This article examines the ethical basis for government involvement in health care. It first provides the case for individual autonomy, focusing on the justifications--particularly ethical ones--for allowing individuals to make their own choices in health care, and to control more of their own resources in doing so. Next, it provides the opposite case--for abridging individual autonomy, and in p...

How does the concept of autonomy assist public responses to 'lifestyle' diseases? Autonomy is fundamental to bioethics, but its emphasis on self-determination and individuality hardly supports public health policies to eat and drink less and take more exercise. Autonomy rejects a 'nanny' state. Yet, the cost of non-communicable diseases is increasing to individuals personally and to public heal...

Neo-Marxist analyses of the state and politics now centre on the vexed question of the 'specificity of the political'. What is the degree to which politics and the state have independent determining effects on historical outcomes? Can the state or the people who direct the state apparatus act as historical subjects? The questions are critical because without a clear set of answers, it is imposs...

Writing about immigration federalism has, like much federalism scholarship, long been stuck with an outdated model of federal-state relations. Under that old model, states wield power principally by possessing regulatory autonomy. But the reality today is quite different: as a number of writers have begun to document, state and local governments today are often empowered not by their autonomy, ...

State officials responsible for the regulation of hydraulic fracturing (fracking) operations used in the production of oil and gas resources will inevitably confront a key policy issue; that is, to what extent can statewide regulations be developed without reducing land use autonomy typically exercised by local officials? Most state regulators have historically recognized the economic importanc...

Asymmetric decentralization is the opening of space for implementation and creativity province in regional government outside general special provisions. The purpose this paper to analyze concept asymmetric decadency with selective broad autonomy make it easier grant regions. term administration which functions, duties, authorities are delegated widest possible extent (Sarundajang, 2011). metho...