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38,985 result(s) for "Public Policy - history"
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Economic policy and public health: Insights from the history of the Canadian Journal of Public Health
The nearly 115-year history of the Canadian Journal of Public Health (CJPH) provides an important opportunity to reflect on and learn from our past. In response to an invitation to members of the CJPH Editorial Board to curate historical articles around a theme, we undertook a historical examination of our field’s engagement, as gleaned through the pages of CJPH, with economic policy. This was inspired by the now well-established connections among political economic policy, population well-being, and health equity. Our analysis of six historical volumes (1917, 1933, 1941, 1961, 1995, and 2013) led to three key findings. First, we found only a slim historical foundation for public health engagement with the economy overall. Second, we observed a strong and seemingly subconscious allegiance to dominant economic paradigms, despite their incompatibility with root causes of health inequities. Third, even though socio-economic inequalities in health are a long-standing preoccupation of CJPH authors, those inequalities are consistently and curiously divorced from their roots in political economic systems. Our findings provide a historical foundation for thinking about how our public health community could be encouraged to engage constructively towards an economic system that supports, rather than obstructs, population well-being and health equity.
How Structural Racism Works — Racist Policies as a Root Cause of U.S. Racial Health Inequities
As a legacy of African enslavement, structural racism affects both population and individual health in three interrelated domains: redlining and racialized residential segregation, mass incarceration and police violence, and unequal medical care.
The effects of China's universal two-child policy
In October, 2015, China's one-child policy was replaced by a universal two-child policy. The effects of the new policy are inevitably speculative, but predictions can be made based on recent trends. The population increase will be relatively small, peaking at 1·45 billion in 2029 (compared with a peak of 1·4 billion in 2023 if the one-child policy continued). The new policy will allow almost all Chinese people to have their preferred number of children. The benefits of the new policy include: a large reduction in abortions of unapproved pregnancies, virtual elimination of the problem of unregistered children, and a more normal sex ratio. All of these effects should improve health outcomes. Effects of the new policy on the shrinking workforce and rapid population ageing will not be evident for two decades. In the meantime, more sound policy actions are needed to meet the social, health, and care needs of the elderly population.
The movement for housing reform in Germany and France, 1840-1914
During the 1920s and 1930s, a series of housing developments were built in Europe. This study sets out to discover how these developments came to being by looking into the evolution of the movement for housing reform in Germany and France, from the middle of the 19th century until the First World War.
COMPARISON FRICTION: EXPERIMENTAL EVIDENCE FROM MEDICARE DRUG PLANS
Consumers need information to compare alternatives for markets to function efficiently. Recognizing this, public policies often pair competition with easy access to comparative information. The implicit assumption is that comparison friction—the wedge between the availability of comparative information and consumers' use of it—is inconsequential because when information is readily available, consumers will access this information and make effective choices. We examine the extent of comparison friction in the market for Medicare Part D prescription drug plans in the United States. In a randomized field experiment, an intervention group received a letter with personalized cost information. That information was readily available for free and widely advertised. However, this additional step—providing the information rather than having consumers actively access it—had an impact. Plan switching was 28% in the intervention group, versus 17% in the comparison group, and the intervention caused an average decline in predicted consumer cost of about $100 a year among letter recipients—roughly 5% of the cost in the comparison group. Our results suggest that comparison friction can be large even when the cost of acquiring information is small and may be relevant for a wide range of public policies that incorporate consumer choice.
Power and public finance at Rome, 264-49 BCE
\"In the first study of fiscal sociology in the Roman Republic, James Tan argues that much of Roman politics was defined by changes in the fiscal system. Tan offers a new conception of the Roman Republic by showing that imperial profits freed the elite from dependence on citizen taxes\"-- Provided by publisher.
The unsteady state and inertia of chemical regulation under the US Toxic Substances Control Act
After 40 years, the 1976 US Toxic Substances Control Act (TSCA) was revised under the Frank R. Lautenberg Chemical Safety for the 21st Century Act. Its original goals of protecting the public from hazardous chemicals were hindered by complex and cumbersome administrative burdens, data limitations, vulnerabilities in risk assessments, and recurring corporate lawsuits. As a result, countless chemicals were entered into commercial use without toxicological information. Few chemicals of the many identified as potential public health threats were regulated or banned. This paper explores the factors that have worked against a comprehensive and rational policy for regulating toxic chemicals and discusses whether the TSCA revisions offer greater public protection against existing and new chemicals.