Public silence in policymaking can be deafening. When advocates for a disadvantaged group decline to speak up, not only are their concerns not recorded or acted upon, but also the collective strength of the unspoken argument is lessened - a situation that undermines the workings of deliberative democracy by reflecting only the concerns of more powerful interests. But why do so many advocates remain silent on key issues they care about and how does that silence contribute to narrowly defined policies? What can individuals and organizations do to amplify their privately expressed concerns for policy change? In "Healthy Voices, Unhealthy Silence", Colleen M. Grogan and Michael K. Gusmano address these questions through the lens of state-level health care advocacy for the poor. They examine how representatives for the poor participate in an advisory board process by tying together existing studies; extensive interviews with key players; and, an in-depth, first-hand look at the Connecticut Medicaid advisory board's deliberations during the managed care debate. Drawing on the concepts of deliberative democracy, agenda setting, and nonprofit advocacy, Grogan and Gusmano reveal the reasons behind advocates' often unexpected silence on major issues, assess how capable nonprofits are at affecting policy debates, and provide prescriptive advice for creating a participatory process that adequately addresses the health care concerns of the poor and dispossessed. Though exploring specifically state-level health care advocacy for the poor, the lessons Grogan and Gusmano offer here are transferable across issue areas and levels of government. Public policy scholars, advocacy organizations, government workers, and students of government administration will be well-served by this significant study.

Series Information:
Harwood Fundamentals of Pure & Applied Economics

A NEW YORK TIMES BESTSELLER Winner of the 2019 National Book Award in Nonfiction A brilliant, haunting and unforgettable memoir from a stunning new talent about the inexorable pull of home and family, set in a shotgun house in New Orleans East. In 1961, Sarah M. Broom's mother Ivory Mae bought a shotgun house in the then-promising neighborhood of New Orleans East and built her world inside of it. It was the height of the Space Race and the neighborhood was home to a major NASA plant--the postwar optimism seemed assured. Widowed, Ivory Mae remarried Sarah's father Simon Broom; their combined family would eventually number twelve children. But after Simon died, six months after Sarah's birth, the Yellow House would become Ivory Mae's thirteenth and most unruly child. A book of great ambition, Sarah M. Broom's The Yellow House tells a hundred years of her family and their relationship to home in a neglected area of one of America's most mythologized cities. This is the story of a mother's struggle against a house's entropy, and that of a prodigal daughter who left home only to reckon with the pull that home exerts, even after the Yellow House was wiped off the map after Hurricane Katrina. The Yellow House expands the map of New Orleans to include the stories of its lesser known natives, guided deftly by one of its native daughters, to demonstrate how enduring drives of clan, pride, and familial love resist and defy erasure. Located in the gap between the "Big Easy" of tourist guides and the New Orleans in which Broom was raised, The Yellow House is a brilliant memoir of place, class, race, the seeping rot of inequality, and the internalized shame that often follows. It is a transformative, deeply moving story from an unparalleled new voice of startling clarity, authority, and power.

Most Latin American countries are now attempting the radical reform of their healthcare financing and delivery systems. In many cases, these reforms complement and contribute to broader neo-liberal orthodoxies of economic and social reform. Key strategies include decentralising hospital administration and the promotion of private health insurance. However, experiences across the region are quite diverse, and countries such as Cuba persist with a system of healthcare based on very different principles. This book identifies key problems facing healthcare systems in the region and evaluates the reforms that have been implemented to date. It pays particular attention to problems of implementation and the impact that changes to health policy are having on poor and vulnerable groups.

Les B. Whitbeck and Dan R. Hoyt begin their report on street children in the Midwest with the statement, "If you live in or have visited even a medium-sized city recently, you have seen runaway and homeless young people. They congregate in certain downtown areas and hang out in malls during inclement weather . . . Mostly, they look like the other kids. . . . The difference is that they won't be going home tonight."

This book draws on a study of over six hundred runaway and homeless adolescents and over two hundred of their caretakers from cities in four Midwestern states. It focuses on the family histories of these young people and on the developmental impact of early independence. Street social networks, subsistence strategies, sexuality, and street victimization are all considered, as well as their effect on adolescent behaviors and emotional health.

Relying on interviews and data from survey research, and working in partnership with street outreach agencies, Whitbeck and Hoyt lead the reader through the various risk factors associated with precocious independence, beginning in the family and extending to external environments and behaviors. Nowhere to Grow is an emotional account of the cumulative consequences for young people with few good options at the outset and even fewer once they are on their own.

This book examines how Botswana overcame the legacies of exceptional resource deficiency, colonial neglect and a harsh physical environment to transform itself from one of the poorest nations of the world to a middle income economy with significant reductions in people's poverty. It reviews the interactions of economic, social and institutional policies and how these reinforced one another to produce the poverty outcomes that they did from the initial socio-economic conditions. In particular it illustrates how the chosen development strategies consistently tied social and economic policies to achieve, on the one hand, re-distribution, protection and reproduction and, on the other, investment in production and human capabilities. The substantive areas covered include trends in economic development strategies and outcome; social policies and strategies and their impact on poverty and productive capacity; income and wealth distribution; the role of organized interest groups in policy development; and institutional development, state capacity and politics.

The Middle East is a region where affulence and poverty exist side by side and where the conspicuous display of wealth by governments and rich individuals contrasts with widespread deprivation.
Affluence and Poverty in the Middle East uses extensive emperical evidence to help us understand the causes and consequences of co-existing affluence and poverty. It address one major question: is affluence necessary and sufficient for human development? In the first part of the book , M. Riad El-Ghonemy investigates the common cultural and economic factors that have brought about such an extreme polarization of living standards. He focuses particularly on historical origins, military spending, economic foundations, educational policy and corruption, using a number of case studies to illustrate how each factor has affected the different countries in the region. The second part consists of country studies that examine how particular governments and NGOs have responded to vast inequalities in the distribution of wealth, income and opportunities, with emphasis on the social effects of economic reforms.
Dr El-Ghonemy brings his considerable knowledge and experience of the Middle East to this study. His exploration of the past, present and future of wealth distribution and poverty in the region highlights the prospects and challenges that the Middle East faces in the twenty-first century, including the use of peace divedends for alleviating poverty.

First published in 1998. Routledge is an imprint of Taylor & Francis, an informa company.

A unique historical review that traces health spending from ancient times to the present and forecasts 21st century trends. There are many histories of medicine, yet none that assess the dynamics of expenditures over decades and centuries. Economists have not yet addressed the magnitude of the transformation that occurred during the twentieth century as payments shifted from solo physician practices to health systems, nor the legacy effects of social practices accumulated over millennia that will shape health spending in the twenty-first. In Money and Medicine, Thomas E. Getzen provides a unified narrative of medical spending from ancient Egypt and Babylonia to the present day. Drawing on a wealth of historical reports, data, and documents, Getzen concentrates on a single ratio-the share of income devoted to medical care-to frame the evolutionary path of medicine, revealing an S-shaped growth curve that rose rapidly after 1900 as science made therapies more effective and more expensive, inflected as national health systems coalesced and rates of expansion peaked in the 1960s, then decelerated after 1975. International trends in forty-three countries are graphically illustrated with analysis supporting a parsimonious financial model. Significant lags are seen between medical innovation or macroeconomic shocks and the corresponding changes in national health expenditures. Getzen explains inertial responses to the 2008 financial crisis and Covid-19 recession, provides a method for projecting trends over the next fifty years, and suggests why spending is so much higher in the United States than other countries. As rising costs and unequal distribution of medical care have created a sense of crisis in many countries, Money and Medicine shows that we must look beyond the last few years to craft sensible solutions.

This book assesses Ecological Migration and Precision Poverty Alleviation Measures, based on research conducted in Ningxia. "Resettling residents currently living in poor areas" is an important measure for "precise poverty alleviation." China's central government has provided extraordinary support for these areas, so as to help with "removing poverty nests," "changing poverty industries," and "pulling out the roots of poverty."This book is mainly based on research conducted in Ningxia, one of the earliest areas in China to achieve poverty alleviation and development through immigration and relocation. Since the Twelfth Five-Year Plan, Ningxia's ecological migration has been integrated into the process of new urbanization and industrialization. Poverty alleviation and relocation not only involves regional transfer, industrial transformation, and changes in livelihood, but also the social adaptation and integration of migrant groups. In addition to examining these aspects, the book shares stories of how impoverished individuals have succeeded in changing their fates.

Extensive welfare, law, and policy reforms characterized the making and unmaking of Keynesian states in the 20th century. This collection highlights the gendered nature of these regulatory shifts and, specifically, the roles played by women - as reformers, welfare workers, and welfare recipients - in the historical development of welfare states. The contributors are leading feminist socio-legal scholars from a range of disciplines in the US, Canada, and Israel. Collectively, their analyses of women, law, and poverty speak to long-standing and ongoing feminist concerns: the importance of historically informed research, the relevance of women's agency and resistance to the experience of inequality and injustice, the specificity of the experience of poor women and poor mothers, the implications of changes to social policy, and the possibilities for social change. Such analyses are particularly timely as the devastation of neo-liberalism becomes increasingly obvious. The current world crisis of capitalism is a defining moment for liberal states - a global catastrophe that concomitantly creates a window of opportunity for critical scholars and activists to reframe debates about social welfare, work, and equality, and to reinsert the discourse of social justice into the public consciousness and political agenda of liberal democracies. (Series: Onati International Series in Law and Society)

Like many countries in the world, India is mired in bureaucratic rigidities and hierarchical structures of exploitation and oppression, leading to a well-known problem of clogged pipes in the complex system of public welfare services. It is widely recognised that this clogged system requires innovative intervention, via transparent policies that are able to avoid political capture. This book reports on three overlapping pilot schemes in Madhya Pradesh and Delhi, including a special project in tribal villages, in which over 6,000 people were provided with a modest basic income paid monthly over 18 months. The project was funded by UNICEF and UNDP and implemented by SEWA (The Indian Self-Employed Women's Association). Written by Guy Standing who designed the pilot schemes and Renana Jhabvala, the head of SEWA, who implemented them, the book examines the effects of these pilot schemes at the individual, family and local economy levels. The pilots are discussed in the context of the new Food Security Act, the government's job guarantee plan, MGNREGA, and ongoing debate over the efficacy of the Public Distribution System and its ration shops disbursing rice, wheat, sugar and kerosene.The authors look at a number of alternative options for addressing rural poverty, including subsidies, targeting, selectivity and conditionality, contrasting them with the basic income model. They argue that the provision of basic incomes not only provides economic security but has many knock-on effects, allowing families to escape the debt trap, enrich food consumption and unlock constraints to schooling and healthcare. Above all it may enable individuals, including women, the disabled, the elderly and those in excluded castes or tribes, to engage more effectively in wider society.

Family-based service (FBS) programs have been developing rapidly across the country at a time of increasingly scarce human resources and in a politically volatile climate. Such a context has made evaluation of such programs imperative. The present volume reviews basic elements of evaluation in the light of current knowledge and then highlights the most useful research instruments for measuring changes in child and family functioning. Chapters focus on evaluation methods that can be employed to determine the success of existing policy and to influence the development of new policy. The authors assume that their readers will have a basic familiarity with research methods and program evaluation. They discuss the challenges they have encountered in conducting extensive research on family preservation, family support. and other related programs and pose practical solutions for administrators, practitioners, and evaluators confronted with similar difficult issues. Each chapter presents a brief conceptual framework for understanding issues related to assessment. Essential elements are reviewed, while research design, measurement variables, and qualitative and quantitative analyses are discussed in turn. The book concludes with a review of the limitations of evaluations.

This book studies the recent legacy of basti "evictions" in Delhi-mass clearings of some of the city's poorest neighborhoods as a way to understand how the urban poor are disenfranchised in the name of "public interest" and, in the case of Delhi, by the very courts meant to empower and protect them. Studying bastis, says Gautam Bhan, provokes six clear lines of inquiry applicable to studies of urbanism across the global south. The first is the long-standing debate over urban informality and illegality: the debate's impact on conceptions and practices of urban planning, the production of space, and the regulation of value. The second is a set of debates on "good governance," read through their intersections with ideas of "planned development" within rapidly transforming cities. The third is the political field of urban citizenship and the possibilities of substantive rights and belonging in the city. The fourth is resistance and the ability of a city's subaltern residents to struggle against exclusion. The two remaining inquiries both cut across and unify the first four. One of these is the role of the judiciary and the relationships between law and urbanism in cities of the global south. The other is the relationship between democracy and inequality in the city. What emerges about Delhi in particular is a multilayered double standard in attention to, and enforcement of, property laws. Rights are lost, citizenship is unequal and differentiated, the promise of development is refused, and poverty and inequality are reproduced and deepened. The task at hand, says Bhan, is not just to explain evictions but also to listen to what they are telling us about "the city that is as well as the city that can be."

This comprehensive and carefully organized collection provides an overview of the relationship between gender and economic stratification in seven industrialized countries. Everywhere, as a Polish commentator notes, `men have too much power, and women too much work.' Nevertheless, these studies reveal large differences in the circumstances of women in different countries and help to illuminate the several developments in the labor market, the family, and public policy which explain the extreme feminization of poverty in the United States. Frances Fox Piven, City University of New York Lucid, careful, and systematic, the book builds a compelling explanation for the needless impoverishment experienced by millions of American women and offers a sensible, realistic agenda for its reduction. Michael B. Katz, University of Pennsylvania This study asks whether the feminization of poverty, the tendency of women and their families to become the majority of the poor, is unique to the United States, where the phenomenon was first discovered. Seven industrialized nations, both capitalist and socialist, with different degrees of commitment to social welfare are compared: Canada, Japan, France, Sweden, Poland, the Soviet Union, and the United States. In each of the countries the authors analyze information about women, labor market conditions, equalization policies, social welfare programs, and demographic variables such as the rates of divorce and single parenthood. According to Goldberg and Kremen, it is possible to predict the feminization of poverty when three conditions are present: (1) insufficient efforts to reduce work place and wage inequities for women; (2) the absence or ineffectiveness of social welfare programs which can redress the cost, both economic and personal, of the dual role that women have assumed in industrialized societies; and (3) the presence of increasing rates of divorce and single motherhood. An array of labor market and social welfare programs in use in the six other industrialized nations are then reviewed by the authors for possible adaptation in the United States. This important work will be a valuable resource for scholars across the academic and professional disciplines of political science, sociology, economics, social work, and women's studies.

This book provides a novel approach to unemployment as a contested political field in Europe and examines the impact of welfare state regimes, conceived as political opportunity structures specific to this field, public debates and collective mobilizations in unemployment politics.

South Africa has one of the highest rates of youth unemployment and is renowned for being one of the most unequal societies in the world. In this context, training and education play critical roles in helping young people escape poverty and unemployment. Post-school Education offers insights about the way in which young people in South Africa navigate their way through a host of post-school training and education options. The topics range from access to, and labour market transitions from, vocational education, adult education, universities, and workplace-based training. The individual chapters offer up-to-date analyses, identify some of the challenges that young people face when accessing training and education and also point to gaps between education and the labour market. The contributors are all experts in their respective components but write with a holistic view of the post-school education system, using an unashamedly empirical lens. Post-school Education will be of interest to all researchers and policymakers concerned with the transformative role of further education and training in society.

This important book makes a vital academic and political statement in the cause of social justice. It begins with an appreciation of the seminal contributions of Peter Townsend (1928-2009), and applies them to contemporary policy debates. It brings together many of the leading contributors to current debates in this field and provides a compelling manifesto for change for students and researchers in the social sciences, policy makers and practitioners, and everybody with an interest in creating a more equal and socially just society.

Understanding the nexus between employment, living standards and poverty is a major challenge in Indonesia. Trends in poverty are heavily dependent on labour market opportunities and social spending in education and health. The question is how to create opportunities and spend money wisely - a subject of intense debate in Indonesia. The government has brought a renewed focus to poverty reduction since the end of the Asian financial crisis, especially under the current president, Susilo Bambang Yudhoyono. This book shows how Indonesia is travelling with regard to employment, social policy and poverty. It identifies promising new directions for strategies to alleviate poverty, some of which are already showing results.

The current economic crisis has presented itself as a formidable challenge to the welfare states of Europe. It is more relevant than ever to ask: do existing minimum income protection schemes succeed in adequately protecting citizens, be it whether they are excluded from work, working, retired, or having children? Drawing on in-depth and up-to-date institutional data from across Europe and the US, this volume details the reality of minimum income protection policies over time. Including contributions from leading scholars in the field, each chapter provides a systematic cross-national analysis of minimum income protection policies, developing concrete policy guidance on an issue at the heart of the European debate.