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City governments are going bankrupt. Even the ones that aren't are
often stuck in financial chaos. It is easy to blame pensions, poor
leadership, or a bad economy. But the problems go much deeper. With
decades of experience in local government, author Mark Moses
showcases the inside world of the city decision-making process that
has spawned these crises. It becomes clear: City governments are
maxing out their budgets because they are trying to maximize
services. This book, likely the most ambitious attempt by someone
who has worked in government to radically examine the delivery of
municipal services since 'Reinventing Government' was published
more than 25 years ago, explores why city governments pursue an
open-ended mission and why bailouts and trendy budgeting processes
will be, at best, only temporary solutions. Of interest to current
and future city council members, regional and state government
officials, those covering city government, financial analysts, city
management, and individuals and organizations interested in
influencing city policy, this book argues that cities won't thrive
until city hall is disrupted.
This book attends to the processes of water policy formulation and
implementation in Ireland and Ghana, offering important insights
into the ways in which public administrations operate in a
developed and a developing country setting. Tenets of
sustainability require nations to develop capacities to enable them
strike a balance between harnessing environmental resources to
improve the quality of life of their citizens; and adopting
measures to guarantee environmental protection. Following the
'sustainability path', this book seeks to illuminate understanding
of the complexities involved in policy formulation and
implementation of water policy in Ireland and Ghana. It concludes
that policy formulation has not facilitated implementation of water
policy in both countries, largely because endeavours in this light
have been externally driven by such organisations as the European
Union, the World Bank the and International Monetary Fund. As a way
forward, the book suggests the effective implementation of water
policy through robust coordination of economic, political and
administrative governance mechanisms in line with the national
contexts and local realities of the countries studied.
Financing health-care has gone through a chequered history in
Ghana. Like other developing nations in modern times, the
Government of Ghana has no choice but to establish a sustainable
health-care financing policy for all Ghanaians. The aim of this
book is to examine whether the introduction of a National Health
Insurance Scheme (NHIS) will provide and deliver and improved
health-care service in Ghana. The introduction of the NHIS is to
help reduce the financial barriers which have denied ordinary
people access to healthcare for decades. While the health system
appears to be making progress in meeting the basic needs of the
people of Ghana, the continuing exodus of trained health workers,
lack of leadership, corruption and weak institutional capacity
remains a major obstacle. There are also many persuasive reasons
why the NHIS should be a success. Some of the laudable points are
the philosophy of the NHIS, the popularity of the policy, the
institutional components which are in place and the overall State
commitment to the scheme.
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