The diffusion of health care technology is influenced by both the total market share of managed care organizations as well as the level of competition among them. This paper differentiates between HMO penetration and competition and examines their relationship to the adoption of cardiac...

If the best universities in the world – who have the widest choice of candidates – systematically appoint top researchers as their vice chancellors and presidents, is this one form of evidence that, on average, better researchers make better leaders? This paper addresses the first part of...

Three comparable cross-section household datasets, relating to 1988, 1993 and 1997-1999 are used to analyse income satisfaction in Slovenian households. The ordered probit model is used to estimate the effects of ‘objective’ variables, such as actual disposable household income and household...

This paper analyses the impact of new institutional structures in global health governance on the realization of social rights in poor countries. Meanwhile, health is broadly seen as an import precondition for social and economic development. This leads to an integration of the “diseases of...

A woman may choose to become more educated, partly because she wishes to emulate those around her. A behavioral model suggests that she is less likely to lose her baby than the less educated by flouting basic rules of health. Estimates of a three-equation model suggest that low-weight births are...

[Forthcoming in Brookings Papers on Economic Activity] We analyse the major economic issues raised by the 1997 Tobacco Resolution and the ensuing proposed legislation that were intended to settle tobacco litigation in the United States. By settling litigation largely in return for tax increases,...

Public effort in support of higher education – measured as state funding per thousand dollars of personal income – has declined by thirty percent since the late 1970s. During this time period many states implemented Tax and Expenditure Limits and/or supermajority requirements for tax...

This paper examines how demand for prescription drugs is influenced by different types of insurance. In order to understand demand characteristics and the competitiveness of pharmaceutical markets, both intermolecular (therapeutic) and intramolecular (generic) substitutions are studied in the...

This study estimates the effect of expanding enrollment possibilities in early eduction on the achievement of young children. To do so it exploits two features of the Dutch schooling system. First, children are allowed to enroll in school on their fourth birthday. Second, children having their...

This essay analyzes the economic causes and effects of household decisions concerning fertility, education and child labor when children can supplement family income early in life and must support their parents in old age as adults. Parents, who raise and educate children for both financial and...