture: A Century of Perestroikas. Princeton, NJ: Princeton University Press, 1995, xvii + 225 pp., £12.00.

Michael Bourdeaux (ed.), The Politics of Religion in Russia and the New States of Eurasia, The International Politics of Eurasia, Volume 3. Armonk, NY and London: M.E. Sharpe, 1995, xiv + 321 pp., $49.95 h/b, $19.95p/b.     

Purchasing power of U.S. Social Security benefits abroad, 1970-82

This article examines whether the small number of Social Security beneficiaries living abroad enjoy a higher standard of living than they would with the same benefits if they lived in the United States. The article addresses this question using two methods. First, absolute comparisons of U.S. dollar purchasing power abroad are made using "purchasing power parities," a method recently developed to allow international comparisons of real standards of living. Second, the effects of changes in Social Security benefit levels, exchange rates, and rates of inflation on the relative value of benefits abroad are measured. Both methods show considerable instability in purchasing power of Social Security benefits in the 1970's. Although beneficiaries in 1970 generally could live better abroad than in the United States, this advantage eroded considerably during the 1970's, followed by some improvement in 1981-82.