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51.
Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non‐Expansion States
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Charles Courtemanche James Marton Benjamin Ukert Aaron Yelowitz Daniela Zapata 《Journal of policy analysis and management》2017,36(1):178-210
The Affordable Care Act (ACA) aimed to achieve nearly universal health insurance coverage in the United States through a combination of insurance market reforms, mandates, subsidies, health insurance exchanges, and Medicaid expansions, most of which took effect in 2014. This paper estimates the causal effects of the ACA on health insurance coverage in 2014 using data from the American Community Survey. We utilize difference‐in‐difference‐in‐differences models that exploit cross‐sectional variation in the intensity of treatment arising from state participation in the Medicaid expansion and local area pre‐ACA uninsured rates. This strategy allows us to identify the effects of the ACA in both Medicaid expansion and non‐expansion states. Our preferred specification suggests that, at the average pre‐treatment uninsured rate, the full ACA increased the proportion of residents with insurance by 5.9 percentage points compared to 2.8 percentage points in states that did not expand Medicaid. Private insurance expansions from the ACA were due to increases in both employer‐provided and non‐group coverage. The coverage gains from the full ACA were largest for those without a college degree, non‐whites, young adults, unmarried individuals, and those without children in the home. We find no evidence that the Medicaid expansion crowded out private coverage. 相似文献
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Charles W. Mahoney 《安全研究》2017,26(1):30-59
Private military and security companies are integral components of the defense and intelligence operations of some of the world's most powerful states. Despite the increasingly pivotal role of contractors, analysts have yet to develop theories explaining when governments should outsource national security responsibilities or what conditions cause private defense markets to function efficiently. This inquiry addresses this gap in the literature by demonstrating that varying market structures—that is, the quantity of firms providing similar services and the number and purchasing power of those buying these services—have significant effects on costs, oversight, and company performance in the private defense industry. A principal–agent framework is developed to explain variation in the performance of firms in different markets across the industry. Evaluation of three private defense markets yields the surprising conclusion that monopsony, rather than a competitive market, is the ideal structure for governments outsourcing aspects of national defense. 相似文献
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Charles Z. Levkoe Josh Brem-Wilson Colin R. Anderson 《The Journal of peasant studies》2013,40(7):1389-1412
ABSTRACTThis article is situated within nascent debates on the role of academics within food sovereignty movements. Drawing on insights from a collective autoethnography, we report on our experiences conducting three food sovereignty research projects in different contexts and at different scales. We suggest that that the principles and practices of food sovereignty translate into a food sovereignty research praxis. This consists of three pillars focusing on people (humanizing research relationships), power (equalizing power relations) and change (pursuing transformative orientations). This article discusses these pillars and analyzes the extent to which we were able to embody them within our projects. 相似文献
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Charles Grémont 《Canadian journal of African studies》2014,48(1):29-40
Since the 1980s, the so-called “nomadic” populations in the regions of Northern Mali and Niger have embarked on an extensive process of settlement. Today they mostly live in villages or “settlement sites”. But, at the same time, individuals and small groups among these same populations have considerably enlarged their area of mobility and accelerated the rate and the value of the trade in which they engage. These two phenomena could, at first sight, appear contradictory. But the observation of empirical situations shows, rather, compatibilities, similarities even, between these two concomitant phenomena. Building on innovative debates conducted in geography and sociology, this article puts forward the hypothesis that the building of villages, as well as integration into military bases and barracks, proceeds from (social) rationales of mobility, just as much as transhumance, journeys, migration. Much more than a simple displacement in space, the notion of mobility could describe an “art of doing”, a way of being to others and to the world. 相似文献
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Charles David Freilich 《Terrorism and Political Violence》2017,29(2):359-376
The percentage of Israelis killed by terrorism is higher than in any other democracy. The article analyzes the threats Israel has faced, the impact terrorism has had on Israel, and the counter-terrorism policies Israel has adopted. Terrorism has had a decisive effect on Israeli elections and national security decisions, but not the economy. Israeli counter-terrorism has often been conducted without a coherent overall policy, has failed to reflect and conflicted with broader objectives, and has greatly undermined Israel's international standing. Conversely, it has enabled Israel to live in relative security and thrive, and provided its leaders with the latitude to pursue various policies, including peace, should they wish to do so. 相似文献
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