n announcing his health reform plan on September 22, 1993, President Bill Clinton spoke of six overarching principles: securi ty , savings, qual i ty , implicity, choice, and responsibility. You can be sure that all these key words have tested well in polling and focus groups. Throughout the coming months, political language will be critical in shaping the debate. Since healthcare reform is suc...

News media effects on their audiences are complex. Four commonly cited effects are: informing audiences; agenda-setting; framing; and persuading. The release in autumn 2002 of two reports on options for reforming Canada's healthcare system attracted widespread media attention. We explored the potential for each of the four media effects by examining Canadian newspaper representation of this hea...

China's agricultural sector was the first to experience significant success from reform, but initial reform efforts in the late 1970s were directed at state-owned enterprises (SOEs). In 1978, when farmers started to experiment-secretly and illegally-with the now famous household responsibility system (HRS) in several villages in Anhui province, the government was already introducing the first s...

INTRODUCTION Making substantial changes to the form and delivery of medical education is challenging. One reason for this may be misalignment between existing conceptualizations of curricula and curriculum reform in medical education, with the former perceived as 'complex' yet the latter as linear. Reframing curriculum reform as a process-driven, complex entity may enhance the possibility of ch...

This study underscores the strategic role – both political and economic – of banking sector reform in the overall pursuit of economic development and democratization. It compares trajectories of banking sector reform in Middle Eastern and African countries that have remained on the margins of the new global economy. A close look shows that their governments’ willingness to embrace reform has di...

middle east countries have begun to implement economic reforms to stimulate private investment, promote economic growth and support the transition to market economy. although, it is difficult to define the direct impact of the accounting system reform on economic transformation, as there are many other conditions that have influence on the transition process. however, with the central position ...

There are two either explicitly or implicitly and widely accepted ideas about the distribution of land in Ethiopia after the reform of 1975. First, land distribution in rural Ethiopia is highly equitable, for example compared to other African countries where private ownership exists. Second, the land distribution pattern currently observed is basically explained by what happened after the refor...

Health reform is the outcome of dispersed policy initiatives in different sectors, at different levels and across time. Policy work which can drive coherent health reform needs to operate across the governance structures as well as the institutions that comprise healthcare systems. Building policy capacity to support health reform calls for clarity regarding the nature of such policy work and t...

In this article, we report results from a new study that surveyed a large, national sample of American adults about their willingness to pay for health reform. As in previous work, we find that self-identified Republicans, older Americans, and high-income Americans are less supportive of reform. However, these basic findings mask three important features of public opinion. First, income has a s...

Empirical evidence from a set of land reform beneficiaries suggests that Zimbabwe’s land reform was successful: the internal rate of return to the land reform project is high, settlers accumulated substantial amounts of assets, and they increased their agricultural productivity substantially over time. This evidence contradicts the general notion that land reform was a failure, a notion support...