To an American audience, the demonstrations, strikes, and unrest resulting from the changes to higher education in Britain must seem perplexing. Compared with the $37,000 for annual tuition at a private university like Princeton, higher education in England still seems like a bargain. But the changes now under way in Britain threaten the very core…

For years, critics have pointed to the decreasing ability of health-care professionals to make decisions and provide services because of the demands of insurance companies and health-management organizations to sustain profits. Health-care decisions are increasingly being made by the wrong people and for the wrong reasons. So, too, with public…

Nearly ten years ago, the University of Pennsylvania announced that it would outsource its facilities and real-estate operations to Trammell Crow Higher Education Services, Inc. The agreement included management of school facilities--155 buildings over 269 acres on the West Philadelphia campus. It also included construction management and…

Seeking to raise money for new academic buildings and programs, Indiana University's board of trustees is exploring outsourcing its "auxiliary-service" units. These units manage printing and food services, the university's bookstores, campus motor pools, and other functions. To prevent job loss and wage cuts among hundreds of long-term…

An interview with the former editor of "The New England Journal of Medicine" examines the impact on medical education of corporatization of the health-care system, including pressures to see more patients, less time spent with each patient, financial pressures limiting medical research, issues related to tenure, and concerns that young doctors are…

A case study detailing efforts by University of Minnesota administrators to "re-engineer" the medical school by selling the teaching hospital without faculty consultation and nearly eliminating tenure notes that the medical school now faces an uncertain future and has experienced a precipitous decline in federal research support. (DB)

Examines how pressures for profits are eroding the mission of academic health centers, forcing cutbacks in teaching and patient care and leading to plummeting morale among medical school professors. Reviews trends in public support for medical schools and the dangers of subordinating clinical decisions to marketplace economics. (DB)

The crisis of affordability in higher education is intensifying. Illustrations of its resonance abound: from the frequent news articles describing and amplifying the crisis and its sources to legislators' and candidates' proposed responses. Republicans' responses tend to be mainly punitive toward institutions; Democrats' proposals are more…