Policy induced increases in private healthcare financing provide short-term relief of total healthcare expenditure growth: Evidence from OECD countries

Healthcare reforms have long been advocated as a cure to the increasing healthcare expenditures in advanced economies. Nevertheless, it has not been established whether a market solution via private financing, rather than public financing, curb aggregate healthcare expenditures. To our knowledge, this paper is the first that quantifies the impact of reforms that significantly increases (decreases) the private (public) share of healthcare financing on total healthcare expenditures relative to income in 20 OECD countries. Our reform measure is based on structural break testing of the private share of total expenditures, and verification using evidence of policy reforms. To quantify the effect of these reforms we apply Propensity Score Matching and Inverse Probability Weighted regression analysis. Over a 5-year evaluation period the reforms lead to an accumulated cost saving 0.45 percentage points of GDP. The yearly effects of the reforms are largest in the first years in the post-reform period and decreases in size as a function of time since the reform. Our findings suggest that the investigated healthcare reforms have a relatively short-lived effect on aggregate health spending relative to GDP. The findings are robust to various sensitivity tests.     

教育产权概念解析

文章在分析教育产权客观存在的基础上,对教育产权的含义和内容进行了分析。文章认为,教育产权是参与教育活动的组织和个人围绕教育财产而形成的一组权利关系。从内容上看,教育产权是包括对教育财产的狭义所有权或归属权、占有权、使用权、收益权,以及处分权在内的权利集合。     

深化乡镇综合改革难点研究

乡镇机构人员膨胀是当前农民负担过重的主要原因之一。而20多年来乡镇机构减而复胀且日益严重,成为改革的难点。乡镇职能错位、各类机构关系不顺、社会改革不配套,还有行政机构中客观存在的“帕金森定律”,是乡镇机构改革难点形成的深层原因。深化乡镇综合改革的远期目标是实现乡镇自治,而近期目标则是以转变职能为核心,调整政府管理体制;实现乡镇机构的功能整合;同时可以实行政府职能“外包”;还要加强机构编制的法治管理。     

关于浙北地区城乡供水一体化问题的研究——以H县为例

对浙北地区县域范围内城乡供水现状进行了分析，指出：要实现自来水供应一体化，面临着行政管理体制和水务运作体制方面的问题，并对解决这两方面的问题提出了对策。     

关于成本管理改革的探讨

随着社会主义市场经济和现代企业制度的逐步建立和完善，深化成本管理改革也日益成为一个突出而又迫切的问题。优胜劣汰是竞争的基本法则，企业要生存、求发展，就必须若练内功，采取各种措施降低成本，以低于竞争对手的成本进行生产经营，企业才能在竞争中立于不败之地。成本管理改革应对传统成本管理做出客观公正的评价，并在吸收西方先进的成本管理方法的基础上，正确把握成本管理改革的方向，为我国成本管理的理论研究和改革实践提供借鉴。     

How Has Rural Tax Reform Affected Farmers and Local Governance in China？

Using nationally representative data, the present paper examines the impact of China's ongoing rural tax reform on farmers. The difficulties in further local governance restructuring are also discussed. It is argued that the issues associated with rural taxation and local governance in China result from inherent tension between an increasingly liberalized economic system and a still centralized political system. Although rural tax reform has helped to reduce farmers' tax burdens in the short term, the establishment of an effective local governance regime requires coordinated reforms to downsize local bureaucracy by providing social security for laid-off cadres, to strengthen local accountability by granting higher local formal tax autonomy, and to promote meaningful participation by expanding local democracy.     

试论新制度经济学与中国体制改革的契合

中国正在经历一个制度变迁的时代。新制度经济学对中国体制改革实践有很强的解释力和指导性，它与马克思主义经济学在机理上的相通及其与中国的传统政治文化的契合促进了它在中国的进一步发展。中国正处于一个制度变迁的时代，新旧体制转轨使中国有了对新的经济制度变革理论的强烈需要。新制度经济学适应了这种需求，对中国体制改革实践有很强的解释力和指导性。新制度经济学与马克思主义政治经济学有相通之处，这有利于发展新制度经济学，也有利于中国经济理论的衔接和发展。中国的传统政治文化与新制度经济学理论的契合，既有利于新制度经济学的传播，也有利于中国体制改革的进一步发展。     

Land Reform: Taking a Long(er) View

The paper proposes a broad argument that the end of state–led development from the 1970s coincided with (i) the final wave of major redistributive land reform, and its place within transitions to capitalism, that lasted from about 1910 to the 1970s, and (ii) the beginnings of contemporary 'globalization'. Self–styled 'new wave' agrarian reform in the age of neo–liberalism, centred on property rights, is unlikely to deliver much on its claims to both stimulate agricultural productivity and reduce rural poverty. The reasons are grounded in the basic relations and dynamics of capitalism, and how these are intensified and reshaped by and through globalization. Understanding these processes, with all their inevitable unevenness, requires (i) recognizing that the historical conditions of the 'classic' agrarian question no longer apply, and (ii) developing the means to investigate and understand better the changing realities facing different agrarian classes within a general tendency to the concentration of capital and fragmentation of labour, including how the latter may generate new agrarian questions of labour.     

The effects of transition on the distribution of income in China

Using two large samples for 1988 and 1995 we decompose the Gini coefficient of household income according to type of income with the purpose of analyzing reasons for the rapid increase of inequality. The results show that the change in relative size of money income and its changed profile are found to be the major processes behind the rapid increase of income inequality in rural China. Changes in housing allocation and an increased number of retirees in combination with higher benefits have made inequality increase in urban China and in China as a whole. JEL classification: D31, P27.     

以企业再造思想振兴东北老工业基地

从企业再造理论产生的背景和东北老工业基地的实际情况来看,在振兴东北老工业基地的实践中应贯彻企业再造思想.要以企业再造思想为指导,把整个东北地区看做一个大组织,搞好地区的文化建设;要从企业再造理论的精神实质出发,建立新的完善的市场机制;要坚持企业再造思想所强调的三个核心原则,搞好东北地区的行政改革.