Recent years have seen the rise of anti-smoking campaigns. While these campaigns are often successful at getting people to quit, Sara Evans-Lacko writes that their negativity can lead to the opposite of their intended effect. She argues that the stigma that such approaches bring can lower smokers’ self-esteem, making it harder for them to quit, or make them angry […]
Accountable Care Organizations are too small and loosely affiliated for financial bonuses to be effective at improving performance.
One part of the Affordable Care Act – or Obamacare – has an attempt to tackle the fragmentation of US health care delivery through the introduction of Accountable Care Organizations (ACOs). These organizations contract to provide care to large groups of Medicare recipients and there are group incentives for care to be provided more cost effectively. In new research […]
As the workforce ages, older workers need more support and greater opportunities for training and development.
The American workforce is graying; by 2022, more than 25 percent of workers will be over 55. These shifts in the age structure of the workforce mean that education and training programs will become more important for older workers in the coming years. In new research, Phyllis Cummins and Bob Harootyan find that older workers on lower incomes and […]
Medicare helps protect the elderly against catastrophic medical expenditure risk. Increasing the Eligibility age will expose many to higher costs and financial strain.
More than half of all lifetime medical expenses are incurred after 65; Medicaid protects seniors from the financial strain which would normally be associated with these costs. In new research, Silvia Helena Barcellos and Mireille Jacobson find that Medicare reduces the fraction of the elderly whose out-of-pocket medical costs exceed their income from 9 to 5 percent, and also […]
Recent scandals in the US government such as the Veterans Health Administration scandal point to the need to reexamine how much autonomy and discretion public servants are able to exercise. In new research which examines the ethical behavior of public servants, Edmund C. Stazyk finds that highly trained managers view organizational problems through a compliance based, legalistic lens and […]
In Bring Back the Bureaucrats, John J. Dilulio Jr. concisely and passionately outlines the dangers of Big Government by stealth in the USA as bureaucratic tasks become increasingly outsourced to proxies including charities, business contractors and local government. Ruth Garland writes that the book resonates with current debates over the provision of public services in the UK and therefore opens up […]
Compared to private firms, government agencies are more likely to violate regulations and less likely to be punished.
Recent events such as the Volkswagen emissions scandal have reminded us that the private sector often break government regulations. But what about government agencies? In new research, that examines compliance with the Clean Air Act and Safe Drinking Water Act, David M. Konisky and Manuel P. Teodoro find that, facing higher compliance costs, government agencies are more likely than […]
Less insurer competition can lower hospital prices, but savings may not reach consumers, write Kate Ho and Robin S. Lee.
The dream of many a start-up is having Google or Facebook locked in a bidding war for its technology. Publishers, record labels, and television studios enjoy having both Apple and Amazon competing for their content. And, more generally, competition among […]
Lack of a car is more important to elderly residents of food deserts than lack of a nearby supermarket.
New policies at the local, state, and federal level seek to address the problem of food deserts because living far from a supermarket is thought to be related to food hardship and unhealthy eating patterns. In new research, Katie Fitzpatrick and co-authors find little evidence that living in a food desert affects food-related distress among the elderly. Rather, transportation […]
The introduction of Obamacare has helped millions of Americans to obtain health insurance, and at lower cost. In new research, Mary Clare Ahearn looks at how Obamacare might affect the workforce of the 2.1 million farms in the US. She finds that Obamacare is likely to benefit farming families with low incomes, but that it has also given larger […]