“First Lady But Second Fiddle” or the rise and rejection of the political couple in the White House: 1933-today.
The First Lady has emerged as an institution of great influence. Whether out in the open like Hillary Clinton or behind the scenes like Nancy Reagan, most First Ladies have served as their husbands’ most trusted and closest political allies. Thus the modern era has seen the advent of the presidential couple, as symbolically epitomized in the 1990s' neologism “Billary.” It seems, however, that the American public is not ready to accept power-sharing in the White House and that the First Lady, visible and influential though she might be, should not play the role of a co-president. A number of feminists simply propose to “abolish” her.
Disarming charisma? Mayoralty, gender and power in Medellín, Colombia
Abstract The ‘Urban Century’ has seen a rise in power of cities, and the emergence of city mayors as significant political actors both nationally and globally. The power of city mayors, which unifies pragmatic, techno-managerial leadership with the authority and legitimacy of public office, invites a reappraisal of the gendered construction of power in the ‘Urban Century’, and the particular notions of hegemonic masculinity that city mayors recreate. This article explores the example of Medellin, Colombia, whose mayor Sergio Fajardo is widely regarded to have stewarded the city's rapid reduction in violence. Fajardo's leadership can be characterised as typical of the phenomenon of smart, cosmopolitan, charismatic mayors who are seen to respond professionally to local needs by making smart investment decisions and attracting international capital. The emergence of a techno-managerial mayor in the city of Medellin, which during the 1990s was the epicentre of Colombia's multi-faceted conflict with the highest homicide rate in the world, represents a fundamental change to the identity and gender of power in a context of violent conflict where legitimate authority in terms of a monopoly on the use of force, was fiercely disputed. I use this example to explore how mayoral power is gendered and how it relates to violence, which is central to liberal theories of leadership and the focus of the feminist critique of them. The possibility that such a character attain power indicates underlying changes in the gendered structure of political space, including the institution of a Sub-Secretariat for Women and formalisation of participation in political process.
Definitions of efficiency
This is the third in a series of occasional notes on economics

Decision makers are increasingly faced with the challenge of reconciling growing demand for health care services with available funds.1 Economists argue that the achievement of (greater) efficiency from scarce resources should be a major criterion for priority setting. This note examines three concepts of efficiency: technical, productive, and allocative.

Efficiency measures whether healthcare resources are being used to get the best value for money.1 Health care can be seen an intermediate product, in the sense of being a means to the end of improved health. Efficiency is concerned with the relation between resource inputs (costs, in the form of labour, capital, or equipment) and either intermediate outputs (numbers treated, waiting time, etc) or final health outcomes (lives saved, life years gained, quality adjusted life years (QALYs)). Although many evaluations use intermediate outputs as a measure of effectiveness, this can …