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.     

Individual behavior under risk and under uncertainty: An experimental study

These experiments are concerned with individual behavior under risk and under uncertainty. By exploiting the isolation effect the experiments were able to offer to 134 subjects the possibility of actually gaining or losing an important sum of money.The experimental data show that under risk as well as under complete ignorance the subjects' attitudes towards prospects of gains and towards prospects of losses are totally unrelated.The data also show that when facing prospects of gains, the subjects generally take the exact probabilities of the events into account, whereas, when facing prospects of losses many of then have only recourse to coarser categories of plausibility, or even no longer use their information at all.     

USING DUAL FRAME DESIGNS TO REDUCE NONRESPONSE IN TELEPHONE SURVEYS

This article reports on the results of a series of experimentsdesigned to improve response rates for telephone surveys. Inthree surveys telephone households were selected using bothstandard random digit dialing (RDD) techniques and lists oftelephone numbers purchased from a commercial firm. In the RDDportions of the samples "cold contact" interviewing methodswere used; in the list frame portions advance letters were mailed,and the listed household name was used in the introduction.Experiments were designed to test the effects on response ratesof the advance letters and use of the listed household nameas a means of establishing rapport. The advance letters increasedresponse rates, but no difference could be attributed to theuse of names. The mixture of RDD and list sampling techniquesis also used to evaluate the effects of relative response rateson substantive findings. The cost consequences of these dualframe designs are assessed along a number of dimensions, andthe cost and error components of these designs are discussed.     

Verbal and nonverbal communication of warmth to children,foreigners, and retarded adults

The verbal and nonverbal communication of warmth was examined in a study in which undergraduate women taught a block design task to a listener who was either a six-year-old child, a retarded adult, a peer who spoke English as a second language (foreigner), or a peer who was a native speaker of English. The degree of warmth conveyed by the speakers differed only minimally across different categories of listeners. However, these communications did vary systematically within each category, in accord with the levels of cognitive and linguistic sophistication of each particular listener. Speakers tended to fine-tune communications by conveying more warmth to the more sophisticated children and foreigners than to the less sophisticated members of these categories. To the more sophisticated retarded persons, however, they conveyed—nonverbally—less warmth than to the less sophisticated retarded persons. The relevance of these findings to the communication of expectancy effects and to the social psychology of stigma is discussed.This paper was written while the first author was visiting at the University of Florida. We thank John Neil Bohannon, Linda Caporael, Margaret Clark, William Cooper, Monica Harris, Harry Levin, and Carol Sigelman for their helpful comments on an earlier draft of this paper. For their help in conducting this research, we thank Ann Ashworth, Pamela Brown, Linda Douglas, Susan Finkelstein, Tamara Harper, Robin Johnson, Susan Kirdendol, Sheila Larkin, Sue Limber, Jose Macaranas, Ashook Nimgade, Maria Papetti, Maurice Perry, Lester Pretlow, Carissa Smith, Laura Taswell, Tina Tedeschi, Charles Valadez, and all of our listener-subjects. We also thank the students, faculty, and administration of Dunmore High School, Dunmore, Pennslyvania, for their participation and cooperation. Support from NSF, NIMH, the National Academy of Education, and a Rackham Faculty Grant was invaluable. Most importantly, we thank Roger Brown and Robert Rosenthal for their wisdom and inspiration.     

A generalization of Petersen's typology of migration

A typology of migration is presented that extends the one originally developed by William Petersen, which was based on ecological push, migration policy, people's aspirations, and social momentum. The proposed typology considers both the migrant's state of mind and two points in time. Examples of 36 migrant types are provided using data for Canada and selected other countries. (SUMMARY IN FRE AND SPA)     

Therapy for male couples experiencing relationship problems and sexual problems

This article examines four issues that need to be explored by the therapist as possible causes of stress for a male couple: stereotypic male roles, stereotypic sexual roles, homophobia, which includes the "coming out" process, and sexual dysfunctions. These issues can cause anxiety and stress, which may in turn cause relationship problems for a male couple. The role of the therapist is clarified and suggestions for treatment are given.     

Chaos and transformation: implications of nonequilibrium theory for social science and society

This article deals with all levels of both living (biological, psychological, sociological, and cultural) and nonliving (physical, chemical, and mathematical) systems. The idea of applying the natural scientific self-organizing, evolutionary, and non-equilibrium or "chaos" theory associated with the names of Prigogine and others to world problems of impending social, political, economic, and ecological "chaos" is gaining ground. The leap from natural science to social action, however, is impossible without considerable attention to the main intervening step: the development of "chaos"-equivalent, evolution-, systems-, and action-oriented social theory. Construction of such theory requires understanding by social scientists of natural scientific "chaos" theory as well as their own "chaos" theoretical heritage, of natural scientists of the now seemingly far distant social problem-solving potential of their nonequilibrium and self-organizing theories, and of both natural and social scientists of how advancement at both levels could help gain a peaceful as well as humanistic "order out of chaos" in this troubled world of ours. This paper surveys relevant concepts, problems, theorists, research, and works in progress within a perspective of the challenge of survival at a critical juncture in the evolution of our species.