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Purpose: The purpose of this chapter is to scrutinize the apparent alliance between international and local disability rights movements by contextualizing the process in which the disability rights model is being diffused globally. It seeks to critically examine the transplantation and promotion of the international disability rights movement's rights-based model in China.

Approach: This chapter draws from 18 in-depth interviews with local and international disability rights activists through multisite ethnographic fieldwork in China in 2019.

Findings: This chapter finds that despite opening up spaces for resistance and emancipation locally, the international disability rights movement nevertheless constitutes what I call an enclave of rights that insulates the international rights model from the political, social, and economic realities on the ground. In the case of China, the authoritarian politics that define the relationship between the state and civil society, as well as the economic vulnerability of people with disabilities in the post-socialist market economy, limit, if not invalidate, the rights model espoused by the international disability rights movement.

Implications: The findings of this chapter challenge and complicate the current scholarship of the transnational disability rights movement beyond its normative claims of emancipation. They also explore potential spaces and direction for building a new transnational alliance that takes into account the local experience of disability in a rapidly globalized world.

A review article of Pasinetti and Schefold’s edition of the papers at a conference in Marseilles, 1997, on the impact of Keynes in the twentieth century. The book itself is in three parts – theory; Keynesianism in European countries; and institutional discussions of Keynesian policies. The essay concentrates on the issues raised in the first part by Pasinetti, Leijonhufvud and Skidelsky. Pasinetti uses his vital distinction between principle and theory to examine why the Keynesian revolution may not have succeeded. Leijonhufvud identifies Keynes as the last of the classics, contrasting his approach with those he calls the moderns. Skidelsky asks what policies Keynes would advocate today, had he remained ageless with us.

Purpose: In this chapter, I explore the current activist disability landscape in Bulgaria, focusing on its apparent insusceptibility to change. My objective is to examine the interplay between the conflicting parties, focusing on the factors that conditioned their successes and failures.

Methods/Approach: Relying mainly on directed content analysis, I analyzed website publications, online discussions, official statements released during the protests, as well as 18 interviews of mothers of children of disabilities and the data from five focus groups.

Findings: On the local disability scene, we discern two types of collective action – phantom disability activism and toxic grassroots mobilization. The first one held strongly to the traditionally construed notion of disability as confined in the need-based system and defined solely as medical condition. The second one – although very important for putting on the agenda issues as personal assistance and demedicalization – embraced deeply disturbing and toxic activist rhetoric, giving rise of an “abled-disabled” citizen thus reinforcing neoliberal images of human worth and failure.

Implication/Value: This chapter offers a closer look at the different meanings and implications of success, failure, and enabling or halting political renewal with regard to disability. On an empirical level, it adds more to the existing knowledge about the opportunities for, the role, the outcomes, and the specific features of alliance building in a context as Bulgaria, which presents us with specific combination of socialist legacies, post-socialist ways of abandoning disabled people, and, at best, short-term and transient embodiments of the “Nothing about us without us” tenet.

Despite a rich extant literature, it is unclear what business models are. We assess three dominant conceptions of business models in the academic literature: as transactional structures, value extracting devices, and mechanisms for structuring the organization. To overcome the shortcomings of these approaches, we draw on theories of performativity, social typecasting, and managerial cognition. We propose an alternative conception of business models as performative representations that work in three ways: as narratives that convince, typifications that legitimate, and recipes that guide social action. Rather than actual features of firms, business models are representations that allow managers to articulate and instantiate the value of new technologies.

Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).

THE CRY TODAY is for flexibility in two different senses. The readiness to acquire new skills is one. The other the resolution to accept work no matter what it is or how far away from home it happens to be.

Purpose – To examine potential sex differences among American Indian and Alaska Native peoples (AIANs) in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs within the Indian Health Services (IHS).

Methodology/Approach – Data were drawn from the IHS Improving Healthcare Delivery Data Project with 437,608 persons in our analytical sample. We described sex and age differences in diabetes, comorbidities, healthcare utilization, and treatment costs among the adults with diabetes. We evaluated the statistical differences between men and women using confidence intervals calculated at the 95% level, with nonoverlapping confidence intervals indicating statistical significance.

Findings – The prevalence of diabetes among females was somewhat higher than that of males (10.82 vs 9.16%, respectively, p < 0.05). Among adults with diabetes, males had statistically higher prevalence of hypertension, cardiovascular disease, and substance use disorders and fewer mental health disorders compared to females. Although males had overall lower average cost of services than females, males had higher utilization for hospital inpatient services than females, and females used more outpatient services.

Research limitations/implications – We are limited to one fiscal year of data and thus cannot predict the influence of healthcare utilization patterns on the overall health of this population. Although a large sample, the findings are only generalizable to the active users of the participating IHS Service Units.

Originality/Value of Paper – This study fills a major gap in our knowledge of sex differences in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs among AIANs. Differences in the comorbidities that characterized the AIAN adult males and females with diabetes in this sample have important implications for mortality and cost of care. Diabetes management that addresses such gender-specific comorbidities, particularly substance use disorders among men and mental health disorders among women, promises to reduce these comorbidities and related complications.

THIS is the time of the year when, with the strong opening of the Spring publishing season, librarians take a review of matters which definitely concern books. There is a cant saying amongst certain eager librarians that their colleagues are too concerned with technical matters and too little, if at all, concerned with books. There may have been isolated cases of this kind, but it is merely untrue to say that the average librarian is not concerned, deeply and continuously, with the literary activity of his day. It is well that men should live in their own time and be thoroughly interested in the work of new writers. There is danger that exclusive occupation with them may lead to an unbalanced view of the book world. If one judged from the criticisms that occasionally appear in our contemporaries, one would suppose that the only books that mattered were the authentic fiction of the day, and by authentic is meant the books which go beyond average contemporary thought and conventions. Librarianship, however, is concerned with all books of all subjects and of all time. This note is merely a prelude to a number of THE LIBRARY WORLD which deals mainly with literature and with reading. Here we return again to the perennial fiction question.

The Bureau of Economics in the Federal Trade Commission has a three-part role in the Agency and the strength of its functions changed over time depending on the preferences and ideology of the FTC’s leaders, developments in the field of economics, and the tenor of the times. The over-riding current role is to provide well considered, unbiased economic advice regarding antitrust and consumer protection law enforcement cases to the legal staff and the Commission. The second role, which long ago was primary, is to provide reports on investigations of various industries to the public and public officials. This role was more recently called research or “policy R&D”. A third role is to advocate for competition and markets both domestically and internationally. As a practical matter, the provision of economic advice to the FTC and to the legal staff has required that the economists wear “two hats,” helping the legal staff investigate cases and provide evidence to support law enforcement cases while also providing advice to the legal bureaus and to the Commission on which cases to pursue (thus providing “a second set of eyes” to evaluate cases). There is sometimes a tension in those functions because building a case is not the same as evaluating a case. Economists and the Bureau of Economics have provided such services to the FTC for over 100 years proving that a sub-organization can survive while playing roles that sometimes conflict. Such a life is not, however, always easy or fun.