Global civil society: lessons from ocean governance

Late 20th century ideas about governance of the world's oceans may provide clues to the role of “civil society” in the 21st century. The UN Convention on Law of the Sea has radically changed traditional ideas about “national sovereignty”, shifting its focus from territorial to functional, imposing on states the duty to cooperate and pay taxes, requiring the sharing of sovereign rights, and transcending sovereignty with the “common heritage” concept. The proliferation of nongovernmental organisations operating on the international stage is empowering all elements of a burgeoning global civil society. In some pioneering experiences in international relations, nongovernmental representatives sit on a par with delegates from governments. Most of the elements of global civil society—NGOs, international business, the community of scientists, worldwide media, and local communities—are not yet focused on the kinds of globalization that can narrow the rich–poor gap and promote sustainable development, but in the new century, a more global civil society can play a more constructive role.     

A Survey of the Theoretical Economic Literature on Foreign Aid

This paper surveys the theoretical economic literature on foreign aid—in particular, the aid donor–recipient relationship. Economic theory, especially new institutional economics, can be very helpful in understanding foreign aid relationships—especially the incentive problems involved—and in designing institutions to improve aid effectiveness. In particular, it helps in understanding the chain of principal–agent relations inherent in the aid delivery system and the resulting potential for agency problems. The survey shows that economic theory can improve the design of cooperation modalities by aligning the incentives of donors and recipients for poverty reduction, but that, in order to address the problems, policy analysis must take into account the constraints faced by stakeholders in the aid relationship. The aid 'contract' should thus seek to improve the agents' incentives to use aid effectively, given the circumstances of the developing country.     

Price setting, price dispersion, and the value of money: or, the law of two prices

We study models combining search, money, price posting, and preference shocks. We show how these features interact to influence the price level and price dispersion. First, price-posting equilibria exist with valued fiat currency. Second, although both are possible, price dispersion is more common than a single price. Third, we prove that generically there cannot be more than two prices. We provide intuition for this law of two prices, show it also holds in some nonmonetary search models, and discuss variations of the assumptions under which it may not hold.     

A public good approach to credit ratings – From concept to reality

From the onset of the 2008–2009 financial crisis to the subsequent European sovereign debt crisis, credit rating agencies have been assigned considerable blame. Reforming the credit rating industry has hence become an important policy issue. In addition to the regulatory efforts in the context of accepting the for-profit business model of ratings, there is a growing realization that credit ratings bear the characteristics of a public good. Financial market participants need reliable, transparent and independent assessment of credit risks. Credit ratings are therefore better viewed as an infrastructure matter. However, the proposed regulations seem to have missed this point. This paper introduces a new approach to credit ratings undertaken by the Risk Management Institute at the National University of Singapore that is predicated on the provision of credit ratings as a public good. With a public good alternative in place, the currently predominant for-profit business model may be counterbalanced.     

Moral Reasoning Skills: Are Entrepreneurs Different?

Drawing on existing theory in the fields of business ethics, entrepreneurship, and psychology, this research provides an initial empirical exploration of whether entrepreneurs use cognitive reasoning processes which reflect a higher level of moral development than the level of moral development that has been empirically observed either in middle-level managers or in the general adult population. The Defining Issues Test was used to measure the level of moral reasoning skill of the entrepreneurs in this study. Although the study was limited by a small sample size and the inherent difficulty of making accurate comparisons across other empirical studies, the results of this study suggest that entrepreneurs may exhibit moral reasoning skills at a slightly higher level than middle-level managers or the general adult population.     

Bridging the communications gap with the ordinary citizen

This research note discusses findings from an exploratory study of people's perceptions of the economic situation in October 1981. The survey, as did earlier ones, reveals that there is a wide communications gap between governments, politicians, economists, journalists vis-à-vis members of the general public.     

Heart rate variability testing: could it change spending for rheumatoid arthritis patients in the United States? An exploratory economic analysis

Background: Autonomic nervous system (ANS) testing with heart rate variability (HRV) has been shown in early research to predict 52-week outcomes in rheumatoid arthritis (RA). HRV testing could be combined with putative ANS biologic pathways to improve treatment response for RA patients. This study explored potential costs and health outcomes of introducing HRV testing into RA treatment, without and with ANS optimization.

Methods: A decision tree exploratory economic model compared HRV testing to standard care in moderate-to-severe biologic-eligible patients over a 10-year time horizon. HRV data was derived from an observational study of RA patients (n?=?33). Patients were stratified into treatment groups based on HRV test scores indicating “low probability of response” and “moderate to high probability of response”. This study explored adding ANS optimization based on HRV score followed by clinically-appropriate treatment. Costs and quality-adjusted life-years (QALYs) for the US population were estimated.

Results: HRV testing in biologic-eligible patients decreased non-effective biologic use, reducing US healthcare costs by $34.6 billion over 10 years with QALYs unchanged. When combined with ANS optimization in biologic-eligible patients, HRV testing could increase costs by $3.6 billion over 10 years but save over 350,000 QALYs. Among all RA patients, HRV testing with ANS optimization could save over $8 billion and over 100,000 QALYs over 10 years, depending on the positive predictive value (PPV) of the HRV test.

Conclusions: The potential economic impact of introducing HRV testing and ANS optimization into RA treatment appears substantial and cost-effective based on the exploratory analysis. Additional rigorous studies are warranted in larger patient samples to better inform decision-making.