Rehumanizing Birth and Death in America

THESIS: Despite spending more on medical care than any other country in the world, the United States still boasts some of the worst patient outcomes of any developed nation. This disparity is especially true of how Americans give birth and die.  These natural human transitions have become catastrophically expensive and leave patients and their families traumatized from unnecessary interventions. This article examines the costs and outcomes associated with the medicalization of birth and death and argues that alternatives exist that improve patient outcomes while lowering costs. Access to these alternatives will require changing current regulatory and reimbursement structures and providing trained support staff to help families navigate beginning- and end-of life decisions.     

Regional growth linkages from agriculture

Pioneering research on downstream linkages from agriculture is said to demonstrate that consumption links rather than production links are the main source of indrect growth effects, that these consumption links take the form of labour‐intensive goods and services produced locally, and that the largest farm enterprises are most locally multiplicative of activities mopping up surplus rural labour. This article has two purposes. First, the methodologies, assumptions and data base for the quantification of the local and non‐local regional multiplier effects from agricultural development are examined. Second, the contradictory interpretations for agricultural policy which have arisen from these exercises of quantification are discussed and an attempt made to explain their bases.