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.     

Relationship quality of gay men in closed or open relationships

This study compared gay men in monogamous ("closed") relationships (n = 98) and gay men in nonmonogamous ("open") relationships (n = 34). Partners in open relationships were living together significantly longer than partners in closed relationships. Partners in the two types of relationships did not differ in Psychological Adjustment. Controlling for length of time living together, partners in closed relationships reported higher Affiliation/Dependency, more Favorable Attitudes toward the Relationship, and lower Tension than partners in open relationships. Global relationship quality for both types of couples was related to many Attractions, many Barriers, and few Alternatives to the relationship; few beliefs regarding both Disagreement is Destructive and Partners Cannot Change; high Dyadic Attachment; high Shared Decision Making; and low Psychological Maladjustment. Partners in both types of relationships were more similar to each other than different from each other, especially on the variables of Relationship Quality, a belief in Partner Changeability, and Dyadic Attachment.     

Changing gender roles of Egyptian females

A high population growth rate in the Middle East is prompting investigators to look for cultural conditions and attitudes that can be encouraged to facilitate lower fertility rates. Population researchers find an inverse relationship between the educational level of females and their fertility, especially in Third World countries. This suggests that education can become an internal cultural mechanism for population control. The author explores this notion using data collected from interviews with 750 teenage girls and their mothers in Cairo, Egypt.     

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.     

Improving comparability of international migration statistics: contributions by the Conference of European Statisticians from 1971 to date

This article summarizes the 3 main types of interrelated activities which the Conference of European Statisticians has worked on to improve the measurement and international comparability of international migration flows. The work has encompassed collaborating with the UN Statistical Commission on the preparation and implementation of the revised international recommendations on statistics of international migration, organizing a regular exchange of data on immigration and emigration flows among the UN Economic Commission for Europe countries and selected countries in other regions, and conducting bilateral studies on international migration within the framework of the Conference's program of work in this field of statistics. The bulk of the work which has been carried out to date by the conference has been conducted rather anonymously and even unobtrusively by the staff of national statistical offices in Economic Commission for Europe countries; they have achieved a modest but important amount of progress during the past 15 years. There is reason to expect that further progress will be made over the next decade, particularly if national statistical offices in the region continue to undertake bilateral studies and endeavor to improve their migration statistics. However, more substantial progress could be achieved if additional countries and organizations established projects aimed at achieving these ends (author's modified).     

THE PERSISTENCE OF POLITICAL ATTITUDES AMONG 1960s CIVIL RIGHTS ACTIVISTS

A scattering of recent research has studied the current politicalbeliefs and attitudes of individuals identified as "1960s activists."In contrast to much of the treatment accorded such people inthe popular media, this research tends to find most of theseactivists currently liberal on a wide variety of political topics.However, in the absence of panel data, most of this researchhas had to assess any change in the activists' attitudes eitherby assuming the activists' past positions or by trusting totheir retrospective reports. In this paper we report on panel data from a large group ofwhite activists, mostly students, who spent the summer of 1965organizing voter registration drives in Southern black communities.In some specific areas on which the activists tended to holdrather extreme positions in 1965, they may have moderated by1984. However, their overall pattern of response on a wide varietyof issues is basically stable over this twenty-year period.     

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.     

Public policy in a multicultural Australia

The debate on the consequences of large-scale immigration in the making of public policy began in 1968. Muliculturalism is for all Australians and any social policy designed for the benefit of one group in the population must have profound consequences on all people. 40% of the Australian population was born overseas or have at least 1 parent born overseas. Almost 1/4 of the population has ethnic roots in other than the Anglo-Celtic majority. The ideal of moral progress, greater equality, and improvement is the motive force in society. The presence of social heterogeneity--religious or ethnic--is linked with the issue of stability in a democratic system. There are 2 models of multiculturalism and corresponding public policy approaches. 1 model emphasizes the role of the political processes in Australian ethnic relations and sees ethnic structures (political, social, economic) as legitimate but separate interest groups, each having the exclusive responsibility for the realization of ethnic goals. The leading feature of this model is the structural fragmentation of Australian society into parallel segments of varying degrees of exclusiveness each with its own "ethnic" label. The 2nd model stresses the priority of the wholeness and welfare of the entire society. It assumes that a society based on satisfaction of individual needs through voluntary exchange is fertile ground for cultural enrichment. The goal is cohesion and unity in living together in Australia, seen as of central concern and consistent with the ideals of intercultural understanding and improved communication. The model assumes that the culture must be seen as a living, dynamic, changing, and interacting set of life patterns. The author prefers the 2nd model which stresses that the future vision of a multicultural Australia must be a shared one because only then can cultural diversity and national cohesion coexist within the 1 economic and political unit.     

The employment effects of immigration: a balance sheet approach

The impact of immigration on unemployment in Canada is examined for the period 1983-1985. The authors attempt to construct a balance sheet of immigration in terms of labor supply and demand. They conclude that immigrants create more jobs than they fill, and that their net effect on the employment situation is positive. (SUMMARY IN FRE AND SPA)