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"Reich, Michael"
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Political economy analysis for health
Achieving the health targets of the sustainable development goals (SDGs) depends on favourable political economy factors. Policy reform can be best understood, analysed and managed by recognizing how political economy shapes what happens in the reform process. Political economy can be broadly defined as the study ofboth politics and economics, specifically the interactions between them and their consequences for specific outcomes of interest. Political economy focuses on power and resources, how they are distributed and contested in different country and sector contexts, and the resulting implications for development outcomes. Applied political economy analysis supports policy processes in three ways. First, such analysis generates an assessment of the political landscape, including a stakeholder map, an assessment of power and position of key political actors, and an estimate of political feasibility for policy change. Second, the analysis focuses attention on how political strategies shape the feasibility of a policy reform and on the importance of politically managing the change process. Third, such analysis underlines the role of political economy factors throughout the policy cycle, including agenda-setting, policy design, adoption, implementation and evaluation.
Journal Article
Labor in the era of globalization
\"The third quarter of the twentieth century was a golden age for labor in the advanced industrial countries, characterized by rising incomes, relatively egalitarian wage structures, and reasonable levels of job security. The subsequent quarter-century has seen less positive performance along a number of these dimensions. This period has instead been marked by rapid globalization of economic activity that has brought increased insecurity to workers. The contributors to this volume, prominent scholars from the United States, Europe, and Japan, distinguish four explanations for this historic shift. These include 1) rapid development of new technologies; 2) global competition for both business and labor; 3) deregulation of industry with more reliance on markets; and 4) increased immigration of workers, especially unskilled workers, from developing countries. In addition to analyzing the causes of these trends, the contributors also investigate important consequences, ranging from changes in collective bargaining and employment relations to family formation decisions and incarceration policy\"--Provided by publisher.
Book
Moving towards universal health coverage: lessons from 11 country studies
In recent years, many countries have adopted universal health coverage (UHC) as a national aspiration. In response to increasing demand for a systematic assessment of global experiences with UHC, the Government of Japan and the World Bank collaborated on a 2-year multicountry research programme to analyse the processes of moving towards UHC. The programme included 11 countries (Bangladesh, Brazil, Ethiopia, France, Ghana, Indonesia, Japan, Peru, Thailand, Turkey, and Vietnam), representing diverse geographical, economic, and historical contexts. The study identified common challenges and opportunities and useful insights for how to move towards UHC. The study showed that UHC is a complex process, fraught with challenges, many possible pathways, and various pitfalls—but is also feasible and achievable. Movement towards UHC is a long-term policy engagement that needs both technical knowledge and political know-how. Technical solutions need to be accompanied by pragmatic and innovative strategies that address the national political economy context.
Journal Article
Minimum Wage Shocks, Employment Flows, and Labor Market Frictions
We provide the first estimates of the effects of minimum wages on employment flows in the US labor market, identifying the impact by using policy discontinuities at state borders. We find that minimum wages have a sizable negative effect on employment flows but not on stocks. Separations and accessions fall among affected workers, especially those with low tenure. We do not find changes in the duration of nonemployment for separations or hires. This evidence is consistent with search models with endogenous separations.
Journal Article
Japanese universal health coverage: evolution, achievements, and challenges
Japan shows the advantages and limitations of pursuing universal health coverage by establishment of employee-based and community-based social health insurance. On the positive side, almost everyone came to be insured in 1961; the enforcement of the same fee schedule for all plans and almost all providers has maintained equity and contained costs; and the co-payment rate has become the same for all, except for elderly people and children. This equity has been achieved by provision of subsidies from general revenues to plans that enrol people with low incomes, and enforcement of cross-subsidisation among the plans to finance the costs of health care for elderly people. On the negative side, the fragmentation of enrolment into 3500 plans has led to a more than a three-times difference in the proportion of income paid as premiums, and the emerging issue of the uninsured population. We advocate consolidation of all plans within prefectures to maintain universal and equitable coverage in view of the ageing society and changes in employment patterns. Countries planning to achieve universal coverage by social health insurance based on employment and residential status should be aware of the limitations of such plans.
Journal Article
Access to HPV vaccination in Japan: Increasing social trust to regain vaccine confidence
•Japan has among the world’s lowest levels of confidence in the HPV vaccine.•In 2013, public questions arose about possible side effects of the HPV vaccine.•Japan has experienced a steep and persistent decline in HPV vaccination uptake.•The barriers to HPV vaccine access and use in Japan occur mainly in adoption.•We recommend specific actions for multiple stakeholders to rebuild social trust.
Vaccine hesitancy is a growing concern in global public health, and illustrates serious problems arising from loss of social trust. Japan is experiencing a human papillomavirus (HPV) vaccine crisis that started with a rapid decline in the vaccination rate in 2013 from approximately 70% to less than 1% and lasting for 7 years. We analyze Japan’s case of vaccine hesitancy for HPV vaccine, using a framework for examining barriers to access and use of health technologies according to four categories: architecture, availability, affordability, and adoption. Significant problems were identified in the architecture of the decision-making body, public information availability, adoption of evidence in policy-making process, knowledge and confidence among providers, education to the public, and communication with end-users. We propose a series of actions to address these barriers. The national government should diversify the advisory committee to include broader scientific evidence and various viewpoints. Municipalities should actively distribute information cooperating with local providers. Professional associations should create an alliance to influence policy makers and deliver education to health care providers and end-users. Politicians should integrate opinions from citizens and scientists to implement an up-to-date policy. Civil society should share individual stories from cervical cancer patients and positive experiences of vaccinated girls. Mass media should use more diverse sources of information to report more comprehensive and science-based views. These actions would help build mutual trust among stakeholders, which is required to increase social trust in the HPV vaccine in Japan and thereby regain vaccine confidence and reduce preventable deaths and complications.
Journal Article