What Fills the Gaps Left by Employer-Provided Insurance?

Employer-provided insurance is the leading source of medical insurance for non-elderly Americans. However, it leaves many without coverage. Evidence suggests that the non-group insurance market does a poor job of filling in these gaps, for those with both short- and long-term uninsurance. It does so for all income and age groups, as well as for both genders. It does fill some of the gaps in employer-provided coverage for those with middle and high incomes, though very incompletely.     

The making and unmaking of a “transborder nation”: South Korea during and after the Cold War

The burgeoning literature on transborder membership, largely focused on the thickening relationship between emigration states in the South and the postwar labor migrant populations and their descendants in North America or Western Europe, has not paid due attention to the long-term macroregional transformations that shape transborder national membership politics or to the bureaucratic practices of the state that undergird transborder claims-making. By comparing contentious transborder national membership politics in South Korea during the Cold War and Post-Cold War eras, this article seeks to overcome these limitations. In both periods, the membership status of colonial-era ethnic Korean migrants in Japan and northeast China and their descendants was the focus of contestation. The distinctiveness of the case—involving both a sustained period of colonial rule and a period of belated and divided nation-state building interwoven with the Cold War—highlights the crucial importance of three factors: (1) the dynamically evolving macro-regional context, which has shaped transborder national membership politics in the region in distinctive ways; (2) the essentially political, performative, and constitutive nature of transborder nation-building; and (3) the role of state registration and documentation practices in shaping the contours of transborder national membership politics in the long run. By incorporating Korea—and East Asia more broadly—into the comparative study of transborder nation-building, this article also lays the groundwork for future cross-regional comparative historical studies.

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The crisis of neoliberalism and the future of international institutions: A comparison of the IMF and the WTO

The current crisis of neoliberalism is calling into question the relevance of key international institutions. We analyze the origins, nature, and possible impacts of the crisis through comparing two such institutions: the International Monetary Fund (IMF) and the World Trade Organization (WTO). Both originated in the post-World War II U.S.-led hegemonic order and were transformed as part of the transition to global neoliberalism. We show that while the IMF and the WTO have been part of the same hegemonic project, their distinct institutional features have put them on significantly different trajectories. Historical differences in the two institutions’ systems of rules have placed the IMF in a more vulnerable position than the WTO, which provides clues to the future contours of global economic governance.

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The roles of human capital and social capital in the economic integration of new arrivals from Mainland China to Hong Kong

Although it has been hypothesized in the literature that both human capital and social capital are important for the economic performance of new immigrants, few studies have examined these relationships empirically, especially in understudied populations such as Chinese populations. This study simultaneously examines the roles of human capital and social capital in the economic integration of new arrivals from Mainland China to Hong Kong, using a random sample of immigrants. In the early stage of immigration (less than 6 months after arrival), we find little support for the presumed positive effects of both human capital and social capital on employment status among new arrivals in Hong Kong. Follow-up studies are underway to investigate the dynamic relationship between social capital and economic integration in this group of new arrivals, and whether social capital, especially friendship networks, plays a more important role in the economic integration of new immigrants 1 or 2 years after arrival.     

Modeling firms in the global economy

I examine the apparent deverticalization of firms in the world economy and their adoption of relational contracting and modularization, necessitated by rapid product change, cheap and rapid transport, and new technologies. I argue that relational contracting is superseded by modularization when possible in the interest of more control over suppliers, and modularization in turn leads to consolidation, when possible, through buying up suppliers or making them captives. The result is increased concentration of economic power in the world economy, and examples of this are presented.

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Children’s Psychosocial Rehabilitation: Clinical Outcomes for Youth with Serious Emotional Disturbance Living in Foster Care

Children living in foster care are an especially vulnerable population who often come to the attention of Medicaid mental health providers. These children experience a high incidence of emotional and behavioral disorders and may have specialized treatment needs related to their living arrangement status. This study assessed whether Children’s Psychosocial Rehabilitation could effectively treat youth with severe emotional and behavioral disorders who live in foster care. Analysis of data from an open trial of 218 clinically-impaired youth, aged 3–18 years, revealed no reliable differences in treatment outcome between foster versus non-foster children, with a trend toward more favorable outcomes for foster youth. Findings justify further study of the effectiveness of this Medicaid-funded service for the treatment of youth in care.     

Violence Exposure Among Children of Incarcerated Mothers

Social workers are becoming increasingly aware of the unique experiences faced by children of incarcerated parents. Little is known, however, about their experiences prior to their parents being incarcerated. Using data from a broader study of incarcerated women, we examined women’s accounts of their children’s exposure to violence prior to maternal incarceration. Open-ended interviews addressed family and relationship history, physical and psychological victimization, lifetime delinquency and crime, and interactions with service and justice systems. Interviews were analyzed using ATLAS/ti software and a grounded-theory approach. The emergent themes revealed a myriad of consequences experienced by the children, including child witnessing of violence, emotional sequelae, bodily harm from abuse and neglect, sexual abuse, and birth defects from prenatal violence. Implications for research and practice are discussed.     

Overcoming Barriers to Using Empirically Supported Therapies to Treat Childhood Anxiety Disorders in Social Work Practice

Anxiety disorders are among the most common psychiatric disorders in children and adolescents. Most empirically supported treatments (ESTs) for pediatric anxiety disorders include various cognitive-behavioral methods. Although demonstrated efficacious in controlled and clinic settings, there are barriers to implementing these types of therapies in social work settings due to beliefs about the usefulness of ESTs in community settings; limitations of treatment manuals; time constraints of implementing ESTs; fidelity and flexibility of implementing ESTs; and limited training opportunities. This article provides an overview of ESTs for childhood anxiety disorders, highlighting options for overcoming common barriers to implementing ESTs. Collaborative multi-method approaches to advance implementation of ESTs in social work practice are suggested.     

Impulse Control Disorder Behaviors Associated with Pramipexole Used to Treat Fibromyalgia

Objective: Compulsivity has been associated with use of dopamine agonists used to treat Parkinson’s disease (PD). Increasing use of these agents to treat fibromyalgia (FM) raises concern for this unexpected toxicity in a new group of patients. This is the first report of compulsive gambling and shopping among patients taking dopamine agonists for treatment of FM. Design: A retrospective chart review of all patients in a large, active FM research practice was used to identify compulsivity associated with dopamine agonists and describe its remission following dug withdrawal. Results: Of 3006 patients with FM treated between 2002 and 2006, 1356 had taken ≥1 dose of a dopamine agonist ( >95% pramipexole). Twenty-one (3 male, 18 female) were identified with compulsive gambling (33%), shopping (40%) or both (27%) after taking a 4.5 mg mean dose of pramipexole at bedtime for 14.4 ± 14.9 months. Compulsivity resolved in 3–10 days for 19 of 21 patients and by 3 months for all following a monitored, compulsory tapered discontinuation over 7 days. Conclusions: While biologic aspects of PD and FM differ considerably, compulsive gambling and shopping have become important, yet unexpected concerns related to use of dopamine agonists for patients with FM and their treating clinicians.