Potential impact on birth rates of reforms in laws governing contraceptive marketing

This article attempts to estimate the potential impact on birth rates of relaxing various legal restrictions on the marketing of contraceptives and to identify countries offering particular potential for such policies. The approach is through a quasi-experimental cross-sectional analysis of various configurations of laws in 82 countries. Results indicate that relaxation of a complex of interrelated restrictions offers the potential to lower birth rates and hence population growth by a full percentage point. The estimates are made in context of an analysis of covariance in which other key determinants of birth rates (measures of economic, demographic and health status) are also considered. While the cross-sectional design does not allow assessment of time frame for the impact of such changes, some guidance is available from the experience of two countries.     

Statistical tests of discrimination in punishment

A method, adopted from the labor econometrics literature, is proposed for detecting discrimination in punishment. The method requires the separate estimation of time served and punishment probability equations for, say, whites and blacks. The coefficients from the white equation are used to predict the punishment blacks would receive if treated like whites. A test of no discrimination against blacks is a test that the black punishment predicted by the black equation is equal to the punishment predicted by the equation using the white coefficients but the black endowments or characteristics. A further test is proposed that evaluates the economic efficiency of disparities in punishment. The test is restricted to measuring the recidivism effect of equality of treatment in punishment. The discrimination test and the efficiency test are illustrated using the U.S. Board of Parole data for 1972. Statistically significant racial disparities in punishment are uncovered and are found to be economically inefficient.     

Evaluation of the south carolina comr/cunity long-term care medicaid waiver for the elderly and disabled

Medicaid waivers play an important role in the health policy process. Various health care policy initiatives have encouraged states to experiment ith their Medicaid programs by expanding coverage to populations not traditionally covered by Medicaid, or by delivering Medicaid services in non traditional ways. Lessons learned by individual states' Medicaid waivers could be an important part of the health care reform debate. This paper presents an evaluation of a Medicaid waiver operating in South I Carolina. The South Carolina Community Long-term Care Waiver for the Elderly and Disabled is evaluated for cost effectiveness, quality of care, and client satisfaction. This evaluation shows that the waiver is highly effective in offering individuals who are medically and financially eligible for Medicaid supported nursing home care a viable, cost effective, high quality alternate to institutionalization.     

Strong Reciprocity and the Roots of Human Morality

Human morality is a key evolutionary adaptation on which human social behavior has been based since the Pleistocene era. Ethical behavior is constitutive of human nature, we argue, and human morality is as important an adaptation as human cognition and speech. Ethical behavior, we assert, need not be a means toward personal gain. Because of our nature as moral beings, humans take pleasure in acting ethically and are pained when acting unethically. From an evolutionary viewpoint, we argue that ethical behavior was fitness-enhancing in the years marking the emergence of Homo sapiens because human groups with many altruists fared better than groups of selfish individuals, and the fitness losses sustained by altruists were more than compensated by the superior performance of the groups in which they congregated.     

The first international proficiency test on ketamine and norketamine in hair

This paper discusses the organization of the first international proficiency test (PT) programme on ketamine (K) and norketamine (NK) in hair samples. The primary objective of the programme was to evaluate the analytical capability of participating laboratories on hair analysis for K and NK via comparison of results. Authentic samples, instead of spiked samples were used in the programme to mimic the analysis of incorporated illicit drugs in real-life situations. Eight of the ten participating medical or forensic laboratories from Australia, France, Hong Kong, Italy, Singapore and the USA returned results to the organizer. Quantification methods from these laboratories were confined to GC-MS and LC-MS/MS. Performance assessment based on z-score indicated that only three laboratories achieved satisfactory results for both the analysis of K and NK. It was concluded that the overall performance of the participating laboratories was fair and there is still room for further improvement. Additional similarly designed PT programmes are recommended to be organized in order to encourage reliable measurements of illicit drugs in hair samples. Taking into account the substantial effect on the consensus values within limited number of data points, a recommendation on the provision of reference values assigned by accurate methods will be of benefit to small size PT programmes in the forensic field.     

Umbilical cord blood banking: beyond the public-private divide

Umbilical cord blood is a source of haematopoietic progenitor cells, which are used to treat a range of malignant, genetic, metabolic and immune disorders. Until recently, cord blood was either collected through donations to publicly funded cord blood banks for use in allogeneic transplantation, or stored in commercial cord blood banks for use in autologous transplantation. The line between public and private cord blood banking is being blurred by the emergence of "hybrid" models that combine aspects of both the public and private systems. The authors describe these hybrid models and argue that their emergence is explained by both market forces and public sector policy They propose that the future of the sector will depend heavily on several key developments that will differentially affect public, private and hybrid banking models.