On the economics of nonprofit sellers: Output policies in community hospitals

In applications of the theory of the nonprofit firm it is commonly assumed that output and sales are equal. This paper proposes that the nonprofit firm may plan to produce, and actually produce, an output larger than it sells. We call such a strategy an "excess output" production policy. The policy can lead to chronic excess capacity, and it always implies that seller average revenue exceeds unit costs evaluated at the level of sales. Using the nonprofit community hospital as an example, the paper examines the characteristics of excess output policies and the possibilities for controlling their performance impacts. Data on a sample of U.S. community hospitals are used to test for the existence of excess output policies in the hospitals are used to test for the existence of excess output policies in the hospital sector. The results give qualified support for the conclusion that some hospitals follow excess output production policies.     

Ukraine: Strong Growth but Urgent Need for Reforms

Original Papers

Ukraine: Strong Growth but Urgent Need for Reforms     

The Earnings Effects of Multilateral Trade Liberalization: Implications for Poverty

Most researchers examining poverty and multilateral trade liberalizationhave had to examine average, or per capita effects, suggestingthat if per capita real income rises, poverty will fall. Thisinference can be misleading. Combining results from a new internationalcross-section consumption analysis with earnings data from householdsurveys, this article analyzes the implications of multilateraltrade liberalization for poverty in Indonesia. It finds thatthe aggregate reduction in Indonesia's national poverty headcountfollowing global trade liberalization masks a more complex setof impacts across groups. In the short run the poverty headcountrises slightly for self-employed agricultural households, asagricultural profits fail to keep up with increases in consumerprices. In the long run the poverty headcount falls for allearnings strata, as increased demand for unskilled workers liftsincomes for the formerly self-employed, some of whom move intothe wage labor market. A decomposition of the poverty changesin Indonesia associated with different countries' trade policiesfinds that reform in other countries leads to a reduction inpoverty in Indonesia but that liberalization of Indonesia'strade policies leads to an increase. The method used here canbe readily extended to any of the other 13 countries in thesample.