Public Policy Commons^™

Preface, Jenna Toplin

New England Journal of Public Policy

The preface of this journal speaks about the history of the Boston-Haifa Learning Exchange Network and how as teachers and learners, LEN members continue their learning and reflection in these pages. Their stories bring a diverse collection of voices, experiences, and perspectives and capture a shared vision of creating lasting, systemic change and bettering the communities in which we live.

Service And/Or Advocacy: Nonprofit Sector In The Twenty-First Century, Nancy K. Kaufman

New England Journal of Public Policy

In both Israel and the United States over the past twenty years, there has been an explosion in the number of nonprofit organizations that live in a space somewhere between government agencies and for-profit companies. While the growth of these organizations may have been stimulated by different factors in each country, there is much to be learned through a cross-cultural exchange like the one between organizations in Haifa and in Boston. In order to analyze some of the challenges facing nonprofit organizations across a wide spectrum of mission, purpose, and size, I have categorized the type of organizations being discussed …

Challenges For Nonprofit Organizations. Introduction: A Theoretical Framework. Civil Society And Challenges Faced By Nonprofits, Amnon Reichman

New England Journal of Public Policy

This introduction will tackle two issues. The first is theoretical: a framework will be proposed with which to approach the activity of nonprofit organizations within civil society in modern democracies. Whereas the traditional approach posits three sectors in a triangular setting (the top corner occupied by the government, the bottom-right corner occupied by the market, and the bottom left corner by the “third sector”), a better conceptualization defines civil society as a social space between the state (located above) and the individual or the private sphere (located below). This space is where for-profit organizations (usually clustered in one side of …

The Tide Is High For The Boston Beaches, Marissa Glowac

New England Journal of Public Policy

In 1993, Massachusetts Governor William Weld and Boston Mayor Thomas Menino approved the “Back to the Beaches” project, a seven-year, $30.5 million public project to restore nineteen Boston Harbor beaches. Today, these sites have new, cleaner sand, improved access, and new amenities and facilities now ready to offer additional opportunities for recreation. People are coming back to the Boston Harbor beaches in numbers significantly higher than a decade ago. This study concludes that the implementation and success of the “Back to the Beaches” project can be attributed to several factors — an increased public awareness of the value of open …

The Power Of The Urban Canvas: Paint, Politics, And Mural Art Policy, Maura E. Greaney

New England Journal of Public Policy

In cities across America, outdoor mural paintings have brought public art to the urban landscape. Paint and politics have been splashed upon city walls for decades, replacing bleak, often graffitied, exteriors with vibrant color. But this transformation runs deeper than the artistry of the murals; the real works of art are the changes these collaborative projects inspire within communities. Mural projects mobilize communities to articulate dreams, express frustrations, and most importantly, consider strategies for change. Thus, they are a worthy consideration for public policymakers. This case study traces the contemporary mural movement in three cities: Boston, Philadelphia, and Los Angeles. …

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

This issue of the journal is a special issue of a different kind. It highlights the research capabilities of students in the Institute’s Masters of Science in Public Affairs (MSPA) program. The Director of the Institute, Ed Beard, has more to say about the program in his introduction. Suffice to say that tooting one’s own horn is occasionally permissible, especially if one has much to toot about. The three articles that appear in this issue were chosen after careful review with one criterion uppermost in mind: do they meet the standards that merit publication in a professional journal that prides …

From The Director, Edmund Beard

New England Journal of Public Policy

Presents information on the Master of Science in Public Affairs graduate program and how this issue includes three of their best Case Studies of last year’s graduating class.

The Citizens Health Prescription: Coping With Rising Drug Costs, Shannon Cadres

New England Journal of Public Policy

Prescription drug prices have climbed to unaffordable levels in recent years, creating a serious public policy problem for lawmakers at both the state and federal levels. The U.S. Medicare program only covers the costs of inpatient prescription drugs, and only seventy-five percent of beneficiaries are receiving coverage through some other means. But because of the tremendous power of the pharmaceutical industry on Capitol Hill, lawmakers in Washington have been unable to agree upon a workable solution. As a result, many states are experimenting with different strategies to provide some relief. Massachusetts has attempted to solve the problem through the Prescription …

The Paradox Of Public Authorities In Massachusetts: Massport And Masspike, Richard A. Hogarty

New England Journal of Public Policy

This case study provides historical context and fresh perspectives for those seeking to understand the ways in which independent authorities operate in Massachusetts. More specifically, it examines the controversial performances of two separate authorities that deal with transportation problems. One involves a failure to detect terrorists breaching security at Logan Airport; the other entails a bitter dispute that arose over the delay in raising tolls on the turnpike to pay for the Big Dig project. With both in mind, this study describes the countervailing pressures that converge on the executive branch of state government as it confronts the prospect of …

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

We are pleased to bring you the first issue of the New England Journal of Public Policy in the new century. We rejoice that at the stroke of midnight on December 31, 1999, the planet did not implode, meteors did not shower us with the debris of their displeasure with us earthlings, aircraft did not fall out of the sky, catastrophic convulsions in our ecosystems did not engulf us, telecommunication systems functioned with indifferent insouciance to the inner terrors of our crippled imaginations. The world, one minute after January 1, 2000, was yawningly the same as one minute before.

Whether …

The Sargent Governorship: Leader And Legacy, Richard A. Hogarty

New England Journal of Public Policy

Following in the long line of succession of his predecessors, Francis W. Sargent served as the sixty-third governor of Massachusetts. A lifelong Republican, he was a man of character and sterling Yankee blue-blood lineage with the stature of a political independent. Grappling with a series of hot political issues and braving the passions and divisions spawned by the war in Vietnam, he was one of the ablest and most intriguing men ever to be governor. He worked hard at knowing his constituents and their concerns, but he did not always provide them with easy answers. Several new ideas were transformed …

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

When you receive this issue of the New England Journal of Public Policy, we should be crossing the threshold from millennium mania to millennium madness. The former has concerned itself almost exclusively with the etiquette of millennium rites, where one ought to be on the occasion itself — embracing the starlit grandeur of the ancient pyramids, as if to remind ourselves that some things preceded the outgoing millennium and even exceeded the achievements of our own: in the silence of a Tibetan monastery to contemplate in serenity the philosophical implications of the momentous transition and reflect perhaps on the …

The Mechtech Program: An Education And Training Model For The Next Century, Robert Forrant

New England Journal of Public Policy

The small-firm metalworking industry is routinely characterized by cutthroat competition and fierce privacy. Yet, since the late 1980s, the members of the western Massachusetts chapter of the National Tooling and Machining Association have participated in an education, training, and technology diffusion network characterized by a high degree of interfirm cooperation. Hundreds of workers and managers have take part in group training sessions and seminars. The reconstruction of the skill base is central to the MechTech apprenticeship program through which apprentices spend four years in participating firms, exiting the program as licensed machinists, tool and die makers, or moldmakers. In an …

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

This is the next to last issue of the New England Journal of Public Policy before we usher in the new millennium. In the coming year the word itself will go through many uses, many permutations of meaning, be subject of so much tendentious punditry, idiotic speculation, inane commentary, and pompous prognostications that it will have been sucked dry of meaning, and we will be left with a plethora of "millennium specials" and "the top one hundred of the millennium" in everything from cat food to human diet fads, and of course your perennial millennium "special sales" and "personalities of …

What Predicts Success In Jtpa?: Test Of A Three-Component Model, Carolyn Ball

New England Journal of Public Policy

The Job Training Partnership Act (JTPA), an education and training program to assist the economically disadvantaged, is one of sixty or more programs Congress is considering consolidating. This program had great success in the late 1980s and early 1990s, but its value and support have been declining. This author examines whether JTPA should continue through a test of three employment theories: discrimination, signaling, and human investment using data from Maine's JTPA program. Findings indicate that while the program can reduce discriminatory barriers and negative signals such as welfare status, it does not consistently succeed as a training investment. Enrollment in …

Is Boston Becoming A Branch-Plant Town?, Lawrence Franko

New England Journal of Public Policy

A decade ago, Boston appeared to be emerging as a headquarters city for a large number of world-class enterprises. Notwithstanding the recovery from the early-1990s recession, and a thriving entrepreneurial economy of business acorns, Boston today seems on its way to becoming largely a branch-plant town. None of the 1980s Massachusetts Miracle saplings or the more recent acorns have grown into mighty corporate oaks headquartered here. This article discusses the risks of having our current prosperity increasingly based on branch plants acquired or established by firms centered elsewhere. Its concern is based on the proposition that having big-business corporate headquarters …

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

Readers of this journal will have noticed an increasing emphasis on the impacts of globalization in recent issues. Not only has it become the mantra of the last years of the dying millennium, it is being presented as an elixir of unbounded possibilities, a process that will, with the help of some undefined alchemy, make the twenty-first century fulfill the promises and potential that somehow got lost or marginalized in the tumultuous upheavals of the twentieth. Yet its implications are largely unknown, the pace and speed of change are laboratory equations, and the unintended consequences of our hubris in our …

Governing Massachusetts Public Schools: Assessing The 1993 Massachusetts Education Reform Act, John Portz

New England Journal of Public Policy

The Massachusetts Education Reform Act of 1993 created a number of important changes in public education. In the area of local governance, the act was guided by a corporate model in which authority and responsibilities were reallocated among school committees, superintendents, principals, and newly created school councils. School committees in particular assumed a policymaking role, and superintendents became the chief executive officers of their school districts. This article, based on responses to a mail survey, is an early assessment of the act's governance changes. Superintendents are most satisfied with their role, especially their authority over principals and teachers. School committee …

Industrial Policy: Federal, State, And Local Response, Zenia Kotval

New England Journal of Public Policy

During the past twenty years, many economists and policymakers have strongly advocated that the United States formulate a national industrial policy to improve the competitiveness of American firms in the global marketplace. These proposals call for both direct and indirect assistance to specific industrial sectors. Some would contend that U.S. industrial policies are being challenged by newer growth theories that shift the focus from the nation as the basic unit of industrial geography to regions and municipalities. There is little argument about the need for industrial policies that tie national, state, and local initiatives together. However, confusion and disagreement exist …

The Professional Decline Of Physicians In The Era Of Managed Care, Aimee E. Marlow

New England Journal of Public Policy

Physicians have long enjoyed prestige, power, and autonomy, but the rise of managed care organizations has drastically changed their status. Many doctors are in thrall to the financial well-being of the corporations that employ them, their knowledge and expertise controlled and manipulated in the interest of profit maximization. This article investigates the professional decline of physicians, citing the use of gag clauses, incentives to withhold care, and the breakdown of their authority. In an effort to regain some measure of control, physicians have taken their concerns to the public, supporting state and federal legislation that attempts to curb questionable managed …

Institutional Design And Regulatory Performance: Rethinking State Certificate Of Need Programs, Robert Hackey, Peter Fuller

New England Journal of Public Policy

The success of state efforts to control rising health care costs depends on the incentives contained in the legislative design of regulatory policies and in the administrative capacity and autonomy of state agencies. States have regulated the construction and expansion of health care facilities and services for more than two decades through "certificate of need" (CON) programs designed to limit the diffusion of expensive new medical technologies and to avoid the duplication of health care facilities. Although the cost-control record of state certificate of need programs has been widely criticized, Rhode Island's experience with a reformed CON process from 1985 …

Citizen Participation And Strategic Planning For An Urban Enterprise Community, Michael Leo Owens

New England Journal of Public Policy

Public policies rarely have single objectives. For the federal Empowerment Zones and Enterprise Communities initiative, bettering the socioeconomic opportunity structure among a collection of the nation's low-income areas is only one of its goals. Another initiative objective is to foster the representation of common citizens, especially residents, in the planning and implementation of strategies and programs designed to redevelop these low-income areas. Strategic community planning was the method chosen by the initiative's designers to achieve both objectives. This article, which makes use of the case study approach, addresses strategic community planning as an instrument of advancing citizen representation in urban …

The Potential Impact Of Workforce Development Legislation On Cbos, Edwin Meléndez

New England Journal of Public Policy

The proposed congressional legislation revamping the employment and training system will result in budget cuts, program consolidation, and block grants for the states. These changes are potentially harmful to community-based organizations (CBOs) because (J ) they eliminate categorical funding that traditionally has required contracting with organizations which specialize in servicing the disadvantaged, and (2) they introduce stricter performance standards that may be unattainable for many small-scale operations. However, the adoption of best practices in serving non-English-speaking and poor populations, increasing connections to emerging government intermediaries in labor markets, and establishing greater linkages to postsecondary educational institutions may offer CBOs the …

From Welfare To What?: The Limitations Of Low-Income Work, Lande Ajose

New England Journal of Public Policy

The premise of the welfare law enacted by Congress is that people living in poverty could vastly improve their economic status if only they were employed. The author argues that economic security for welfare recipients will not be realized simply by increasing the labor-force attachment. Home health aides comprise an occupation that could absorb many of the large pool of workers expected to join the labor market because demand for their services is high and barriers to entry are low. However, as this survey shows, the home health field offers limited promise to welfare recipients because, significantly for women rolling …

Foreword, Andrés Torres, James Green

New England Journal of Public Policy

Many important debates about public policy at the national level and in states like Massachusetts have centered on health care and human services, including welfare and the care of children, the abused, the disabled, the elderly, and those suffering from mental and physical illness. In this issue scholars and advocates examine a range of problems in the health care and human service fields from a perspective often lacking in the public policy discussion — that of the workforce and of the labor organizations that represent the workforce.

Improving Workforce Conditions In Private Human Service Agencies: A Partnership Between A Union And Human Service Providers, James Green

New England Journal of Public Policy

In 1995 the Service Employees International Union Local 509 and four Massachusetts human service providers signed an unusual agreement to forge a partnership in which employers would remain neutral while the union approached its workers with an offer to advocate in the state legislature for greater funding for private human service employees and to promote cooperative relations with their employers. This study examines the context of the agreement and the pressures on public employee unions and small human service providers whose workforce copes with low wages, high turnover, meager benefits, and poor public image as well as the give-and-take between …

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

This special issue of the journal, "Workforce Development: Health Care and Human Services," focuses on a range of problems in the health care and human service fields from a perspective that is, to say the least, frequently neglected in public policy discussion — the perspective of their workforces and the labor organizations that represent them. In many respects, the questions the articles address are a microcosm of the problems that will daunt us in the future, daunt us even more because, in a world of limited choices, denial has a special utility: by allowing us to evoke the unpalatable, it …

Nursing: A New Day, A New Way, Lin Zhan, Jane Cloutterback

New England Journal of Public Policy

The U.S. health care environment is changing rapidly. Its structure, financing, and delivery are being reconfigured toward an integrated system based on managed care. Increasingly, national interest in health promotion and disease prevention is moving care away from a disease-oriented, institutionally based model to a population-focused, wellness-oriented, and community-based system. Health care consumers are diversifying in age, ethnicity, and socioeconomic status. The approach emerging from these changes and others requires nursing to rethink, redesign, and retool its workforce to meet new challenges. This article analyzes nursing education, practice, and operations. The authors discuss the dilemmas and complexity of developing an …

Umass Chooses A Political Executive: The Politics Of A Presidential Search, Richard A. Hogarty

New England Journal of Public Policy

Horace Mann, the father of American public education, had served as president of the Massachusetts Senate prior to becoming the state's first secretary of education. Since then, as reformers succeeded in removing politics from the sacred groves of academe, appointing a politician to head the state's educational system fell into disfavor. Relatively recently, however, there have been two abortive attempts by politicians to reach the executive pinnacle of public higher education. Both James Collins, in 1986, and David Bartley, in 1991, were defeated in the quest to achieve this goal. Historical understanding of these battles is necessary to comprehend what …

Editor's Note, Padraig O'Malley

New England Journal of Public Policy

In a paraphrase of Yogi Berra's immortal words, we came to a fork in the road and we took it. Which is all in the way of introducing this issue of the New England Journal of Public Policy. The articles featured here, while spanning a very broad spectrum of public policy, have several unifying themes. They are all case studies in one way or another of the incompetence that is an essential feature of the public policy process in a democratic culture, of the constraints in the way of making change, no matter how obviously desirable or in the …