Symbols, rationality, and justice: rationing health care.

Proposals to ration health care in the United States meet a number of objections, symbolic and literal. Nonetheless, an acceptance of the idea of rationing is a necessary first step toward universal health insurance. It must be understood that universal health care requires an acceptance of rationing, and that such an acceptance must precede enactment of a program, if it is to be economically sound and politically feasible. Commentators have argued that reform of the health care system should come before any effort to ration. On the contrary, rationing and reform cannot be separated. The former is the key to the latter, just as rationing is the key to universal health insurance.     

Introduction: China,Ltd

The study of Chinese nationalism is very popular—both in China and the West. This article introduces a special section of seven articles (four of which are in this issue) on ‘The Limits of Chinese Nationalism’, arguing that our understanding of nationalism in China is problematic. This special section aims to explore the limits of many of the statements about Chinese nationalism that have now become ‘common sense’: the rise of Chinese nationalism, nationalism filling an ideological vacuum, elites manipulating nationalism to gain legitimacy, and so on. Using critical IR theory this Introduction explores the concept of limits to argue that borders in China are not just territorial, but cultural, economic and thus political. It seeks to change the objective of our discussion of Chinese nationalism from seeking an Answer—either as a measure of the objective nature of Chinese nationalism or as a moral judgment of it as good or evil—to seeing ‘nationalism’ as a provocation which pushes us to think about China and identity in a host of different and productive ways.     

Missing in action: practice,paralegality, and the nature of immigration enforcement

U.S. immigration control is typically understood in terms of enforcement practices undertaken by federal officers guided by legislation and court decisions. While legislation and court opinions are important components of the immigration control apparatus, they do not adequately account for immigration control ‘on the ground.’ To explore this problem, we advance the concept of paralegality, the practices and operations that constitute a dynamic system of actions and relationships that are not simply linear applications of legislation or judicial decisions but may in fact extend or counter these texts. We illustrate the importance of paralegality by reconstructing the evolution of the §287(g) and Secure Communities programs, both of which have shape-shifted dramatically since their inception. Our account of immigration control highlights the problem practice poses for law, proposes a theoretical alternative to textual-law-centric research on immigration and law enforcement, and contributes to scholarship on everyday citizenship.     

Modelling Online Innovation Among IR and Politics Lecturers

This article discusses the use of collaborative online technology in the teaching of international relations and politics. Using a case study from Australia, it finds low levels of online innovation in these discipline areas that correlate with broader examinations of technology use in higher education teaching. Themes of time poverty, technical competence, and lack of career reward are frequently cited as barriers to trying new approaches. The data indicate that at present the most common outcome of any aspiration for IR/politics staff considering innovation is that the effort required to incorporate collaborative online learning is not repaid. These findings are meaningful, since the current lack of innovation and the perceptions of staff regarding support for such approaches are at odds with the marketplace pressures staff and their institutions are under. Based upon the data collected and the wider literature on technology adoption, this article proposes a “Technology-Assisted Teaching Adoption Model” (TATAM) that attempts to encapsulate the innovation judgements made by academic staff and the steadily diminishing incentives they feel towards changing their online teaching methods.     

Life Extension: Rolling the Technological Dice

The idea of radically extending average human life expectancy is an ancient one, but for most of human history exceedingly utopian. There is now, however, a revival of that idea, with some scientists and others arguing that it is possible and desirable. But the main problem with most of the life extension enthusiasm is that it is based almost entirely on the desire of some individuals to make it happen. The social consequences of success of such a venture are, however, either ignored altogether or dismissed on the grounds that any problems can be dealt with. In the end, none of our present human and social problems would be helped by radically longer lives and no obvious social benefits have been advanced to support it.

Elmer Boyd Staats and the Pursuit of Good Government

After more than a quarter-century of service at the Bureau of the Budget, Dr. Elmer Staats accepted a 15-year appointment as head of the General Accounting Office. Prior to his retirement in 1981, Staats oversaw an expansion and modernization of the GAO. He introduced sophisticated data processing, program evaluation beyond mere efficiency, as well as a more diverse workforce. Improving relationships with Congress and agency clients significantly advanced public accountability throughout government. His remarkable career achievements contain invaluable lessons for today's administrators involved with initiating organizational reforms.     

Policy implications of climate forecasts for water resources management in the Pacific Northwest

The Columbia River Basin management system suffers from conflicts over water use and allocation, and vulnerability to climate variability that disrupt hydropower, fisheries, irrigation, water supply, and other vital activities. Climate forecasts have the potential to improve water resource management in this system supporting management decisions that decrease its vulnerability to droughts, floods, and other crises related to climate variability. This study shows that despite the potential utility, managers do not use climate forecasts except for background information. The barriers to managers' use of climate forecasts include low forecast skill, lack of interpretation and demonstrated applications, low geographic resolution, inadequate links to climate variability related impacts, and institutional aversion to incorporating new tools into decision making. To realize the potential of climate forecasts for water resources management, we recommend strategies that include technical improvements to the forecast products, and joint efforts between forecast producers and the management community to develop and demonstrate climate forecast applications through reciprocal and iterative education.