Public policy implications of elderly interstate migration to Oregon, 1985-1990

Several Oregon counties received a noticeable influx of elderly migrants from other states during the 1980s. Oregon policy regarding taxes, land use, and long-term care is examined for possible influence on migration. Models of elderly migration are examined for insight into how public policy influences migration, and previous research regarding the effects of elderly migration on public policy is reviewed. Data regarding disability and financial vulnerability among elderly by migration status are analyzed for possible influence upon public policy. Change in the population aged 65 and older mirrored state and national patterns for 1980 to 1990 and 1990 to 1999. Interstate elderly arriving in attractive counties reported a low prevalence of disability and financial vulnerability, indicating a low risk of demanding public assistance. Interstate elderly arriving in population centers reported a relatively high prevalence of disability but a low prevalence of financial vulnerability. This may suggest that Oregon's long-term care policy influenced elderly migration.     

Estimation of elderly housing demand in an Asian city: Methodological issues and policy implications

Projection of elderly housing demands and needs has always been complex because of the volatility and heterogeneity of the factors involved. This paper argues that in a society where the tradition of elderly parents co-habiting with the children's family is breaking up, the projection of elderly housing demands for planning and policy purposes may not be scientifically possible. This owes to the impossibility to gauge housing affordability of the elderly by conventional indicators and the lack of information on the market behaviour of the elderly alone. This paper suggests the analysis of pre-retirement income, housing arrangements and housing aspiration to help elderly housing service providers to make more informed decisions. However, the projection of housing needs is more plausible if the underlying demographic projection models take care of major demographic trends such as household sizes and types, and if surveys are carried out to gauge housing aspirations of contemporary elderly persons. By using the above methods, the paper projected the future elderly housing needs and demands of Hong Kong, and found that public rental housing was perceived as the most secure type of housing regardless of affordability. This preference may reflect anomalies in elderly policies, particularly the lack of housing choices to suit the varied needs and affordability.     

Families' values and attitudes regarding responsibility for the frail elderly: implications for aging policy

This study examines the norms and values associated with care to disabled and frail aging parents, in particular those with regard to the sharing of responsibilities for care between families and formal services, and this within three age cohorts in Quebec, Canada. It is based on a telephone interview of 1,315 people. Factor analysis yielded four factors: (1) family responsibility; (2) uncompromising family obligations; (3) acceptance of services; (4) distrust of services. Analyses of the data indicate that all three age cohorts consider that families have responsibilities for their aging family members, at the same time that they score very high on the acceptance of service scale. This article discusses these seemingly paradoxical results and their implications for aging policy.     

Physician-nurse migration to the United States: regional and health status origins in relation to legislation and policy

This article examines the origins of physicians and nurses who were admitted as permanent immigrants to the US from 1962-1979. Data are mainly from the Immigration and Naturalization Service. Countries used in the developmental analysis are only those whose population was estimated at 1 million or more as of mid-1979, encompassing 99% of the physicians and 97% of the nurses. Life expectancy at birth is the criterion used to differentiate origin countries by developmental dimension of health status. During the study period, health workers constituted about 30% of immigrants admitted to the US; of these, nurses and physicians constituted 72-82% throughout the study period. The period 1962-1979 has 4 distinct phases, marked by important legislative and/or policy changes; 1) 1962-1965, when the McCarran-Walter Act prevailed; 2) ending in 1968, the 2nd phase covers the transition mandated under the 1965 Immigration Act, which encouraged physician immigration; 3) the 3rd phase, 1969-1976, covers the transition to the 1976 Immigration and Nationality Act amendments; and 4) the 4th stage is 1977-1979. Results show that 1) under the McCarran-Walter Act, North America became the dominant physician source; 2) from 1966-1968, Asia attained dominance as the physician source and became even more predominant after 1968; 3) North America produced relatively few physicians in the early 1970s; 4) Europe produced substantially fewer physicians in the 1970s than in the 1960s; 5) South America, Africa, and Oceania were the lowest contributors of physicians; 6) during the McCarran-Walter years, North America and Europe produced almost 90% of nurses admitted into the US; 7) the 1965 Immigration Act and its aftermath resulted in Asia becoming the dominant source of nurses; 8) prior to the 1965 Immigration Act, Canada generated 20% of the aggregate number of physicians; 9) the Philippines surpassed Canada during the transition and India led after the transition; and 10) Canada supplied 30% of the nurses up through the transition, with the Philippines in the lead 1969-1979. Low health status countries were a relatively minor nurse source. Health status at the origin was a far less significant determinant of physician immigration than that of nurses. English language high and low health status country groups produced substantially more physician and nurse immigrants that their corresponding non-English language counterparts. The US attracted more physicians and nurses from less developed countries than more developed countries after 1968.     

State policy decisions in the 1990s with implications for the financial well-being of later-life families

This study explores trends and patterns in states' policy decisions affecting the economic well-being of later-life individuals and families in the United States in recent decades, focusing on the 1990s. Rules were selected from the areas of inheritance, estate taxes, homestead exemptions, Medicaid eligibility, estate recovery, and filial responsibility. Results indicate an increasing use of a broad definition of family, one implying that spouses, the nuclear family, extended kin, step-relations, and sometimes in-laws constitute an ongoing collective whose members share economic resources and risks over their lives and beyond. Despite this global trend, states varied in their rules addressing intrafamilial financial obligations and families' accountability to states. While some seemed interested in facilitating the conservation of familial resources, others seemed willing to minimize public assistance while coercing kin into accepting financial responsibility for one another. Research was suggested to answer questions raised by this study.     

International migration,international relations and foreign policy

Recent literature on migration, international relations, and foreign policy is reviewed in this article, stressing applications of global systems paradigms, studies of state entry and exit rules, and anatomies of domestic policy-setting processes on migration. After a concise assessment of the contemporary theory of global political economy, the paper argues for seeking mid-range generalizations on the international relations of migration. It also suggests that analysis begin with the policy-setting processes of the state. Especially through the use of comparative perspectives available from domestic policy making studies and from the field of international comparative public policy, this approach offers the opportunity to fix empirically the political roles of transnational social forces, which often present themselves as participants in domestic policy contests. Promising future directions in the study of state-to-state relations are also evaluated, with the anticipation that verifying regional or other intermediate patterns of world migration politics may contribute to more general theories of international political economy.     

Swedish migration policy liberalization and new immigrant entrepreneurs

Sweden has allowed immigrants from any country to obtain residence permits for entrepreneurship since 2008. The aim of this study was to explore the outcome of this policy. The study adds time perspective and superdiversity and operationalizes the mixed embeddedness framework to facilitate a quantitative study on three levels of analysis. Detailed register data for two cohorts of immigrants—those who arrived four years before and those who arrived four years after the reform—are used. The results confirm the usefulness of the mixed embeddedness model, that is the institutional regulative context, economic and social context, and individual resources, in the analysis of immigrant entrepreneurship. However, the study shows that the propensity to engage in entrepreneurship is more affected for refugees and students than for migrants with a residence permit for work and entrepreneurship. This indicates a need for further facilitating the process to immigrate for entrepreneurial reasons.     

Return migration in Western Europe: current policy trends and their implications,in particular for the second generation

Return migration in Western Europe is examined, with a focus on government policy trends and their implications. The need for international cooperation between sending and receiving countries is emphasized. The effects of migration policies on migrants now and in the future are analyzed. Particular attention is paid to the questions posed by the expressed desire of a significant percentage of second-generation migrants to return to the countries of their parents' origin. (summary in FRE, SPA)     

A new era in Australian migration policy

The discussion traces the evolution of Australian migration policy since 1975, arguing that the primary factor shaping policy has been interparty competition for influence within Australia's ethnic communities. Since late 1975 when the Liberal/National Country Party (LibNCP) Conservative Government returned to power, Australian immigration policy has moved in different directions from the previous post World War II experience. The demographic implications have been profound. In 1975 the LibNCP government returned to office committed to restoring an active migration program. By 1980-81 it had largely succeeded in this numerical goal. Australia's migration growth rate at .82% of the total population exceeded almost all other Western society. What was new, in comparison to previous policy, was the migrant selection system and source countries. By the time the government lost office in March 1983, family reunion had become the major migration program souce and Asia was rapidly becoming the dominant place of migrant origin. This emphasis on family reunion was not intended by government immigration planners but was a product of domestic political change and resultant new influences over migration policy. As to the increasing Asian component, it has mainly been an unintended consequence of the expansion in the family reunion program. Although the liberalization of family reunion eligibility has largely been designed to appease the major Southern European ethnic communities, few applications have been forthcoming from these countries. Asian applicants have been numerous. Labor government policy since March 1983 has shown remarkable continuity with that of the LibNCP both in its selection system and in the size of the migrant intake. The motivation for the commitment to immigration derived first from longstanding traditions within the Australian business community that Australia's economic growth and dynamism depended on rapid population growth. More specifically there remained a group of businesses whose fortunes seemed directly tied up with population growth, including those in the housing industry and manufacturers dependent on tariff protected growth in Australia's home market. This group has constituted the most vocal business pressure goups behind migrant intakes throughout the late 1970s and early 1980s. At first the migrant intake was increased cautiously. The 1st major move toward expansion came with the introduction of the selection system in January 1979. This substantially liberalized entry for independent applicants by reducing the relative significance of scarce occupational skills and increasing that for other migrant qualities, including skill attainment, competence in English, and other qualities likely to favor the prospective migrant in his/her search for a job and in assimilating readily with Australian society.     

Irregular migration: policy responses in Africa and Asia

This article reviews population policies designed to curb or respond to irregular migration flows, with particular emphasis on policies adopted by governments in Africa and Asia. An overview of policies on the world level indicates a number of similarities that transcend regional lines and levels of development. Policy decisions are often influenced by the nature and attributes of the undocumented migrant population and by the current social, economic, and political situation in the receiving country. Governments are frequently more tolerant of migrants who possess needed skills or settle in sparsely populated areas that have manpower shortages. Between the 2 policy extremes of amnesty and deportation, several measures have been employed, including stricter border controls, stringent visa requirements, work permit systems, and efforts to ensure that migrants do not violate the conditions of their admission. In many cases, several policy measures are used simultaneously. Ensuring the observance of appropriate measures for the recruitment of migrant workers, their departure from the home country, and placement in employment in the country of immigration is widely regarded as the best way to prevent illegal movements of workers. Temporary worker programs are sometimes advocated to provide legal channels for potential migrants. At the national level, institutions that deal with irregular migrants tend to be limited in their mandate to a law enforcement role. In Africa, most governments have recently strengthened border and documentary controls and attempted to regulate migration through the labor market. In many cases, mass expulsions have been necessary as a result of laissez-faire policies. In Asia, on the other hand, mass deportation has been less common as a result of more stringent security measures and documentary controls. In both countries, policies have been basically reactive in response to rapidly changing political and economic conditions. Needed is an international convention to serve as a guideline for the humanitarian treatment of undocumented workers.     

Philippine migration policy: dilemmas of a crisis

Philippine migration policy is traced from the early 1970s to the present. The main migration trends in the 1990s are described. An assessment is made of the efficacy and appropriateness of present migration policy in light of the economic crisis. A regional approach to migration policy is necessary in order to encourage placing migration as a greater priority on national agendas and in bilateral agreements. In the Philippines, migrants are considered better paid workers, which diminishes their importance as a legislative or program priority. Santo Tomas (1998) conducted an empirical assessment of migration policies in the Philippines, but refinement is needed. Although migration is a transnational experience, there is little dialogue and cooperation among countries. Philippine migration policy defines its role as an information resource for migrants. Policy shifted from labor export to migrant management in the public and private sectors. Predeparture information program studies are recommending a multi-stage process that would involve all appropriate parties. There is talk of including migration information in the education curriculum. There are a variety of agendas, competing interests, and information resources between migration networks and officiating agencies. The Asian financial crisis may have a mild impact, but there are still issues of reintegration, protection, and employment conditions     

Telemedicine,rural elderly,and policy issues

Historically, rural America has had a difficult time providing health care to its residents, particularly its frail elderly population. Rural health care is often faced with a shortage of health care specialists, facilities with inferior equipment, and insufficient resources compared to health care in more urban areas. It is anticipated that the use of telemedicine will help address many of the problems facing the delivery of health care services to rural elderly. This paper reviews some innovative projects delivering services to the elderly. Also, the paper discusses several issues that need to be addressed before telemedicine can reach its full potential in improving access to health care, including reimbursement policies, patient and provider liability and confidentiality, and the infrastructure supporting telemedicine. Although telecommunications has tremendous potential to address the care needs of frail isolated elderly, without comprehensive reimbursement policies, guidelines for ethical conduct of a teleconsultation, acceptable security measures of patient records, and adequate as well as compatible infrastructure, that potential cannot be completely realized.     

Legal and policy implications of the flexible employment relationship

V. Conclusion The flexible employment relationship encompassing as it does so many different kinds of arrangements — temporary, leased, homeworking, telecommuting, jobsharing, and consulting workers — is not a good candidate for the kinds of across-the-board regulatory proposals that are presently popular. Although the negatives of involuntary contingent employment receive considerable attention (relatively lower wages, the absence of access to benefit plans), the advantages (mutual flexibility and the opportunity to transmit/receive training and experience) do not. Proposals to raise the relative cost of employing contingent workers need to address each of the following three concerns: First, the mix of “employees” and independent contractors some of whom voluntarily fill the ranks of contingent workers; second, the absence of any meaningful job protections or legal claims to nonmandated benefits by mostcore workers; and, finally, the possibility that in some cases contingent workers’ wages operate asde facto sub-minimum training wage. More empirical work is needed in order to evaluate each of these issues. In the meantime, a case has yet to be made for altering the existing regulatory framework facing employers of flexible workers. I am indebted to Joseph Salama for research assistance and to Michael Harper, Keith N. Hylton, Stephen Marks, and Larry Yackle for helpful comments.     

Emergent migration policy in a democratic South Africa

This article sets recent debates on migration policy in South Africa against broader historical realities that have shaped patterns of population movement on the subcontinent since the end of the nineteenth century. During the course of the last century, most forms of population movement were the result of disjointed regional economic development which can be traced to two epochal events at the end of the nineteenth century: the creation of the modern African state system and the discovery of mineral wealth in Southern Africa. Although regulation of migrant labour was a fundamental feature of the colonial period, it was only after 1950, when independent states began to define specific migration priorities, that states began to restrict significantly the flow of transnational labour. From this point notions such as internally displaced person, refugee and illegal immigrant become increasingly appropriate to the study of regional migration.
Particular attention is given to current debate on the definition of refugee which forms part of a broader international debate. A number of South African writers have argued that, given the structural imbalances contained in the regional economy, the term "refugee" should be redefined to include economic migrants. This position is not shared by the South African Government, and an analysis of current policy and legislation demonstrates a growing tendency to restrict the influx of undocumented migrants. This is due, in part, to the recent political transition and the institutional compromises that it produced as well as the growth of negative sentiment towards illegal immigrants at both mass and elite levels, as demonstrated by two recent research findings. The article concludes with a summation of recent trends in South African migration policy and an evaluation of the ambiguous position that South Africa occupies within Southern Africa.     

Migration policy objectives for European East-West international migration

The study contains selected results of Delphi research (subjective judgements concerning the future on a collective expert basis) on international migration between Central/Eastern (C/EEc) and Western European countries. Taking part in the research were 109 scholars and officers (70 in the first Delphi round and 39 in the second round) from all over Europe – mainly sociologists, economists, geographers and demographers dealing with the topic of migration.
Results indicate growing problems and tensions in societies, the division of Europe into two parts, and the triggering rather than pacifying of further antagonisms and hostile anti-immigrant attitudes on the Western side. As predicted, it seems that the West will further try to curb immigration by applying tighter restrictive measures. Regarding competition between Eastern Europeans and Third World immigrants in Western Europe, the preferred opinion is that "the C/EE immigrants will not significantly affect the activities of the Third World immigrants in the West because they will attempt to gain posts/jobs at higher levels of the social ladder."
Concerning policy objectives, the two most important general aims were how to contribute to migration stabilization in the East, and how to maintain and further develop stable democratic order and promote economic development.
Policy objectives devoted to specific migration issues indicate that more international cooperation, more information and more democracy/tolerance is necessary. Shared objectives should be: (1) to intensify mutual contacts; (2) disseminate information on rules and regulations regarding international migration as well as to tackle the issue of harmonizing the given migration controlling systems and statistics within Europe; and (3) provide further support for temporary labour contracts for Eastern professionals and manual workers in the West.     

Retirement financial preparation:implications for policy

Financial preparation for retirement is key to positive outcomes for future cohorts. Studies suggest that insufficient preparation is occurring among Baby Boomers. Data from community-dwelling adults (N = 1508, ages 40-70) show that most respondents (22-75%) had taken four specific preparation steps, and few reported negative attitudes toward planning. Five correlates (gathering information, locus of control, self-definition as household planner, financial worries, and negative attitudes) and demographic variables tested in bivariate analyses showed most having associations with preparation. In multivariate analyses, however, only two correlates (gathering information and negative planning attitudes) and demographics (race/ethnicity, education, income, health, age, and education) explained planning behavior.