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The Economic Context: Growing Disparities Of Income And Wealth, Chuck Collins

New England Journal of Public Policy

In the last few years, poverty rates have remained constant in the New England states. The effort to reduce poverty in New England and the United States has been thwarted by trends of growing income and wealth inequality. Since the late 1970s, the real incomes for the majority of U.S. households have remained stagnant or fallen. During the same time, asset ownership has become dramatically more unequal, and the concentration of wealth in the hands of a few has increased. The causes of this accelerated inequality are complex, but underlying the picture are a series of rule changes, both public …

Women In New England Politics, Paige Ransford, Carol Hardy-Fanta, Anne Marie Cammisa

New England Journal of Public Policy

This essay addresses a serious deficiency in the literature on women and politics in the United States today: the lack of attention to regional variation and, more specifically, the absence of research on women’s representation in New England. This deficiency is particularly troubling since political analysts of all stripes typically portray New England as imbued with ideological, individual, and structural characteristics likely to lead to rates of political representation higher than the nation as a whole. This essay provides a brief history of women in politics for New England as a whole; describes the current status of women at congressional, …

The Economic Context: Growing Disparities Of Income And Wealth, Chuck Collins

New England Journal of Public Policy

In the last few years, poverty rates have remained constant in the New England states. The effort to reduce poverty in New England and the United States has been thwarted by trends of growing income and wealth inequality. Since the late 1970s, the real incomes for the majority of U.S. households have remained stagnant or fallen. During the same time, asset ownership has become dramatically more unequal, and the concentration of wealth in the hands of a few has increased. The causes of this accelerated inequality are complex, but underlying the picture are a series of rule changes, both public …

Welfare Reform: Lessons From New England, Richard M. Francis, Thomas J. Anton

New England Journal of Public Policy

This article examines state welfare policy choices following the passage of the Personal Responsibility and Work Opportunity Reconciliation Act. Using data from national studies and an intensive study of policymaking in New England, the authors demonstrate that states have acted independently rather than uniformly in response to devolution. Because states did not respond as predicted, and for reasons that were not anticipated, scholars must develop new approaches to understanding state policymaking. This study argues that accounting for state policy choices requires an understanding of the context of policymaking. Conventional analyses of welfare reform have ignored the institutional structures through which …

Naep State Reports In Mathematics: Valuable Information For Monitoring Education Reform, Ronald K. Hambleton, Sharon F. Cadman

New England Journal of Public Policy

The National Assessment of Educational Progress (NAEP), a congressionally mandated program, can provide valuable data to educational policymakers in Massachusetts and other New England states about the status of their educational reform initiatives and their performance standards. The three purposes of this article are to describe NAEP and its goals and structure, to present some of the results of the 1992 Mathematics NAEP Assessment as an example of the utility of this national assessment program, and to highlight ways in which background data collected by NAEP can be helpful in interpreting assessment results and monitoring educational reform. The six New …

Latinos In Massachusetts: Growth And Geographical Distribution, Ralph Rivera

New England Journal of Public Policy

Massachusetts has undergone radical changes in its racial/ethnic composition in the last ten years. The Latino population, owing to its extraordinary growth rate during the last two decades, is the largest racial/ethnic minority group in the state. Yet relatively little is known about this population because of the "information gap." Based on 1990 census data, this article focuses on the growth and geographical distribution of Latinos in Massachusetts. It considers the undercount of Latinos, the growth of Latinos in the commonwealth from a national perspective, and assesses the increase of Latinos in the New England states. It explores the growth …

Financing Mental Health Services For The Homeless Mentally Ill In New England, Margaret Stephens, Dominic Hodgkin

New England Journal of Public Policy

This paper examines how New England states pay for the mental health care of the homeless mentally ill. The focus is on how states choose providers, how they reimburse and monitor them, and how these arrangements may affect the incentives facing providers. Detailed case studies of Massachusetts, Rhode Island, and Vermont regulations are included. The studies reveal important differences in how states choose and reimburse providers, for both the homeless and nonhomeless mentally ill. The states also differ in the extent to which they have contracted with nontraditional providers, which many believe to be a necessary approach, given the frequent …

The Acquired Immunodeficiency Syndrome In New England: An Epidemiological Review Of The First Six Years, Laureen M. Kunches, Jeanne M. Day

New England Journal of Public Policy

Between 1981 and 1987 — the six-year period following initial recognition of the acquired immunodeficiency syndrome (AIDS) — 1,475 cases were reported among residents of the six New England states. Of nearly 40,000 cases nationwide, 3.8 percent occurred among New England residents, though the region 's population represents 5.5 percent ofthe total United States population. The groups most affected include homosexual or bisexual men (65 percent) and intravenous drug users (20 percent). However, in the two southernmost states — Rhode Island and Connecticut — 32 to 40 percent of all cases have used intravenous drugs. In these states, the male:female …

Aids And New England Hospitals, Jesse Green, Neil Wintfeld, Madeleine Singer, Kevin Schulman

New England Journal of Public Policy

The Centers for Disease Control projects that nine thousand persons with AIDS will be alive in New England in 1991, representing a sevenfold increase from 1986. Our analysis indicates that more than 2 percent of medical/surgical beds in New England will be used for AIDS care by 1991, representing 766 fully occupied hospital beds. The direct cost of providing hospital care to New England's AIDS patients is projected to be $195.2 million in 1991, reflecting 3 percent of all hospital inpatient costs in the region.

AIDS treatment is very unevenly distributed among hospitals in New England. Just twenty hospitals (8 …

Medical Care Of Aids In New England: Costs And Implications, Stewart J. Landers, George R. Seage Iii

New England Journal of Public Policy

This article presents an overview of cost issues related to AIDS. Data from the Massachusetts Cost of AIDS Study are combined with epidemiological projections to estimate the cost of treating people diagnosed with AIDS in New England. Aggregate inpatient, ambulatory, and home care costs are estimated to be $96.9 million and $524.8 million through 1987 and 1991, respectively. These estimates represent a relatively small percentage of total health care costs for all illnesses over the same time period.

The authors find that the cost of treating AIDS does not affect all health care providers uniformly and therefore argue that appropriate …

New England And National Resources: For People With Aids, Arc, Or Hiv Infection, Their Families, And Friends, Diane Fentress, Betsy Anne Youngholm

New England Journal of Public Policy

A listing of resources and services, compiled in 1988 for this issue, for people with AIDS, ARC, or HIV, as well as their families and friends.

The Fund For New England: A New Environmental Philanthropy, Charles H. W. Foster

New England Journal of Public Policy

New England has a new, regional philanthropy, the Fund for New England, which is concerned with the advancement of natural resources and environment in the six-state region. The fund is one of a class of new regional environmental funds/trusts that are emerging across the country. The history of New England's own effort is described at the outset of the article, which also explores the experience and potential of the fund and its national counterparts with regard to advancing the novel concept of contributions in lieu of environmental fines. Finally, the process followed in establishing and operating the fund is examined …

The Double Character Of Daniel Webster, Irving H. Bartlett

New England Journal of Public Policy

Between 1815 and 1852, when people in New England wanted advice on matters of public policy, they sought out Daniel Webster. His extraordinary reputation rested in large measure on his ability to play a conservative role, to assure his followers that the federal Union was sound and that their role in a rapidly changing democratic society was consistent with their historic legacy. In 1850 the message failed and Webster fell.

Poverty Amid Renewed Affluence: The Poor Of New England At Mid-Decade, Andrew M. Sum, Paul E. Harrington, William B. Goedicke, Robert Vinson

New England Journal of Public Policy

This article examines the problem of poverty in New England during the current period of economic prosperity. Major trends in the size and composition of the poor population within the region are analyzed. Striking changes in the relative incidence of poverty have occurred among families in New England. As the economy has moved toward full employment, poverty rates among husband-wife families in the region have fallen sharply. In contrast, female-headed families in New England have not benefited substantially from recent rapid increases in employment opportunities. The result has been a persistent trend toward the feminization of poverty in New England. …

De Facto New Federalism And New England: A Discussion, Kenneth Curtis, Chester Atkins, Richard Licht, David Walker, Roger Porter

New England Journal of Public Policy

Using John Shannons paper as a broad frame of reference (see previous article), a panel discussion titled "The Changing Nature of FederalI State Relations: The Fiscal Impact on New England" took place on 18 November 1985 at the University of Massachusetts at Boston. The discussion was sponsored by the John W. McCormack Institute of Public Affairs and was presented in a roundtable forum. The members of the panel were Kenneth Curtis, former governor of Maine; Chester Atkins, member of Congress from the Massachusetts Fifth Congressional District; Richard Licht, lieutenant governor of Rhode Island; David Walker, professor of political science at …

Urban Public Services: What The Future Holds, Robert Morris

New England Journal of Public Policy

Health and welfare are usually considered secondary or peripheral concerns of modern society. The article considers how questions about the provision of social welfare are imbedded in the economic, social, moral, and political fabric of contemporary America and New England. Underlying trends of economic, social, and attitudinal change are outlined, and implications for the future are considered. The article also considers the role of universities in equipping the next generation of citizens to cope more effectively with the complex issues that are forcing a restructuring of urban services.

Dismal Science Meets Dismal Subject: The (Mal)Practice Of Nuclear Power Economics, Charles Komanoff

New England Journal of Public Policy

Electric utilities, reactor designers and builders, and the federal government have badly underestimated the costs of new nuclear power plants over the past fifteen years. Although not all of the increases were readily predictable, particularly those caused by rapid general inflation, nuclear advocates failed to foresee most of the sixfold growth in real costs resulting from new reactors' greater complexity, scope, and regulatory surveillance.

This review recounts the methods used by nuclear power proponents to convince policymakers, the public, and themselves that new nuclear plants would be competitive with other energy sources, long after conclusive contrary evidence was available. It …

The Demography Of New England: Policy Issues For The Balance Of This Century, George S. Masnick

New England Journal of Public Policy

New England's rapidly aging population, its traditionally low fertility rate, and the fact that net migration from other regions and abroad should continue to be close to zero means that only very slow population growth will characterize the region for the balance of this century. Nevertheless, New England's demographic metabolism is exceptionally dynamic: (1) the numbers of different age groups are growing at very different rates; (2) a redistribution of population is occurring from the southern to northern tier states; (3) within each state population is dispersing into non-metropolitan areas; and (4) metropolitan areas, both central and suburban, are quickly …

Public Education In Boston, Joseph M. Cronin

New England Journal of Public Policy

Historically, Boston schools have been a source of pride and educational innovation, yet they have also been fraught with problems that are typical of urban education. Both the success achieved and the problems encountered in Boston schools bear analysis. In looking at such areas as overall quality of education, funding, and compliance with federal guidelines, specific recommendations for the future of public education in Boston can be offered. In addition, the impact of Boston's success or failure in implementing new ideas through the school committee and the mayor is not limited to the city itself. This article' s outlining of …