Migration and development in the Caribbean: relating policies and people

Throughout the 20th century, the US has feared that political instability in the Caribbean area could be exploited by adversaries; therefore, the US and the nations of the Caribbean share a compelling interest in the region's development. The dramatic increase in legal and illegal immigration to the US from the Caribbean in the last 2 decades has offered an additional human reason for US interest in the region. This migration has also created a new source of dependence and vulnerability for the region. Curtailment of migration would undoubtedly affect the region, and if the effect were social and political instability, then the US would also share those consequences. The 1984 Conference on Migration and Development in the Caribbean held discussions to 1) enhance the benefits of migration to Caribbean development, 2) identify development strategies, policies, and projects that would reduce pressures that have accelerated the rate of international migration, making it less manageable and more costly, and 3) identify ways to reduce dependence on migration by expanding employment and assisting economies in the region to become more self-reliant. The attitudes of both US and Caribbean participants seemed to reflect a considerable degree of ambivalence on the migration issue. The US views itself as "a nation of immigrants" and yet is troubled by the recent large influx of immigrants, particularly illegal migrants and refugees. While Americans recognize that the "brain" reduces the development capacity of developing countries, the US still needs and benefits from young immigrants trained in the sciences, engineering, and computers. Caribbean participants were also ambivalent about immigration. They consider immigration "a way of life" and a "right," but they also recognize that there are significant developmental costs to some types of migration. While many want the US to keep a wide open door to Caribbean immigrants, they are aware that most Caribbean Community (CARICOM) governments are currently closing the door to immigrants even from other CARICOM countries.     

Analyzing mental health evaluation: moral and ethical dimensions

Now that evaluators have been sensitized to the importance of moral and ethical issues in their work, it is time to move beyond generalities and examine the moral and ethical implications of specific evaluation models in specific settings. This paper proposes a framework that can be used to examine moral and ethical dimensions of evaluation and illustrates it by analyzing a selected model of mental health evaluation. Such a systematic identification of moral issues can improve evaluation practice both proactively, by shaping the training of evaluators, and retrospectively, by contributing to meta-evaluation.     

THE EFFECT OF PROVIDER CONTROL OF BLUE SHIELD PLANS ON HEALTH CARE MARKETS

Blue Shield plans often are granted regulatory advantages by the states in which they operate. Run efficiently, such not-for-profit firms should use these lower costs to eliminate their less advantaged rivals, the commercial insurers. However, these higher-cost commercial providers have been able to offer insurance coverage at prices competitive with the Blues, as evidenced by the fact that Blue plans have, on average, less than 50 percent market share. Similar prices with lower overall costs implies that economic rents are being earned, rents which a not-for-profit firm cannot distribute to owners. In this paper we argue that when there are competing goals among the groups controlling the Blue Shield plans, the different possible "uses" of the regulatory advantage become endogenously determined, necessitating the use of simultaneous equation estimation. Testing this model we find the major effect of doctor-control of Blue Shield plans is to raise doctors' fees while lowering the amount of rents captured by both consumers and administrators.     

The Philippine Population Program: an overview

Since 1970 the Philippine population program has made considerable achievements in its effort to curb the country's high fertility rate. The program presently aims to attain a population growth rate of 2.0% in 1992 and eventually achieve replacement fertility for the country by the year 2000. To achieve these rates, the program has set into motion the so-called "high scenario" targets of greatly increasing the overall rates of use-effectiveness of program methods of contraception. The program continues to be guided by policies implemented since its start, as well as by new ones in resonse to recent developments. Though the program continues to receive funds from international donors, the Philippine government's share in the funding has steadily increased.     

Efforts to improve international migration statistics: a historical perspective

During the past decade, the international statistical community has made several efforts to develop standards for the definition, collection and publication of statistics on international migration. This article surveys the history of official initiatives to standardize international migration statistics by reviewing the recommendations of the International Statistical Institute, International Labor Organization, and the UN, and reports a recently proposed agenda for moving toward comparability among national statistical systems. Heightening awareness of the benefits of exchange and creating motivation to implement international standards requires a 3-pronged effort from the international statistical community. 1st, it is essential to continue discussion about the significance of improvement, specifically standardization, of international migration statistics. The move from theory to practice in this area requires ongoing focus by migration statisticians so that conformity to international standards itself becomes a criterion by which national statistical practices are examined and assessed. 2nd, the countries should be provided with technical documentation to support and facilitate the implementation of the recommended statistical systems. Documentation should be developed with an understanding that conformity to international standards for migration and travel statistics must be achieved within existing national statistical programs. 3rd, the call for statistical research in this area requires more efforts by the community of migration statisticians, beginning with the mobilization of bilateral and multilateral resources to undertake the preceding list of activities.     

Voting cycles and the structure of individual preferences

Empirical studies have shown that cyclical preferences are infrequent, but they have been less clear about why. Using thermometer ratings from nationally-representative samples of the U.S., we examine preferences for presidential candidates in order to determine what it is about them that leads to few cycles. Single-peaked preferences as usually construed (meaning that all of a set of preferences satisfy single-peakedness criteria) are, of course, rare. Yet we find a high degree of unidimensionality in the sense that for any given set of preferences, a relatively high proportion of the preference orders are consistent with single-peakedness. We also find that the highest amounts of unidimensionality often do not occur along partisan or left/right lines. Strong feelings for or against candidates, often not derived from an issue base, form the basis for the dimensionality discovered.We would like to thank Daniel Severance for programming the random model calculations and three anonymous referees, whose comments were very helpful in clarifying the presentation in this paper.     

Irregular migration: a rising issue in developing countries

The growing concern with illegal, or undocumented, migration in developing countries is described. The author notes that although such migration occurred in the past without causing concern, changing economic, political, and social factors since the 1970s have caused governments to attempt to control such flows. A review of regional trends is included, and the consequences of illegal migration for both countries of origin and destination are examined. (SUMMARY IN FRE AND SPA)     

Job transfers: a neglected aspect of migration in Malaysia

"This article examines the incidence of [job-related] transfers in Malaysia. The retrospective migration data from the Malaysia Family Life Survey [conducted in 1976-1977] are used to demonstrate that transfers comprise 18 percent of all migration in the country and that there has been a rise in the incidence of transfers over a 35 year period. Factors underlying this trend are outlined. Furthermore, significant differences in age, educational attainment and other characteristics between transferees and other types of migrants are identified and their implications discussed."     

Self reported morbidity in London and Manchester: Intra-urban and inter-urban variations

Evidence of self reported morbidity from two household surveys, carried out in London and Manchester is discussed. These data permitted intra-urban and interurban comparisons of patterns of morbidity reporting. The morbidity reported in response to two different instruments is compared: for the items used in the British General Household Survey (GHS) Health Section, and for the Nottingham Health Profile. The results from the London survey are analysed in more detail to examine the nature of self reported morbidity in the inner and outer city. The influence of interviewer effects is analysed, showing that the GHS items were more liable to interviewer effect than the NHP. The type and number of illnesses reported in response in response to the GHS also appeared to vary between the inner and outer London samples: The NHP appeared to be less affected by interviewer effects and variation in interpretation.