Migration research and immigration policy

The author briefly reviews the impact of migration research on U.S. immigration policy over the period 1964-1992. Consideration is given to legal and illegal migrants and refugees.     

Utilizing a game for both needs assessment and learning in adolescent sexuality education

A fact-gathering, experimental game proved to be an effective instrument in the needs assessment phase of an adolescent sexuality educational program aimed at low-income females. The game ("Family Few"), which covered the topics of menstruation and reproduction, was played by 35 Black, Hispanic, and white females aged 13-16 years recruited from medical and psychiatric clinics in Miami, Florida. The goals of the game were to elicit terminology used by participants, identify and correct misconceptions and misinformation, and determine if learning could occur. Although 57% of participants reported prior exposure to formal sex education, misinformation about the need for activity curtailment during menstruation and the importance of early pregnancy detection was widespread. Group members believed they needed to restrict activities involving physical exercise, sexual relations, water, and cold during menses and were not likely to seek medical or family consultation regarding a missed period until the end of the 1st trimester of pregnancy. Also evident was a need for accurate information on the side effects, risk factors, benefits, and effectiveness of contraceptive methods. The group responses enabled the sex educators to prepare a culturally responsive, developmentally oriented curriculum for further work with disadvantaged female adolescents. The group process was ranked highly on the Likert Scale by these teenagers as an enjoyable, useful means of information dissemination and problem solving.     

Immigrant economic adjustment and family organization: the Cuban success story reexamined

The economic adjustment of Cuban-origin persons in the US has been analyzed traditionally at 2 levels: the individual and the community (enclave). The analysis presented here represents a complementary approach at the household level. Data from the 1980 census show that the relatively successful economic adjustment of Cubans is largely a family, rather than an individual, phenomenon. The data also permit an identification of the structural features of the Cuban-origin family that facilitate economic adjustment. The results have special implications for the study of the labor-force experience of Cuban women and their role within the enclave economy (author's).     

Contributors to disruption and dissolution of older-child adoptions

According to recent evidence, adoptive placements that do not work out are increasingly common. This article reviews research on rates of, and contributors to, adoption and "foster-adoption" disruptions and dissolutions. Implications for practice are included.     

Computer support of placement planning: the use of expert systems in child welfare

Computers have become commonplace in nearly every setting, from home to office. In addition to their usefulness for managerial tasks, they have the potential to aid the primary decision-making tasks of professional social service workers. The benefits and background of such "expert systems" are explored, and the structure of one experimental consulting program for child welfare workers, PLACECON, is presented.     

Argentina and the brain drain: some perspectives from expatriates in the United States

This study focuses on the brain drain of health care professionals and physical scientists from Argentina, using survey data on a group of 89 immigrants who are currently US residents and listed in the current edition of AMERICAN MEN AND WOMEN OF SCIENCE. Although the loss of educated people is probably more likely if their degrees are acquired abroad, even at the doctoral level, the majority of those responding held Argentine degrees. The most important motivation was to gain professional and career advancement. Although pragmatism was associated with the decision to emigrate, the political environment was also quite important. Responses indicate that the losses of scientific personnel which have occurred in the past may be irreversible. Most of the respondents have become US citizens and now have families in that country. However, many respondents still have family, friends, or professional associations in Argentina. Some subtleties bear mention. The retreat of the generals has not removed all political factors from the problem list. Now scientific and professional activities must be de-politicized. The government must take explicit steps to ensure that academic and scientific positions are awarded on the basis of expertise. The evidence suggests that educational considerations are far less important as a causal element in the brain drain from Argentina than is the case in many Third World countries.     

THE EFFECT OF PROVIDER CONTROL OF BLUE SHIELD PLANS ON HEALTH CARE MARKETS

Blue Shield plans often are granted regulatory advantages by the states in which they operate. Run efficiently, such not-for-profit firms should use these lower costs to eliminate their less advantaged rivals, the commercial insurers. However, these higher-cost commercial providers have been able to offer insurance coverage at prices competitive with the Blues, as evidenced by the fact that Blue plans have, on average, less than 50 percent market share. Similar prices with lower overall costs implies that economic rents are being earned, rents which a not-for-profit firm cannot distribute to owners. In this paper we argue that when there are competing goals among the groups controlling the Blue Shield plans, the different possible "uses" of the regulatory advantage become endogenously determined, necessitating the use of simultaneous equation estimation. Testing this model we find the major effect of doctor-control of Blue Shield plans is to raise doctors' fees while lowering the amount of rents captured by both consumers and administrators.