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1481. Reinventing Health Care: The barriers to Innovation

Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
In many respects, the U.S. health care system is breathtakingly innovative. It produces new technology, medical procedures, and scientific knowledge at a dazzling speed, enabling patients to recover from diseases and injuries once thought incurable or untreatable. As a consequence, the U.S. has one of the highest survival rates for cancers, excels at acute and trauma care, and has produced half of the world's Nobel laureates.
Topic:
Economics, Health, Social Stratification, and Governance
Political Geography:
United States

1482. Task Force Report on Streamlining and Consolidating Congressional Oversight of the US Department of Homeland Security

Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
Congressional leaders are best able to judge what committee should have jurisdiction over this department and its duties. But we believe that Congress does have the obligation to choose one in the House and one in the Senate, and that this committee should be a permanent standing committee with a nonpartisan staff.
Topic:
Security, Defense Policy, Weapons of Mass Destruction, Biosecurity, Governance, Law, and Reform
Political Geography:
United States

1483. Responding to Change: The New World of Oil and Gas

Author:
Bill White(Chair) and Leonard Coburn(Rapporteur)
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
Improved technology has led to enhanced oil and gas productivity at lower cost and significant production increases in the United States and Canada, dramatically changing energy perspectives. The shift from energy scarcity toward abundance is requiring new energy policies. The potential for the United States to become a net exporter of oil and gas changes American views of energy dependency. Shifts in global energy demand growth from developed to less developed countries, and especially to the Asia-Pacific region, require understanding of changing global energy trade. American energy will flow to markets where scarcity is the largest. Canada and the United States are reaping the benefits of this new world of oil and gas. Mexico will lag behind unless it addresses its chronic problems. Without reform, Mexico could become a net importer of all its hydrocarbons, a fundamental change from its current status. Responding to these changes will require knowledge, foresight, and strategies that are bold and comprehensive.
Topic:
Economics, Energy Policy, Environment, Oil, and Natural Resources
Political Geography:
United States, America, Canada, and Mexico

1484. The Future of the U.S. Electricity Sector

Author:
Bill Dickenson (Co-Chair), Phil Sharp (Co-Chair), and Dave Grossman (Rapporteur)
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
The future of the U.S. electricity sector is hard to foresee – and it is never wise to overpay one's fortune tellers – but there appear to be some key trends and technologies that may reshape future electricity markets and determine the innovativeness, resilience, security, and global competitiveness of the sector. Discussions of the sector's past, present, and future formed the heart of the 2013 Aspen Institute Energy Policy Forum. This report summarizes and organizes some of the key insights from those discussions.
Topic:
Climate Change, Economics, Energy Policy, Environment, Markets, and Natural Resources
Political Geography:
United States

1485. Empirical Investigation of Declining Childbirth: Psychosocial and Economic Conditions in Japan

Author:
Tetsuji Yamada, Chia-Ching Chen, Chie Hanaoka, and Seiritsu Ogura
Publication Date:
08-2013
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
Background: For the past two decades, more and more women in certain European countries, Japan, and the United States are giving birth to their first child at a considerably later age than ever before. It remains unclear as to what extent this age-related general fertility decline is affected by changing social and cultural norms. Method: The Global Centers of Excellence Survey was conducted by Osaka University in Japan (n=5313) in 2009. Multivariate regression analyses were conducted to examine the impact of psychosocial norms, cultural differences, and economic conditions on the perception of childbearing. Results: The findings suggest that a subjective measure of happiness has a significant influence on childbearing. A society with income inequalities between classes discourages childbearing. It is observed that women's higher labor force participation generates a negative impact on motherchild relations which causes discouragement of childbearing. A higher female labor force participation stemmed from a transition of a traditional society into a modern and marketoriented society discourages childbearing. Conclusions/implications: A woman's decision to delay childbearing is based on her perception of psychosocial norms with surrounding economic environment and her own value of opportunity in the market oriented society. Childbearing also imposes psycho-economic burdens on the working population under mix of a traditional, patriarchal society, and a modern market oriented framework. Childbearing incentives could be a strategic policy to encourage positive attitudes of childbearing in general and proper welfare policy, labor law(s), employment conditions, and social security system for a working mother with a child or children.
Topic:
Economics, Gender Issues, Health, Poverty, Social Stratification, and Labor Issues
Political Geography:
United States, Japan, Europe, Israel, and Asia

1486. The Tenth Korea-U.S. West Coast Strategic Forum

Author:
Walter H. Shorenstein
Publication Date:
06-2013
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
Meeting after North Korea had raised tensions on the Korean Peninsula in the spring, participants in the Tenth Korea-U.S. West Coast Strategic Forum focused on the implications for the Korean Peninsula of leadership changes in North and South Korea and especially China. Participants also focused on regional dynamics, including increased confrontation between China and Japan and various, sometimes conflicting, efforts to increase regional economic integration in Northeast Asia.
Topic:
Conflict Resolution, Defense Policy, Arms Control and Proliferation, Diplomacy, Nuclear Weapons, Weapons of Mass Destruction, Bilateral Relations, and Sanctions
Political Geography:
United States, Japan, China, Israel, and Asia

1487. Oil, Conflict, and U.S. National Interests

Author:
Jeff D. Colgan
Publication Date:
10-2013
Content Type:
Policy Brief
Institution:
Belfer Center for Science and International Affairs, Harvard University
Abstract:
Although the threat of “resource wars” over possession of oil reserves is often exaggerated, the sum total of the political effects generated by the oil industry makes oil a leading cause of war. Between one-quarter and one-half of interstate wars since 1973 have been connected to one or more oil-related causal mechanisms. No other commodity has had such an impact on international security.
Topic:
Conflict Resolution, Foreign Policy, International Trade and Finance, Oil, and War
Political Geography:
United States, Middle East, and Arabia

1488. Smashing Atoms for Peace: Using Linear Accelerators to Produce Medical Isotopes without Highly Enriched Uranium

Author:
David Nusbaum
Publication Date:
10-2013
Content Type:
Policy Brief
Institution:
Belfer Center for Science and International Affairs, Harvard University
Abstract:
Nuclear research reactors are used in many countries for many different purposes. Most of the reactors are used for research (mainly in physics), training for nuclear operators and engineers, materials testing in radiation conditions, or the production of radioiso¬topes for medicine and industry. Some countries, like Iran, are building new reactors ostensibly to fill these needs. Many of these reactors operate with highly enriched uranium (HEU) nuclear fuel — in most cases, enriched to around 90 percent, the same as fuel for nuclear weapons. The production and fabrication of HEU fuel, and the handling, transport, and storage of both fresh and spent fuel containing HEU entails considerable proliferation, security, and safety risks as well as very high costs. The global stockpile of highly enriched uranium was about 1500 tons in 2012, which was enough for more than 60,000 simple, first gen¬eration implosion weapons. About 98 percent of this material is held by the nuclear weapon states, with the largest HEU stockpiles in Russia and the United States.
Topic:
Security, Education, Energy Policy, Health, and Nuclear Power
Political Geography:
Russia, United States, and Iran

1489. The Use of Public Assistance Benefits by Citizens and Non-citizen Immigrants in the United States

Author:
Leighton Ku and Brian Bruen
Publication Date:
02-2013
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Claims are sometimes made that immigrants use public benefits, such as Medicaid, the Supplemental Nutrition Assistance Program, or the Temporary Assistance for Needy Families programs, more often than those who are born in the United States. This report provides analyses, using the most recent data from the Census Bureau, that counter these claims. In reality, low-income non-citizen immigrants, including adults and children, are generally less likely to receive public benefits than those who are native-born. Moreover, when non-citizen immigrants receive benefits, the value of benefits they receive is usually lower than the value of benefits received by those born in the United States. The combination of lower average utilization and smaller average benefits indicates that the overall cost of public benefits is substantially less for low-income non-citizen immigrants than for comparable native-born adults and children. The report also explains that the lower use of public benefits by non-citizen immigrants is not surprising, since federal rules restrict immigrants' eligibility for these public benefit programs.
Topic:
Economics, Health, Humanitarian Aid, Markets, and Immigration
Political Geography:
United States

1490. Why Growth Is Getting Harder

Author:
Brink Lindsey
Publication Date:
10-2013
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
For over a century, the trend line for the long-term growth of the U.S. economy has held remarkably steady. Notwithstanding huge changes over time in economic, social, and political conditions, growth in real gross domestic product (GDP) per capita has fluctuated fairly closely around an average annual rate of approximately 2 percent. Looking ahead, however, there are strong reasons for doubting that this historic norm can be maintained.
Topic:
Economics, Globalization, International Trade and Finance, Markets, Financial Crisis, and Governance
Political Geography:
United States