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Understanding ten years of stagnation in Costa Rica's drive for universal coverage
This study analyzes achievements and obstacles in the process of moving towards universal coverage of essential health care services in Costa Rica. It describes the country as exemplary in the region, both in terms of population health status as well as health financing indicators. Life expectancy and the level of pre-payment are both comparable to high income countries. However, the process that...
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The emerging paradigm in heatlh care policy: the case of Canada
The model of health care financing and delivery for which Canada is best known internationally is its universal, single-payer, first-dollar system of coverage for physician and hospital services. For several decades following its establishment in the late 1950's and 1960's, this model provided public finance from the general tax base (like the UK), at levels of generosity, relative to GDP, like...
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Introduction (on the subject that is addressed in the issue number)
In this issue of Well-being and Social Policy we have tried to include articles that support the debate around social insurance in health. This is an issue in which simple answers are hardly ever found, and a long term effort is required to understand the idiosyncrasy of each country and the best mix of regulation and financing options. Additionally, the studied cases point out to the need of a...
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Book review. Public policy for an inclusive growth, edited by Pablo Cotler
The book “Public Policy for an Inclusive Growth” (The book) is an opportune and fortunate document. It is opportune because it is presented at a time in which public policy topics are subject to a wide debate in Mexico, and the discussion is fed with diverse points of view, theoretical and political, from which it is the purpose to analyze, design, redesign, implement, and evaluate the government...
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Retirement incentives: pension wealth, accrual and implicit tax
This paper estimates social security financial incentives for early retirement using contemporary techniques developed in economics, and compares these estimates to those estimated for developed countries. I find that implicit tax on continued work increases with age and amounts to over one-third of an individual potential earnings at age sixty-five. The pension replacement rate shows the degree...
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Scale economies in the pension fund managers industry in Mexico: a semi parametric approach
It has been widely accepted that reforms on pension schemes have led to improvements in the financial viability of the systems. Nevertheless, at the same time it has been shown that fees charged by pension fund managers (PFM) are very high, implying high mark-ups for them and lower expected pensions for the participants. The presence of economies of scale has been suggested as one main reason for...
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Is age-grade distortion in Brazil's primary public education system more closely associated to school infrastructure or to family characteristics
Different economic studies have shown the importance of education in improving the quality of life of individuals. Thus, in the 90’s, the public education system was reformed to enhance the quality of public education in Brazil and motivate student interest. This paper participated in this discussion by suggesting an assessment of the impact that school infrastructure and family characteristics...
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Economic polarisation and gobernality in México
The purpose of this essay is to appraise alternative hypothesis about the origins of recent social revolt in Mexico. It shows that it is not clear that a severe rise in poverty preceded the origins of violent conflict but social polarisation. Therefore, government attempts to deactivate the economic factors that led to social unrest did not necessarily upgrade povertyreduction policies. The...
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Review of International migration, remitances, and the brain drain, edited by Çaglar Özden y Maurice Schiff
As the volume title suggests, three of the studies deal with the effects of remittances on incomes and measures of well-being, four address various aspects of highly skilled migration, while the remaining paper examines the determinants of migration from rural Mexico to the US. Each of these is certainly topical: the rise in reported global remittance flows has been a major spur to the recent...
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Toward closing the evaluation gap: lessons from three recent impact evaluations of social programs in Latin America and the Caribbean
Despite recent growing demand from funders and governments, rigorous impact evaluations in Latin America and the Caribbean remain the exception rather than the rule. Many commissioned impact evaluations are methodologically weak, and thus only marginally useful in assessing the impact of social interventions. Other impact evaluations feature strong research methodologies at their conception, but...
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Workers' remittances and currency crises
We seek to further understand the factors that determine per emigrant remittances using data from 23 Latin American and Caribbean countries over the 1980-2003 period. We find that emigrants avoid remitting when the exchange rate is under pressure. This finding is consistent with the notion that remitters strive to reduce their exposure to exchange rate losses by taking into account the expected...
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The time pattern of remittances: evidence from mexican migrants
We explore the time pattern of remittances using data on return migrants from the Mexican Migration Project. Some of these return migrants have settled in the U.S. and are returning to Mexico to visit family and friends, whereas others are temporary migrants returning home after a working spell in the U.S. We find that the dollar amount remitted first increases with time spent in the U.S. to...
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Is international migration a substitute for social security
The focus on short-term macroeconomic factors, including unemployment and wages, is insufficient to explain international migration. Institutional factors, bound to change only in the long run, can potentially have a large impact on migration flows. To illustrate this, we analyze Mexico-U.S. migration focusing on social security coverage, an important indicator of job formality. Using...
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Introduction (about an international conference on "The effects of migration on sending countries")
The Inter-American Conference on Social Security (CISS) and Universidad Iberoamericana (UIA) co-hosted an international conference on “The Effects of Migration on Sending Countries” in February of 2006. The major objective of the conference was to examine a variety of channels through which migration affects the sending countries. Migrants change the dynamic of sending households; alter labor...
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Estructura demográfica, personas mayores y el concepto de trabajo decente en las Américas. Caso México
Este documento busca contribuir al análisis de la información relacionada con la población de adultos mayores en el mercado laboral y ofrecer una panorámica de la estadística y las condiciones de trabajo a las que se enfrentan. Esta es una serie de entregas que exploran dichas condiciones por país, enfocándonos en el caso de México en esta primera. El trabajo discute el concepto de trabajo...
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The Americas Social Security Report 2006 The challenges of aging and disability: employment and insurance, and international social security agreements (book review)
The 2006 Issue of the Report on Social Security in the Americas is divided in four chapters. The first two chapters address older-adult issues, the third chapter deals with disability-related problems, and the fourth chapter discusses Social Security agreements in the Americas. In the Presentation, it was pointed out that the objective of the Report on Social Security in the Americas is to become...
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Unemployment insurance in Chile: a new model of income support for unemployed workers
This paper describes the Chilean experience concerning the implementation of a new unemployment insurance (UI) program. The use of individual savings accounts and private management are essential elements. In addition, a redistributive fund (Common Fund) helps workers pool risks, distributing resources from employed to unemployed workers and from stable firms to workers with low incomes and...
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Health sector reform in Latin America and the Caribbean: the role of international organisations in formulating agendas and implementing policies
This article examines health sector reforms in Latin America and the Caribbean to discuss the ideological, theoretical, and conceptual elements that inform the reform agenda and the models put forward for attaining greater equity in the region’s countries. Its starting assumption is that the relevant literature generally neglects the economic, social, and political aspects underlying the...
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Health policies and economic blocks
This paper analyzes the roles of health goods and services markets within the regional integration process. It is a known fact that the consolidation of integrated markets is slower regarding social goods and services (as health and education) than among other goods and services (e.g. durable consumption goods). The paper discusses the nature of the health sector and its global dimension, showing...
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Democracy and universality: debating the conditions of applying such concepts to Brazil's public health actions and services
This paper reviews the determinants and conditionalities of the process of universalizing public health in developed countries, notably the European ones, and in Brazil, and is aimed at highlighting their differences. The first part discloses the main interpretations on the constructing of the Welfare State, emphasizing the characteristics of that historical moment and its articulation with...
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