Does Fathers’ Care Spill Over? Evaluating Reforms in the Swedish Parental Leave Program

The aim of reserving months for fathers in the Swedish parental leave system was to increase fathers’ use of leave as well as encourage gender equality in the home and labor market. Using data from the Swedish Social Insurance Agency, this study investigates the effects of the reform – reserving one month of leave for fathers in 1995 and a second month in 2002 – on gender equality in the home. The study uses the take up of the parental benefit for the care for sick children (CFSC) as a proxy for gender equality and follows parents’ use of CFSC for twelve years for the first reform and ten years for the second reform. Results indicate the first reform led to more equal leave sharing, mainly because use of the benefit decreased among mothers with low education, and at least in part fulfilled the aim of increasing gender equality in the home.     

Cost-effectiveness of rosuvastatin 20 mg for the prevention of cardiovascular morbidity and mortality: a Swedish economic evaluation of the JUPITER trial

Abstract

Objective:

This study estimated the long-term health outcomes, healthcare costs, and cost-effectiveness of rosuvastatin 20?mg therapy in primary prevention of major cardiovascular disease (CVD) in a Swedish population.

Methods:

Based on data from the JUPITER trial, long-term CVD outcomes with rosuvastatin vs no active treatment were estimated for patients with an elevated baseline CVD risk (Framingham CVD score >20%, sub-population of JUPITER population) and for a population similar to the total JUPITER population. Using a decision-analytic model, trial CVD event rates were combined with epidemiological and cost data specific for Sweden. First and subsequent CVD events and death were estimated over a lifetime perspective. The observed relative risk reduction was extrapolated beyond the trial duration. Incremental effectiveness was measured as life-years gained (LYG) and quality-adjusted life-years (QALYs) gained.

Results:

Treating 100,000 patients with rosuvastatin 20?mg was estimated to avoid 14,692 CVD events over the lifetime (8021 non-fatal MIs, 3228 non-fatal strokes, and 4924 CVD deaths) compared to placebo. This translated into an estimated gain of 42,122 QALYs and 36,865 total life years (LYG). Rosuvastatin was both more effective and less costly over a lifetime perspective, and rosuvastatin is subsequently a dominant alternative compared to no treatment in the assessed population. Using the overall JUPITER population, rosuvastatin was dominant for the lifetime horizon. In the sensitivity analysis, rosuvastatin was the dominant treatment strategy over a 20-year time horizon, and cost-effective with an incremental cost-effectiveness ratio (cost per QALY) of SEK 1783 over a 10-year time horizon.

Limitations:

Some model inputs were derived from literature or other data sources, but uncertainty was controlled by sensitivity analyses.

Conclusions:

Results indicate that rosuvastatin 20?mg treatment is a cost-effective option vs no-treatment in patients with Framingham CVD risk >20% in Sweden and might even be cost saving if taking a long-term perspective.     

SCHOOLING FOR MONEY: SWEDISH EDUCATION REFORM AND THE ROLE OF THE PROFIT MOTIVE

This paper analyses quantitative evidence on the performance of for‐profit schools in Sweden. It finds that school competition improved educational attainment and conditions for teachers. The benefits of competition were enhanced by the high number of for‐profit schools that were established.     

Gender,occupation, or workplace: what mattered for the gender gap in the Swedish tobacco industry?

Abstract

Historical studies on earnings differentials are largely based on group data and much less so on micro-level data. We use detailed information from a nationwide survey that matches employers and employees and covers the entire tobacco industry in Sweden in 1898. When comparing the labour market outcomes of women to those of men, we find that the cost of being female varied across branches, which contributed to the overall earnings gap in the industry. Earnings differentials reflect horizontal as well as vertical segregation. Female workers were concentrated in the low-skilled segments of tobacco work but were not kept out of the skilled and better paid segments. Alongside with this, there are indications of a glass ceiling pattern; gender mattered more at the top of earnings distribution than at the bottom deciles. Where men and women actually performed the same tasks, gender mattered less for earnings, but due to segregation this was not the situation for all workers.     

Does a money‐is‐all attitude cause alienation? A cross‐cultural comparison of Korea,the US and Sweden

Money is increasingly being attributed more value in society, although a money‐is‐all attitude decreases social relationships and increases alienation in modern, industrialized societies. This research investigated the influence of this money‐is‐all attitude on alienation based on a cross‐cultural comparison of Korea, the US and Sweden. The money‐is‐all attitude was defined as a perspective in which money is regarded as an indicator of achievement or success. Self‐administered online surveys were conducted with consumers ranging between the ages of 20 to 49 in Korea, the US and Sweden. The money‐is‐all attitude and alienation seemed to be more pervasive in Korea than in the US or Sweden. The money‐is‐all attitude was the factor with the strongest influence on alienation when controlling for socio‐demographic factors. Furthermore, participation in sports activities was an important factor in decreasing alienation levels. The findings of this research imply that materialistic ways of thinking increase alienation and that money cannot contribute to human happiness and well‐being. In addition, active participation in social activities can decrease alienation. The research results suggest that a materialistic, money‐is‐all attitude negatively influences alienation across cultures; in addition, in the US, an affluent consumption‐based country, the money‐is‐all attitude had more explanatory power for alienation than in Sweden and Korea. A change in values to overcome the money‐is‐all attitude is required and the concepts of sufficiency and mindfulness are suggested as alternative life perspectives for the pursuit of well‐being.     

Labour's share in twentieth-century Sweden: a reinterpretation

The distribution of national income between capital and labour is a classical theme in political economy. This paper takes a long-run perspective to the issue and asks two questions: How did the distribution of income between capital and labour develop in Sweden from 1900 to 2000? And how can this development best be explained? It is shown that labour's share in Sweden in the 100 years from 1900 to 2000 saw three important shifts, and the three shifts are analyzed. Around 1920, there was a surge in labour's share as workers mobilised in trade unions and universal suffrage and the eight-hour working day in manufacturing strengthened the bargaining power of workers. From 1950 until the late 1970s, there was another period of an increasing labour share, when the welfare state expanded and trade unions were strong. Contra the well-known postwar wage moderation analysis, there was no wage moderation in Sweden during the 1950s and 1960s, but rather the opposite: wages increased faster than productivity which caused a redistribution from capital to labour and reduced income inequality. The third shift occurred around 1980 when labour's share started a continuous decrease, beginning with several devaluations intended to increase profitability and competitiveness of Swedish business.     

Politics as organised combat – New players and new rules of the game in Sweden

In this paper, Sweden is used as an example of how organised politics has changed quite dramatically in the last couple of decades. The paper argues that there are a number of points that has recently changed Swedish organised politics in rather fundamental ways. These changes entail a new actor constellation in Swedish politics and policy-making, decreased visibility of political processes and the emergence of a strong feedback loop between inequality, participation and public policies. What this amounts to is a very different form of elite-driven policy-making than the old corporatist structures. An amorphous and quite invisible but still highly elite-driven process has emerged, in which inequality has increased dramatically, and the impact of money on politics has become stronger even in Sweden.     

From a Northern Customs Union to EFTA

Abstract

When negotiations for a Scandinavian Customs Union were started in 1948 in connection with the Marshall Plan, the problems raised were by no means wholly novel. The idea of tariff co-operation had indeed played a conspicuous part in inter-Scandinavian discussions during the latter half of the nineteenth century, It had even been adopted to some extent as a guiding principle in the rules governing the trade between Norway and Sweden. In the end, however, that scheme, mellanrikslagen [the inter-state law], broke down and left the two countries more disunited than before its enactment in 1874.     

Governing ‘Sustainable Urban Development’ Through Self‐Build Groups and Co‐Housing: The Cases of Hamburg and Gothenburg

This article critically examines the governing of ‘sustainable urban development’ through self‐build cohousing groups in Gothenburg and Hamburg. The two case cities have been selected because both are currently involved in major urban restructuring, and have launched programmes to support self‐build groups and cohousing as part of their emphasis on promoting urban sustainable development through this process. Departing from a theoretical discussion on advanced liberal urban governance, focusing in particular on the contemporary discourse on sustainable urban development, we examine the interaction between political institutions, civil society and private actors in the construction of cohousing as a perceived novel and alternative form of housing that may contribute to fulfilling certain sustainability goals. Questions centre on the socio‐political contextualization of cohousing; concepts of sustainability; strategies of, and relations between, different actors in promoting cohousing; gentrification and segregation; and inclusion and exclusion. In conclusion we argue that, while self‐build groups can provide pockets of cohousing as an alternative to dominant forms of housing, the economic and political logics of advanced liberal urban development make even such a modest target difficult, particularly when it comes to making such housing affordable.     

LRN 2016 SPECIAL – high capacity vehicles and modal shift from rail to road: combining macro and micro analyses

ABSTRACT

This paper addresses a road transport policy of allowing high capacity vehicles (HCVs) on the roads. The purpose is to examine the effect reduced road transport costs from HCVs can have on a modal shift. Two studies of HCV implementation in Sweden were combined. A micro-based case study modelled the distribution network of a major retailer in scenarios based on actual cost and flow data. A macro analysis was conducted of the cross-elasticity between rail and road combined with detailed price changes for lorries considering the product characteristics in different industries. The results show the long-term effects of HCVs on the modal shift for heavier, and heavier and longer vehicles. The combined approach triangulates the results and highlights the effects of logistics decision-making, transport network characteristics, and time. It emphasises linkages between modal shift and road transport efficiency, price reductions, geographical characteristics, product types, train organisation, and the capacity of HCVs.