How much and in which direction have the welfare states among the Western democracies changed over the past decades? Moreover, under what conditions have governments enacted these changes? Based on insights from prospect theory, Barbara Vis demonstrates how socioeconomic or political setbacks affect a government’s view of risk—and thereby the degree and type of reform they pursue. This study’s new theoretical stance and innovative methodological approach make it a must read for those policymakers, scholars, and students interested in the politics of welfare state reform.
If knowledge is power, then John Hird has opened the doors for anyone interested in public policymaking and policy analysis on the state level. A beginning question might be: does politics put gasoline or sugar in the tank? More specifically, in a highly partisan political environment, is nonpartisan expertise useful to policymaking? Do policy analysts play a meaningful role in decision making? Does policy expertise promote democratic decision making? Does it vest power in an unelected and unaccountable elite, or does it become co-opted by political actors and circumstances? Is it used to make substantive changes or just for window-dressing?
In a unique comparative focus on state policy, Power, Knowledge, and Politics dissects the nature of the policy institutions that policymakers establish and analyzes the connection between policy research and how it is actually used in decision making. Hird probes the effects of politics and political institutions—parties, state political culture and dynamics, legislative and gubernatorial staffing, partisan think tanks, interest groups—on the nature and conduct of nonpartisan policy analysis. Through a comparative examination of institutions and testing theories of the use of policy analysis, Hird draws conclusions that are more useful than those derived from single cases.
Hird examines nonpartisan policy research organizations established by and operating in U.S. state legislatures—one of the most intense of political environments—to determine whether and how nonpartisan policy research can survive in that harsh climate. By first detailing how nonpartisan policy analysis organizations came to be and what they do, and then determining what state legislators want from them, he presents a rigorous statistical analysis of those agencies in all 50 states and from a survey of 800 state legislators. This thoroughly comprehensive look at policymaking at the state level concludes that nonpartisan policy analysis institutions can play an important role—as long as they remain scrupulously nonpartisan.
For nearly fifteen years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Devettere’s approach is not based on an ethics of abstract obligations and duties, but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.
This third edition is revised and updated and includes discussions of several landmark cases, including the tragic stories of Terri Schiavo and Jesse Gelsinger (the first death caused by genetic research). Devettere addresses new topics such as partial-birth abortion law, embryonic stem cell research, infant euthanasia in The Netherlands, recent Vatican statements on feeding tubes, organ donation after cardiac death, new developments in artificial hearts, clinical trials developed by pharmaceutical companies to market new drugs, ghostwritten scientific articles published in major medical journals, and controversial HIV/AIDS research in Africa. This edition also includes a new chapter on the latest social and political issues in American health care.
Devettere’s engaging text relies on commonsense moral concepts and avoids academic jargon. It includes a glossary of legal, medical, and ethical terms; an index of cases; and thoroughly updated bibliographic essays at the end of each chapter that offer resources for further reading. It is a true classic, brilliantly conceived and executed, and is now even more valuable to undergraduates and graduate students, medical students, health care professionals, hospital ethics committees and institutional review boards, and general readers interested in philosophy, medicine, and the rapidly changing field of health care ethics.
For more than twenty years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Raymond J. Devettere's approach is not based on an ethics of abstract obligations and duties but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.
New sections added in this revised fourth edition include sequencing whole genomes, even those of newborns; the new developments in genetic testing now provided by online commercial companies such as 23andMe; the genetic testing of fetuses by capturing their DNA circulating in the pregnant woman's blood; the Stanford Prison experiment and its relevance to the abuses at the Abu Graib prison; recent breakthroughs in the diagnosis of consciousness disorders such as PVS; the ongoing controversy generated by the NIH study of premature babies at many NICUs throughout the county, a study known as SUPPORT that the OHRP (Office of Human Research Protections, an office within the department of HHS) deemed unethical.
Devettere updates most chapters. New cases include Marlise Munoz (dead pregnant woman's body kept on life support by a Texas hospital), Jahi McMath (teenager pronounced dead in California but treated as alive in New Jersey), Margot Bentley (nursing home feeding a woman dying of end stage Alzheimer’s despite her advance directive that said no nourishment or liquids if she was dying with dementia), Brittany Maynard (dying 29-year-old California woman who moved to Oregon to commit suicide with a physician's help), and Samantha Burton (woman with two children who suffered rupture of membranes at 25 weeks and whose physician obtained a court order to keep her at the hospital to make sure she stayed on bed rest). Thoughtfully updated and renewed for a new generation of readers, this classic textbook will be required reading for students and scholars of philosophy and medical ethics.
From the day they arrive on campus, college students spend four years—or sometimes more—making decisions that shape every aspect of their academic and social lives. Whether choosing a major or a roommate, some students embrace decision-making as an opportunity for growth, while others seek to minimize challenges and avoid risk. Practice for Life builds a compelling case that a liberal arts education offers students a complex, valuable process of self-creation, one that begins in college but continues far beyond graduation.
Sifting data from a five-year study that followed over two hundred students at seven New England liberal arts colleges, the authors uncover what drives undergraduates to become engaged with their education. They found that students do not experience college as having a clear beginning and end but as a continuous series of new beginnings. They start and restart college many times, owing to the rhythms of the academic calendar, the vagaries of student housing allocation, and other factors. This dynamic has drawbacks as well as advantages. Not only students but also parents and faculty place enormous weight on some decisions, such as declaring a major, while overlooking the small but significant choices that shape students' daily experience.
For most undergraduates, deep engagement with their college education is at best episodic rather than sustained. Yet these disruptions in engagement provide students with abundant opportunities for reflection and course-correction as they learn to navigate the future uncertainties of adult life.
The idea that predictive science can simplify the decision-making process by creating a clearer picture of the future is deeply appealing in principle, but deeply problematic in practice.
Prediction offers a fascinating and wide-ranging look at the interdependent scientific, political, and social factors involved in using science-based predictions to guide policy making. Through ten detailed case studies, it explores society's efforts to generate reliable scientific information about complex natural systems and to use that information in making sound policy decisions. The book:
The economic case for self-interest at the outer limits of being morally good.
Modern life is an exercise in discomfort. In the face of endless injustice, how much selfishness is permissible? How do we square suffering elsewhere with our hope to thrive at home? How does one strive for the greater good while guarding one's personal interests? The Price of Our Values argues that the answers to these questions are economic: by weighing our sense of the personal costs associated with the outer limits of our moral beliefs.
These tradeoffs—the want to be good, the personal costs of being good, and the points at which people abandon goodness due to its costs—are somewhat unsettling. But as economists Augustin Landier and David Thesmar show, they are highly predictable, even justified. Our values guide us, but we are also forced to consider economic costs to settle decisions.
The Price of Our Values is an economic reckoning with the universal unease of contemporary moral life. Wielding insights from the philosophical founders of the field, Landier and Thesmar provide frameworks for thinking about the place of values—justice, freedom, beauty— in the decisions of modern life. They do so in terms that seek to be consistent with both our good intentions and their limits.
This book employs a careful, rigorous, yet lively approach to the timely question of whether we can justly generalize about members of a group on the basis of statistical tendencies of that group. For instance, should a military academy exclude women because, on average, women are more sensitive to hazing than men? Should airlines force all pilots to retire at age sixty, even though most pilots at that age have excellent vision? Can all pit bulls be banned because of the aggressive characteristics of the breed? And, most controversially, should government and law enforcement use racial and ethnic profiling as a tool to fight crime and terrorism?
Frederick Schauer strives to analyze and resolve these prickly questions. When the law “thinks like an actuary”—makes decisions about groups based on averages—the public benefit can be enormous. On the other hand, profiling and stereotyping may lead to injustice. And many stereotypes are self-fulfilling, while others are simply spurious. How, then, can we decide which stereotypes are accurate, which are distortions, which can be applied fairly, and which will result in unfair stigmatization?
These decisions must rely not only on statistical and empirical accuracy, but also on morality. Even statistically sound generalizations may sometimes have to yield to the demands of justice. But broad judgments are not always or even usually immoral, and we should not always dismiss them because of an instinctive aversion to stereotypes. As Schauer argues, there is good profiling and bad profiling. If we can effectively determine which is which, we stand to gain, not lose, a measure of justice.
When an activity raises threats of harm to human health or the environment, precautionary measures should be taken even if some cause and effect relationships are not fully established scientifically. This idea, known as the "Precautionary Principle," is seen by environmentalists and public health experts as the key to protecting ecological and human health.
In January 1998, the Science and Environmmental Health Network convened an international group of scientists, researchers, environmentalists, academics, and labor representatives to discuss ways of incorporating the precautionary approach into environmental and public health decision-making. Known as the Wingspread Conference on Implementing the Precautionary Principle, the workshop focused on understanding the contexts under which the principle developed, its basis, and how it could be implemented. Protecting Public Health and the Environment is an outgrowth of that conference. The book:
Public health professionals and academics, policymakers, environmental lawyers, sustainable agriculture proponents, economists, and environmental activists will find the book an enlightening and thought-provoking guide to a new way of thinking about ecosystem and public health protection.
Public policy advocates routinely assert that “research has shown” a particular policy to be desirable. But how reliable is the analysis in the research they invoke? And how does that analysis affect the way policy is made, on issues ranging from vaccination to minimum wage to FDA drug approval? Charles Manski argues here that current policy is based on untrustworthy analysis. By failing to account for uncertainty in an unpredictable world, policy analysis misleads policy makers with expressions of certitude. Public Policy in an Uncertain World critiques the status quo and offers an innovation to improve how policy research is conducted and how policy makers use research.
Consumers of policy analysis, whether civil servants, journalists, or concerned citizens, need to understand research methodology well enough to properly assess reported findings. In the current model, policy researchers base their predictions on strong assumptions. But as Manski demonstrates, strong assumptions lead to less credible predictions than weaker ones. His alternative approach takes account of uncertainty and thereby moves policy analysis away from incredible certitude and toward honest portrayal of partial knowledge. Manski describes analysis of research on such topics as the effect of the death penalty on homicide, of unemployment insurance on job-seeking, and of preschooling on high school graduation. And he uses other real-world scenarios to illustrate the course he recommends, in which policy makers form reasonable decisions based on partial knowledge of outcomes, and journalists evaluate research claims more closely, with a skeptical eye toward expressions of certitude.
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