As most Americans know, conflicts of interest riddle the US health care system. They result from physicians practicing medicine as entrepreneurs, from physicians' ties to pharma, and from investor-owned firms and insurers' influence over physicians' medial choices. These conflicts raise questions about physicians' loyalty to their patients and their professional and economic independence. The consequences of such conflicts of interest are often devastating for the patients--and society--stuck in the middle.
In Conflicts of Interest and the Future of Medicine, Marc Rodwin examines the development of these conflicts in the US, France, and Japan. He shows that national differences in the organization of medical practice and the interplay of organized medicine, the market, and the state give rise to variations in the type and prevalence of such conflicts. He then analyzes the strategies that each nation employs to cope with them.
Unfortunately, many proposals to address physicians' conflicts of interest do not offer solutions that stick. But drawing on the experiences of these three nations, Rodwin demonstrates that we can mitigate these problems with carefully planned reform and regulation. He examines a range of measures that can be taken in the private and public sector to preserve medical professionalism--and concludes that there just might be more than one prescription to this seemingly incurable malady.

Recent years have witnessed widespread changes in state voting and registration laws. These include same day registration, automatic voter registration, early voting, mail voting, and no-excuse absentee voting where people mail in their ballots. Most research on these voting reforms has downplayed their effects, showing that they generally benefit educated, older, and more affluent people. This book shows the positive effects that these reforms have on overall voter turnout, and among voters of disadvantaged groups. Specifically, it emphasizes the ways that state governments are making it easier to participate in elections in an effort to strengthen democratic government. In Accessible Elections, Michael Ritter and Caroline J. Tolbert explore the wide variation from state to state in convenience voting methods and provide new empirical analysis of the beneficial effects of these policies, not only in boosting participation rates overall, but in increasing voter turnout for disadvantaged groups. The authors measure both convenience methods and implementation of the laws, and explore how elections are conducted across the fifty states, where average turnout has varied more than 25 percentage points over the past four decades. The authors also draw on national voter files with millions of cases and vote histories of the same individuals over time in order to show the real effects of election reform and to make a case for how state governments can modernize their electoral practices, increase voter turnout, and make the experience of voting more accessible and equitable. Ritter and Tolbert assert that in the wake of covid-19 and efforts to maintain social distancing, early voting and absentee/mail voting are of particular importance to avoid election-day crowds and ensure equitable elections in states with large populations. With important implications for the 2020 general election and beyond, Accessible Elections underscores how state governments can modernize their electoral procedures to increase voter turnout, address inequalities, and influence campaign and party mobilization strategies.

In recent years, lifelong learning has become one of the most prominent education policy goals. This book shows how international organizations have promoted this idea and disseminated the need for it to countries all over the world. As a consequence of their activity, lifelong learning has become a central element of modern education policy.This book analyzes the global spread of lifelong learning policies since the 1970s, emphasizing the role of international organizations.

An investigation of recent developments and trends within the Yugoslav successor states since the signing of the Dayton Agreements in Autumn 1995. This book offers a distinctive and desirable perspective on the seven successor states, their cultures, politics and identities by providing an internal perspective on the region and its developments.

Through a comparative case study analysis of the United Kingdom and Germany, with references to the United States, this study examines the impetuses for and processes by which governments came to choose the points system for immigration control.

Transformation of Education Policy deals with internalization processes in education policy and their impact on national policy making. It investigates national responses to the PISA study for secondary education and the Bologna study for tertiary education. Five in depth country case studies are included.

"Party Politics in Germany" is the only English-language study of its kind and examines the phenomenon of party politics in the Federal Republic through comparison across time and space. It draws upon new data from the 2002 Federal elections and recent Land elections, as well as on a far more explicitly comparative literature than is generally found in single-country studies. The book not only sheds new light on political phenomena in Germany but also allows students of the comparative method to apply some of the key concepts, models and approaches with which they are familiar to the rich context of a single country study.

Through a range of international case studies from the USA, UK, France, Germany and Italy, this text assesses the conditions necessary for effective leadership and emphasizes the part played by uncertainty and division amongst followers.

This book theorizes subversive action, a neglected mechanism in the new institutionalism literature. Subversive action is political in nature, secretly undermining some institutions to open up alternative ideas or to secure existing institutions by secretly undermining adversaries. An example is a politician who promises change in public, but does something else behind the scenes to preserve the status quo. The book addresses the nature and meaning of subversive action and the contexts that give rise to it, as well as how it can work as an important mechanism behind institutional change and continuity. The book will interest students and scholars of public policy, public administration and political science.

This book presents the experiences of eleven European countries in the field of territorial reforms. Based on case-studies that outline the basic features of the politics of territorial choice in the respective countries, the focus is on national policies, politics, and cleavages; the strategies employed and the outcomes of the reforms.

This book explores comparative political theory through the study of a range of places and periods with contributions from a diverse group of scholars. The volume builds on recent work in political theory, seeking to focus scholarly attention on non-Western thought in order to contribute to both political theory and our understanding of the modern globalized world. Featuring discussions of international law and imperialism, regions such as South Asia and Latin America, religions such as Buddhism and Islam, along with imperialism and revolution, the volume also includes an overview of comparative political theory. Contributing scholars deploy a variety of methodological and interpretive approaches, ranging from archival research to fieldwork to close studies of texts in the original language. The volume elucidates the pluralism and dissensus that characterizes both cross-national and intra-national political thought.

This book seeks to understand the role of regions in the provision of security (and insecurity) practices across the globe. Specialists with expertise in the regions they examine present eight case studies and analyses of the Americas, Africa and the Middle East, South and East Asia, and Europe. Discussing both The State and people in the context of security, this book examines four categories; inter-state security, transnational criminal practices (the drugs trade, human trafficking migration), proliferation issues (both nuclear and non-nuclear), and issues of domestic/state collapse. The book uses an inclusive definition of security to include traditional and non-traditional conceptions, and incorporates the use of force and the threat of the use of force, as well as issues related to the integrity of peoples. The chapters weave theory and case studies to provide a rich description of a variety of regional governance forms; and, where applicable, the absence of them to move beyond regionalism to consider the key determining features of regional governance. Comparative Regional Security Governance will be of interest to students and scholars of international security, international relations and governance.

This book assesses the role of employers in the development of welfare state and labour market institutions. Building on an in-depth analysis of Germany, a market economy known to often provide economic benefits to firms, this book explores one of the most contested issues in the comparative and historical literature on the welfare state.

In a departure from existing employer-centered explanations, the author applies new empirical data to contend that the variation in acceptance of social reform depends more on changes in the types of political challenges faced by employers, than on changes in the type of institutions considered economically beneficial. Covering major reforms spanning more than a century of institutional development in unemployment insurance, accident insurance, pensions, collective bargaining, and codetermination, this book argues that employers support social policy as a means to contain political outcomes that would have been worse, including labour unrest and more radical reform plans. Using new and controversial findings on the role of employers in welfare state development, this book considers the conditions for a peaceful coexistence of a generous welfare state and the business world.

The Role of Business in the Development of the Welfare State and Labor Markets in Germany will be of interest to students and scholars of welfare and social policy politics, political economy and European politics.

Critics of referendums often lament that big money may buy success at the ballot box. But spending by interest groups may also be informative for citizens. This can only happen, however, if the financing of referendum campaigns is regulated. This book offers an overview of these regulations and presents research on their effects.

This book is about the mundane, local, every day practices that constitutes democracy. It defines politicization as the key process in understanding democracy in different cultural contexts throughstudies ofFrance and Finland. By means of comparative ethnographic, media, and visual analysis that focuseson how democracy is actually practiced in different contexts, thiswork sets outa more nuanced and controversial picture of two opposite models of European politics. The familiar juxtaposition of Southern and Northern political cultures is set in a new perspective through comparative analyses of politicizations: the processes of opening political arenas and recognizing controversy.The book explores the ways in which people in different contexts deliberate, resist, and politicize, and hence practice, challenge, and transform democracy in ways that are of relevance to all political systems.

This book provides a systematic and comparative account of the rise of 'new challenger parties' across Western Europe. It analyses how parties that challenge the conventional party system by addressing issues neglected by existing parties can succeed and fail. Systematically comparing 229 elections since 1950 across 15 European democracies, including the United Kingdom, France, Germany, Italy, the Benelux and Scandinavian countries, this book questions why new challenger parties are more successful in some countries than others, and analyses the conditions that determine their emergence and subsequent success or failure. As one of the first systematic and comparative examinations of new challenger parties, this book looks at both new politics parties and extreme-right parties, and the structures to aid their emergence at the time of an election. Identifying two distinctive stages of party development, the author adopts a 'double-hurdle' model involving, first, the chances of emergence, and second, sustained success. This framework, in combination with a wide-range of empirical data, provides for an innovative and insightful analysis of a neglected topic. New Challenger Parties in Western Europe will be of interest to students and scholars of government, comparative politics and political parties.

Americans and Europeans perceive threat differently. Americans remain more religious than Europeans and generally still believe their nation is providentially blessed. American security culture is relatively stable and includes the deeply held belief that existential threat in the world emanates from the work of evil-doers. The US must therefore sometimes intervene militarily against evil. The European Union (EU) security culture model differs from traditional European iterations and from the American variant. The concept of threat as evil lost salience as Western Europe became more secularist. Threats became problems to manage and resolve. The upsurge in anti-immigrant and anti-foreigner sentiment in the midst of economic crisis undermines this model.

Most advanced democracies are currently experiencing accelerated population ageing, which fundamentally changes not just their demographic composition; it can also be expected to have far-reaching political and policy consequences. This volume brings together an expert set of scholars from Europe and North America to investigate generational politics and public policies within an approach explicitly focusing on comparative political science. This theoretically unified text examines changing electoral policy demands due to demographic ageing, and features analysis of USA, UK, Japan, Germany, Italy and all major EU countries. As the first sustained political science analysis of population ageing, this monograph examines both sides of the debate. It examines the actions of the state against the interests of a growing elderly voting bloc to safeguard fiscal viability, and looks at highly-topical responses such as pension cuts and increasing retirement age. It also examines the rise of 'grey parties', and asks what, if anything, makes such pensioner parties persist over time, in the first ever analysis of the emergence of pensioner parties in Europe. Ageing Populations in Post-Industrial Democracies will be of interest to students and scholars of European politics, and to those studying electoral and social policy reform. Official publication date 1st January 2012.

In a radical break with its past, democratic South Africa established a system of devolution that was confirmed in the 1996 Constitution. In reaction to a system of highly centralised government that had seen the abuse of power, spatial inequality and underdevelopment, Kenya has also opted for devolution. This system was embodied in the 2010 Constitution and implemented with the establishment of 47 counties after the general elections in March 2013. Devolution lies at the heart of Kenya's new constitutional dispensation and provides a means of addressing past injustices. The Kenyan Constitution largely copied the structure, approach and principles of provincial and local government from South Africa. Since the Kenyan system is still in the process of being fully implemented, Kenyan-South African dialogue on devolution compares the two systems with reference to their legal provisions. Comparing how the two systems have functioned is more difficult. However, the principal value of this comparison at this stage lies in the lessons that Kenya can learn from South Africa's 21 years of experience of devolution as Kenya proceeds with establishing its system: What routes to follow and what pitfalls to avoid. Kenyan-South African dialogue on devolution includes South African and Kenyan chapters on the reasons for devolution; the levels, number, size and character of devolution units; the demarcation of devolution units; political structures; powers and functions; finances; metropolitan governance; intergovernmental relations; marginalised groups; and transitional arrangements. This book is the first to discuss and compare the Kenyan and South African systems at length, and will be of value to other African countries that have embarked on devolution or decentralisation with the aim of curbing the centralised abuse of power and promoting political stability and development.

More than 25 years after the fall of the Soviet Union, European integration remains a work in progress, especially in those Eastern European nations most dramatically reshaped by democratization and economic liberalization. This volume assembles detailed, empirically grounded studies of eleven states—Estonia, Latvia, Lithuania, Poland, the Czech Republic, Slovakia, Hungary, Romania, Bulgaria, Slovenia, and the former East Germany—that went on to join the European Union. Each chapter analyzes the political, economic, and social transformations that have taken place in these nations, using a comparative approach to identify structural similarities and assess outcomes relative to one another as well as the rest of the EU.

Because marine governance in most countries is sectoral, maritime policies are frequently fragmented, reactive, and even contradictory, meaning that marine resources are underutilized and poorly protected. To avoid these problems, the concept of integrated national maritime policy (INMP) has been developed. This book examines this concept, analysing its current application in four countries Australia, Canada, UK and USA whilst discussing at length how it might be applied to Saudi Arabia.

Based on extensive fieldwork carried out in Saudi Arabia including interviews with officials in government departments with maritime responsibilities, and a survey administered to 230 stakeholders the book offers a unique insight into INMP in the Kingdom. The book provides a practical template for developing the political will and civil constituency in Saudi Arabia necessary for the introduction of INMP. In setting out in detail its benefits, this book could help build the momentum in Saudi Arabia required to implement the concept as well as attract other countries to do the same. A significant contribution to the growing literature on ocean governance, this book will be of great importance to policy makers and scholars of Middle Eastern studies, marine governance and comparative politics.

This book examines the most significant factors accounting for the decline of union density during the neoliberal period, focusing on the case of Mexico. Union density, which reflects the representation of labor unions in the employed labor force, is one of the main indicators of union strength. The relation of organized labor with the state and the political system are also considered. The analysis is framed within a structure concentrated on cyclical, structural and political-institutional factors linked to labor union performance. Over the last decades, the transformations brought about by neoliberalism and democratization reshaped many features of the domestic political and economic model in Mexico. Therefore, an examination of these developments regarding the repercussions of the factors linked to union density decline is crucial.

This book presents a comprehensive framework, six pathways of connection, which explains the impact of public diplomacy on achieving foreign policy goals. The comparative study of three important public diplomacy practitioners with distinctive challenges and approaches shows the necessity to move beyond soft power to appreciate the role of public diplomacy in global politics. Through theoretical discussions and case studies, six pathways of connection is presented as a framework to design new public diplomacy projects and measure their impact on foreign policy.

This book explores the transformation of employment relations, the rise of the worker protest and the reform of trade union practice to ask how successfully the state-socialist trade unions have adapted to their new role of representing the rights and interests of workers.