Constitutional principles at the core of the United States government divide authority between market and state and within the structure of the state itself. This diffusion of authority is valuable because it defends against the excesses of national government, causing federal policy initiatives to be more attuned to the concerns of local jurisdictions, and creating a context in which free enterprise may flourish.However, this diffusion of authority weakens the control that federal officials enjoy over resources vital to the implementation of national policy. To implement their plans, federal policy formulators must often call upon autonomous participants such as state or local governments, advocacy groups, or commercial interests. When federal policy challenges the perspectives, interest, or priorities of these participants, they become reluctant partners. These implementation participants enjoy substantial autonomy, making their cooperation in pursuit of federal policy goals uncertain and difficult to achieve. How, then, can the federal government secure the cooperation it needs to implement policy when the act of implementation empowers potential adversaries?Reluctant Partners explores these problems and proposes strategies to reduce the impediments to cooperation and promote policy coordination. Drawing upon theories of regime development and cooperation, Stoker suggests the "implementation regime framework" to analyze the difficulties of realizing cooperation in the implementation process. The framework is illustrated with numerous vignettes and two extensive case studies: the National School Lunch Program and federal nuclear waste disposal policy.
For more than one hundred years, governments have grappled with the complex problem of how to revitalize distressed urban areas. In 1995, the original urban Empowerment Zones (Atlanta, Baltimore, Chicago, Detroit, New York, and Philadelphia) each received a $100 million federal block grant and access to a variety of market-oriented policy tools to support the implementation of a ten-year strategic plan to increase economic opportunities and promote sustainable community development in high-poverty neighborhoods. In Collaborative Governance for Urban Revitalization, Michael J. Rich and Robert P. Stoker confront the puzzle of why the outcomes achieved by the original Empowerment Zones varied so widely given that each city had the same set of federal policy tools and resources and comparable neighborhood characteristics.The authors' analysis, based on more than ten years of field research in Atlanta and Baltimore and extensive empirical analysis of EZ processes and outcomes in all six cities shows that revitalization outcomes are best explained by the quality of local governance. Good local governance makes positive contributions to revitalization efforts, while poor local governance retards progress. While policy design and contextual factors are important, how cities craft and carry out their strategies are critical determinants of successful revitalization. Rich and Stoker find that good governance is often founded on public-private cooperation, a stance that argues against both the strongest critics of neoliberalism (who see private enterprise as dangerous in principle) and the strongest opponents of liberalism (who would like to reduce the role of government).
For decades, North American cities racked by deindustrialization and population loss have followed one primary path in their attempts at revitalization: a focus on economic growth in downtown and business areas. Neighborhoods, meanwhile, have often been left severely underserved. There are, however, signs of change. This collection of studies by a distinguished group of political scientists and urban planning scholars offers a rich analysis of the scope, potential, and ramifications of a shift still in progress. Focusing on neighborhoods in six cities—Baltimore, Chicago, Denver, Los Angeles, Phoenix, and Toronto—the authors show how key players, including politicians and philanthropic organizations, are beginning to see economic growth and neighborhood improvement as complementary goals. The heads of universities and hospitals in central locations also find themselves facing newly defined realities, adding to the fluidity of a new political landscape even as structural inequalities exert a continuing influence. While not denying the hurdles that community revitalization still faces, the contributors ultimately put forth a strong case that a more hospitable local milieu can be created for making neighborhood policy. In examining the course of experiences from an earlier period of redevelopment to the present postindustrial city, this book opens a window on a complex process of political change and possibility for reform.
Efforts to promote work have been the centerpiece of welfare reform over the past ten years. In signing the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, President Bill Clinton pledged that the sweeping overhaul would "end welfare as we know it" by promoting work, responsibility, and family. To accomplish these goals, policymakers relied on two sets of tools: strict limits on eligibility for traditional benefits and a set of programs designed to make work pay. When Work Is Not Enough presents the first comprehensive analysis of the work support system. Drawing on both state and national data, Robert Stoker and Laura Wilson evaluate a broad range of policies that provide cash or in-kind benefits to low-wage workers, low-income working families, and families moving from welfare to work. These programs include minimum wage rates, Earned Income Tax Credit programs, medical assistance programs, food programs, Temporary Assistance for Needy Families earned income disregards, childcare grants, and rental assistance. Stoker and Wilson break new ground by examining the adequacy and coverage of the work support system in all fifty states and the District of Columbia. They address the prospects for reforming the system, as well as its impact on the politics of redistribution in the United States. Rich in analysis, Wh en Work Is Not Enough will be essential reading for anyone interested in the impact and future of welfare reform.
In the 15 years of the acquired immunodeficiency syndrome (AIDS) pandemic much has been learnt about its natural history and complications. It is clear that the lung is a major target organ both for the human immunodeficiency virus (HIV), and a wide array of infectious and non-infectious pulmonary complications. A great deal of information on the epidemiology, microbiology, immunology, clinical features, diagnosis and management of these pulmonary complications has accumulated during the past 15 years. Given the enormous explosion in information, it is now timely to bring together this knowledge in this 25-chapter volume on AIDS and respiratory medicine. The contributors to this volume are prominent epidemiologists, doctors, microbiologists and scientists from Europe, USA and Africa. Professors Chretien and Enarson give a masterful account of the epidemiology of lung complications of HIV. Drs Zumla, Rowland Jones and Professor McMichael give a detailed summary of the lung immune responses to HIV. They outline normal lung defenses and discuss the consequences of HIV infection on them. The pulmonary radiological features of HIV and its complications as seen in the USA and Europe are illustrated by Professors Armstrong and Dee and this is compared and contrasted by Professor Tshibwabwa-Tumba who brings together his vast experience of chest X-rays in AIDS patients from Central Africa. Drs O'Doherty and Miller deal with the uses, and potential applications, of nuclear medicine in imaging of the chest in AIDS patients.
Constitutional principles at the core of the United States government divide authority between market and state and within the structure of the state itself. This diffusion of authority is valuable because it defends against the excesses of national government, causing federal policy initiatives to be more attuned to the concerns of local jurisdictions, and creating a context in which free enterprise may flourish. However, this diffusion of authority weakens the control that federal officials enjoy over resources vital to the implementation of national policy. To implement their plans, federal policy formulators must often call upon autonomous participants such as state or local governments, advocacy groups, or commercial interests. When federal policy challenges the perspectives, interest, or priorities of these participants, they become reluctant partners. These implementation participants enjoy substantial autonomy, making their cooperation in pursuit of federal policy goals uncertain and difficult to achieve. How, then, can the federal government secure the cooperation it needs to implement policy when the act of implementation empowers potential adversaries? Reluctant Partners explores these problems and proposes strategies to reduce the impediments to cooperation and promote policy coordination. Drawing upon theories of regime development and cooperation, Stoker suggests the “implementation regime framework” to analyze the difficulties of realizing cooperation in the implementation process. The framework is illustrated with numerous vignettes and two extensive case studies: the National School Lunch Program and federal nuclear waste disposal policy.
ACHIEVE SUCCESSFUL OUTCOMES WITH THE MOST CLINICALLY FOCUSED GUIDE TO PEDIATRIC EMERGENCY MEDICINE "...A comprehensive and current resource for anyone who cares for children in an acute setting." -- JAMA (review of previous edition) Endorsed by the American College of Emergency Physicians, this thoroughly updated, full-color resource presents a complete overview of pediatric emergency medicine. Pediatric Emergency Medicine begins with an essential symptom-based section on cardinal presentations that familiarizes you with crucial life-saving protocols. Subsequent sections cover all major categories of disease--from respiratory failure to pediatric hypertension--that present in children on an urgent or emergent basis. FEATURES Broad scope of the text spans the entire spectrum of pediatric emergencies, from resuscitation and trauma, to gastrointestinal and psychosocial emergencies Over 100 diagnostic and treatment algorithms present an at-a-glance review of best practices for optimizing patient care 1200 color images show you what to expect and what to do Chapter-opening key points, followed by concise coverage of pathophysiology, offers incisive guidance on what needs to be done to effectively stabilize and treat the pediatric patient NEW! Chapter on foreign bodies offers an in-depth overview of this common pediatric problem NEW! Updated references throughout include the most recent pediatric emergency guidelines and recommendations from professional societies
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