Institution for Social and Policy Studies – serie

Is civic identity in the United States really defined by liberal, democratic political principles? Or is U.S. citizenship the product of multiple traditions—not only liberalism and republicanism but also white supremacy, Anglo-Saxon supremacy, Protestant supremacy, and male supremacy? In this powerful and disturbing book, Rogers Smith traces political struggles over U.S. citizenship laws from the colonial period through the Progressive era and shows that throughout this time, most adults were legally denied access to full citizenship, including political rights, solely because of their race, ethnicity, or gender. Basic conflicts over these denials have driven political development and civic membership in the U.S., Smith argues. These conflicts are what truly define U.S. civic identity up to this day.Others have claimed that nativist, racist, and sexist traditions have been marginal or that they are purely products of capitalist institutions. In contrast, Smith’s pathbreaking account explains why these traditions have been central to American political and economic life. He shows that in the politics of nation building, principles of democracy and liberty have often failed to foster a sense of shared "peoplehood" and have instead led many Americans to claim that they are a "chosen people," a "master race" or superior culture, with distinctive gender roles. Smith concludes that today the United States is in a period of reaction against the egalitarian civic reforms of the last generation, with nativist, racist, and sexist beliefs regaining influence. He suggests ways that proponents of liberal democracy should alter their view of U.S. citizenship in order to combat these developments more effectively.

Social insurance in the United States—including the Social Security Act of 1935 and the Medicare, Medicaid, and disability insurance programs that were added later—may be the greatest triumph of American domestic policy. But true security has not been achieved. As Michael J. Graetz and Jerry L. Mashaw show in this pathbreaking book, the nation's system of social insurance is riddled with gaps, inefficiencies, and inequities. Even the most popular and successful programs, Medicare and Social Security, face serious financial challenges from the coming retirement of the baby boom generation and the aging of the population. This book challenges the notion that American social insurance must remain inadequate, unaffordable, or both. In sharp contrast to policymakers and analysts who debate only one income security program at a time, Graetz and Mashaw examine social insurance whole to assess its crucial role in providing economic security in a dynamic market economy. They recognize that, notwithstanding a proper emphasis on individual freedom and responsibility, Americans share a common fate that binds them together in a common enterprise. The authors offer us a new vision of the social insurance contract and concrete proposals to make the nation's families more secure without increasing costs.

How successful are HIV prevention programs? Which HIV prevention programs are most cost effective? Which programs are worth expanding and which should be abandoned altogether? This book addresses the quantitative evaluation of HIV prevention programs, assessing for the first time several different quantitative methods of evaluation.The authors of the book include behavioral scientists, biologists, economists, epidemiologists, health service researchers, operations researchers, policy makers, and statisticians. They present a wide variety of perspectives on the subject, including an overview of HIV prevention programs in developing countries, economic analyses that address questions of cost effectiveness and resource allocation, case studies such as Israel’s ban on Ethiopian blood donors, and descriptions of new methodologies and problems.

How and why democracy and justice and must be pursued together  Democracy and justice are often mutually antagonistic ideas, but in this innovative book Ian Shapiro shows how and why they should be pursued together. Justice must be sought democratically if it is to garner legitimacy in the modern world, he claims, and democracy must be justice-promoting if it is to sustain allegiance over time. Democratic Justice meets these criteria, offering an attractive vision of a practical path to a better future.  Wherever power is exercised in human affairs, Shapiro argues, the lack of democracy will be experienced as injustice. The challenge is to democratize social relations so as to diminish injustice, but to do this in ways that are compatible with people’s values and goals. Shapiro shows how this can be done in different phases of the human life cycle, from childhood through the adult worlds of work and domestic life, retirement, old age, and approaching death. He spells out the implications for pressing debates about authority over children, the law of marriage and divorce, population control, governing the firm, basic income guarantees, health insurance, retirement policies, and decisions made by and for the infirm elderly. This refreshing encounter between political philosophy and practical politics will interest all those who aspire to bequeath a more just world to our children than the one we have inherited.

Despite the fact that citizens of advanced market democracies are satisfied with their material progress, many are haunted by a spirit of unhappiness. There is evidence of a rising tide of clinical depression in most advanced societies, and in the United States studies have documented a decline in the number of people who regard themselves as happy. Although our political and economic systems are based on the utilitarian philosophy of happiness—the greatest good for the greatest number—they seem to have contributed to our dissatisfaction with life. This book investigates why this is so.Drawing on extensive research in such fields as quality of life, economics, politics, sociology, psychology, and biology, Robert E. Lane presents a challenging thesis. He shows that the main sources of well-being in advanced economies are friendships and a good family life and that, once one is beyond the poverty level, a larger income contributes almost nothing to happiness. In fact, as prosperity increases, there is a tragic erosion of family solidarity and community integration, and individuals become more and more distrustful of each other and their political institutions. Lane urges that we alter our priorities so that we increase our levels of companionship even at the risk of reducing our income.

In this clear and accessible book, an eminent political scientist offers a jargon-free introduction to the market system for all readers, with or without a background in economics. "A balanced and novel treatment of a very important set of questions. This is a book of grand scope by an outstanding scholar."—Samuel Bowles, University of Massachusetts, Amherst "Anyone who wants to know more about the market system’s plusses and minuses, how government can help or hinder its workings, and the direction in which it is likely to move should read this clear, fair, and fascinating book."—Robert Heilbroner, professor emeritus, New School University"The Market System resplendently assesses the character, rules, advantages, and shortcomings of the central institution coordinating modern economic and social life. Lindblom marshals his incisive intellect, uncommon range, and pellucid prose to clarify, probe, and exhort. The result is an unsurpassed guide."—Ira I. Katznelson, Columbia University

The study of electoral realignments is one of the most influential and intellectually stimulating enterprises undertaken by American political scientists. Realignment theory has been seen as a science able to predict changes, and generations of students, journalists, pundits, and political scientists have been trained to be on the lookout for “signs” of new electoral realignments. Now a major political scientist argues that the essential claims of realignment theory are wrong—that American elections, parties, and policymaking are not (and never were) reconfigured according to the realignment calendar.David Mayhew examines fifteen key empirical claims of realignment theory in detail and shows us why each in turn does not hold up under scrutiny. It is time, he insists, to open the field to new ideas. We might, for example, adopt a more nominalistic, skeptical way of thinking about American elections that highlights contingency, short-term election strategies, and valence issues. Or we might examine such broad topics as bellicosity in early American history, or racial questions in much of our electoral history. But we must move on from an old orthodoxy and failed model of illumination.

As physicians are faced with new and wonderful options for saving lives, transplanting organs, and furthering research, they also must wrestle with new and troubling choices—who should receive scarce and vital treatment, how we determine when life ends, what limits should be placed on care for the dying, and more. This book by renowned theologian Paul Ramsey, first published thirty years ago, anticipated these moral and ethical issues and addressed them with cogency and power, providing the intellectual foundations for the field of bioethics. This second edition of Ramsey’s classic work includes a new foreword by Margaret Farley and essays by Albert R. Jonsen and William F. May that help to locate and interpret Ramsey historically and intellectually.Praise for the earlier edition:“For its strong, well-argued positions, its documentation and references, and its assistance in bringing confused strands of thought into focus, The Patient as Person willbe used for many years.”—Michael Novak, New York Times “Amid the plethora of books on medical ethics that merely skim the surface, this one solidly examines most aspects of the question––from the definition of death to organ transplantation.”—Christianity Today“Notable for its clear moral reasoning and its thorough examination of all morally relevant issues.”—Journal of Religion“[Ramsey’s] study is a masterpiece of thoroughness in evaluating conflicting moral claims which become explicit in crucial medical situations.”—Dolores Dooley-Clarke, Philosophical Studies

Can I become a doctor? Should I? How can I find out? What is it like to be in medical school? What other careers in the health field might be right for me? What are the satisfactions and pitfalls of a career in medicine?For anyone pondering a career in medicine or a related health profession, this book is an invaluable guide. It contains the firsthand advice of men and women working in the health field today. These diverse professionals describe how and why they made their career choices and what the journey has been like. They tell their stories with candor and humor, sharing their personal circumstances, experiences, uncertainties, and triumphs.More than seventy medical and health professionals, including physicians, biomedical researchers, nurses, chiropractors, medical sociologists, and others, contribute to the volume. They represent many individual viewpoints and speak from different stages of their careers. The distilled wisdom of this group conveys more comprehensively and openly than ever before what it means to choose a career in medicine.

Which get-out-the-vote efforts actually succeed in ethnoracial communities—and why? Analyzing the results from hundreds of original experiments, the authors of this book offer a persuasive new theory to explain why some methods work while others don’t.Exploring and comparing a wide variety of efforts targeting ethnoracial voters, Lisa García Bedolla and Melissa R. Michelson present a new theoretical frame—the Social Cognition Model of voting, based on an individual’s sense of civic identity—for understanding get-out-the-vote effectiveness.  Their book will serve as a useful guide for political practitioners, for it offers concrete strategies to employ in developing future mobilization efforts.

In recent years, social scientists have engaged in a deep debate over the methods appropriate to their research. Their long reliance on passive observational collection of information has been challenged by proponents of experimental methods designed to precisely infer causal effects through active intervention in the social world. Some scholars claim that field experiments represent a new gold standard and the best way forward, while others insist that these methods carry inherent inconsistencies, limitations, or ethical dilemmas that observational approaches do not. This unique collection of essays by the most influential figures on every side of this debate reveals its most important stakes and will provide useful guidance to students and scholars in many disciplines.

What explains the continuing hardship of so many black Americans? A distinguished group of scholars analyzes the long, complex structural and environmental causes of discrimination and their effects on African-Americans. The authors examine the impact of poverty, poor health, poor schools, poor housing, poor neighborhoods, and few job opportunities—and demonstrate how multiple causes reinforce each other and condemn African-Americans to positions of inferiority and poverty. Some of the contributors examine policies designed to correct problems, while others look at the changing racial and ethnic composition in America and its implications for African-Americans, as other minorities surpass them in numbers and claim political, economic, and social attention. The late James Tobin has contributed a foreword to this important collection.