Federal Laboratories of Democracy

Lessons learned from the "laboratories of democracy": a critique of federal medical liability reform.

Federal reimbursement to laboratories.

The change from a predominately fee-for-service payment environment to managed care has significantly reduced revenues for many clinical laboratories. Medicare is rapidly becoming the most favorable payor in areas with high managed-care penetration. This trend has not gone unnoticed by Congress, and congressional and regulatory initiatives are rapidly moving to reduce federal laboratory reimbur...

Laboratories of Democracy : Policy Experimentation under Decentralization ∗

We examine the extent of policy experimentation under decentralization and centralization. More speci cally, we study the incentive for experimentation in an environment where there is uncertainty about the payo of policies as well as the competence of policymakers. Voters form beliefs about the policymakers upon observing noisy signals. Policymakers are concerned about their reputation to the ...

Tort Experiments in the Laboratories of Democracy

This Article considers the broad range of "tort experiments" states have undertaken in recent years, as well as the changing attitudes of Congress and the Supreme Court toward state tort law. Notably, while states have limited tort rights and remedies in the products liability and personal injury areas in recent years, they have at the same time increased tort rights and remedies to address new...

Discussion of evaluation of federal laboratories.

Federal agencies are now beginning work on their fiscal year 1999 budget requests. Compounding the usual difficulties in budgeting is that all agencies must for the first time justify their requests in terms of outcomes to be achieved, using pre-approved measures. That requirement for results-oriented management is mandated by the Government Performance and Results Act of 1993 (GPRA). Pilot tes...