Lecture 8 Notes: Failed Innovation
A. How and why was there any focused effort on COIN in the 1960s?
1. How do we explain the extent to which there was ultimately a half
successful COIN capability and operation?
2. What does the process look like and what
CAN THERE BE REFORM?
Employment based, decentralized, fragmented, variable
But most (75-80%) Americans get comprehensive access to high quality care vs. all (95%
plus) Germans, British, Japanese, Canadians get good to very good care (and 5% get
1. Every Industrialized nation promises its citizens more comprehensive
and universal coverage than does the U.S.
2. But access varies greatly in every nation
geography-most nations have a dominant city, region (London/SE)
MARKETS AS AN ALTERNATIVE
If federal government not allowed and states cannot reform health care what is alternative-Markets
Market for education, food, transportation, energy why not health care? Better?
Today look at markets in health; not chronological
HEALTH STATUS, EXPENDITURES, AND RESOURCES
POINTS TO NOTE IN REVIEWING US AND COMPARATIVE HEALTH STATUS
US population aging (over 65) but less rapidly than Europe and Japan. They are
below population replacement rate and face an even more intense pro
THE QUEST FOR NATIONAL HEALTH INSURANCE
RISE AND FALL OF CLINTON HEALTH PLAN
Promise of Health Security -President Clinton in Fall 1993 introduces NHI Plan that his
wife was instrumental in designing. Fulfills promise of FDR
Setting: lots of health care i
HEALTH REFORM-THE STATES
States have and will keep having a role in US health system and therefore in health system
US a federal system/ constitutional division of power. GR and CANADA also federal
systems as we will see. Contrast with UK, FR, JP.
PAYING FOR HEALTH CARE: THE POLITICAL HISTORY THAT SHAPES
THE AMERICAN HEALTH CARE SYSTEM
National Health Insurance as public policy originates in Germany in the late 19th Century.
Germany was industrializing. People losing the protection, welfare
PAYING FOR HEALTH CARE: METHODS
THE SYSTEM, PROBLEMS, and POLICIES
M covers the elderly - the most expensive part of the population and the brakes on the
system -out of pocket constraint lifted.
Inflation hits system-not all just price increases
THE CANADIAN HEALTH CARE SYTEM
Popular comparison with U.S. even though health policy specialists prefer European trips.
Canada shares more than border with U.S.-economic, professional and cultural
integration. US companies often treat Canada as part of U
POLITICS OF HEALTH RISKS
The regulation of health risks and the allocation of health research dollars complicate
health policy. It seems totally irrational. The publics perception of health risks is quite
different from that of experts. Similarly, the pre
Lecture 5 Notes: What are the Political Dimensions of Ethnicity and Race?
Recent and Current Examples of Ethnic Conflict
Sudan (In the news a lot this summer)
Defined as wanting some freedoms,
Lecture 4 Notes: Ethnic and Racial Identities in Comparative Perspective
Clare Kim Reading
Field of Racial Positions=partially a hierarchy, but its not one
dimensional. Notion of insiders and outsiders.
Kim defined Asian-Americans as foreigners. Why are
Lecture 6 Notes: What are the Political Dimensions of Ethnicity and Race? (Contd.)
Kurds and Nicaragua
First chapter, Kurds and Miskito Indians.
o Both want autonomy
Book provides history with a focus on the Ottoman Empire.
Who are the Kurds?
Lecture 7 Notes: What are the Political Dimensions of Ethnicity and Race? (Contd.)
How did the Turks arrive in Germany?
o Arrived as guest workers
o The idea was that they would be temporary
Why would the Turkish Government agree to this guest wor
Lecture 9: The Sources of Discontent: The Intersections of Race and Class
Gurr and Harff come up with seven theories of the likelihood of ethnopolitical
o The greater the discrimination that the group experiences, the hig
Lecture 8: A Framework for Analysis of Ethnopolitical Mobilization
Essay topics out today
Read thru preamble of Iraq constitution that will be voted on Oct. 15th
o Sunnis, Shiites, and Kurds voted on a legislative council that drafted the
Lecture 13: International Dimensions of National Ethnopolitical Conflicts
Back to the International stage.
When thinking about these conflicts, we think that theyre local but they
have international dimensions.
In order to get a sense of the internation
Lecture 14: The Emergence of International Human Rights
What are the issues between intervention and state sovereignty?
State sovereignty=the state has ultimate say, there is no greater authority
What is the thinking behind intervention?
o Student: stat
Lecture 10: The Sources of Discontent: The Intersections of Race and Class (Contd.)
Back to the U.S.
The way racial identities combine with class can explain the position of particular
The question is to what degree is disadvantage a race issue a
Lecture 11: The Sources of Discontent: The Intersections of Race and Class (Contd.)
Why are they prosecuting Saddam Hussein for his involvement in the 1982 killing of
~140 Shia villagers?
Its one of the most clear cut crimes to prosecute H