More long-term care for better healthcare and vice versa: investigating the mortality effects of interactions between these public sectors

Public healthcare (HC) and long-term care (LTC) sectors coexist in several OECD countries. Economic interactions between these two sectors have been found to occur even in the absence of formal integrated care arrangements. We investigate whether and how interactions between the HC and LTC sectors impact mortality. We analyse data on English local authorities in 2014–15 and employ a sequence of cross-sectional econometric specifications based on instrumental variables to identify the effect that LTC expenditure has on mortality through its interactions with HC services, and vice versa. Our findings suggest that any effect of LTC expenditure on mortality is likely to run through the HC sector by allowing the latter to reallocate resources from less to more effective services. A 10 per cent increase in LTC expenditure per user can indirectly save, on average, about three lives per million individuals. In addition, on top of the known HC direct mortality effects, we find that investing an extra £42 million in the HC sector – equivalent to a 10 per cent increase in HC expenditure per capita for the average local authority – can decrease the use of LTC services, producing around £7.8 million of savings. These can generate mortality effects if invested in services having an impact on mortality.     

The Influence of Exchange Rates on Red Meat Trade between Canada and the United States

The effect of exchange rates on the trade of red meat between Canada and the United States is an important policy issue. While Canadian producers benefit from higher livestock prices as the Canadian dollar declines in value, higher costs of feed grains and protein as well as macroeconomic effects offset much of the perceived gain. In this paper, these effects are quantified using a quarterly econometric model of the North American livestock sector in which both livestock and feed prices in Canada are linked, through exchange rates, to their counterparts in the United States market. The results suggest that devaluation leads to significant increases in Canadian net exports of beef and to small increases in net exports of pork. Both effects are small when compared with total North American trade and production. ?effet du taux ?échange sur le commerce de viande rouge entre le Canada et les Etats-Unis a de considérables implications sur les politiques agricoles. Bien que les producteurs Canadiens bénéficient lorsque les prix de la viande sont haussés par une dévaluation du dollar Canadien, ces gains sont réduits par des prix plus élevés pour les grains et les protéines de même que par des répercussions macroéonomiques. Dans cet article, les effets de changements dans le taux ?échange sont quantifiés par ?entremise ?un modèle économétrique trimestriel des secteurs bovins et porcins en Amérique du Nord. Les prix des animaux et des grains au Canada sont reliés à leurs vis-à-vis américains par le taux ?échange. Les résultats suggèrent qu' une dévaluation entraîne une hausse significative de ?exportation nette de boeuf et une faible augmentation de ?exportation nette de pore. Toutefois, les effets sont modestes lorsque comparés aux volumes de production et de ventes pour le marché Nord Américain.     

Equilibrium with arbitrary market structure

Summary. Fifty years ago Arrow [1] introduced contingent commodities and Debreu [4] observed that this reinterpretation of a commodity was enough to apply the existing general equilibrium theory to uncertainty and time. This interpretation of general equilibrium theory is the Arrow-Debreu model. The complete market predicted by this theory is clearly unrealistic, and Radner [10] formulated and proved existence of equilibrium in a multiperiod model with incomplete markets.In this paper the Radner result is extended. Radner assumed a specific structure of markets, independence of preferences, indifference of preferences, and total and transitive preferences. All of these assumptions are dropped here. We - like Radner - keep assumptions implying compactness.Received: 17 April 2003, Revised: 26 March 2004, JEL Classification Numbers: D52, D40.     

Robustness of sunspot equilibria

Summary. A sunspot equilibrium (SSE) is based on some extrinsic randomizing device (RD). We analyze the robustness of SSE. (1) We say that an SSE allocation is robust to refinements if it is also an SSE allocation based on any refinement of its RD. (2) We introduce two core concepts for analyzing the robustness of SSE in the face of cooperative-coalition formation. In the first, the blocking allocations are based on the RD that defines the SSE. In the second (stronger) core concept, coalitions select their own RDs. For the convex economy with restricted market participation, SSE allocations are robust under each of the definitions and the cores converge on replication of the economy to the set of SSE allocations. For the economy with an indivisible good, SSE allocations are not always robust. We provide examples of each of the following: (i) an SSE allocation that is not robust to refinement, (ii) an SSE allocation that is in neither core, (iii) an SSE allocation that is in the first core, but not in the second, and (iv) a core that does not converge upon replication to the set of SSE allocations. Received: July 31, 1995; revised version August 30, 1996     

Household Finances and Social Interaction: Bayesian Analysis of Household Panel Data

We investigate the relationship between social interaction and household finances using the British Household Panel Survey. We explore the relationship between a wide range of aspects of household finances and social interaction, rather than focusing on one particular facet of household finances, such as the holding of stocks and shares. We develop a Bayesian statistical framework to simultaneously explore both sides of the household balance sheet—liabilities and assets. Additionally, we allow the influence of social interaction on household finances to be time dependent, enabling us to model the effects of social interaction from a dynamic perspective. We also develop a two‐part model to jointly investigate the influence of social interaction on the amount of different types of debt and financial assets held conditional on holding the different types of debt and assets. Our analysis suggests that social interaction is associated with households holding larger amounts of debt and assets.     

Conventions: An evolutionary approach

Conventions are social institutions that solve recurrent coordination problems. In normative game theory, coordination games are considered problematic because of the multiplicity of equilibria. From a neoinstitutionalist perspective, however, this multiplicity should be an important part of the explanation of real-world institutions. The paper discusses the evolutionary (or “positive”) game-theoretical approach to the emergence of conventions. I note a precise sense in which conventions may be said to minimize transaction costs, but that they need not be efficient. Example applications to language, money, and the theory of the firm are discussed.     

Long-run selection and the work ethic

That individuals contribute in social dilemma interactions even when contributing is costly is a well-established observation in the experimental literature. Since a contributor is always strictly worse off than a non-contributor the question is raised if an intrinsic motivation to contribute can survive in an evolutionary setting. Applying stochastic evolutionary dynamics we give conditions for equilibria with a positive number of contributors to be selected in the long run.     

Intergenerational natural-capital equality in an overlapping-generations model with logistic regeneration

Following Mourmouras [Scandinavian Journal of Economics 93 (1991): 585–591], in a Diamond [American Economic Review 55 (1965): 1126–1150] type overlapping-generations model with renewable natural resources a competitive path of manmade capital accumulation exists which meets the sustainability criterion of intergenerational natural-capital equ(al)ity (= sustainable growth). The alleged compatibility of decentralized optimization with natural-capital sustainability is appealing, but the rel-evance of this compatibility result is questionable: the growth factor of the renewable natural resource is assumed to be independent of the resource stock. Employing instead a nonlinear (logistic) regeneration function, this paper reconsiders Mourmouras' compatibility statement in another natural environment. It is shown that only under a certain complex relationship between the parameters of the utility, production, and natural-growth function does a nontrivial stationary state exist which is saddle-point stable. It exhibits by definition intergenerational natural-capital equality, but the non-linear setting precludes in general, natural-capital equality across generations on the growth path towards the stationary state.     

COLLATERAL REQUIREMENTS AND ASSET PRICES

Many assets derive their value not only from future cash flows but also from their ability to serve as collateral. In this article, we investigate this collateral premium and its impact on asset returns in an infinite‐horizon general equilibrium model with heterogeneous agents. We document that borrowing against collateral substantially increases the return volatility of long‐lived assets. Moreover, otherwise identical assets with different degrees of collateralizability exhibit substantially different return dynamics because their prices contain a sizable collateral premium that varies over time. This premium can be positive even for assets that never pay dividends.     

The Crisis of America’s Cities

This paper aims to show how state intervention within the European Monetary Union can have positive effects not only on growth but also on public balances and debt. The relation between centralized monetary policy and decentralized fiscal policy partly solves the lack of coordination between the two. Each time a fiscal expansion in an EU country is not accompanied by a Central Bank interest rate increase, the expansionary effect of public spending, initially financed through the emission of public bonds, will be reinforced by endogenous money creation due to the increase in growth. The final result, if growth exceeds the rate of interest, is not only an increase in equilibrium income, but also a reduction in debt.