Can HMOs Be Fixed?  

In part one of this essay (“The HMO Revolution: How It Happened, What It Means,” Dissent, Spring 1998) I explored the rapid growth of HMOs, noted potential advantages that prepaid group practices held over traditional fee-for-service arrangements, and considered a …



Naming the Struggle  

If class is the key to history, here in America it is a secret key, at once central and unsayable. Informing so much of our national life, it is at the same time the social divide we will not permit …





So Long, Jerry Seinfeld  

In recent years the last episodes of certain long-running sitcoms have become a major cultural events in American life. Record numbers of us turn on our television sets to watch what is going to happen to people who have been …





In Jamaica, Hero Day is Gone  

BEFORE THE Jamaican elections last December I visited Clive Dobson, president of the National Workers Union (NWU), at the union’s modest, two-story office amid the Victorian decay of downtown Kingston. Michael Manley headed this union for nearly twenty years before …



Editor’s Page  

Should “Americanization” take place by consent of the governed? The question was posed eight decades ago by a rebellious intellectual, Randolph Bourne. He was responding to polemics—both political and cultural—about “hyphenated-Americanism,” roused by immigration but more broadly by a changing …









Allen Agonistes  

At the 1992 Republican Convention, Newt Gingrich hurled the nastiest salvo he could think of toward Bill Clinton, saying that the allegedly libidinous governor of Arkansas had “Woody Allen family values” (in stark contrast to Garth Brooks’s televised eulogy for …



Foibles of Abundance  

The Conquest of Cool: Business Culture, Counterculture, and the Rise of Hip Consumerism by Thomas Frank University of Chicago Press, 1997 272 pp $22.95 Over the past decade, cool has become the trademark of American consumerism. The triumph of cool …



Mobutu Redux?  

In October 1996 a rebellion broke out in eastern Zaire and spread with astonishing rapidity from one end of the country to the other, toppling in the course of seven months the thirty-year dictatorship of Mobutu Sese Seko. For those …



Editor’s Page  

Our interview with the leader of the Italian Democratic Party of the Left, Massimo D’Alema, suggests the difficulties faced by European social democracy as it struggles to adjust to, but also to resist, the material and ideological power of the …



The Price of a Sustainable Environment  

In December 1997, the Edwards Aquifer Authority conducted a series of public hearings in five south Texas communities. It wanted to know what people thought about proposed new rules governing withdrawals from the region’s large aquifer. Years of excessive pumping …