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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. U.S. and Global Approaches to Financing Long-Term Care: Understanding the Patchwork
- Author:
- Celli Horstman, Evan D. Gumas, and Gretchen Jacobson
- Publication Date:
- 02-2023
- Content Type:
- Policy Brief
- Institution:
- Commonwealth Fund
- Abstract:
- Most United States adults age 65 and older will need long-term care toward the end of their lives.1 Long-term care, provided in the home, community, or in institutional settings like a nursing home, includes medical care as well as personal, nonmedical care for people who are unable to perform activities of daily living, like cooking or bathing. Some services also may support social needs for those unable to perform what are known as instrumental activities of daily living, such as shopping or medication management. In 2018, more than 5 million people in the United States used home health care, including adult day care or home health agency services, and nearly 4 million people resided in nursing homes or residential care communities.2 Despite the widespread need for long-term care, the U.S. has no national program to cover the costs of long-term care. While certain states have implemented their own programs, the resulting patchwork of funding has left many Americans with no sustainable way to pay for the services they require. Other developed countries have comprehensive, national long-term care financing systems featuring broad eligibility and high levels of financial support. In this brief, we analyze data from multiple sources on long-term care costs in the U.S., as well as spending data from the Organisation for Economic Co-operation and Development (OECD), to better understand long-term care financing strategies in 12 high-income countries. In addition to these data, we synthesized initiatives to long-term care funding in these 12 countries. (For details, see “How We Conducted This Study.”) Since the U.S. does not have a national funding strategy, we also focused on individual state approaches. International and U.S. state approaches may provide insights to policymakers seeking to advance comprehensive long-term care funding.
- Topic:
- Health, Health Care Policy, Inequality, and Social Services
- Political Geography:
- Global Focus
4. Gender equality in Europe: a still imperfect model in the world
- Author:
- Stefanie Buzmaniuk
- Publication Date:
- 03-2023
- Content Type:
- Policy Brief
- Institution:
- Robert Schuman Foundation (RSF)
- Abstract:
- In a world where women's rights are once again being challenged from all quarters, Europe remains the place where women live best. Within the Union, however, there have been some setbacks, difficulties persist, and progress is still required in the political, economic and social fields to achieve true gender equality.
- Topic:
- Human Rights, European Union, Women, Inequality, and Gender
- Political Geography:
- Europe
5. Analysis on the Determinants of Labor Share and Its Policy Implications
- Author:
- Yaein Baek, Minsoo Han, Wongi Kim, and Hyunsuk Kim
- Publication Date:
- 02-2023
- Content Type:
- Policy Brief
- Institution:
- Korea Institute for International Economic Policy (KIEP)
- Abstract:
- There has been a significant decline in the global labor share, leading to numerous studies about the cause of this drop. The labor share is used as one of the main indicators of inequality because a decrease in the labor share can lead to aggravation of income inequality. This is because low-skilled workers can be greatly affected by such a decline in the labor share and the main source of in-come for the low-income class, including the self-employed, is labor income. Among various indicators of inequality, this study analyzes the determinants of the change in labor share. Technological changes such as adoption of robots, advancements in information and communications technology (ICT) and the Fourth Industrial Revolution (4IR) are expected to change the labor market. Hence, this study analyzes the impact of technological changes on labor share and suggests policy responses.
- Topic:
- Economics, Science and Technology, Labor Issues, and Inequality
- Political Geography:
- Global Focus
6. Global Inequality in Well‐Being Has Decreased across Many Dimensions: Introducing the Inequality of Human Progress Index
- Author:
- Chelsea Follett and Vincent Geloso
- Publication Date:
- 06-2023
- Content Type:
- Policy Brief
- Institution:
- The Cato Institute
- Abstract:
- The world has seen dramatic, global human progress across a broad range of indicators in recent decades, but have those gains been widely shared? The Inequality of Human Progress Index (IHPI) measures relative gaps in global development. It surveys international inequality across a greater number of dimensions than any prior index. By analyzing inequality in a multidimensional way, the IHPI takes inequality more seriously than those indexes that focus on income inequality alone. The IHPI considers material well‐being and seven additional metrics: lifespan, infant mortality, adequate nutrition, environmental safety, access to opportunity (as measured by education), access to information (as measured by internet access), and political freedom. Across all but two of those dimensions, the world has become more equal since 1990. Globalization and market liberalization over the past few decades have not only raised absolute living standards but also reduced overall inequality.
- Topic:
- Development, Inequality, Economy, and Well-Being
- Political Geography:
- Global Focus
7. 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
8. The Impact of Digital Policy Tools on Local Democracy
- Author:
- Itır Akdoğan
- Publication Date:
- 12-2023
- Content Type:
- Policy Brief
- Institution:
- Turkish Economic and Social Studies Foundation (TESEV)
- Abstract:
- This brief analyses how the digital policy tool My Purple Map, developed by TESEV in cooperation with UN Women Turkey and Eskişehir Metropolitan Municipality, has impacted a local government and puts forward a number of recommendations as to how this impact can be further broadened for a stronger local democracy.
- Topic:
- United Nations, Democracy, Inequality, Digital Policy, and Gender
- Political Geography:
- Turkey and Middle East
9. 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
10. Achieving Inclusive and Innovative Growth with Competition Policies
- Author:
- Minsoo Han and Subin Kim
- Publication Date:
- 01-2022
- Content Type:
- Policy Brief
- Institution:
- Korea Institute for International Economic Policy (KIEP)
- Abstract:
- In recent years, inequality has grown worse worldwide. Recent studies have pointed out weakening market competition and deepening industrial concentration as one of factors for this phenomenon. Therefore, the role of competition policies in promoting market competition should also be considered as a countermeasure against deepening inequality beyond the traditional view about competition policies. Against this backdrop, we empirically analyze cases of the US, the EU and Korea, and then propose a competition policy direction to achieve inclusive and innovative growth pursued by the Korean government.
- Topic:
- Inequality, Economic Growth, Innovation, Inclusion, and Economic Competition
- Political Geography:
- South Korea, United States of America, and European Union
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