Lessons from Abroad for the U.S. Entitlement Debate
Source: Center for Strategic & International Studies
The unsustainable federal budget outlook will inevitably push entitlement reform to the forefront of the national policy debate. As America’s leaders consider reform options, they will have much to learn from the experience of other developed countries, several of which have recently enacted far-reaching overhauls of their state pension systems that greatly reduce the long-term fiscal burden of their aging populations. Lessons from Abroad for the U.S. Entitlement Debate places America’s aging challenge in international perspective, examines the most promising reform initiatives in nine other developed countries, and draws practical lessons for U.S. policymakers.
The G20: a quick guide
Source: Parliamentary Library of Australia
This is a quick guide to basic information about the G20, as well as links to useful summary resources. The G20 background section includes the G20’s history, its members, the hosting system and G20 meeting processes, as well as a brief discussion of selected policy areas. Material on Australia and the G20 includes Australia’s involvement in the G20, Australia’s G20 goals for 2014 and speeches and press releases on the G20. A short list of links provides access to more resources on the G20.
Global Pensions Asset Study – 2014
Source: Towers Watson
This is a study of the 13 largest pension markets in the world and accounts for more than 85% of global pension assets. The countries included are Australia, Canada, Brazil, France, Germany, Hong Kong, Ireland, Japan, Netherlands, South Africa, Switzerland, the UK and the US. The study also analyses seven countries in greater depth by excluding the six smallest markets (Brazil, France, Germany, Ireland, Hong Kong and South Africa).
The analysis includes:
- Asset size, including growth statistics, comparison of asset size with GDP and liabilities
- Asset allocation
- Defined benefit and defined contribution share of pension assets
- Public and private sector share of pension assets.
OECD Review of Fisheries: Country Statistics 2013
Source: Organisation for Economic Co-operation and Development
Fisheries (capture fisheries and aquaculture) supply the world each year with millions of tonnes of fish (including, notably, fish, molluscs and crustaceans). Fisheries as well as ancillary activities also provide livelihoods and income. The fishery sector contributes to development and growth in many countries, playing an important role for food security, poverty reduction, employment and trade.
This publication contains statistics on fisheries from 2005 to 2012. Data provided concern fishing fleet capacity, employment in fisheries, fish landings, aquaculture production, recreational fisheries, government financial transfers, and imports and exports of fish.
OECD countries covered
Australia, Belgium, Canada, Chile, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Korea, Luxembourg, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Slovak Republic, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States
Non-member economies covered
Argentina, Chinese Taipei, Thailand
Sentencing and Prison Practices in Germany and the Netherlands: Implications for the United States
Source: Vera Institute for Justice
Germany and the Netherlands have significantly lower incarceration rates than the United States and make much greater use of non-custodial penalties, particularly for nonviolent crimes. In addition, conditions and practices within correctional facilities in these countries—grounded in the principle of “normalization” whereby life in prison is to resemble as much as possible life in the community—also differ markedly from the U.S. In February 2013—as part of the European-American Prison Project funded by the California-based Prison Law Office and managed by Vera—delegations of corrections and justice system leaders from Colorado, Georgia, and Pennsylvania together visited Germany and the Netherlands to tour prison facilities, speak with corrections officials and researchers, and interact with inmates. Although variations in the definitions of crimes, specific punishments, and recidivism limit the availability of comparable justice statistics, this report describes the considerably different approaches to sentencing and corrections these leaders observed in Europe and the impact this exposure has had (and continues to have) on the policy debate and practices in their home states. It also explores some of the project’s practical implications for reform efforts throughout the United States to reduce incarceration and improve conditions of confinement while maintaining public safety.
Just Published: Law Library of Congress Report on Guest Worker Programs
Source: Law Library of Congress
A report titled Guest Worker Programs was recently added to the list of reports posted on the Law Library of Congress website under “Current Legal Topics” where you can also find a range of other comparative law reports on various topics.
The Guest Worker Programs report is based on a study conducted by staff of the Global Legal Research Center (GLRC). The report describes programs for the admission and employment of guest workers in fourteen selected countries:
- the Russian Federation,
- South Korea,
- the United Arab Emirates, and
- the United Kingdom.
It also provides information on the European Union’s Proposal for a Directive on Seasonal Employment, the Association Agreement between the European Union and Turkey regarding migrants of Turkish origin, and the Multilateral Framework of the International Labour Organization on the admission of guest workers. The complete report is also available in PDF.
The report includes a comparative analysis and individual chapters on each country, the EU, and relevant international arrangements. It provides a general overview of a variety of immigration systems, and addresses issues such as eligibility criteria for the admission of guest workers and their families, guest workers’ recruitment and sponsorship, and visa requirements. The report further discusses the tying of temporary workers to their employers in some countries; the duration and the conditions that apply to switching employers; the terms, including the renewability, of guest workers’ visas; and the availability of a path to permanent status.
Shock from Graying: Is the Demographic Shift Weakening Monetary Policy Effectiveness
Source: International Monetary Fund
Abstract Empirical evidence is mounting that, in advanced economies, changes in monetary policy have a more benign impact on the economy—given better anchored inflation expectations and inflation being less responsive to variation in unemployment—compared to the past. We examine another aspect that could explain this empirical finding, namely the demographic shift to an older society. The paper first clarifies potential transmission channels that could explain why monetary policy effectiveness may moderate in graying societies. It then uses Bayesian estimation techniques for the U.S., Canada, Japan, U.K., and Germany to confirm a weakening of monetary policy effectiveness over time with regards to unemployment and inflation. After proving the existence of a panel co-integration relationship between ageing and a weakening of monetary policy, the study uses dynamic panel OLS techniques to attribute this weakening of monetary policy effectiveness to demographic changes. The paper concludes with policy implications.
Explaining High Health Care Spending in the United States: An International Comparison of Supply, Utilization, Prices, and Quality
This analysis uses data from the Organization for Economic Cooperation and Development and other sources to compare health care spending, supply, utilization, prices, and quality in 13 industrialized countries: Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. The U.S. spends far more on health care than any other country. However this high spending cannot be attributed to higher income, an older population, or greater supply or utilization of hospitals and doctors. Instead, the findings suggest the higher spending is more likely due to higher prices and perhaps more readily accessible technology and greater obesity. Health care quality in the U.S. varies and is not notably superior to the far less expensive systems in the other study countries. Of the countries studied, Japan has the lowest health spending, which it achieves primarily through aggressive price regulation.
Grandparenting and mothers’ labour force participation: A comparative analysis using the Generations and Gender Survey
It is well known that the provision of public childcare plays an important role for women labour force participation and its availability varies tremendously across countries. In many countries, informal childcare is also important and typically provided by the grandparents, but its role on mothers’ employment is not yet well understood. Understanding the relationship between labour supply decisions and grandparental childcare is complex. While the provision of grandparental childcare is clearly a function of the social and institutional context of a country, it also depends on family preferences, which are typically unobserved in surveys.OBJECTIVEWe analyze the role of informal childcare provided by grandparents on mothers’ labour force participation keeping unobserved preferences into account.METHODSBivariate probit models with instrumental variables are estimated on data from seven countries (Bulgaria, France, Georgia, Germany, Hungary, Russia and The Netherlands) drawn from the Generations and Gender Survey.RESULTSWe find that only in some countries mothers’ employment is positively and significantly associated with grandparents providing childcare. In other countries, once we control for unobserved preferences, we do not find this effect.CONCLUSIONSThe role of grandparents is an important element to reconcile work and family for women in some countries. Our results show the importance of considering family preferences and country differences when studying the relationship between grandparental childcare and mothers’ labour supply.COMMENTSOur results are consistent with previous research on this topic. However, differently from previous studies, we conduct separate analyses by country and show that the effect of grandparental childcare varies considerably. The fact that we also include in the analyses Bulgaria, Hungary, Russia and Georgia is an important novelty as there are no studies on this issue for these countries.
Despite Increasing Concerns about High Health Care Costs, New Survey Finds Little Support among Americans for Decisions That Limit Use of High-Cost Prescription Drugs and Treatments
A new survey by the Harvard School of Public Health and the Alliance for Aging Research finds that a majority (62%) of Americans oppose decisions by the government or health insurance plans where prescription drugs or medical or surgical treatments are not paid for because the payors determine that the benefits do not justify the cost. The exception is if there’s evidence that something else works equally well but costs less. A majority (64%) of Americans believe the government or health insurance plans should not pay for a more expensive prescription drug or medical or surgical treatment if it has not been shown to work better than less expensive ones. Majorities in Italy and Germany share both of these beliefs with the U.S. public. In the United Kingdom, at least a plurality shares these beliefs.
New 2011 Survey of Patients with Complex Care Needs in Eleven Countries Finds That Care Is Often Poorly Coordinated
An international survey of adults living with health problems and complex care needs found that patients in the United States are much more likely than those in 10 other high-income countries to forgo needed care because of costs and to struggle with medical debt. In all the countries surveyed, patients who have a medical home reported better coordination of care, fewer medical errors, and greater satisfaction with care than those without one.
- Sicker adults in the U.S. stood out for having cost and access problems. More than one of four (27%) were unable to pay or encountered serious problems paying medical bills in the past year, compared with between 1 percent and 14 percent of adults in the other countries. In the U.S., 42 percent reported not visiting a doctor, not filling a prescription, or not getting recommended care. This is twice the rate for every other country but Australia, New Zealand, and Germany.
- In the U.S., cost-related access problems and medical bill burdens were concentrated among adults under age 65. Compared with Medicare-aged adults 65 or older, adults under 65 were far more likely to go without care because of the cost or to have problems paying bills.
- Adults with complex care needs who received care from a medical home—an accessible primary care practice that knows their medical history and helps coordinate care—were less likely to report experiencing medical errors, test duplication, and other care coordination failures. They were also more likely to report having arrangements for follow-up care after a hospitalization and more likely to rate their care highly.
- Sicker adults in the U.K. and Switzerland were the most likely to have a medical home: nearly three-quarters were connected to practices that have medical home characteristics, compared with around half in most of the other countries.
New Study: U.S. Ranks Last Among High-Income Nations on Preventable Deaths, Lagging Behind as Others Improve More Rapidly
New Study: U.S. Ranks Last Among High-Income Nations on Preventable Deaths, Lagging Behind as Others Improve More Rapidly
Source: Commonwealth Fund (Health Policy)
The United States placed last among 16 high-income, industrialized nations when it comes to deaths that could potentially have been prevented by timely access to effective health care, according to a Commonwealth Fund–supported study that appeared online in the journal Health Policy this week and will be available in print on October 25th as part of the November issue. According to the study, other nations lowered their preventable death rates an average of 31 percent between 1997–98 and 2006–07, while the U.S. rate declined by only 20 percent, from 120 to 96 per 100,000. At the end of the decade, the preventable mortality rate in the U.S. was almost twice that in France, which had the lowest rate—55 per 100,000.
In “Variations in Amenable Mortality—Trends in 16 High Income Nations,” Ellen Nolte of RAND Europe and Martin McKee of the London School of Hygiene and Tropical Medicine analyzed deaths that occurred before age 75 from causes like treatable cancer, diabetes, childhood infections/respiratory diseases, and complications from surgeries. They found that an average 41 percent drop in death rates from ischemic heart disease was the primary driver of declining preventable deaths, and they estimate that if the U.S. could improve its preventable death rate to match that of the three best-performing countries—France, Australia, and Italy—84,000 fewer people would have died each year by the end of the period studied.
“This study points to substantial opportunity to prevent premature death in the United States. We spend far more than any of the comparison countries—up to twice as much—yet are improving less rapidly,” said Commonwealth Fund Senior Vice President Cathy Schoen. “The good news is we know lower death rates are achievable if we enhance access and ensure high-quality care regardless of where you live. Looking forward, reforms under the Affordable Care Act have the potential to reduce the number of preventable deaths in the U.S. We have the potential to join the leaders among high-income countries.”