THE SOURCES OF PUBLIC POLICY: WELFARE POLICY IN THE AMERICAN STATES

The conceptualization of political and economic determinants of public policy as interactive rather than sufficient causes is subjected here to a comparative state analysis. An examination of interactive effects of culture, wealth, and gubernatorial power on AFDC grants and Medicaid benefits offers empirical illustration of Stonecash's reconceptualization of the classic politics-process-policy model. The results indicate that political dispositions become more potent in combination with increasing concentrations of wealth and executive power.     

THE ECOSYSTEM HEALTH METAPHOR IN SCIENCE AND POLICY

Ecosystem health' is an increasingly common metaphor in the langauge of science and policy. Given the prominence of both the ecosystem and health concepts within geography, this paper examines the meanings generated by the adoption of the metaphor for scientific research and for environmental policy on the North American Great Lakes. 'Ecosystem' can be characterized as an entity, an abstract concept, or a perspective. As perspective, ecosystem shares many features of postmodern science, emphasizing complexity and holism and calling for the inclusion of human beings in our considerations of nature. The ecosystem health metaphor is politically powerful in its ability to evoke action and concern for the environment with an appeal to the universal experiences of human ill-health. The organismic ecosystem health metaphor provides a new, relevant way of thinking about the natural world. In policy discourse, however, metaphor can be problematic in that there is potential for the author or speaker to hide behind the nonliteral language. Moreover, the acceptance of the ecosystem health metaphor which can draw upon widely held beliefs and norms implies that other ways of knowing the world are necessarily omitted. We highlight some of these issues in a case study of a policy document prepared by the Ecological Committee of the Great Lakes International Joint Commission. To continue to know how to study nature in new ways, metaphors must be encouraged, but their meanings must also be widely explored     

PARADIGMS IN THE STUDY OF HEALTH POLICY

This essay identifies and analyzes four different paradigms in the study of problems in the American health system. The paradigms, which are labelled the individual–deficiency, the economic, the organizational, and the Marxist perspective, are examined as “diagnostic paradigms” according to the way in which problems are conceptualized and the way in which remedial strategies are chosen. The essay shows the differences and similarities between characteristic diagnoses and policy solutions within the four perspectives. It is argued that such paradigms can easily be identified in recent health reform proposals.     

POLICY ISSUES IN AMERICAN SECURITY POLICY AND POLICY-MAKING USING AND CONTROLLING NEW WEAPONS

NATO may be confronting a crisis over the cruise missiles. Some allies may seek longer-range, nuclear-armed missile which could enable them to strike at Soviet MR/IRBMs and at other targets inside the USSR; others (along with many Americans) aim at restricting both the range and the missions of cruise missiles. The first option could jeopardize detente, inhibit further progress in SALT and conceivably weaken American control over the uses of nuclear weapons in time of war. The second could cause strains between the United States and its European allies. The best policy would seem to be to (1) delay any decision on cruise missile development and deployment in Europe; (2) seek a two-year freeze on all deployment of new nuclear delivery vehicles in Central Europe and of additional Soviet SS-20 IRBMs; (3) use this “breathing space” to seek agreement on the limitation of cruise missiles, MR/IRBMs and other “gray area” weapons in the region “from the Atlantic to the Urals.”