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2. U.S. Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes
- Author:
- Munira Z. Gunja, Evan D. Gumas, and Reginald D. Williams II
- Publication Date:
- 01-2023
- Content Type:
- Policy Brief
- Institution:
- Commonwealth Fund
- Abstract:
- In the previous edition of U.S. Health Care from a Global Perspective, we reported that people in the United States experience the worst health outcomes overall of any high-income nation.1 Americans are more likely to die younger, and from avoidable causes, than residents of peer countries. Between January 2020 and December 2021, life expectancy dropped in the U.S. and other countries.2 With the pandemic a continuing threat to global health and well-being, we have updated our 2019 cross-national comparison of health care systems to assess U.S. health spending, outcomes, status, and service use relative to Australia, Canada, France, Germany, Japan, the Netherlands, New Zealand, Norway, South Korea, Sweden, Switzerland, and the United Kingdom. We also compare U.S. health system performance to the OECD average for the 38 high-income countries for which data are available. The data for our analysis come from the Organisation for Economic Co-operation and Development (OECD) and other international sources (see “How We Conducted This Study” for details). For every metric we examine, we used the latest data available. This means that results for certain countries may reflect the height of the COVID-19 pandemic, when mental health conditions were surging, essential health services were disrupted, and patients may not have received the same level of care
- Topic:
- Health, Health Care Policy, Inequality, and Finance
- Political Geography:
- North America and United States of America
3. A New Horizon in U.S. Trade Policy: Key Developments and Questions for the Biden Administration
- Author:
- Trevor Sutton and Mike Williams
- Publication Date:
- 03-2023
- Content Type:
- Policy Brief
- Institution:
- Center for American Progress - CAP
- Abstract:
- This issue brief examines some of the key trade initiatives pursued by the Biden administration to date. It then sets out key questions facing U.S. trade policy in a global environment defined by volatility and renewed ambition to tackle the great challenges of the 21st century, such as climate change, inequality, and great power competition.
- Topic:
- Foreign Policy, Climate Change, Treaties and Agreements, European Union, Inequality, Economy, Trade Policy, and Strategic Competition
- Political Geography:
- Europe, North America, Asia-Pacific, United States of America, and Americas
4. Monetary Policy and Racial Inequality
- Author:
- Alina Bartscher, Moritz Kuhn, Moritz Schularick, and Paul Wachtel
- Publication Date:
- 01-2022
- Content Type:
- Policy Brief
- Institution:
- The Cato Institute
- Abstract:
- The racial tensions that spread across the United States in 2020 have caught the attention of monetary policymakers and focused concern on the size and persistence of the gap between both the income and wealth of black and white households. There is widespread recognition that despite some decline in overt labor market discrimination, gains in educational opportunities, and income growth of black households since the onset of the civil rights movement, the gaps persist and have even grown larger by some measures. According to the 2019 Survey of Consumer Finances (SCF), the median wealth of a white household was $184,390, compared with only $20,730 for the median black household. The typical black household owns only about 11 percent of the wealth of the typical white household. The income gap is smaller but still large; the median income of black households ($38,688) is 58 percent of the median income of white households ($67,196).
- Topic:
- Race, Monetary Policy, Inequality, and Economic Policy
- Political Geography:
- North America and United States of America
5. Inequality and the Decline of Small Business
- Author:
- Sebastian Doerr, Thomas Drechsel, and Donggyu Lee
- Publication Date:
- 09-2022
- Content Type:
- Policy Brief
- Institution:
- Economics for Inclusive Prosperity (EfIP)
- Abstract:
- The share of income that goes to top earners has reached levels not seen in over half a century, and addressing inequality has become a central issue for policymakers. Designing policies to alleviate income disparities requires a thorough understanding of how inequality affects the economy. Somewhat surprisingly, while several studies investigate the consequences of rising income inequality for households (Auclert and Rognlie 2017, 2020; Mian et al. 2020), much less is known about how inequality affects firms. In a recent study (Doerr et al. 2022), we examine the important link between income inequality and firms’ job creation. Our analysis of US data reveals that a larger top income share hurts small firms, while benefiting larger firms. The reason is that households’ savings portfolios change with their income level. Higher income inequality leads to more household savings flowing into stocks and bonds – which are mostly used for financing by larger firms – rather than into bank deposits. In turn, as small businesses depend on banks for financing, their funding becomes more costly and they create fewer jobs. Complementing our analysis with a theoretical model, we show that by altering the allocation of household savings, rising income inequality not only hurts small firms, but suppresses overall employment. Income inequality has thereby contributed to two important macroeconomic trends: the decline in small business and the fall in the labor share, i.e., the share of total income that accrues to workers (Decker et al. 2016; Autor et al. 2020).
- Topic:
- Economics, Inequality, Business, and Business Management
- Political Geography:
- North America and United States of America