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Brookings Institution Press
The Formulation and Implementation of Contemporary Health Policy
American Federalism in Practice is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today's overheated political environment.
Health care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children's Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act.
"Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government," the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time.
Roles and Contributions
Foundations play an essential part in the philanthropic activity that defines so much of American life. No other nation provides its foundations with so much autonomy and freedom of action as does the United States. Liberated both from the daily discipline of the market and from direct control by government, American foundations understandably attract great attention. As David Hammack and Helmut Anheier note in this volume, "Americans have criticized foundations for... their alleged conservatism, liberalism, elitism, radicalism, devotion to religious tradition, hostility to religion in short, for commitments to causes whose significance can be measured, in part, by the controversies they provoke. Americans have also criticized foundations for ineffectiveness and even foolishness."
Their size alone conveys some sense of the significance of American foundations, whose assets amounted to over $530 billion in 2008 despite a dramatic decline of almost 22 percent in the previous year. And in 2008 foundation grants totaled over $45 billion. But what roles have foundations actually played over time, and what distinctive roles do they fill today? How have they shaped American society, how much difference do they make? What roles are foundations likely to play in the future?
This comprehensive volume, the product of a three-year project supported by the Aspen Institute's program on the Nonprofit Sector and Philanthropy, provides the most thorough effort ever to assess the impact and significance of the nation's large foundations. In it, leading researchers explore how foundations have shaped or failed to shape each of the key fields of foundation work.
American Foundations takes the reader on a wide-ranging tour, evaluating foundation efforts in education, scientific and medical research, health care, social welfare, international relations, arts and culture, religion, and social change.
Continuity and Change Over Ten Presidential Elections
From party polarization, elections, and internal party politics, to the evolution of the U.S. presidency, John S. Jackson's new book has something for everyone interested in American politics. Beginning with a discussion of the creation of the U.S. government to the formation of today's political powerhouses, Jackson provides a narrative sweep of American party history like none other.
Unique to this book is a detailed breakdown of the evolution of political parties from 1832 to the current era. Jackson explains how the reform era came to be, as well as how it produced the polarized party era we have today. In doing so, he guides the reader to an appreciation of where U.S. party politics originated and the aspirations of those who helped create the current system.
Jackson also examines the internal mechanisms and personalities of the Democratic and Republican parties. He compares multiple presidential elections, thus telling a broader story of the unfolding of today's party polarization and gridlock. He also explores the theoretical meaning of the changes observed in the parties from the responsible party model perspective.
The themes of continuity and change are set in the context of group-think versus rational decisionmaking. Specific focus is given to political elites who are sophisticated about politics and who make strategic decisions, but are also bound by their humanity and occasionally fail to see the right deci-sion due to their own personal biases.
This book will be particularly useful for those who want to explore polarization, the responsible parties model, the rational actor model, and anyone who wants to better understand elections, party politics, and the evolution of the presidency.
Antitrust law is intended to protect consumer welfare and foster competition. At first glance, however, it is often unclear whether certain business practices have positive or detrimental effects. Businesses frequently engage in activities that may appear anticompetitive on the surface, but are actually beneficial to consumers. Business tying practices, for example, make the sale of one product conditional upon the sale of another product. This practice can either deprive consumers of choice and drive up prices or lower costs and improve convenience. Therefore, it is critical that policymakers have a keen understanding of which vertical restraints limitations imposed on businesses by firms located in the production chain are likely to harm consumers more than they benefit competition. In order to formulate economically efficient policies, they must be able to identify and limit those practices that are likely to do more harm than good. In A ntitrust Policy and Vertical Restraints a group of leading scholars takes a hard look at how restraints limit the conditions under which firms may purchase, sell, or resell a good or service. The authors, representing both sides of the antitrust debate over tying practices, provide a uniquely broad perspective on this critical economic policy issue. Contributors include Dennis Carlton (University of Chicago), David Evans (University College London), Bruce Kobayashi (George Mason University), and Michael Waldman (Cornell University).
America and the Transformation of the Middle East
Even the most seasoned Middle East observers were taken aback by the events of early 2011. Protests born of oppression and socioeconomic frustration erupted throughout the streets; public unrest provoked violent police backlash; long-established dictatorships fell. How did this all happen? What might the future look like, and what are the likely ramifications for the United States and the rest of the world? In The Arab Awakening, experts from the Brookings Institution tackle such questions to make sense of this tumultuous region that remains at the heart of U.S. national interests.
The first portion of The Arab Awakening offers broad lessons by analyzing key aspects of the Mideast turmoil, such as public opinion trends within the "Arab Street"; the role of social media and technology; socioeconomic and demographic conditions; the influence of Islamists; and the impact of the new political order on the Arab-Israeli peace process.
The next section looks at the countries themselves, finding commonalties and grouping them according to the political evolutions that have (or have not) occurred in each country. The section offers insight into the current situation, and possible trajectory of each group of countries, followed by individual nation studies.
The Arab Awakening brings the full resources of Brookings to bear on making sense of what may turn out to be the most significant geopolitical movement of this generation. It is essential reading for anyone looking to understand these developments and their consequences.
The West's Mediterranean Challenge
For every pithy conceptualization of complex events, there are additional lenses through which to examine them. One of the several virtues of this book is precisely that it brings different perspectives to bear on the complexity, diversity, and uncertainty of recent and current events in the Arab world. The thirteen authors concentrate on the critical social forces shaping the region demography, religion, gender, telecommunication connectivity, and economic structures and they are painstakingly analyzed and evaluated. from the foreword by Strobe Talbott, president of the Brookings Institution
The Arab Spring will be remembered as a period of great change for the Arab states of North Africa and the eastern Mediterranean. Facing fundamental transitions in governance, these countries are also undergoing profound social, cultural, and religious changes. The European Union and the United States, caught unprepared by the uprisings, now must address the inescapable challenges of those changes. How will the West respond to these new realities, particularly in light of international economic uncertainty, EU ambivalence toward a "cohesive foreign policy," and declining U.S. influence abroad? Arab Society in Revolt explains and interprets the societal transformations occurring in the Arab Muslim world, their ramifications for the West, and possible policy options for dealing with this new world.
Arab Society in Revolt examines areas of change particularly relevant in the southern Mediterranean: demography and migration, Islamic revival and democracy, rapidly changing roles of women in Arab society, the Internet in Arab societies, commercial and social entrepreneurship as change factors, and the economics of Arab transitions. The book then looks at those cultural and religious as well as political and economic factors that have influenced the Western response, or lack of it, to the Arab Spring as well as the policy options that remain open.
Toward Great Inclusiveness
Hafez Ghanem delivers a thorough assessment of the economic dimensions of the Arab Spring, beginning with political developments since the revolutions and the economic impact of changes in legal and institutional frameworks. Arab economies grew at healthy rates before the revolts, but the benefits of economic growth were unfairly distributed. The politically connected reaped great benefits, while educated youth could not find decent jobs, and the poor and middle class struggled to make ends meet.
Ghanem advises the Arab Spring countries to adopt new economic policies and programs that enhance inclusiveness, expand the middle class, and foster growth in undeveloped regions. Key elements include strengthening economic institutions, developing small businesses, reforming the education system to better prepare Arab youth for the modern labor market, promoting gender equality with the objective of raising female labor market participation rates, and setting up programs for rural and regional development to reduce inequality and eliminate extreme poverty.
This second volume of The Arab Spring Five Years Later provides the original research papers on which volume 1 by Hafez Ghanem is based. In this edited volume, Ghanem assembles a collection of important research conducted by scholars from a variety of backgrounds to provide a deeper understanding of the economic factors that led to the Arab Spring. Chapters examine women's issues and agricultural practices in Morocco; urban transportation, small enterprises, governance, and inclusive planning in Egypt; reconstruction in Iraq; youth employment in Tunisia; education in Yemen; and more.
In addition to Hafez Ghanem, contributors include Mongi Boughzala (University of Tunis ElManar, Tunisia), Emmanuel Comolet (French Agency for Development), Mohamed Tlili Hamdi (University of Sfax, Tunisia), Seiki Tanaka (University of Amsterdam), and from the Japan International Cooperation Agency (JICA), Yuriko Kameyama, Mayada Magdy, Hideki Matsunaga, Yuko Morikawa, Akira Murata, Kei Sakamoto, Masanori Yoshikawa, and Takako Yuki.
An Empirical Analysis of the Federal Judiciary
Over the past two decades, the United States has seen an intense debate about the composition of the federal judiciary. Are judges "activists"? Should they stop "legislating from the bench"? Are they abusing their authority? Or are they protecting fundamental rights, in a way that is indispensable in a free society? Are Judges Political? cuts through the noise by looking at what judges actually do. Drawing on a unique data set consisting of thousands of judicial votes, Cass Sunstein and his colleagues analyze the influence of ideology on judicial voting, principally in the courts of appeal. They focus on two questions: Do judges appointed by Republican Presidents vote differently from Democratic appointees in ideologically contested cases? And do judges vote differently depending on the ideological leanings of the other judges hearing the same case? After examining votes on a broad range of issues--including abortion, affirmative action, and capital punishment--the authors do more than just confirm that Democratic and Republican appointees often vote in different ways. They inject precision into an all-too-often impressionistic debate by quantifying this effect and analyzing the conditions under which it holds. This approach sometimes generates surprising results: under certain conditions, for example, Democrat-appointed judges turn out to have more conservative voting patterns than Republican appointees. As a general rule, ideology should not and does not affect legal judgments. Frequently, the law is clear and judges simply implement it, whatever their political commitments. But what happens when the law is unclear? Are Judges Political? addresses this vital question.
India's Military Modernization
India has long been motivated to modernize its military, and it now has the resources. But so far, the drive to rebuild has lacked a critical component—strategic military planning. India's approach of arming without strategic purpose remains viable, however, as it seeks great-power accommodation of its rise and does not want to appear threatening. What should we anticipate from this effort in the future, and what are the likely ramifications? Stephen Cohen and Sunil Dasgupta answer those crucial questions in a book so timely that it reached number two on the nonfiction bestseller list in India.
"Two years after the publication of Arming without Aiming, our view is that India's strategic restraint and its consequent institutional arrangement remain in place. We do not want to predict that India's military-strategic restraint will last forever, but we do expect that the deeper problems in Indian defense policy will continue to slow down military modernization."—from the preface to the paperback edition