This is a practical guide for police officers and other first responders written by an autistic retired policeman, designed to demystify autistic behaviours and improve the treatment of autistic people caught up in the criminal justice system. Police officers and other emergency services are the first to arrive at the scene of an incident and it is vital they can recognise autistic behaviours and respond accordingly to avoid any escalation. This book lays out how to identify whether someone could be autistic and how officers can interact with them effectively and sensitively. Based on the author's many years of experience as a police officer it covers common scenarios such as stop and search, restraint and transportation, interviews and detention. For each potential encounter the book provides strategies, examples and tips to assist police in interacting safely and fairly with autistic people. In addition to police interactions, the book explains how to best respond to and assist autistic people through the Criminal Justice System and beyond.

The twentieth century was a time of rapid social change in Ireland: from colonial rule to independence, civil war and later the Troubles; from poverty to globalisation and the Celtic Tiger; and from the rise to the fall of the Catholic Church. Policing in Ireland has been shaped by all of these changes. This book critically evaluates the creation of the new police force, an Garda Siochana, in the 1920s and analyses how this institution was influenced by and responded to these substantial changes. Beginning with an overview of policing in pre-independence Ireland, this book chronologically charts the history of policing in Ireland. It presents data from oral history interviews with retired gardai who served between the 1950s and 1990s, giving unique insight into the experience of policing Ireland, the first study of its kind in Ireland. Particular attention is paid to the difficulties of transition, the early encounters with the IRA, the policing of the Blueshirts, the world wars, gangs in Dublin and the growth of drugs and crime. Particularly noteworthy is the analysis of policing the Troubles and the immense difficulties that generated. This book is essential reading for those interested in policing or Irish history, but is equally important for those concerned with the legacy of colonialism and transition.

When criminal activity is as straightforward as a child s game of cops and robbers, the role of the police is obvious, but today s bad guys don t always wear black. In fact, the most difficult criminals to cope with are those who straddle the gray divide between licit and illicit activity. Many of these nefarious sorts operate on the fringe of society, often acting the part of businesspersons, meeting the demands of otherwise law-abiding clientele with illegally procured or delivered goods. Others, specially trained to occupy positions of responsibility, make the most of position and special knowledge to partake of ill-gotten gains. Then there are the organized crime families and syndicates who make use of common business models to turn dubious undertakings into profitable ventures.

Policing Organized Crime: Intelligence Strategy Implementation addresses these very real types of modern criminals. It examines the methods and motives of those operating on the fringes of society, including more obvious outlaws as well as less obvious lawyers, businesspeople, and bankers, social outcasts as well as devoted family people. Written by Petter Gottschalk, an internationally respected police expert in organized crime, this book details the workings of entrepreneurial crime through the use of case studies from around the world. He presents strategies that will alter the thinking and investigative styles of those police charged with the responsibility of preventing and putting a stop to business crimes. Implementation of an effective intelligence strategy is a key element in his thinking. He demonstrates the shrewd skill set required to bring down those criminals who twist the rules of supply and demand with business models designed to maximize illegal gain.

This important resource is a volume in the Advances in Police Theory and Practice Series, which features the work of international experts who provide researchers and those in the field with access to the most advanced tools being employed in police work today.

As a relatively young field, emergency management has already undergone considerable evolution and change. And now that Web 2.0 technologies and social media sites such as Facebook and Twitter have become inherently ingrained in all facets of our lives, emergency managers must once again re-evaluate best practices and standardized approaches. Providing a roadmap for twenty-first century emergency management best practices, Leadership in the Open: A New Paradigm in Emergency Management examines public expectations relative to the use of communication and Web 2.0 technologies for emergency management activities. It covers current technologies along with the public's demand for transparency and ever-increasing need for instant information and updates. The book is divided into three sections that focus on the fundamentals of social media, the potential effects of its strategic use in disaster management, and the attitude of engagement that is effective for community commitment. Coverage includes efficiency, magnification, humility, creativity, ethics, the tension of changing public expectations, and long-standing best practices within the emergency management community. This book builds on the author's bestseller, Disasters 2.0: The Application of Social Media Systems for Modern Emergency Management, by looking at an emergency manager's role not simply by job function, but on what the public demands. Filled with extensive real-world examples, this is an ideal guide for leaders in emergency management, first-response, and business continuity-as well as advanced level students preparing to enter the field.

Police leaders possess a plethora of rich experiences and practical and theoretical knowledge that provides fascinating insights into the current state of policing around the world. While observers opinions of ongoing developments in policing are well known, it is rare to get an insider s glimpse of how police leaders themselves assess these advances. Through in-depth and exceptionally thoughtful interviews with highly placed police leaders and administrators, Trends in Policing: Interviews with Police Leaders Across the Globe presents cross-cultural perspectives on the organizational structure, leadership, functions, public projects, training, culture, and societal context of police worldwide.

A broad spectrum of police philosophies from over a dozen countries

This elite group of leaders and the learned researchers who interview them address the fundamental contextual changes that add layers of complexity to police work. Covering an extensive range of topics, the interviews include the experiences, opinions, and preferences of men and women who individually and as a group possess a vast array of knowledge pertaining to the problems and prospects of policing. While examining current trends, they discuss the future role of police in a world in which policing issues transcend national borders.

A fruitful collaboration between practitioners and academics

Through discussions with those actively engaged in policing, this book bridges the gap between research and practice. While police leaders are not usually accustomed to reflecting and writing on their experiences, the thoughtful interview style of the researchers assists the practitioners in defining their views, forming a cohesive volume rich with the wisdom of experience and the context of analysis.

One of the four core phases of emergency management, hazard mitigation is essential for reducing disaster effects on human populations and making communities more resilient to the impacts of hazards. Presenting an up-to-date look at the changing nature of disasters, Natural Hazard Mitigation offers practical guidance on the implementation and selection of hazard mitigation programs and projects. Based on real-world applications, the book includes case studies that present a thorough explanation of the various issues involved. The contributors describe the value and potential of mitigation efforts and explain how to convince public officials and communities of that value. They also discuss how to better involve the community and uniquely tailor solutions to regional and local situations. The book begins with an overview of the history of hazard mitigation with a focus on the Disaster Mitigation Act of 2000. It examines where hazard mitigation fits into emergency management and addresses some of the challenges that can arise in navigating the various intergovernmental relationships involved in hazard mitigation. The remaining chapters explore: Public-private partnerships for hazard mitigation at the local level The role currently played by the private sector and how communities can best make use of contractors How to maximize the use of the National Flood Insurance Program and the Community Ratings System Risk communications as a key component of encouraging hazard mitigation Legal issues relevant to hazard mitigation Ways to actively engage the community and how to advocate for hazard mitigation policy How state and local governments can promote and fund mitigation without utilizing federal dollars The challenges associated with volunteers and how to best make use of this resource The area analysis as an innovative means of addressing flood risk at the block or neighborhood level The book includes learning objectives, key terms, and end-of-chapter questions to enhance comprehension. It concludes with a discussion of tools that local practitioners can use and provides an appendix with additional links and resources. This volume is an essential reference for both students and professionals in the ongoing effort to better prepare communities against the effects of natural hazards.

How successful was Mussolini in creating a force of loyal and committed policemen to defend his regime and assist in the creation of a new fascist civilization? How far were the Italian police transformed under Mussolini, and how did policemen experience the dictatorship? This book examines Italy's regular police in the context of fascism's efforts to modernise and establish ideological control over the state. Contrasting the regime's idealised representations with the more humdrum realities of everyday practice, the book considers the impact of the dictatorship on the Italian police and their personnel. Presenting an inside perspective on fascist repression, it focuses particularly on recruitment, training and professionalism in the Interior Ministry Police, as well as officers' ideological orientation, working conditions and quality of life. This book will appeal to students and researchers in police history, Italian fascism and, more generally, conflict and oppression in the twentieth century.

Drugs, bribes, falsifying evidence, unjustified force and kickbacks: there are many opportunities for cops to act like criminals. Jammed Up is the definitive study of the nature and causes of police misconduct. While police departments are notoriously protective of their own-especially personnel and disciplinary information-Michael White and Robert Kane gained unprecedented, complete access to the confidential files of NYPD officers who committed serious offenses, examining the cases of more than 1,500 NYPD officers over a twenty year period that includes a fairly complete cycle of scandal and reform, in the largest, most visible police department in the United States. They explore both the factors that predict officer misconduct, and the police department's responses to that misconduct, providing a comprehensive framework for understanding the issues. The conclusions they draw are important not just for what they can tell us about the NYPD but for how we are to understand the very nature of police misconduct. ACTUAL MISCONDUCT CASES "" An off-duty officer driving his private vehicle stops at a convenience store on Long Island, after having just worked a 10 hour shift in Brooklyn, to steal a six pack of beer at gun point. Is this police misconduct? "" A police officer is disciplined no less than six times in three years for failing to comply with administrative standards and is finally dismissed from employment for losing his NYPD shield (badge). Is this police misconduct? "" An officer was fired for abusing his sick time, but then further investigation showed that the officer was found not guilty in a criminal trial during which he was accused of using his position as a police officer to protect drug and prostitution enterprises. Which is the example of police misconduct?

Many racial minority communities claim profiling occurs frequently in their neighborhoods. Police authorities, for the most part, deny that they engage in racially biased police tactics. A handful of books have been published on the topic, but they tend to offer only anecdotal reports offering little reliable insight. Few use a qualitative methodological lens to provide the context of how minority citizens experience racial profiling. Racial Profiling: They Stopped Me Because I'm ---! places minority citizens who believe they have been racially profiled by police authorities at the center of the data. Using primary empirical studies and extensive, in-depth interviews, the book draws on nearly two years of field research into how minorities experience racial profiling by police authorities. The author interviewed more than 100 racial and ethnic minority citizens. Citing 87 of these cases, the book examines each individual case and employs a rigorous qualitative phenomenological method to develop dominant themes and determine their associated meaning. Through an exploration of these themes, we can learn: What racial profiling is, its historical context, and how formal legal codes and public policy generally define it The best methods of data collection and the advantages of collecting racial profiling data How certain challenges can prevent data collection from properly identifying racial profiling or bias-based policing practices Data analysis and methods of determining the validity of the data The impact of pretextual stops and the effect of Whren v. United States A compelling account of how minority citizens experience racial profiling and how they ascribe and give meaning to these experiences, the book provides a candid discussion of what the findings of the research mean for the police, racial minority citizens, and future racial profiling research. Michael L. Birzer was recently interviewed on public radio about his book, Racial Profiling: They Stopped Me Because I'm ---!

A heartwarming true story of how Villain, a cuddly German Shepherd puppy, grew into an award-winning police dog. Answering the frequently asked question about working dogs, 'How do they do it?', this well-researched account of Villain's brave and dedicated service in the Devon and Cornwall Police Dog Unit is a wonderful tribute to an outstanding, and often very funny, member of the force. Sales proceeds to be donated to Dogs Trust.

Will keep you guessing till the last page! CARA HUNTER If you love Clare Mackintosh, Cara Hunter or Lisa Jewell, you will be utterly gripped by this dark, twisty police thriller - the first case for DS Kate Munro. * * * * * * * TWINS HAVE A SPECIAL BOND SOMEONE WILL KILL TO BREAK . . . As children, Gabi and Thea were like most identical twin sisters: inseparable. Now adults, Gabi is in a coma following a vicious attack and Thea claims that, until last week, the twins hadn't spoken in fifteen years. But what caused such a significant separation? And what brought them back together so suddenly? Digging into the case, DS Kate Munro is convinced the crime was personal. Now she must separate the truth from the lies and find the dangerous assailant - before any more blood is spilled . . . * * * * * * * PRAISE FOR THE DREAM WIFE I absolutely raced through it - ELLE CROFT Overturns every assumption you have at the beginning in a startling and clever twist - CARA HUNTER A clever tale where things aren't what they seem - DAILY MAIL

Presents a unique view of social problems and conflicts over urban space from the cab of an ambulance. While we imagine ambulances as a site for critical care, the reality is far more complicated. Social problems, like homelessness, substance abuse, and the health consequences of poverty, are encountered every day by Emergency Medical Services (EMS) workers. Written from the lens of a sociologist who speaks with the fluency of a former Emergency Medical Technician (EMT), Medicine at the Margins delves deeply into the world of EMTs and paramedics in American cities, an understudied element of our health care system. Like the public hospital, the EMS system is a key but misunderstood part of our system of last resort. Medicine at the Margins presents a unique prism through which urban social problems, the health care system, and the struggling social safety net refract and intersect in largely unseen ways. Author Christopher Prener examines the forms of marginality that capture the reality of urban EMS work and showcases the unique view EMS providers have of American urban life. The rise of neighborhood stigma and the consequences it holds for patients who are assumed by providers to be malingering is critical for understanding not just the phenomenon of non- or sub-acute patient calls but also why they matter for all patients. This sense of marginality is a defining feature of the experience of EMS work and is a statement about the patient population whom urban EMS providers care for daily. Prener argues that the pre-hospital health care system needs to embrace its role in the social safety net and how EMSs' future is in community practice of paramedicine, a port of a broader mandate of pre-hospital health care. By leaning into this work, EMS providers are uniquely positioned to deliver on the promise of community medicine. At a time when we are considering how to rely less on policing, the EMS system is already tasked with treating many of the social problems we think would benefit from less involvement with law involvement. Medicine at the Margins underscores why the EMS system is so necessary and the ways in which it can be expanded.

In 1845 women entered the career of policing, and ever since it's been an evolving history for them. There are countless stories of women shaping this career, adding particular gifts and abilities to the profession. There are, also, countless stories of their struggles to fit in and survive in this "all-boys club." Thriving in an All Boys Club: Female Police and Their Fight for Equality examines one of the most debated issues surrounding female police officers - their ability to find acceptance in the male subculture. Through the stories of women who joined policing in the 1980s, 1990s and 2000s, readers learn that women's acceptance in policing is complex and officer's experiences are wide-ranging. Stories of resistance and harassment by colleagues, the glass ceiling in promotion, and gender specific obstacles related to pregnancy and childcare are common. Their stories show a strong sense of determination and perseverance to perform the duties of police officer. The potential for enduring change in the field of policing is growing as women continue to make strides in achieving high ranks, breaking down assignments barriers, and ensuring just opportunities for future generations of female police officers. Despite the struggles that women face to survive in the "all-boys club" of policing, women not only survive, most thrive in this almost exclusively male occupation.

What is intelligence-led policing? Who came up with the idea? Where did it come from? How does it relate to other policing paradigms? What distinguishes an intelligence-led approach to crime reduction? How is it designed to have an impact on crime? Does it prevent crime? These are just a few of the questions that this book seeks to answer. This revised and updated second edition includes new case studies and viewpoints, a revised crime funnel based on new data, and a new chapter examining the expanding role of technology and big data in intelligence-led policing. Most importantly, the author builds upon an updated definition of intelligence-led policing as it has evolved into a framework capable of encompassing more operational police activity than simply organized crime and recidivist offenders. Topics covered in this book include: * The origins and aims of intelligence-led policing * A comparison of intelligence-led policing with other conceptual models of policing * An exploration of analysis concepts and the role of analysis in target-selection * Evaluations of intelligence-led policing as a crime-control strategy Written by an expert in the field, this book offers a comprehensive and engaging introduction to intelligence-led policing for students, practitioners and scholars of policing, criminal intelligence and crime analysis. This book will be of particular interest to professionals within the law enforcement environment; senior officers, middle management, analysts and operational staff. A companion website offers a range of resources for students and instructors, including slides, chapter headings with supporting notes, key terms and names, critical-thinking questions, and quizzes.

Policing has developed as an increasingly important and popular subject of study at colleges and universities in western societies, either as a subject in its own right or as part of broader courses in the field of criminology and criminal justice. This book aims to bring together the key readings which constitute the core of policing studies, setting them within the necessary theoretical, social and political context, and providing an explanatory commentary. The book is divided into five major sections: * the history of policing: focusing on the emergence of the police in the USA and the UK, but including several readings on other policing systems; * the role of the police: in particular the balance of tension between crime fighting, order maintenance and other forms of service, and how these arguments have developed historically; * organisation and culture: how these are theorised and understood, considering arguments about the need for reform; * approaches to policing: from crackdowns and the 'broken windows' theory, through zero tolerance to community policing; * policing futures: debates about the future shape of policing, including work on risk, actuarialism and post-Keynesianism, and the debate on how current trends are to be understood.

The expanding remit of policing as a fundamental part of the public health continuum is increasingly acknowledged on the international scene. Similarly the growing role of health professionals as brokers of public safety means that the need for scholarly resources for developing knowledge and broadening theoretical positioning and questioning is becoming urgent and crucial. The fields of law enforcement and public health are beginning to understand the inextricable links between public safety and public health and the need to shift policies and practices towards more integrated practices. This book comes as a first, an utterly timely scholarly collection that brings together the views of multidisciplinary commentators on a wide range of issues and disciplines within the law enforcement and public health (LEPH) arena. The book addresses the more conceptual aspects of the relationship as well as more applied fields of collaboration, and the authors describe and analyze a range of service delivery examples taken from real-life instances of partnerships in action. Among the topics covered: Defund, Dismantle or Define Law Enforcement, Public Health, and Vulnerability Law Enforcement and Mental Health: The Missing Middle The Challenges of Sustaining Partnerships and the Diversification of Cultures Using Public Health Concepts and Metrics to Guide Policing Strategy and Practice Policing Pandemics Law Enforcement and Public Health: Partners for Community Safety and Wellbeing is essential reading for a wide array of professions and areas of expertise in the intersectoral field of LEPH. It is an indispensable resource for public health and law enforcement specialists (practitioners, educators, scholars, and researchers) and training programs across the world, as well as individuals interested in developing their knowledge and capacity to respond to complex LEPH issues in the field, including public prosecutors, coroners, and the judiciary. The text also can be used for undergraduate and postgraduate university policing, criminology, sociology, psychology, social work, public health, and medicine programs.

Here, from Jay Dobyns, the first federal agent to infiltrate the inner circle of the outlaw Hells Angels Motorcycle Club, is the inside story of the twenty-one-month operation that almost cost him his family, his sanity, and his life.
Getting shot in the chest as a rookie agent, bartering for machine guns, throttling down the highway at 100 mph, and responding to a full-scale, bloody riot between the Hells Angels and their rivals, the Mongols-these are just a few of the high-adrenaline experiences Dobyns recounts in this action-packed, hard-to-imagine-but-true story.
Dobyns leaves no stone of his harrowing journey unturned. At runs and clubhouses, between rides and riots, Dobyns befriends bad-ass bikers, meth-fueled "old ladies," gun fetishists, psycho-killer ex-cons, and even some of the "Filthy Few"-the elite of the Hells Angels who've committed extreme violence on behalf of their club. Eventually, at parties staged behind heavily armed security, he meets legendary club members such as Chuck Zito, Johnny Angel, and the godfather of all bikers, Ralph "Sonny" Barger. To blend in with them, he gets full-arm ink; to win their respect, he vows to prove himself a stone-cold killer.
Hardest of all is leading a double life, which has him torn between his devotion to his wife and children, and his pledge to become the first federal agent ever to be "fully patched" into the Angels' near-impregnable ranks. His act is so convincing that he comes within a hairsbreadth of losing himself. Eventually, he realizes that just as he's been infiltrating the Hells Angels, they've been infiltrating him. And just as they're not all bad, he's not all good.
Reminiscent of Donnie Brasco's uncovering of the true Mafia, this is an eye-opening portrait of the world of bikers-the most in-depth since Hunter Thompson's seminal work-one that fully describes the seductive lure criminal camaraderie has for men who would otherwise be powerless outsiders. Here is all the nihilism, hate, and intimidation, but also the freedom-and, yes, brotherhood-of the only truly American form of organized crime.

"From the Hardcover edition."

Miscarriages of justice occur far more frequently than we realise and have the power to ruin people's lives. It is crucial for criminal justice practitioners to understand them, given significant developments in recent years in law and police codes of practice. This text, part of the Key themes in policing textbook series, is written by three highly experienced authors with expertise in the fields of criminal investigation, forensic psychology and law and provides an up-to-date and comprehensive analysis of miscarriages of justice. They highlight difficulties in defining miscarriages of justice, examine their dimensions, forms, scale and impact and explore key cases and their causes. Discussing informal and formal remedies against miscarriages of justice, such as campaigns and the role of the media and the Court of Appeal and the Criminal Cases Review Commission (CCRC), they highlight criticism of the activities and decision-making of the latter and examine changes to police investigation in this area. Designed to incorporate 'evidence-based policing', each chapter provides questions reflecting on the issues raised in the text and suggestions for further reading.

Reductions in police department funding have raised the importance of volunteers in enhancing organizational performance, improving community trust and confidence, and at times accomplishing basic tasks to maintain public safety and security. During a period when police administrators are asked to do more with less, and to engage in smarter, community-oriented policing, citizen volunteers are an invaluable resource. Police Reserves and Volunteers is an invaluable primer for those looking to understand the benefits and challenges involved in the use of the volunteers within global law enforcement agencies. Using cases from a range of specialists and precincts, this edited volume provides a rare window into police administration from the state legislation that regulates police reserves in California to the local models observed in many counties and cities across the United States. Police Reserves and Volunteers offers volunteers, local elected officials, and law enforcement straightforward guidelines to enhance police goals and build public trust in local communities.

Introduction to Fire Prevention, Eighth Edition, presents a broad-based look at fire prevention, including arson suppression, fire safety education, and code enforcement. For information on teaching and learning resources available with this text, please contact your Brady representative. Teaching and Learning Experience: Meets the FESHE curriculum learning objectives and includes color photographs, key terms, and a list of objectives for each chapter Provides strong coverage of fire prevention history, along with the latest information on fire prevention research, statistics, and more

This book draws together the insights of eminent academics and specialists to present an overview of past and present approaches to transnational policing throughout the Anglophone world. It aims to revitalize the study of transnational policing by showing that past and present developments in this field remain poorly understood, while also suggesting future avenues of research. Containing chapters on police history, police accountability, gendered hate crime in an increasingly online world, counter-radicalisation strategies being pursued around the world, internet-facilitated sex trafficking and changes in organised crime, amongst others, the authors adopt revisionist, orthodox and progressive views in order to challenge our understanding and appreciation of developments in transnational policing. All of the chapters in the book use policing models employed within the UK as either their focal point or as a point of comparison so that direct comparisons and contrasts can be examined. The Development of Transnational Policing illustrates distinctive and separate aspects of what remains an undoubtedly complex and dynamic field, but also forms an overview of developments and the dearth of academic research which surround them, in order hopefully to inspire researchers, policymakers and practitioners alike.

Despite its suspected prevalence, no comprehensive analysis of police corruption has been published for nearly three decades. Fallen Blue Knights provides a systematic, in-depth analysis of the subject, while also addressing the question of what can be done to ensure successful corruption control. Kutnjak Ivkovi'c argues that the current mechanisms for control--the courts, prosecutors, independent commissions, and the media, as well as the internal control mechanisms within a police agency itself--suffer from severe shortcomings that substantially limit their effectiveness. In this much-needed analysis, Kutnjak Ivkovi'c redefines the roles of major players and develops a novel, comprehensive model of corruption control.

In one enquiry after another, there has been a call for an increase in the proportion of qualified staff in residential child care services, as one of a range of solutions to the difficulties that have beset the service. Leadership in Residential Child Care compares and assesses courses available for professional social work training and explores the ways that training contributes to the quality of care in the sector. Drawing on an evaluation of the Residential Child Care Initiative, the authors examine the dilemmas concerning the provision of qualification training for residential care staff today. They address issues such as:

• the loss of qualified staff from the sector
• different models of ‘professional competence’ that qualification seeks to achieve
• the role qualification and training can play in enhancing the status of what is sometimes seen as the ‘Cinderella’ element in child care provision

One of the most fundamental issues in health care delivery is who should decide which items of medical care are not worth their cost. This book is a fresh and comprehensive exploration of how health care rationing decisions are made. Unlike prior works, its focus is not on the specific criteria for rationing, like age or quality of life. Instead, the author provides comparative analysis of alternative social mechanisms for making medical spending decisions: (1) consumers paying for their medical treatment out of pocket; (2) payers, government officials, or other centralized authorities setting limits on what doctors can do and what insurance will pay for; and (3) physicians motivated to make these decisions at the bedside level. His analysis of each of these mechanisms reveals that none is uniformly superior, and each is better suited for certain decisions that others. Therefore, a mix of all three is inevitable. The author develops his analysis along three dimensions: political economics, ethics, and law. The political economic dimension discusses the practical and theoretical aspects of each method for making spending decisions, synthesizing empirical studies of the situations in which each mechanism has been tested. The ethical dimension is based on several strands of philosophical theory, principally classic liberalism, social contract theory, and communitarianism, as well as conceptual analysis of terms such as autonomy and coercion. The legal dimension addresses recent developments in legal doctrine such as informed consent, insurance coverage disputes, and the emerging direction of federal regulation. Hall concludes that physician rationing at the bedside is far more promising than medical ethicists and the medical profession have traditionally allowed. The best way to allocate authority for making medical spending decisions in both public and private systems, he believes, is the informed purchase of different types of health insurance in a managed competition framework.