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The organization of health care in the US and Britain is based on different historical, ideological and political assumptions. This paper draws on those assumptions to describe the current health care crisis and proposed reforms. Central to the discussion is an analysis of the forms of public and market-led provision of health care in operation, particularly in relation to the role of the state and their implications for access, cost, and quality.  相似文献   

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I examine the effects of education on health in Indonesia using an exogenous variation in education induced by an extension of Indonesia’s school term length in 1978–1979, a natural experiment that fits a regression discontinuity design. I find the longer school year increases educational attainment and wages, but I do not find evidence that education improves health. I explore some mechanisms through which education may affect health, but education does not seem to promote healthy lifestyles, increase the use of modern healthcare services, or improve access to health insurance; if anything, education improves only cognitive capacity.  相似文献   

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There are many different causes behind the two civil wars in Liberia and Sierra Leone. Some are clearly unique to each country, whereas some of the most significant causes of war are shared in both cases. This article argues that the most basic reasons for these two wars are to be found in the extreme version of neopatrimonial politics that was developed in Liberia and Sierra Leone. Neopatrimonialism is not unique to these two countries, nor to Africa. However, the historical experience of the two countries suggests that Liberia and Sierra Leone developed an extreme version of neopatrimonial politics built on the need to secure the self through self-categorisation into self and other. The article therefore suggests that the historical legacy of these interlinkages is so substantial that the fates of Liberia and Sierra Leone are locked together like a pair of dead ringers. Neither country is likely to achieve sustainable peace if warlike conditions still exist in the other country.  相似文献   

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We extend the literature on the deep determinants of economic development by focusing on life expectancy, instead of income per capita, as an indicator of economic development, and by examining the role of informal, as well as formal, institutions. Our empirical results suggest that formal and informal institutions are substitutes. Improving informal institutions has positive effects on life expectancy that are statistically significant for most countries and stronger than the effects of improving formal institutions. The gains from improving informal institutions are greatest for countries in which institutions are weakest. Geographical factors also help explain cross-country variation in life expectancy.  相似文献   

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In this article, we analyse the impact of foreign health aid on the emigration rates of physicians. The analysis is based on a dataset of physician emigration rates from 50 source countries between 1998 and 2004. First, we investigate the direct impact of health assistance using the generalised method of moments estimation, and we highlight the significant negative effect of foreign health assistance on the medical brain drain. Second, we show that this effect results more from technical assistance than from financial assistance. Finally, the robustness of our analysis is verified to confirm the validity of the results.  相似文献   

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St. John's what?     
Golden F 《Time》2001,157(17):60-61
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The paper examines the economic linkages between the post-Soviet states from the point of view of the financial and economic crisis of 2008–2009. It aims to find out whether the interdependence between the countries of the former Soviet Union is still large enough that crises in individual countries affect the economic development in the neighboring states, and assesses the impact of the crisis itself on the linkages between the former Soviet republics. The evidence is mixed: while some channels of interdependence deteriorated over the last decade, others became more important, and some were even strengthened by the crisis itself.  相似文献   

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