Case #1466.0

The 1998 Needle-Exchange Decision: The McCaffrey-Shalala Confrontation

Publication Date: July 01, 1998
Current Stock:

Educator Access

A review copy of this case is available free of charge to educators and trainers. Please create an account or sign in to gain access to this material.

Permission to Reprint

Each purchase of this product entitles the buyer to one digital file and use. If you intend to distribute, teach, or share this item, you must purchase permission for each individual who will be given access. Learn more about purchasing permission to reprint.

This case describes the policy disagreement and resulting political in-fighting which accompanied the Clinton Administration's consideration of whether to allow federal funds to be used to support "needle-exchange" programs meant to reduce the spread of HIV infection among drug addicts. The case invites discussion of why "drug czar" Barry McCaffrey was able to thwart an apparently imminent announcement by the President that would have signaled an end to the funding prohibition, a goal sought by Health and Human Services Secretary Donna Shalala.

Learning Objective:
More broadly, this case allows for discussion of the reasons for the relative strength and effectiveness of competing senior officials in a policy-making dispute.

Other Details

Case Author:
John Buntin
Faculty Lead:
Philip Heymann
Pages (incl. exhibits):
United States