Ownership structure and hospital service costs and fees: A decomposition approach

This paper analyzes hospital characteristics that are associated with higher average costs and charges for venipuncture, computed tomography procedures (computerized axial tomography [CAT] scans), and electrocardiograms (EKG). Using data from a Medicare database, our results indicate that higher wages, larger hospital sizes, and greater service quality are associated with higher procedure costs, whereas system membership is generally associated with lower procedure costs. Blinder‐type decompositions, which are the main focus of this study, suggest (a) that venipuncture costs are about 17% to 19% lower at proprietary hospitals than at nonprofit or government hospitals, (b) CAT scan costs are about 6% to 12% lower at nonprofit hospitals than at proprietary and government hospitals, and (c) that EKG costs are about 3% lower at proprietary hospitals than at nonprofit or government hospitals. Lastly, large portions of each of these differences are found to be due to both differences in mean values of the hospitals' characteristics by ownership type and differences in the mechanism by which the hospitals' characteristics are transmitted to procedure costs.     

Product differentiation, cost‐reducing mergers, and consumer welfare

Abstract.  Cost synergies are an explicitly recognized justification for a two‐firm merger, and empirical techniques are now widely used to assess the impact of cost‐reducing mergers on prices and welfare in the post‐merger market. We show that if the merger occurs in a vertically product differentiated market, then the merger will lead to a reduction in product offerings that limits the usefulness of pre‐merger empirical estimates. Indeed, we further show that in such markets, two‐firm mergers will typically lead to higher prices regardless of the merger's cost savings. JEL classification: L10, L41     

Household migration in the Southern Cone: the case of Paraguay

This study of migration from Paraguay to Argentina focuses on urban to urban migration and uses about 1300 interviews collected during September 1983 to May 1984 for constructing a profile of the migrants. Paraguayan migration to Argentina has historical roots. The first flows were in 1936 and 1947 and were due to war. Migrants tended to settle in Formosa and Misiones provinces in the northern region. The second waves that occurred during the 1950s, 1960s, and 1970s were to Buenos Aires. Most migration during the more recent years was motivated by economics. It is likely that the key factors were push factors in Paraguay. Migration policies in sending and receiving countries are lax. Half of the interviews were conducted among families in Gran Buenos Aires, and half were conducted among families in Asuncion, Paraguay. 33% of migrants in Argentina reported Asuncion as their last residence. Many migrants were from departments bordering on Argentina. Only 222 of the 543 heads of household who had been employed prior to departure reported that farm work had been their employment. Migration is precipitated by both economic and noneconomic factors. Logistic model findings indicate that urban migrant heads of households tended to be younger and less educated than nonmigrants. Migrants tended to be single heads of households with relatively few children. Rural migrants were less likely to be female and were more likely to have a larger family size than urban migrants. Heads of household with fewer continuous years of employment were more likely to migrate. Findings from data at the time of the interview suggest that higher relative wages were a pull force, when age, sex, education, marital status, size of business, and job seniority were controlled for. The recent democratization in Paraquay is like to attract return migrants, if urban employment opportunities are available.     

‘I didn't feel like I was alone anymore’: evaluating self‐organised employee coping practices conducted via Facebook

The long‐term fracturing of the labour movement has led to increased attention to employee coping practices under new management practices and labour processes. However, the literature caters little for the recent rise of employees taking to social networking sites (SNSs), such as Facebook, to find ways to cope with the pressures of contemporary employment. To explore the self‐organised coping qualities of SNSs, interviews were conducted with front line workers, employed by a large anti‐trade union US retailer, who contribute to a self‐organised Facebook group set up as a place for fellow employees to deal with collective employment‐related problems. The main findings suggest employee self‐organised Facebook groups represent an important development and extension to the coping practices available to individual and groups of employees. The main implication of the findings is that Facebook groups appear to strengthen and widen the options for employee resilience in an age of continuing trade union retreat.     

COVID-19 impact on fruit and vegetable markets

Canadian fruit and vegetable markets were significantly impacted by the spread of the novel coronavirus SARS-CoV-2 (and COVID-19 disease), beginning in March 2020. Due to the closure of restaurants, bars, and schools, produce growers and distributors were forced to shift supplies almost entirely from the foodservice to the retail channel. Shippers reported labor and logistical constraints in making the change, but the fresh produce supply chain remained robust. In the long term, we expect lasting changes in consumers’ online food-purchasing habits, heightened constraints on immigrant labor markets, and tighter concentration in fresh produce distribution and perhaps retailing.     

The Aotearoa Traditional Maori Performing Arts Festival 1972–2000. A Case Study of Cultural Event Maturation

This article describes the history of the Aotearoa Traditional Maori Performing Arts Festival between the years of 1972–2000. It reveals a series of tensions between a need to express a cultural identity and financial constraint, between a wish for expressing independence, and a subsequent dependency upon state grants, between the traditional and the contemporary in performance. The history also shows the significance of key personalities. Yet through these discourses has emerged a successful and important Festival that attracts increasing numbers of participants and which is a dynamic component of Maori culture in contemporary New Zealand. A significant tourism event, by reason of primarily appealing to Maori it still, to a large extent, lies outside of the conventional tourism structures of New Zealand, dominated as these are by overseas visitors and non-Maori New Zealand domestic demand. Yet its very success is bringing it to the attention of a wider market, with all that implies for possible future development. The article also proposes dimensions of festival evolution and maturation.     

Watching the FIFA World Cup 2010 in England: the sojourner perspective

Recent years have seen an emergence of a varied academic literature focused on the football fan, with a wealth of studies exploring issues such as hooliganism, fan behaviour and fan identification. No research, however, has documented the experiences and perspectives of the international sojourner, who follows the televised tournament far away from the home country. This paper offers a contribution to the literature on fandom by focusing on the experiences of becoming a temporary fan among a sample of nine international students in England during the period of the 2010 FIFA World Cup. It shows the importance of the tournament for students away from their home nation, acting as a point of celebration and as a means of bringing sojourners of the same nationality together to support their team. It reveals how the tournament offered escape from stress, became a focal point for social interaction, provided the opportunity for recreation of home, and for the reinforcement of feelings of national identity.     

Economics,Ethics and Thanatology: Lessons from the Ancients

The normative presuppositions motivating rational choice decision-making based on optimizing objectives amount to a thin account of ethical economic behavior. Ancient thought offers insights that can provide a firmer basis both for personal, individual choice as well as for public policy. After a brief review of Epicurean and Stoic ethical principles, a comparison is made of modern economic and Hellenistic conceptions of rationality and rational behavior. These competing conceptions are then applied to an examination of a contemporary public policy problem, namely health care, particularly as this applies to “end-of-life” issues. The argument concludes that decision-making based on a eudaimonic conception of the good has the potential to provide us with a more efficient health care system as well as one that more satisfactorily addresses the needs of the chronically ill and dying patients who account for a highly disproportionate share of health care expenditures.