scholarly journals The Economic Implications of Public Disability Insurance in the United States

1993 ◽  
Vol 11 (1, Part 2) ◽  
pp. S170-S200 ◽  
Author(s):  
Patricia M. Danzon
Keyword(s):  
United States ◽  
Disability Insurance ◽  
The United States ◽  
Economic Implications

scholarly journals Real-World Utilization of Oral Anticancer Agents Costs in Older Adults with Metastatic Renal Cell Carcinoma in the United States

Kidney Cancer ◽  
2021 ◽  
pp. 1-13
Author(s):  
Lauren E. Wilson ◽  
Lisa Spees ◽  
Jessica Pritchard ◽  
Melissa A. Greiner ◽  
Charles D. Scales ◽  
...  
Keyword(s):  
United States ◽  
Anticancer Agents ◽  
Patient Characteristics ◽  
The United States ◽  
Socioeconomic Indicators ◽  
Economic Implications ◽  
Southern Us ◽  
Race Ethnicity ◽  
Nationally Representative ◽  
Oral Anticancer Agents

Background: Substantial racial and socioeconomic disparities in metastatic RCC (mRCC) have persisted following the introduction of targeted oral anticancer agents (OAAs). The relationship between patient characteristics and OAA access and costs that may underlie persistent disparities in mRCC outcomes have not been examined in a nationally representative patient population. Methods: Retrospective SEER-Medicare analysis of patients diagnosed with mRCC between 2007–2015 over age 65 with Medicare part D prescription drug coverage. Associations between patient characteristics, OAA receipt, and associated costs were analyzed in the 12 months following mRCC diagnosis and adjusted to 2015 dollars. Results: 2,792 patients met inclusion criteria, of which 32.4%received an OAA. Most patients received sunitinib (57%) or pazopanib (28%) as their first oral therapy. Receipt of OAA did not differ by race/ethnicity or socioeconomic indicators. Patients of advanced age (>  80 years), unmarried patients, and patients residing in the Southern US were less likely to receive OAAs. The mean inflation-adjusted 30-day cost to Medicare of a patient’s first OAA prescription nearly doubled from $3864 in 2007 to $7482 in 2015, while patient out-of-pocket cost decreased from $2409 to $1477. Conclusion: Race, ethnicity, and socioeconomic status were not associated with decreased OAA receipt in patients with mRCC; however, residing in the Southern United States was, as was marital status. Surprisingly, the cost to Medicare of an initial OAA prescription nearly doubled from 2007 to 2015, while patient out-of-pocket costs decreased substantially. Shifts in OAA costs may have significant economic implications in the era of personalized medicine.

RHETORIC OF THE STANDARDS: THE DEBATE OVER GOLD AND SILVER IN THE 1890s

2014 ◽  
Vol 14 (1) ◽  
pp. 49-68 ◽  
Author(s):  
Wyatt Wells
Keyword(s):  
United States ◽  
Political Parties ◽  
Future Development ◽  
Precious Metal ◽  
Public Discourse ◽  
The United States ◽  
The Political ◽  
Economic Implications ◽  
The Future

AbstractIn the 1890s, questions about whether to base the American currency upon gold or silver dominated public discourse and eventually forced a realignment of the political parties. The matter often confuses modern observers, who have trouble understanding how such a technically complex—even arcane—issue could arouse such passions. The fact that no major nation currently backs its currency with precious metal creates the suspicion that the issue was a “red herring” that distracted from matters of far greater importance. Yet the rhetoric surrounding the “Battle of the Standards” indicates that the more sophisticated advocates of both sides understood that, in the financial context of the 1890s, the contest between gold and silver not only had important economic implications but would substantially affect the future development of the United States.

scholarly journals Power Transition Theory Revisited: When Rising China Meets Dissatisfied United States

2019 ◽  
Vol 05 (03) ◽  
pp. 317-341
Author(s):  
Serafettin Yilmaz ◽  
Wang Xiangyu
Keyword(s):  
United States ◽  
The United States ◽  
Status Quo ◽  
Transition Theory ◽  
Power Transition ◽  
Economic Implications ◽  
Power Transition Theory ◽  
The Status ◽  
Rising Power ◽  
The U.S

Dissatisfaction is a major concept in power transition theory, which postulates that a rapidly rising power tends to be dissatisfied with the international system and would thus attempt to reform or replace it, whereas the hegemonic power would, by default, be satisfied with and work to maintain the status quo. This paper, however, offers an alternative outlook on the reigning-rising power dynamics by examining the conditions for and implications of hegemonic dissatisfaction and rising power satisfaction. It argues that although China, as a potential systemic challenger harboring grievances against the existing global regimes, has been a recurrent subject for studies, it is the United States, the established hegemon, that appears increasingly dissatisfied with the status quo. The U.S. dissatisfaction is informed by a set of internal and external factors often justified with a reference to China as a challenger, and is manifested in a number of anti-system strategies, including unconventional diplomatic rhetoric, as well as withdrawal from various international institutions or attempts to undermine them. The U.S. discontent, as contrasted with China’s satisfaction as a rising power, has a number of potential geopolitical and economic implications at the bilateral, regional, and global levels, endangering the viability and sustainability of the universally accepted political and economic regimes.

The Iranian Revolution: Its Impact on Economic Relations with the United States

1980 ◽  
Vol 12 (3) ◽  
pp. 303-317 ◽  
Author(s):  
Khosrow Fatemi
Keyword(s):  
United States ◽  
American Foreign Policy ◽  
The United States ◽  
Iranian Revolution ◽  
Policy Makers ◽  
Economic Implications ◽  
Economic Relations ◽  
Trade Relations ◽  
Political Implications ◽  
To Come

The international political implications of the Iranian revolution will not be known for many years to come, and American foreign policy makers and pundits will debate the question of “who lost Iran” long after that. Even the international economic implications of the revolution will not be fully realized, or recognized, in the near future. It is, however, already amply clear that the fall of the Shah has had profound consequences on Iran's economic and trade relations with other countries, in general, and with the United States in particular. It is to the latter issue that this essay addresses itself.

scholarly journals The impact of Coronavirus disease 2019 (COVID-19) on health systems and household resources in Africa and South Asia

2020 ◽  
Author(s):  
Nicholas Davies ◽  
Sedona Sweeney ◽  
Sergio Torres-Rueda ◽  
Fiammetta Bozzani ◽  
Nichola Kitson ◽  
...  
Keyword(s):  
United States ◽  
Health Systems ◽  
Resource Use ◽  
Healthcare Workers ◽  
Addis Ababa ◽  
Severe Disease ◽  
The United States ◽  
Economic Implications ◽  
Hospital Beds ◽  
The Impact

AbstractBackgroundCoronavirus disease 2019 (COVID-19) epidemics strain health systems and households. Health systems in Africa and South Asia may be particularly at risk due to potential high prevalence of risk factors for severe disease, large household sizes and limited healthcare capacity.MethodsWe investigated the impact of an unmitigated COVID-19 epidemic on health system resources and costs, and household costs, in Karachi, Delhi, Nairobi, Addis Ababa and Johannesburg. We adapted a dynamic model of SARS-CoV-2 transmission and disease to capture country-specific demography and contact patterns. The epidemiological model was then integrated into an economic framework that captured city-specific health systems and household resource use.FindingsThe cities severely lack intensive care beds, healthcare workers and financial resources to meet demand during an unmitigated COVID-19 epidemic. A highly mitigated COVID-19 epidemic, under optimistic assumptions, may avoid overwhelming hospital bed capacity in some cities, but not critical care capacity.InterpretationViable mitigation strategies encompassing a mix of responses need to be established to expand healthcare capacity, reduce peak demand for healthcare resources, minimise progression to critical care and shield those at greatest risk of severe disease.FundingBill & Melinda Gates Foundation, European Commission, National Institute for Health Research, Department for International Development, Wellcome Trust, Royal Society, Research Councils UK.Research in contextEvidence before this studyWe conducted a PubMed search on May 5, 2020, with no language restrictions, for studies published since inception, combining the terms (“cost” OR “economic”) AND “covid”. Our search yielded 331 articles, only two of which reported estimates of health system costs of COVID-19. The first study estimated resource use and medical costs for COVID-19 in the United States using a static model of COVID 19. The second study estimated the costs of polymerase chain reaction tests in the United States. We found no studies examining the economic implications of COVID-19 in low- or middle-income settings.Added value of this studyThis is the first study to use locally collected data in five cities (Karachi, Delhi, Nairobi, Addis Ababa and Johannesburg) to project the healthcare resource and health economic implications of an unmitigated COVID-19 epidemic. Besides the use of local data, our study moves beyond existing work to (i) consider the capacity of health systems in key cities to cope with this demand, (ii) consider healthcare staff resources needed, since these fall short of demand by greater margins than hospital beds, and (iii) consider economic costs to health services and households.Implications of all the evidenceDemand for ICU beds and healthcare workers will exceed current capacity by orders of magnitude, but the capacity gap for general hospital beds is narrower. With optimistic assumptions about disease severity, the gap between demand and capacity for general hospital beds can be closed in some, but not all the cities. Efforts to bridge the economic burden of disease to households are needed.

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