Gay Dads: Transitions to Adoptive Fatherhood by Abbie E. Goldberg

Abstract

PATTY'S JOURNEY FROM ORPHANAGE TO ADOPTION AND REUNION. Norling, Donna Scott. Minneapolis: University of Minnesota Press, 1996, 208pp., Hardcover ISBN 0-8166-2866-1, $17.95 cloth. Reviewed by Karen Schmid.

KINSHIP WITH STRANGERS: ADOPTION AND INTERPRETATIONS OF KINSHIP IN AMERICAN CULTURE. Modell, Judith S. Berkeley: University of California Press, 1994, 286 pp., Hardcover ISBN 0-520-08118-8, $35.00 cloth. Reviewed by Karen Schmid.     

Change and Inertia in the New York State Medicaid Personal Care Services Program: An Institutional Case Study

This study analyzes how competing logics (belief systems) of stakeholders have influenced patterns of change and inertia in the development of the New York Medicaid Personal Care Services (PCS) program. A case-study methodology was used to collect documents, statistics, and interview data from four key stakeholder groups: state and city officials, PCS agencies, a labor union, and consumer advocates covering the period 1999 to 2005. The New York PCS program is one of the oldest, largest, and most stable programs in the United States. Its early unionization of workers resulted in relatively generous wages and benefits and made New York number one nationally in PCS spending per capita. In spite of wide support from stakeholder groups, the overall number of participants has gradually declined since 1999. A consumer-directed model of personal care developed in 1995 challenged the status quo and has grown steadily. Resistance by public officials, agency providers, and union representatives to the consumer-directed model has resulted in a small program that is often targeted toward individuals labeled “difficult to serve.” Dominant stakeholders in New York have ensured a stable personal care program that has resisted change and led to program inertia.     

Moral accounting as field foundation in an early modern empire: the English East India Company in the late eighteenth century

Field analysis and the relational approach to historical social-scientific explanation of which it is an instance – helps illuminate the administrative dynamics of empires. While most studies of imperial dynamics emphasize the ‘high imperialism’ of the nineteenth and twentieth centuries, this article extends field analysis to a crucial case from the second half of the eighteenth century: the English East India Company's transition from a (largely) merchant trading company to a territorial power. In this disordered space of administration, officials struggling with one another for metropolitan recognition provided moral accounts of themselves which, on the one hand, explained their behaviour in terms drawn from abstract, purportedly universal social spaces, and, on the other hand, claimed credibility through a personal ‘interest in disinterest’. I argue that these moral accounts helped delimit the boundaries of and shape the dynamics within a distinctively imperial administrative field. To analyse this transformation, I suggest a synthesis of three varieties of relational analysis: Bourdieu's field theory, Fligstein and McAdam's analysis of strategic action fields, and Padgett and Powell's work on network folding and robust action.     

The Archive as a Social World

Qualitative Sociology - Historical scholars often adopt a solitary ethic, conceiving of their work as the product of a lonely and isolated individual toiling away in a dusty archive. In this...     

Moving Toward Medicare Home Health Coverage for Persons with Alzheimer's Disease

ABSTRACT

Medicare home health care policy does not incorporate research evidence of effective palliative home care interventions for Alzheimer's disease and dementia patients and caregivers. This article examines the dissonance between the needs and burdens of Alzheimer's disease patients and caregivers, research results on medical and palliative care interventions, and medicalized public policy in the Medicare home health benefit. The article asserts existing research establishes a prima facie case exists for the federal government to fund a Medicare Palliative Home Care for Alzheimer's disease demonstration project. The article cites the success of the Medicare Hospice Demonstration project and Hospice Medicare Benefit in reducing costs and improving client quality of life as precedent and a model for Alzheimer's disease. Other research implications are identified.