Is health care ready for a full menu of prices?

Examine the emerging trend of price transparency in health care and learn what some states are doing to make prices widely available on the Web.     

A full likelihood procedure of exchangeable negative binomials for modelling correlated and overdispersed count data

This paper introduces an exchangeable negative binomial distribution resulting from relaxing the independence of the Bernoulli sequence associated with a negative binomial distribution to exchangeability. It is demonstrated that the introduced distribution is a mixture of negative binomial distributions and can be characterized by infinitely many parameters that form a completely monotone sequence. The moments of the distribution are derived and a small simulation is conducted to illustrate the distribution. For data analytic purposes, two methods, truncation and completely-monotone links, are given for converting the saturated distribution of infinitely many parameters to parsimonious distributions of finitely many parameters. A full likelihood procedure is described which can be used to investigate correlated and overdispersed count data common in biomedical sciences and teratology. In the end, the introduced distribution is applied to analyze a real clinical data of burn wounds on patients.     

How Can You Pull Yourself up by Your Bootstraps, if You Don't Have Boots? Work-Appropriate Clothing for Poor Women

Clothing plays a role in impression formation and may affect poor women's ability to obtain a good job. Style of dress affects perceptions of, expectations for, and responses to job applicants. Clothing worn by a job applicant is a sign of status, power, and ability and may determine success on the interview and/or on the job. Most poor women lack the financial resources necessary to enhance their outward appearance as an impression management technique. A number of programs have been designed to help poor women obtain job-appropriate clothing, but these programs are limited in scope. This study reports on a convenience sample of women (N =10) from a state program that provides clothing to women entering the job market. Comprehensive services that take into account the multiple challenges faced by poor women entering the workforce have yet to be developed. Recommendations for corporate and individual action are provided.     

Risk of Antibiotic-Resistant Staphylococcus aureus Dispersion from Hog Farms: A Critical Review

The World Health Organization has declared antibiotic resistance “one of the biggest threats to global health.” Mounting evidence suggests that antibiotic use in industrial-scale hog farming is contributing to the spread of antibiotic-resistant Staphylococcus aureus. To capture available evidence on these risks, we searched peer-reviewed studies published before June 2017 and conducted a meta-analysis of these studies’ estimates of the prevalence of swine-associated, antibiotic-resistant S. aureus in animals, humans, and the environment. The 166 relevant studies revealed consistent evidence of livestock-associated methicillin-resistant S. aureus (MRSA) in hog herds (55.3%) raised with antibiotics. MRSA prevalence was also substantial in slaughterhouse pigs (30.4%), industrial hog operation workers (24.4%), and veterinarians (16.8%). The prevalence of swine-associated, multidrug-resistant S. aureus (MDRSA)—with resistance to three or more antibiotics—is not as well documented. Nonetheless, sufficient studies were available to estimate MDRSA pooled prevalence in conventional hog operation workers (15.0%), workers’ household members (13.0%), and community members (5.37%). Evidence also suggests that antibiotic-resistant S. aureus can be present in air, soil, water, and household surface samples gathered in or near high-intensity hog operations. An important caveat is that prevalence estimates for humans reflect colonization, not active infection, and the health risks of colonization remain poorly understood. In addition, these pooled results may not represent risks in specific locations, due to wide geographic variation. Nonetheless, these results underscore the need for additional preventive action to stem the spread of antibiotic-resistant pathogens from livestock operations and a streamlined reporting system to track this risk.     

Infants’ Ability to Detect Emotional Incongruency: Deep or Shallow?

Infants can detect individuals who demonstrate emotions that are incongruent with an event and are less likely to trust them. However, the nature of the mechanisms underlying this selectivity is currently subject to controversy. The objective of this study was to examine whether infants’ socio‐cognitive and associative learning skills are linked to their selective trust. A total of 102 14‐month‐olds were exposed to a person who demonstrated congruent or incongruent emotional referencing (e.g., happy when looking inside an empty box), and were tested on their willingness to follow the emoter's gaze. Knowledge inference and associative learning tasks were also administered. It was hypothesized that infants would be less likely to trust the incongruent emoter and that this selectivity would be related to their associative learning skills, and not their socio‐cognitive skills. The results revealed that infants were not only able to detect the incongruent emoter, but were subsequently less likely to follow her gaze toward an object invisible to them. More importantly, infants who demonstrated superior performance on the knowledge inference task, but not the associative learning task, were better able to detect the person's emotional incongruency. These findings provide additional support for the rich interpretation of infants’ selective trust.     

Low‐Income Childless Young Adults' Marriage and Fertility Frameworks

The authors investigated how low‐income young adults without children understand marriage and fertility. Data come from the Becoming Partners and Parents Study (N = 69), a qualitative study of African American adults aged 18 to 22 in a mid‐size southern city. This is the first study to analyze young, low‐income, childless, and unmarried Black respondents' frameworks (i.e., internal understandings of the world) of marriage and fertility. In contrast to research conducted on parents, this research on childless adults indicated a narrative in which there were close connections between marriage and fertility and an economic bar adhered to both marriage and childbearing. Respondents also believed that childbearing was meaningful and provided purpose, but that it was morally questionable if the parent was not financially stable. The results suggest that prior findings related to meanings of family formation and childbearing for low‐income parents may not extend to those without children.     

Employer-sponsored temporary labour migration schemes in Australia,Canada and Sweden: enhancing efficiency,compromising fairness?

For governments concerned with enhancing labour market efficiency, employer-sponsored temporary labour migration schemes have become increasingly popular. However, the equity implications of these arrangements, which constrain the mobility of migrant workers, have largely been ignored. This paper assesses the factors affecting the vulnerability of employer-sponsored migrant workers and addresses the question of whether these schemes comply with ethical principles relating to fair treatment. It draws upon migration ethics, political economy and socio-legal perspectives to evaluate visa schemes in Australia, Canada and Sweden. The paper argues that there is an ethically justifiable case for selectively restricting certain rights of migrant workers within clearly defined parameters. However, policies facilitating worker mobility, restricting sponsorship to higher-skilled occupations, promoting enforcement and worker representation, and providing accessible opportunities for permanent residency and citizenship help to ensure that employer-sponsored temporary labour migration schemes comply with ethical principles relating to the fair treatment of workers.