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At least 19 recordsLinked to original sources

Can China's health care be transplanted without China's economic policies?

China's economic policies of the past 25 years have shaped its present health-care system. China's leadership has decided to have neither a national health-insurance system nor a national health service. Instead, it decided that its health system would mirror the workings of its industrial and agricultural system. Decisions to minimize imports, ban private economic activity, assign university graduates on a compulsory basis, control wages, maintain a large domestic standing army and prevent professions or universities from acquiring independent status led directly to the present system of medical care. Consequently, transplantation of China's striking achievements in health-care delivery to the United States or other countries is unlikely to occur in the absence of transfer of the underlying economic policies.

Agriculture↗

The new economic policy and permanent migration in Zhejiang Province, China.

"This article examines the impact of economic reforms on the volume and characteristics of permanent migration in Zhejiang Province, China. The data suggest that the new economic policy induced a surge in permanent migration during the post-reform years. Such positive impact of the reform on permanent migration has started to fade away in 1985, as government relaxed its control over residence. Moreover, market mechanisms started playing a more important role in employment, exchange, and consumption. The data also suggest that the new economic policy has particularly favored the better educated, and thereby increased educational differentials between permanent migrants and nonmigrants. For all other characteristics examined, the results show consistently that post-reform migrants are less differentiated from nonmigrants than their pre-reform counterparts." An earlier version of this paper was presented at the 1994 Annual Meeting of the Population Association of America.

Asia↗

Comparative institutional response to economic policy managed competition and governmentality.

This article provides a comparative conceptual framework for understanding why so many governments found economic policies based on managed competition attractive and yet dangerous to implement. The framework conceptualizes governments as a kind of organizational complex and thus governments as an international population of organizations, each embedded in a state that tries to harness and direct behaviour through what Foucault called "governmentality". This nascent concept is made more robust here and joined with Fligstein's historical research on the response of leading organizations when fundamental change threatens a population of organizations, by embracing a new conception of control that allows them to re-establish their control and pre-eminence. Fligstein studied corporations, but his model can be fruitfully extended to governments. Economic sociology has not to date been able to do much comparative research on institutional responses to economic policy; but this set of case studies and conceptual framework provide such an opportunity.

Developed Countries↗

In retirement migration, who counts? A methodological question with economic policy implications.

PURPOSE: We examine the methodological and economic policy implications of three operations of retirement migration. DESIGN AND METHODS: We compared the traditional age-based definition of retirement migration and two retirement-based definitions, based on degree of labor-force participation and retirement income, by using the 2000 U.S. Census Public Use Microdata Sample. RESULTS: The age-based definition overestimated the number of retired migrants, although the ranking of host and donor states remained relatively stable; nevertheless, states revealed different rates of change in inmigration and outmigration and income streams declined. IMPLICATIONS: Retirement-based definitions are more useful and precise for those researchers considering the economic implication of retirement migration.

Humans↗

International migration, economic policy and human capital accumulation: a simulation study.

"This paper examines the economic policy implications of international migration and human capital accumulation within a dynamic general equilibrium model. Each country produces by means of physical and human capital of two types (skilled and unskilled labour). Along optimal growth paths in a world of diverging population growth rates immigration can only be beneficial when the free rider effect (i.e., not paying for training costs) exceeds the capital dilution effect of an increase in population growth. Under quite general conditions the optimal immigration rate is zero."

Demography↗

Economic policy, intergenerational equity, and the Social Security Trust Fund buildup.

For the next 75 years, the Old-Age, Survivors, and Disability Insurance (OASDI) system is projected to be close to in balance, on average. For approximately the next 40 years, under current projections, the combined OASDI Trust Fund is expected to continually have excesses of income over outgo, creating a buildup that will peak in 2030 at about +12 1/2 trillion (roughly 23 percent of the gross national product). Thereafter, the system is projected to be in annual deficit continually until the trust fund is exhausted in 2051. This article focuses on two fundamental issues that must be understood if the potential economic consequences of this buildup are to be evaluated properly. The first issue deals with the fact that the nature of Federal economic policy during the buildup period will determine the ultimate economic impact of the buildup. The second issue concerns the effect of the buildup, and its disposition, on the Social Security program's treatment of one generation of workers compared with another. If a fund is actually accumulated as projected, part of the retirement benefits of the "baby-boom" generation will, in effect, be self-financed. If, however, that fund is used for other purposes--directly or indirectly--future cohorts of workers will be required to fully finance benefits promised to the baby-boom retirees.

Aged↗

Government participation in physician negotiations in German economic policy as applied to universal health care coverage in the United States.

Systems of universal health care coverage in western industrial societies have usually established some form of government participation in negotiations over physician payment as a means of controlling costs. In the Federal Republic of Germany, a mixed private and public body. Concerted Action in Health Care sets a 'target' for physician and 'sickness fund' negotiators. This indirect form of government participation is effective in 'linking' fees with utilization during negotiations, avoiding inflationary trends inherent in fee-for-service systems. This target-setting factor is a necessary complement to negotiation of a 'pool' of money, wage level and technological adjustment factors, as contained in a model of German economic health care policy. These four elements of economic policy are recommended as cost control measures for office-based physician payments under conditions of universal health care coverage in the United States. Indirect government participation through setting 'targets' for negotiations is seen as consistent with established American institutional practices.

Cost Control↗

Child and maternal health and international economic policies.

The following article suggests that the current economic crisis in the Dominican Republic could have serious consequences for the health of women and children. Health status will be affected both indirectly and directly by the crisis: that indirect effect can be seen in changes in dietary patterns, increased nutritional risk, increased incidence of infectious disease, and in time, increased mortality among women and children. The direct effect can be seen in higher unemployment, reduced wages, increased prices of basic commodities, and reduced government support for public health care delivery systems. Examples are drawn from observations in public health postpartum wards.

Adult↗