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Political Priorities (political + priority)
Selected AbstractsHeroin-assisted treatment in Switzerland: a case study in policy changeADDICTION, Issue 1 2010Ambros Uchtenhagen ABSTRACT Background Switzerland introduced a pragmatic national drug policy when the former conservative abstinence-orientated politics proved unable to cope with an escalating number of users and related negative consequences for public health and public order. The high visibility of ,needle parks' and the size of the acquired immune deficiency disorder (AIDS) epidemic called for a new approach and for national leadership. Aims To describe the intentions, the process and the results of setting up the new treatment approach of prescribing heroin to treatment resistant heroin addicts, as an example of drug policy change. Materials and Methods A systematic collection of relevant documents is analysed and used as evidence for describing the process of policy change. Results Measures to reduce the negative consequences of continued use and to prevent the spread of AIDS were started mainly by private initiatives and soon taken up officially in the ,four-pillar' drug policy (including harm reduction, prevention, treatment and law enforcement). Medical prescription of heroin to chronic, treatment-resistant heroin addicts was one of the innovations, based on extensive scientific and political preparation. Detailed documentation and evaluation, ample communication of results, adaptations made on the basis of results and extensive public debate helped to consolidate the new policy and heroin-assisted treatment, in spite of its limitations as an observational cohort study. All necessary steps were taken to proceed from a scientific experiment to a routine procedure. Discussion Comparable policy changes have been observed in a few other countries, such as The Netherlands and Germany, based on the Swiss experience, with equally positive results of heroin-assisted treatment. These experiments were designed as randomised controlled trials, comparing intravenous heroin against oral methadone, thereby demonstrating the specific value of pharmaceutical diamorphine for maintenance treatment in opiate dependence. The positive impact of policy change and the positive outcomes of heroin-assisted treatment were acknowledged increasingly nationally and internationally, but made it difficult to continue the process of adapting policy to new challenges, due to the low visibility of present drug problems and to changing political priorities. Conclusion A major change in drug policy was effectively realised under typical conditions of a federalist country with a longstanding tradition of democratic consensus building. Facilitating factors were the size and visibility of the heroin problem, the rise of the Aids epidemic, and a pragmatic attitude of tolerating private initiatives opening the way to official policy change. [source] The Politics of Revision in Samuel Daniel's The Civil WarsENGLISH LITERARY RENAISSANCE, Issue 3 2008Gillian Wright Samuel Daniel's historical poem The Civil Wars has traditionally been regarded as a conservative text, committed in presentation and in practice to upholding the principle of hereditary right in monarchy. Such a view overlooks Daniel's many complex revisions to the poem between its first appearance in print in 1595 and the final,though still unfinished,version published in 1609. Comparative analysis of the different printed editions of the poem shows that between 1595 and 1609 Daniel's political priorities changed significantly, especially on the question of the role and legitimacy of kingship. Whereas the 1595 Civil Wars does indeed adopt a broadly conservative attitude to the rights of hereditary monarchs, the 1609 text of the poem no longer automatically endorses kingly authority but instead consistently privileges the monarch's commitment to the "publique good" and the just execution of the laws. This subtle but radical pattern of change culminates in Daniel's vignette of Elizabeth Grey and Edward IV (1609, Book VIII), which departs from the poet's sources in representing Grey's resistance to Edward's attempted seduction in explicitly politicized terms. This observable shift in Daniel's political values also foreshadows later aspects of his historiography in the prose Collection of the Historie of England (1618). (G.W.) [source] Czech Social Reform after 1989: Concepts and RealityINTERNATIONAL SOCIAL SECURITY REVIEW, Issue 2-3 2001Martin Pot The goal of this paper is twofold: to present a description of the most important institutional changes taking place in Czech social policy after 1989, and to offer the explanation of these changes in a broader cultural, economic and political framework. The significant economic, social and cultural conditions of the country, in which social policy operates, comprise the disposable economic resources, the concept and realization of economic reform including changes in ownership rights, the capacity of public administration, the way political democratization is designed and implemented, and political priorities and concepts of the political elite actually in power. Recent developments in the labour market and the new patterns of employment policy are discussed in more detail. After that, the incidence of poverty and the ongoing social and economic stratification are associated with the new approaches to the construction of a social security system which has been composed of three main tiers (or "pillars"): social insurance, state social support, and social assistance. As a conclusion, the sensitive points of the present state of Czech social policy, along with crucial decisions to be taken in the future, are identified. [source] New trends in urban development and public policy in eastern Germany: dealing with the vacant housing problem at the local levelINTERNATIONAL JOURNAL OF URBAN AND REGIONAL RESEARCH, Issue 4 2004Birgit Glock Supported by federal funds, many eastern German cities have started to address their acute vacant housing problem, and the new strategies attempt to pursue revitalization in especially consistent and comprehensive forms. This article offers evidence that current policies are not meeting their main objectives. Very little is being done in the older, inner-city neighbourhoods, although these have been given a top political priority in the planning process since they are perceived as one of the greatest economic and cultural assets of eastern Germany. Rather, the policies have been effective only in the large-scale housing estates, where local administrations and city governments meet ,big partners' with resources for action. Further, it is argued that present policy strategies focus too tightly on housing market issues alone. Many housing problems cannot be solved using housing market policy tools alone as vacancy is caused by the general trends of depopulation and deindustrialization in the region. Avec l'aide de financements fédéraux, de nombreuses grandes villes est-allemandes se sont attaquées à leur grave problème de logements inoccupés, et les nouvelles stratégies tentent une relance par des formules particulièrement vastes et cohérentes. Cet article démontre que les politiques actuelles n'atteignent pas leurs objectifs principaux. Très peu est fait dans les quartiers anciens déshérités, même si on leur a donné une priorité politique élevée dans le processus d'aménagement puisqu'ils sont en bonne place, dit-on, dans le patrimoine économique et culturel de l'Allemagne de l'Est. En revanche, les politiques publiques n'ont été efficaces que dans les projets de logements à grande échelle lorsque les administrations locales et autorités de la ville rencontrent des ,partenaires de poids' ayant des ressources pour agir. De plus, les stratégies politiques présentes s'attachent trop aux seuls aspects liés au marché du logement. Bien des problèmes d'habitat ne peuvent être résolus à l'aide d'outils de politique de marché puisque la vacance tient aux tendances générales à la dépopulation et à la désindustrialisation de la région. [source] |