Last Rights: Honoring a Patient's Wishes for Artificial Feeding

Publication Date: January 01, 1991

After an elderly woman, in apparently failing health, is sent to a nursing home, the nursing staff becomes convinced that she is responding to care and treatment. In the wake of new medical problems, however, the physician hired by her family...

Scaling Down the Bureaucracy

Publication Date: January 01, 1991

The problem of excessively large public bureaucracies, in relationship to the size of the overall economy, plagues many developing countries. The Pacific Basin nation of Gapura--a disguised composite of similar emerging nations in that...

A Denver Neighborhood Tackles Crack

Publication Date: January 01, 1991

A new "block watch" organization springs up in Denver's Whittier neighborhood, in response to an invasion of big-time drug dealers. In the succeeding months, the organization badgers police and city agencies, some of which had never seen...

Solidarity in Transition: Poland in 1990

Publication Date: January 01, 1991

This case focuses on two dilemmas. First, the choices political leaders must make when a broad-based, mass movement like Solidarity is so successful that it must form a government, and second, what to do when the economic policies it advocates...

Civic Vision: Participatory City Planning in Cleveland in the 1980s

Publication Date: January 01, 1991

When newly elected mayor George Voinovich takes office in Cleveland in 1982, he faces the challenge of a long-declining city where development proposals have been stalled by political acrimony. Inspired by a speech by nationally-known developer...

Brotherhood Crusade: Targeting Gangs and Drugs in a Los Angeles Neighborhood

Publication Date: January 01, 1991

A major black-run charitable organization in Los Angeles--the Brotherhood Crusade--decides in 1989 to "take back" a 48-square block swath of the city's black ghetto from drug dealers and gang members who appear to control it. The demonstration...

A Big Dark Pond: Britain, China & Hong Kong, 1979

Publication Date: January 01, 1991

When the governor of the British crown colony of Hong Kong is invited to an unprecedented meeting with top leaders of the People's Republic of China, he suddenly faces a decision about a crucial and delicate matter: the status of booming...

What the Market Will Bear: The CIA and the International Debt Crisis

Publication Date: January 01, 1991

When the inability of developing countries to repay vastly expanding debt threatens, in the early 1980s, to undermine the world financial order, CIA analysts were among the first to try to spread the alarm. Officials at other agencies, notably...

Privatizing the Albany County Airport: Abridged

Publication Date: January 01, 1991

An antiquated airport jeopardizes a region's economic health but the county of Albany, New York, operator of the airport, lacks funds to undertake much-needed capital improvements. In this context, the county executive seriously examines...

On the Kindness of Strangers: The Origins and Early Days of FINCEN

Publication Date: January 01, 1991

When the Bush administration considers ways in which to make good on its pledge to win the war against drugs, it turns to a new type of law enforcement agency. The Financial Crime Enforcement Network, a division of the Treasury Department...

Providing Obstetrical Care to Indigent Women in Montgomery County, Maryland (Sequel)

Publication Date: January 01, 1991

This is a 6-page sequel to HKS Case 1077.0. When obstetricians at the sole hospital in affluent Montgomery County, Maryland, treating poor women decide the financial risks of such service outweigh its benefits, the county confronts a health care...

Providing Obstetrical Care to Indigent Women in Montgomery County, Maryland

Publication Date: January 01, 1991

When obstetricians at the sole hospital in affluent Montgomery County, Maryland, treating poor women decide the financial risks of such service outweigh its benefits, the county confronts a health care crisis. The group of women most in need of...