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351. Restoring Fiscal Sanity 2005: Meeting the Long-Run Challenge

Author:
Alice M. Rivlin and Isabel B. Sawhill
Publication Date:
04-2005
Content Type:
Working Paper
Institution:
The Brookings Institution
Abstract:
Sometimes good news poses hard choices. Over the next several decades Americans will be forced to make difficult decisions necessitated by the good news that people are living longer and that medical care has become far more effective (albeit more expensive) than ever in history. These choices will require adjustments by almost everyone—families, communities, employers, and older people themselves—but they will be most starkly evident in the federal budget.
Topic:
Development, Economics, Government, and Human Welfare

352. Global Health and Global Governance: Prioritizing Health within the Framework of the Millennium Development Goals

Author:
Colin I. Bradford
Publication Date:
01-2005
Content Type:
Working Paper
Institution:
The Brookings Institution
Abstract:
Global health conditions are in a state of crisis. Not only are poor health conditions in poor countries ravaging lives and restraining development, but the HIV/AIDS pandemic is threatening to undermine progress on all other fronts in developing countries and menacing the sense of health security in industrial countries.
Topic:
International Relations, Development, Human Welfare, and Politics

353. High Cost or High Opportunity Cost? Transportation and Family Economic Success

Author:
Margy Waller
Publication Date:
12-2005
Content Type:
Policy Brief
Institution:
The Brookings Institution
Abstract:
Research suggests that having a car is a worthwhile investment in better outcomes for low-income families. Recent reports quantify the additional money required to own and operate personal vehicles, as compared to the lower cost of traveling on public transit. However, this method of accounting fails to consider the fact that poor workers without a car may not be able to search for or accept a better-paying job because public transit doesn't take them there, causing these workers to lose income or benefits as a result. This report outlines opportunity costs experienced by transit-dependent poor households, and concludes that when all costs are considered along with benefits of private vehicles, it makes sense to press for more assistance and policies that reduce car ownership costs for poor workers.
Topic:
Demographics, Development, Economics, and Human Welfare

354. Health Care Rationing: What it Means

Author:
Henry J. Aaron
Publication Date:
12-2005
Content Type:
Policy Brief
Institution:
The Brookings Institution
Abstract:
The United States spends more on health care than any other nation. In 2003, medical spending made up more than 15 percent of U.S. GDP, and if historical trends persist, this share will climb to more than one-third of GDP by 2040. With medical technology advancing at an ever-increasing rate, the potential for spending on procedures not worth their costs is growing. But there are few good ideas for reining in medical costs without hurting patients.
Topic:
Economics, Health, and Human Welfare
Political Geography:
United States

355. Block Grants: Flexibility vs. Stability in Social Services

Author:
Margy Waller
Publication Date:
12-2005
Content Type:
Policy Brief
Institution:
The Brookings Institution
Abstract:
Since the 1940s, federal officials, commissions, and scholars all have suggested that local governments receive their federal funds in the form of so-called block grants. Supporters say block grant sallow local governments more freedom to design programs, simplify administration of funds, and improve consumer access to social services. The biggest challenge to wholesale support for block grants is simple: How can we ensure accountability for spending and outcomes? Policymakers face a dilemma: keep block grant funding flexible to ensure its success or protect programs from potential cuts that threaten the stability of services. This policy brief reviews the history of federal block grants for social services, the academic literature examining block grant outcomes, and recent federal proposals.
Topic:
Development, Economics, Government, and Human Welfare

356. The Well-Being of Single-Mother Families After Welfare Reform

Author:
Bruce D. Meyer and James X. Sullivan
Publication Date:
08-2005
Content Type:
Policy Brief
Institution:
The Brookings Institution
Abstract:
Trends in income and consumption tell very different stories about the well-being of single mothers and their children in recent years. On the one hand, data suggest that income fell noticeably for single mothers well below the poverty line, while income grew significantly for single mothers with higher incomes. On the other hand, data on how much these two groups of mothers and children consumed suggest that the material circumstances of both groups improved during the 1990s. We argue that the consumption data better reflect well-being for several reasons. First, consumption is probably measured with less error than income for poor families, and is more strongly associated with other measures of well-being such as health and housing conditions. Second, there is overwhelming evidence that income is underreported by these mothers and that the underreporting, especially of income from welfare and other transfer programs, has increased in recent years.
Topic:
Demographics, Economics, Government, and Human Welfare

357. Insuring America's Workers in a New Era of Offshoring

Author:
Robert E. Litan, Nicholas Warren, and Lael Brainard
Publication Date:
07-2005
Content Type:
Policy Brief
Institution:
The Brookings Institution
Abstract:
With a new wave of white-collar offshoring coming fast on the heels of accelerated job losses in manufacturing, an ever-broader pool of American workers is finding that the nation's safety net has more holes than netting. The nation can and must do more to help insure the livelihoods of American workers in the face of structural shifts of whatever form, while preserving the benefits of an open and innovative economy. With technological change and offshoring accelerating job turnover and the pace at which workers' job-specific skills lose value, the time has come for the federal government to strengthen the existing safety net.
Topic:
Economics, Government, and Human Welfare
Political Geography:
United States and America

358. Insuring America's Workers in a New Era of Offshoring

Author:
Robert E. Litan, Nicholas Warren, and Lael Brainard
Publication Date:
07-2005
Content Type:
Policy Brief
Institution:
The Brookings Institution
Abstract:
With a new wave of white-collar offshoring coming fast on the heels of accelerated job losses in manufacturing, an ever-broader pool of American workers is finding that the nation's safety net has more holes than netting. The nation can and must do more to help insure the livelihoods of American workers in the face of structural shifts of whatever form, while preserving the benefits of an open and innovative economy. With technological change and offshoring accelerating job turnover and the pace at which workers' job-specific skills lose value, the time has come for the federal government to strengthen the existing safety net.
Topic:
Economics, Government, Human Welfare, and Poverty
Political Geography:
America

359. CATO Institute: Aging America's Achilles' Heel: Medicaid Long-Term Care

Author:
Stephen A. Moses
Publication Date:
09-2005
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Seventy-seven million aging baby boomers will sink America's retirement security system if we don't take action soon. A few years ago, the problem went unrecognized by most Americans. Today, the prospect of a fiscal crisis has forced policymakers to focus on solutions.
Topic:
Economics, Government, and Human Welfare
Political Geography:
United States and America

360. CATO Institute: Medicaid's Unseen Costs

Author:
Michael F. Cannon
Publication Date:
08-2005
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
Medicaid occupies a special place among government programs for the poor. Public support for Medicaid is broader and deeper than for other safety net programs because the consequences of inadequate medical care can be much more immediate and severe than those of a lack of money or even food.
Topic:
Economics, Government, and Human Welfare
Political Geography:
United States