front cover of Making Care Work
Making Care Work
Employed Mothers in the New Childcare Market
Uttal, Lynet
Rutgers University Press, 2002

As ever more women work outside the home, ever more families employ childcare workers. In the absence of government regulations or social models that clearly define the childcare provider’s role, mothers worry about the quality of care their children are getting. By connecting the personal level of mothers’ daily experiences to the larger political, economic, and ideological context of childcare, Lynet Uttal describes and explains how mothers rely on their relationship with the providers to monitor and influence the quality of care their children receive. Whereas other studies have emphasized how mothers undervalue and exploit providers, this book paints a more nuanced picture, arguing that the ties between adults who share in the care of children creates neither heroes nor victims. This ethnography reveals that mothers are often reluctant to discuss their concerns with their childcare providers. Uttal shows how mothers walk a fine line between wanting to believe in the quality of care they have chosen, and the fact that they might have made a mistake. Catalyzed by their worries about the quality of care, mothers develop complex relationships with the women—and most are women—who look after their children.

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Making the Most of Mess
Reliability and Policy in Today's Management Challenges
Emery Roe
Duke University Press, 2013
In Making the Most of Mess, Emery Roe emphasizes that policy messes cannot be avoided or cleaned up; they need to be managed. He shows how policymakers and other professionals can learn these necessary skills from control operators who manage large critical infrastructures such as water supplies, telecommunications systems, and electricity grids. The ways in which they prevent major accidents and failures offer models for policymakers and other professionals to manage the messes they face.

Throughout, Roe focuses on the global financial mess of 2008 and its ongoing aftermath, showing how mismanagement has allowed it to morph into other national and international messes. More effective management is still possible for this and many other policy messes but that requires better recognition of patterns and formulation of scenarios, as well as the ability to translate pattern and scenario into reliability. Developing networks of professionals who respond to messes is particularly important. Roe describes how these networks enable the avoidance of bad or worse messes, take advantage of opportunities resulting from messes, and address societal and professional challenges. In addition to finance, he draws from a wide range of case material in other policy arenas. Roe demonstrates that knowing how to manage policy messes is the best approach to preventing crises.

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Managing the Environmental Crisis
Incorporating Competing Values in Natural Resource Administration
William R. Mangun and Daniel H. Henning
Duke University Press, 1999
Second edition
With a new foreword by Lynton Keith Caldwell

In Managing the Environmental Crisis William R. Mangun and Daniel H. Henning provide a balanced and comprehensive guide to the management of complex environmental and natural resource policy issues. Taking into account new developments, trends, and issues that have arisen in recent years, the authors begin with the recognition, often overlooked, that it is not the environment that needs to be managed but human action relating to the environment.
The authors review issues associated with a range of environmental policy concerns, including energy considerations, renewable and non renewable resource management, pollution control, wilderness management, and urban and regional policy. The history of these issues, recent actions pertaining to their management, difficulties associated with their continued presence, and the consequences of a failure to address these concerns are explored. Though focused on specific political issues, Mangun and Henning direct their attention to two large-scale trends—globalization and the political polarization of the environmental movement. At the level of the decision-making process, the incorporation of values—specifically addressed from multicultural and cross-disciplinary perspectives—is also discussed. International in scope, the book provides descriptions of the roles of both governmental and nongovernmental organizations in the formulations and implementation of national and global environmental policy.
This thoroughly revised second edition discusses various successes in the arenas of environmental cooperation and management strategy while pointing to the new challenges that have emerged in the last decade.

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Masters of Uncertainty
Weather Forecasters and the Quest for Ground Truth
Phaedra Daipha
University of Chicago Press, 2015
Though we commonly make them the butt of our jokes, weather forecasters are in fact exceptionally good at managing uncertainty. They consistently do a better job calibrating their performance than stockbrokers, physicians, or other decision-making experts precisely because they receive feedback on their decisions in near real time. Following forecasters in their quest for truth and accuracy, therefore, holds the key to the analytically elusive process of decision making as it actually happens.

In Masters of Uncertainty, Phaedra Daipha develops a new conceptual framework for the process of decision making, after spending years immersed in the life of a northeastern office of the National Weather Service. Arguing that predicting the weather will always be more craft than science, Daipha shows how forecasters have made a virtue of the unpredictability of the weather. Impressive data infrastructures and powerful computer models are still only a substitute for the real thing outside, and so forecasters also enlist improvisational collage techniques and an omnivorous appetite for information to create a locally meaningful forecast on their computer screens. Intent on capturing decision making in action, Daipha takes the reader through engrossing firsthand accounts of several forecasting episodes (hits and misses) and offers a rare fly-on-the-wall insight into the process and challenges of producing meteorological predictions come rain or come shine. Combining rich detail with lucid argument, Masters of Uncertainty advances a theory of decision making that foregrounds the pragmatic and situated nature of expert cognition and casts into new light how we make decisions in the digital age.
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Mediated Modeling
A System Dynamics Approach To Environmental Consensus Building
Marjan van den Belt; Foreword by Thomas Dietz
Island Press, 2004

Mediated modeling is an innovative new approach that enhances the use of computer models as invaluable tools to guide policy and management decisions. Rather than having outside experts dispensing answers to local stakeholders, mediated modeling brings together diverse interests to raise the shared level of understanding and foster a broad and
deep consensus. It provides a structured process based on system dynamics thinking in which community members, government officials, industry representatives, and other stakeholders can work together to produce a coherent, simple but elegant simulation model.

Mediated Modeling by Marjan Van Den Belt is a practical guide to participatory modeling for both practitioners and students, one that is firmly theoretically grounded in the field of systems dynamics and environmental modeling. Five in-depth case studies describe the successful use of the technique in a variety of settings, and a final chapter synthesizes the lessons highlighted by the case studies.

Mediated Modeling's step-by-step description of the techniques and practical advice regarding implementation offer a real-world solution for all those seeking to make sound decisions about the environment.


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Medical Necessity
Health Care Access and the Politics of Decision Making
Daniel Skinner
University of Minnesota Press, 2019

How the politics of “medical necessity” complicates American health care


The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In this book, Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives.

From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity.

Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept.

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Medical Problem Solving
An Analysis of Clinical Reasoning
Arthur S. Elstein, Lee S. Shulman, and Sarah A. Sprafka
Harvard University Press, 1978

Competent physicians make accurate diagnoses. How are accurate diagnoses made? This readable book gives some important answers to that question. Experienced physicians were presented with diagnostic problems and asked to solve them. Through the use of trained actors serving as “patients” and with a variety of supplementary techniques, the investigators were able to dissect the process by which diagnoses, right and wrong, are made.

Reporting on the most comprehensive investigation of clinical reasoning yet conducted, the authors present data and conclusions of importance not just to medical educators but to anyone interested in the psychology of problem solving. Rigorous attention to methods, thorough grounding in contemporary theories of problem solving, and a healthy respect for the complexity of real-life situations characterize this remarkable study.

A sampling of its salient findings only suggests the richness of this book. Successful diagnosticians begin to form hypotheses almost as soon as they encounter a patient. They entertain a limited number of hypotheses, but these are tested repeatedly during a workup. New findings are treated as confirming, refuting, or not contributing to the solution contemplated; more elaborate schemes based on a knowledge of probabilities are not used. A common error is to relate new information to a working hypothesis, although the information is, in fact, non-contributory. The performance of even an experienced physician varies markedly from case to case. Two of the most important determinants of competence are information and experience; problem-solving skills without a rich supply of facts are insufficient for diagnostic acumen.

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The Medicine Wheel
Environmental Decision-Making Process of Indigenous Peoples
Michael E. Marchand
Michigan State University Press, 2020
The Medicine Wheel built by Indigenous people acknowledges that ecosystems experience unpredictable recurring cycles and that people and the environment are  interconnected. The Western science knowledge framework is incomplete unless localized intergenerational knowledge is respected and becomes part of the problem-definition and solution process. The goal of this book is to lay the context for how to connect Western science and Indigenous knowledge frameworks to form a holistic and ethical decision process for the environment. What is different about this book is that it not only describes the problems inherent to each knowledge framework but also offers new insights for how to connect culture and art to science knowledge frameworks. Read this book and learn how you can move beyond stereotypes to connect with nature.
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Mobilizing Science
Movements, Participation, and the Remaking of Knowledge
Sabrina McCormick
Temple University Press, 2009

Mobilizing Science theoretically and empirically explores the rise of a new kind of social movement—one that attempts to empower citizens through the use of expert scientific research. Sabrina Mccormick advances theories of social movements, development, and science and technology studies by examining how these fields intersect in cases around the globe.

Mccormick grounds her argument in two very different case studies: the anti-dam movement in Brazil and the environmental breast cancer prevention movement in the U.S. These, and many other cases, show that the scientization of society, where expert knowledge is inculcated in multiple institutions and lay people are marginalized, give rise to these new types of movements. While activists who consequently engage in science often instigate new methods that result in new findings and scientific tools, these movements still often fail due to superficial participatory institutions and tightly knit corporate/government relationships.

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Models of Strategic Choice in Politics
Peter C. Ordeshook, Editor
University of Michigan Press, 1989
Discusses the sophisticated application of game theory to the development of contemporary political theory
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More Than a Feeling
Personality, Polarization, and the Transformation of the US Congress
Adam J. Ramey, Jonathan D. Klingler, and Gary E. Hollibaugh Jr.
University of Chicago Press, 2017
Whatever you think about the widening divide between Democrats and Republicans, ideological differences do not explain why politicians from the same parties, who share the same goals and policy preferences, often argue fiercely about how best to attain them. This perplexing misalignment suggests that we are missing an important piece of the puzzle. Political scientists have increasingly drawn on the relationship between voters’ personalities and political orientation, but there has been little empirically grounded research looking at how legislators’ personalities influence their performance on Capitol Hill.
           
With More Than a Feeling, Adam J. Ramey, Jonathan D. Klingler, and Gary E. Hollibaugh, Jr. have developed an innovative framework incorporating what are known as the Big Five dimensions of personality—openness to experience, conscientiousness, extraversion, agreeableness, and neuroticism—to improve our understanding of political behavior among members of Congress. To determine how strongly individuals display these traits, the authors identified correlates across a wealth of data, including speeches, campaign contributions and expenditures, committee involvement, willingness to filibuster, and even Twitter feeds. They then show how we might expect to see the influence of these traits across all aspects  of Congress members’ political behavior—from the type and quantity of legislation they sponsor and their style of communication to whether they decide to run again or seek a higher office. They also argue convincingly that the types of personalities that have come to dominate Capitol Hill in recent years may be contributing to a lot of the gridlock and frustration plaguing the American political system.
 
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