Protecting hospital records from discovery

One of the more burdensome tasks confronting hospital administrators and defense counsel in hospital liability cases is attempting to protect sensitive or confidential information contained in hospital records. Plaintiffs' counsel continue to refine and broaden document requests as they become more sophisticated and experienced, learning about additional categories of documents that may be helpful to their cause. There are conditions that protect documents from discovery, but the rules of privilege are complicated and are frequently misunderstood.     

Occupation and housing adjustment of migrants to Surabaya,Indonesia: the case of a second city

The adjustment of migrants to Surabaya, Indonesia was examined with respect to occupation and housing characteristics. The data are based on information obtained in interviews from a multistage random sample of 600 residents of Surabaya between the ages of 20-44. Both females and males were interviewed and information on occupation was also collected for the spouses of respondents. In the analysis, 3 comparison groups were used: migrants to the city within the 5 years previous to the survey; migrants who moved in 1969 or before; and lifetime residents of Surabaya who were either born there or moved before the age of 15. The analysis used 2 methods to determine the extent and nature of adjustment. In the first, migrants of short and long durations of residence were compared to determine if change on the aggregate level has taken place and to indicate the direction of change. A control group of lifetime residents was used to determine whether the migrants are coming to resemble the characteristics of the native urban population. The 2nd, and equally serious problem, involves outmigration, in which migrants selective of certain characteristics leave the city either to return to the rural area or to move to another city. Initial comparisons between recent migrants, longterm migrants, and lifetime residents revealed no significant differences for either employment status or occupational skill. By occupational skill, approximately 35% had unskilled occupations, 27% semiskilled occupations, and 37% skilled occupations, with no significant difference by migrant status group. Overall, the distributions showed this sample to have significant concentrations in traditional, labor intensive employment, with a large percentage self employed. Controlling occupational skill for education showed somewhat different results. Those with primary school or less did not show a significant difference by migrant status, while among those with more education there was a significant difference. The longterm migrants wree overwhelmingly employed in skilled occupations. Initial analysis showed no significant difference in housing quality for each of the 3 migrant status groups. Recent migrants to the city were having no more difficulty in finding housing than changing migrants and lifetime natives. Housing conditions appeared to improve with duration of residence in the city, either through residential mobility or through improvements to the dwelling. That housing showed improvement with time, while occupation did not, may be because of the nature of each of the markets.     

There is no low-level fertility and development trap

Summary The theory of the low-level equilibrium trap asserts that an increase in income stimulates population growth sufficiently so that the additional people 'eat up' the 'surplus' over subsistence, and hence drive the level of income back to subsistence. Originally the theory referred primarily to mortality, but nowadays its application is to fertility. In the long-run equilibrium context in which the theory is ordinarily presented, the fact that the long-run elasticity of fertility with respect to income is negative in less developed countries fatally contradicts the accepted version of the trap. But to give every chance for trap theory to be meaningful, the paper presents a period-by-period analysis, embodying larger-than-observed positive elasticities during the early years and the logically necessary counterbalancing negative elasticities during the later years. These elasticities are combined with consumption and production figures for various age groups to estimate the effect in each year after the windfall, and altogether. The results show that even under assumptions not charitable to the conclusion of this paper, additional children do not even come close to 'eating up' the increase in income which induced their births, so that the trap theory is falsified.     

Some specifics on the brain drain from the Andean region

An analysis of the brain drain from the Andean countries of Bolivia, Chile, Colombia, Ecuador, and Peru to the United States is presented. The data are from a survey of 62 persons from those countries who are currently residing in the United States and are listed in the current edition of "American Men and Women of Science". The reasons why they left their country of origin and are staying in the United States are considered. (summary in FRE, SPA)