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Begin New Search Topic Efficiency Publication Year within 10 Years

1. Mirror, Mirror 2024: A Portrait of the Failing U.S. Health System

Author:
David Blumenthal, Evan D. Gumas, Arnav Shah, Munira Z. Gunja, and Reginald D. Williams II
Publication Date:
09-2024
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
Goal: Compare health system performance in 10 countries, including the United States, to glean insights for U.S. improvement. Methods: Analysis of 70 health system performance measures in five areas: access to care, care process, administrative efficiency, equity, and health outcomes. Key Findings: The top three countries are Australia, the Netherlands, and the United Kingdom, although differences in overall performance between most countries are relatively small. The only clear outlier is the U.S., where health system performance is dramatically lower. Conclusion: The U.S. continues to be in a class by itself in the underperformance of its health care sector. While the other nine countries differ in the details of their systems and in their performance on domains, unlike the U.S., they all have found a way to meet their residents’ most basic health care needs, including universal coverage.
Topic:
Development, Public Health, Efficiency, and Healthcare System
Political Geography:
North America and United States of America

2. What Synergy of Action in the Fight Against Corruption in Cameroon?

Author:
Theophile Nguimfack Voufo
Publication Date:
02-2023
Content Type:
Working Paper
Institution:
The Nkafu Policy Institute
Abstract:
The phenomenon of corruption is growing so much in Cameroon, to the point where we must be careful that it does not become a characteristic of Cameroonian identity. Cameroon has twice held the rank of the highest corruption index in the world.[1] However, the will of the public authorities to put an end to it is matched only by the determination of the actors of corruption to escape the meshes of the control mechanisms. Given the government strategy and the proliferation of organizations fighting against corruption, one could expect a significant reduction of this scourge in Cameroon. But like a hydra, corruption remains a major problem in Cameroonian society. A substantial literature has been able to highlight the strengths and weaknesses of administrative, political, and jurisdictional bodies in the fight against corruption.[2] Among other weaknesses are prominently the subordination of the power of sanction to the will of the president of the Republic, the politicization of special operations to fight against corruption, and the lethargy of certain control bodies. The creation of the NACC, an organization specializing in the fight against corruption, has created hope in Cameroon. But, the decree fixing its attributions does not give it its own power of sanction. Consequently, NACC limits itself to noting the facts of corruption and reports them to the public authorities or seizes the judge by denunciation. This technique of referral by denunciation was mainly oriented toward the judicial judge. In practice, however, NACC had to experiment with referral to the Audit Bench of the Supreme Court, which opens up the prospect of collaboration between these two bodies in the fight against corruption in Cameroon. The question arises as to how NACC and the jurisdiction of accounts can combine their actions in the fight against corruption in Cameroon. After analysis, it appears that the ways of functional collaboration between the two organizations exist (I); however, they require some operational coordination (II).
Topic:
Corruption, Courts, Bureaucracy, and Efficiency
Political Geography:
Africa and Cameroon

3. The Horizontal Merger Efficiency Fallacy

Author:
Mark Glick, Gabriel A. Lozada, Pavitra Govindan, and Darren Bush
Publication Date:
08-2023
Content Type:
Working Paper
Institution:
Institute for New Economic Thinking (INET)
Abstract:
The Department of Justice and Federal Trade Commission Merger Guidelines (the “Merger Guidelines”), including the much improved latest revision in 2023 (the “New Merger Guidelines”), have continued to perpetrate what we call in this paper the horizontal merger efficiency fallacy. The fallacy arises because in the Guidelines the term “efficiencies” has become unmoored from its foundations in economic theory and has been reduced to the business school construct of cost savings. We show that cost savings can only be considered universally socially beneficial by acceptance of what is termed “the Consumer Welfare Standard” (antitrust) or “the surplus theory of welfare” (economics), a theory that has been discredited and abandoned by welfare economists. In economic theory, efficiency means Pareto Efficiency. We explore the various attempts to tether the cost savings definition of efficiency to Pareto Efficiency and explain why these attempts have failed. We conclude that there is no sound way to theoretically reconcile cost savings with the economic meaning of efficiencies. We then move beyond the efficiency fallacy and show how modern welfare economics can be used to integrate Congressional antitrust goals into the New Merger Guidelines. This requires abandoning the unsupported “standard deduction” for efficiencies and replacing it with an evidence-based assessment of how a specific merger under review potentially impacts Congressional antitrust goals. This change renders the present efficiency rebuttal section of the New Merger Guidelines superfluous, and we provide specific reasons why this section as currently drafted is flawed and should be jettisoned.
Topic:
Economics, Government, Markets, Business, and Efficiency
Political Geography:
Global Focus

4. The Erroneous Foundations of Law and Economics

Author:
Mark Glick and Gabriel A. Lozada
Publication Date:
02-2021
Content Type:
Working Paper
Institution:
Institute for New Economic Thinking (INET)
Abstract:
The fundamental originating principle of law and economics (L&E) is that legal decisions should be (and are) based on maximizing efficiency. But L&E proponents do not define “efficiency” in the way agreed to by most economists, as Pareto Efficiency. A Pareto optimal condition is obtained when no one can be made better off without making someone worse off. Pareto Improvements are win-win changes where no losers exist. In the judicial system, however, there are always winners and losers, because under Article III § 2 of the Constitution a legal case does not exist unless there is a justiciable “case or controversy” in need of resolution. Unable to use Pareto Efficiency, L&E scholars have been forced to adopt alternative definitions of efficiency. Most L&E scholars claim to define “efficiency” based on the work of Kaldor and Hicks, but (perhaps unwittingly) instead use a definition of “efficiency” derived from the 19th century idea of consumer surplus, which encompasses L&E notions such as “wealth maximization,” and “consumer welfare” in antitrust. Neither of these alternative definitions is viable, however. Outside of L&E, the Kaldor-Hicks approach has long been recognized to be riddled with logical inconsistencies and ethical failures, and the surplus approach is even more deficient. Remarkably, virtually none of the numerous L&E textbooks even hint at such problems. Critically, all definitions of efficiency improvements in economics are biased in favor of wealthy individuals or firms, either because they are dependent on the status quo ante distribution of assets, or because they bestow large advantages on parties with political influence or who can afford to bring lawsuits quickly. Many L&E practitioners treat efficiency improvements instead as being objectively good, an error revealing that L&E is primarily motivated by its neoliberal policy agenda.
Topic:
Economics, Law, Neoliberalism, and Efficiency
Political Geography:
Global Focus

5. Optimizing the Governance and Performance of Public Enterprises In Cameroon

Author:
Steve Tametong
Publication Date:
09-2021
Content Type:
Working Paper
Institution:
The Nkafu Policy Institute
Abstract:
Defined as economic units with legal and financial autonomy carrying out industrial and commercial activities and whose share capital is wholly or mainly held by a legal person under public law, public enterprises occupy a major place in the economic development policy of the State in Cameroon. The many reforms that have taken place in this key sector have, for the most part, been directed towards the search for performance and the promotion of sound corporate governance. However, this double objective remained a real challenge under the empire of law n°99/016 of December 22, 1999 on the general status of public establishments and public and semi-public sector companies, which had repealed order n°95/003 of August 17, 1995 governing public and semi-public sector companies. To echo this, the Technical Commission for the Rehabilitation (CTR) of public and parapublic sector companies revealed in its 2019 Report that the 50 public entities whose performance was analysed showed a 15.7% drop in turnover compared to the 2018 financial year, and an overall net result of CFAF -59.5 billion, down by -6.4% compared to 2018. Also, the biggest losses were recorded in the combined sectors of “hydrocarbons, water and electricity” and “industry and commerce“. Moreover, out of a target of 53 billion in 2019 for contributions from public enterprises to the state budget, only 12 billion had been paid out by the end of the year, i.e. an achievement rate of 21.94%. These under-performances are the result of an extraverted governance whose causes are not exclusively managerial. According to Professor Henri Modi Koko Bebey, “political and administrative burdens also explain, at least in part, the poor results obtained so far”.. Therefore, the link between governance and the performance of public enterprises is inseparable. This policy brief is intended to be a plea for strengthening the performance-oriented governance of public enterprises. To achieve this, it first outlines the renovated legal framework and highlights the classification of public enterprises (I); then, it questions, based on a few illustrative cases, the governance of public enterprises and its impact on their performance (II); finally, it makes recommendations for better governance to improve the performance of public enterprises in Cameroon (III).
Topic:
Governance, Public Sector, Public Spending, and Efficiency
Political Geography:
Africa and Cameroon

6. El problema del coste de la defensa

Author:
Carlos Marti Sempere
Publication Date:
11-2021
Content Type:
Journal Article
Journal:
Journal on International Security Studies (RESI)
Institution:
International Security Studies Group (GESI) at the University of Granada
Abstract:
Este artículo aborda la cuestión del coste asociado ala defensa, es decir, de los recursos que la sociedad debe dedicar a proporcionar seguridad a sus miembros. En él se examina los métodos y formas de establecer y distribuir estos recursos para obtener un conjunto apropiado de capacidades militares que soporten la percepción de seguridad del ciudadano, resolviendo así el problema de la defensa y aumentando así el bienestar económico y social. Se trata de una cuestión antigua que hasido objeto de una preocupación constante del ser humano.La novedad más importante de este artículo es examina resta cuestión desde la perspectiva de la racionalidad limitada del ser humano, dela información imperfecta de la que dispone, de la existencia de preferencias sin una clara racionalidad económica y de instituciones y normas deeficacia limitada. Todo ello conducea asignaciones de recursos para la defensa que pueden encontrarse lejos delos valores que ofrecen un bienestar general mayor.
Topic:
Defense Policy, Economics, Markets, Welfare, and Efficiency
Political Geography:
Global Focus

7. Análisis de la Eficiencia de las Empresas Públicas de Paraguay

Author:
Juan B. Cresta Arias
Publication Date:
02-2017
Content Type:
Special Report
Institution:
Centro de Análisis y Difusión de la Economía Paraguaya (CADEP)
Abstract:
Este trabajo tiene por objetivo realizar una revisión de la situación de las empresas públicas y sociedades anónimas con participación estatal, sobre todo desde un punto de vista de la productividad y eficiencia,tomando datos del periodo 2008-2015. La investigación se organiza de la siguiente manera: en primer lugar se revisa la importancia de las empresas públicas y sociedades con participación estatal dentro de la economía, su relevancia en la generación de empleo y de las inversiones. Luego, en la tercera sección se presenta un análisis de indicadores económico – financieros seleccionados, basados en información de los estados contables. Debido a que la información de estados contables puede resultar incompleta o parcial para describir la eficiencia de estas empresas, en la cuarta sección se revisa la evolución de la productividad de los factores utilizando una metodología basada en la contabilidad del crecimiento económico. Finalmente, el trabajo plantea las reflexiones finales.
Topic:
Business, Economic Growth, Productivity, Public Management, and Efficiency
Political Geography:
South America and Paraguay

8. The Impact of Energy Prices on Product Innovation: Evidence from the UK Refrigerator Market

Author:
François Cohen, Matthieu Glachant, and Marie Söderberg
Publication Date:
01-2017
Content Type:
Working Paper
Institution:
Centre for International Environmental Studies, The Graduate Institute (IHEID)
Abstract:
This paper uses product-level data from the UK refrigerator market to evaluate the impact of electricity prices on product innovation. Our best estimate is that a 10% increase in the electricity price reduces the average energy consumption of commercialized refrigerator models by 2%. A large share of this reduction is explained by a reduction of freezing space. We also show that the exit of energy-inefficient products contributes more to energy reduction than the launch of new energy-efficient models. These findings suggest that innovation – the development of better technologies embodied in new products – does not respond strongly to energy price variations.
Topic:
Innovation, Electricity, Efficiency, and Energy
Political Geography:
United Kingdom and Europe