Expanding access to health care for Social Security Disability Insurance beneficiaries: early findings from the accelerated benefits demonstration

Most Social Security Disability Insurance (DI) beneficiaries must complete a 5-month waiting period before they become entitled to DI cash benefits and an additional 24-month waiting period before Medicare benefits begin. The Accelerated Benefits (AB) demonstration is a randomized experiment designed to test the effects of providing newly entitled DI beneficiaries who do not have health insurance with a generous health benefits package during the Medicare waiting period. This article presents early findings on the prevalence of health insurance coverage among newly entitled beneficiaries and the characteristics of those without health insurance. It also examines the effects of AB on health care utilization, the extent to which AB reduces unmet medical needs, and the costs of providing the AB health benefits package.     

Autonomy and Control in Australian Agencies: Data and Preliminary Findings from a Cross‐National Empirical Study

This article is developed from data gathered through the analysis of a survey of ‘agencies’ at Commonwealth and Australian Capital Territory (ACT) levels of government, undertaken as the Australian component of a cross‐national empirical study of autonomy and control in non‐departmental public sector organisations. It presents preliminary findings from one part of what is potentially a very important enterprise in comparative research, along with discussion of methodological issues which need to be confronted in many such comparative exercises. The data reveal that Australia agencies have been granted more autonomy than agencies in other countries contributing to this survey, though that autonomy varies markedly across functions such as personnel management and financial management. While the article represents just a snapshot in time in agency autonomy, we believe it provides a robust baseline for future changes in the way agencies are managed in the Australian public sector.     

Exclusionary School Discipline and Delinquent Outcomes: A Meta-Analysis

Journal of Youth and Adolescence - Excluding students from school remains a common form of punishment despite growing critique of the practice. A disparate research base has impeded the ability to...     

South Australia: Caution and Consistency

During the 1990s public service industrial relations in South Australia have followed the state's long‐standing practice of being moderate and careful. From 1993 onwards, processes of corporatisation and privatisation that had commenced under the Bannon Labor government were continued and extended under the new Liberal government, in part as a response to financial pressures arising from the State Bank collapse, and in part as a reflection of the same trends that were widespread elsewhere. Where possible the government avoided direct confrontation with unions. There were various contests where the parties explored options in the changing environment, but the most prominent trend was that government policies of financial restraint and outsourcing tended to reduce most unions' bargaining power. Those policies were initially conjoined with agency‐specific enterprise bargaining, but the resulting variations in outcomes finally led to a Wages Parity Agreement to restore consistency.     

Population drug use in Australia: a wastewater analysis

Accurate information on drug use in communities is essential if health, social and economic harms associated with illicit drug use are to be addressed efficiently. In most countries population drug use is estimated indirectly via surveys, medical presentations and police and custom seizures. All of these methods have at least some problems due to bias, small samples and/or long time delays between collecting the information and analysing the results. Recently the direct quantification of drug residues in wastewater has shown promise as a means of monitoring drug use in defined geographical areas. In this study we measured 3,4-methylenedioxymethamphetamine (MDMA), methamphetamine and benzoylecgonine in sewage inflows in metropolitan and regional areas of Australia and compared these data with published European data. Cocaine use was small compared to European cities (p<0.001) but was compensated for by much greater consumption of methamphetamine (p<0.001) and MDMA (p<0.05). MDMA was more popular in regional areas (p<0.05) whereas methamphetamine and cocaine were mainly consumed in the city (p<0.05). Greater than 5-fold increases in MDMA use were detected on weekends (p<0.001). This approach has the potential to improve our understanding of drug use in populations and should be further developed to improve prevention and treatment programs.     

Whole‐of‐Government Approaches to Outsourcing and Market Testing by the Commonwealth Government

This article traces the development of approaches to outsourcing by successive Australian governments from 1995. The analysis focuses on strategies initially adopted for the outsourcing of government information technology (IT) services and, subsequently, includes the market testing approach adopted for the outsourcing of both IT and corporate services. The framework for analysis has been based on theories of privatisation developed by Feigenbaum, Henig and Hamnett (1999). This framework offers insights into the goals and strategies employed by commonwealth government that underpin their approaches to sourcing of services for their public sector. The article concludes by discussing some of the unresolved issues associated with the failure of government to formally evaluate the impact of their outsourcing policies.     

Institutions and Market Reform in Emerging Economies: A Rent Seeking Perspective

The role of institutions as determinants ofrent seeking success is well established. In this paper, we focus on institutionsthat have received little attention in theliterature, namely electoral institutions. We examine three measures of electoralinstitutional structure that arehypothesized to be instrumental indetermining the level of rent seekingsuccess. These are the type of electoralsystem, pluralistic or proportional; methodof selection of the chief executive,presidential or parliamentary; and thenumber of electoral districts. An index ofeconomic freedom is used as the metric forrent seeking opportunities created bygovernments. Theoretical implications ofvariation in these electoral institutionsare developed. These implications areempirically tested employing data from 29countries classified as having emergingmarket economies. Countries with emergingeconomies are expected to exhibit moreinstitutional flexibility that moredeveloped countries whose property rightsare well established and defended. Theempirical results are controlled fordifferences in a number of demographic andhistorical factors. Plurality electoralsystems are more resistant to the politicaldemands of rent seeking than proportionalsystems. Fewer election districts seem toreduce rent seeking opportunities. However, conditional on the type ofelectoral system, presidential systems arefound to be no more resistant to rentseeking than parliamentary systems. Finally, we find strong control effects. Literacy increases a country's resistanceto rent seeking while military spending andyears of institutional entrenchment reduceit.