Linguistic territoriality in Switzerland

This article argues that the linguistic territoriality principle cannot be considered as a general guideline for the design of language policy but rather as a tool to find the right balance between linguistic freedom and linguistic peace under given circumstances. The article traces the origin and evolution of language policy principles during the drafting process of the new constitutional article in its three official language versions. The Swiss language regime is embedded in an institutional system of executive federalism in which mostly monolingual cantons and municipalities are in charge of implementing nearly all public policy. This significantly reduces the relevance of the inconsistency between a formally personalistic multilingual federal language regime and linguistic territoriality deriving from cantonal language regimes. The point of the new federal regulation is to provide room for manoeuvre for cantonal policymakers to adopt legislation based on linguistic territoriality. The relevant constitutional article recognises that territorial language policies can be implemented to ensure linguistic peace. At the same time, the personality principle may be adopted to protect autochthonous linguistic minorities.

Price Transparency and Compliance With Federal Regulation for Pediatric Tonsillectomy

Objective To improve hospital price transparency, the Centers for Medicare & Medicaid Services (CMS) requires, as of January 2021, that all hospitals reveal charges for specific items and services. This analysis investigates whether otolaryngology residency–affiliated hospitals have complied with this new regulation, and it evaluates the variability in hospital-reported charges for pediatric tonsillectomy. Study Design Cross-sectional analysis. Settings Subset of hospitals affiliated with otolaryngology residency programs. Methods Hospital websites were searched to determine compliance rates with CMS guidelines by posting a price transparency tool and specific charges for Current Procedural Terminology code 42820 (tonsillectomy and adenoidectomy, <12 years old). Various charges were collected: gross charge, discounted cash price, deidentified minimum and maximum negotiated charges, hospital fees, and physician fees. Results Overall 104 unique hospitals were analyzed: 81 (78%) provided pricing data, but only 28 (27%) complied with CMS guidelines. The median reported total gross charge was $13,239 (range, $600-$41,957); deidentified minimum negotiated charge, $9222 (range, $337-$25,164); and deidentified maximum negotiated charge, $17,355 (range, $1002-$54,987). Hospital fees (median, $11,900; range, $2304-$38,831) were consistently higher than physician fees (median, $1827; range, $420-$5063). All estimates included a disclaimer stating that values likely underrepresent true prices. Conclusion Hospital compliance with the new regulation remains low, which limits efforts toward improved price transparency. There is wide variability in reported charges for pediatric tonsillectomy and adenoidectomy.

Socio-economic development of municipalities within urban agglomerations

The author studies the problems of socio-economic development of municipalities included in the conditional boundaries of urban agglomerations. When developing the foundations of the state policy of the Russian Federation for the development of local self-government, these issues come to the fore. Their solution is the key to the successful achievement of the goals of national projects and strategic objectives of the spatial development of Russia. The article considers models of management of urban agglomerations, generalizes regional experience on the use of mechanisms of socio-economic development of municipalities within agglomerations, identifies tools that contribute to the integrated development of agglomerations and obstacles that prevent it, substantiates the need to improve federal regulation of the formation and development of agglomerations, preferably in the form of a federal law.

A Review of the Talc Industry’s Influence on Federal Regulation and Scientific Standards for Asbestos in Talc

The talc industry and Food and Drug Administration (FDA) have asserted that talc has been asbestos-free since 1976 when the industry created a voluntary specification for the asbestos content of cosmetic talc. However, recent evidence reveals that cosmetic talc is not and never was asbestos-free. This narrative review examines the talc industry’s role in delaying and ultimately blocking federal regulation of cosmetic talc from the 1970s to today. We review primary source material, including corporate documents released in recent litigation and FDA documents released in response to Freedom of Information Act requests. Our results indicate that the talc industry exerted considerable influence over three key areas: regulatory proceedings at the FDA; testing methods and the manipulation of test results (including undisclosed results); and press coverage and the medical literature. The talc companies’ actions and FDA indifference have had a lasting effect on consumer health, including the regulation of talc by other government agencies.

2021 Guidelines for Operation and Usage of County Kitchens in the State of Florida

Many county Extension office buildings have small kitchens or areas for food preparation to accommodate employees, group educational events, and other mission-related activities. In recent years, many people have become interested in developing small food businesses. Using county kitchens to make food products for sale may seem very attractive. However, because of different local, state, and federal regulation requirements, there may be some confusion and unresolved conflicts among different parties as to the legalities and practicalities involved. The objective of this document is to provide guidelines and advice for Florida Extension personnel to use when determining the appropriate usage for their kitchen facilities, based on a situation in one Florida county. The document will cover utilization, roles and responsibilities, and potential liability issues relevant to the use of county kitchens, providing some potential solutions to conflicts for all parties.