Health insurance literacy: A mixed methods study of college students

Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students’ knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.     

Expediting youth's entry into employment whilst overlooking precariousness: Flexi‐employability and disciplinary activation in Hong Kong

With an emphasis placed on supply‐side interventions such as skills training and incentives enhancement, active labor market polices (ALMPs) are strongly promoted by international organizations and widely adopted across different welfare regimes to boost employment rates. This article first presents the under‐examined relationship between ALMPs and employment precariousness, which has posed a challenge to the neoliberal notion of employability and activation. Youth‐focused employment policies tend to speed up employment entry whilst downplaying the risk of precariousness and the importance of job quality, and thus further reinforcing the belief that engaging in precarious employment is tolerable if not inevitable. The article then examines the case of Hong Kong, which illustrates that its relatively low rate of youth unemployment may conceal the unfavorable employment conditions confronted by youth. It is argued that the service‐led employment policies and short‐term vocational training define the employability of young workers in terms of labor flexibilities. The coined phase of “flexi‐employability” is characterized by promoting youth's readiness for, and adaptability to, the volatilities and changing demands of the labor market. Arguably, the disciplinary approach to youth activation would only strengthen the work‐first principle by enforcing young people to take up jobs available and leave welfare as soon as possible, but without thoroughly addressing the risks and insecurities generated by the labor market in undermining their well‐being.     

A state of limbo: the politics of waiting in neo‐liberal Latvia

This article presents an ethnographic study of politics of waiting in a post‐Soviet context. While activation has been explored in sociological and anthropological literature as a neo‐liberal governmental technology and its application in post‐socialist context has also been compellingly documented, waiting as a political artefact has only recently been receiving increased scholarly attention. Drawing on ethnographic fieldwork at a state‐run unemployment office in Riga, this article shows how, alongside activation, state welfare policies also produce passivity and waiting. Engaging with the small but developing field of sociological literature on the politics of waiting, I argue that, rather than interpreting it as a clash between ‘neo‐liberal’ and ‘Soviet’ regimes, we should understand the double‐move of activation and imposition of waiting as a key mechanism of neo‐liberal biopolitics. This article thus extends the existing theorizations of the temporal politics of neo‐liberalism.     

Youth Perspectives on Social Insurance in Egypt: Qualitative Insights on the Gap between Legal and Effective Coverage

A gap between legal and effective coverage rates is a common challenge facing social insurance systems in Low‐ and Middle‐Income Countries. This article draws on an exploratory qualitative study with youth in Egypt to examine how labour market dynamics and worker preferences contribute to this gap. Labour market factors, particularly instability of employment and job mobility, were found to reduce the perceived value of social insurance. Poor understanding of how social insurance works was another contributing factor. However, youth displayed a high level of trust in the public social insurance system and saw pensions as valuable in the abstract. In combination with awareness promotion, eliminating penalties to discontinuous labour force participation could make social insurance more attractive to youth.     

新常态下推进"撤村建居"的探索与思考

"撤村建居"是一个庞大的系统工程,与国家、集体和个人利益息息相关,稍有不慎就会造成社会的不稳定因素.要以有利于经济社会全面发展、有利于加强社会事务管理、有利于提高人民生活水平为要求,统一规划,合理布局,加快农村社区建设,推进新型城镇化步伐.在实施过程中应注意妥善解决好以下问题:"撤村建居"过程中原村集体资产的处置,"撤村建居"后的换届,"撤村建居"后的公益事业及工作经费,"撤村建居"后的社区划分和管理,失地农民的社会保障,建设资金的来源等.     

社会保险制度中社会风险的产生、内涵及应对*

社会风险是社会保险制度存在的前提,没有社会风险,就不会有社会保险。从风险、风险社会及社会风险这些相关概念出发,全面阐述社会保险制度中社会风险的产生及其发展路径,发现社会保险制度上所应对的社会风险是一种中度危险的风险事故,有着自身特定的制度内涵。在此基础上,从作为技术途径的保险原则与社会保险权之权利规则的两个视角分析了社会保险制度对社会风险的应对原理、机制与优势。     

知识失业问题的总量性原因实证分析

近几年,知识失业成为社会广泛关注的社会问题之一,已有的研究往往将其归于结构性原因和大学生的就业期望值问题,忽视对于总量性原因的分析。知识失业的原因是多方面的,确有总量性原因在起作用。劳动力总量过大和劳动力素质提高是其一般总量性诱因,因资本深化和经济转型造成的大学生传统就业岗位的减少是其需求总量性原因,而高等教育规模过大及增速过快是其供给总量性原因,很多人不顾我国现有的经济水平、产业结构和就业结构,单纯和高等教育发达国家比较高等教育发展指标是极其片面和危险的,我们应该合理规划高等教育发展规模及速度,促进高等教育的可持续发展及其与社会的协调发展。     

Working to get fired? Unemployment benefits and employment duration

In many countries, jobseekers are entitled to unemployment benefits (UBs) only if they have previously worked a minimum period of time. This institutional feature creates a sharp change in the disutility from unemployment at UB eligibility and may distort the duration of jobs. In this paper, we evaluate this eligibility effect using a regression discontinuity approach. Our evidence is based on longitudinal social security data from Portugal, where jobseekers are required to work a relatively long period to collect UBs. We find that monthly transitions from employment to unemployment increase by 10% as soon as the eligibility condition is met. This result is driven entirely by transitions to subsidised unemployment, which increase by 20%, as non-subsidised unemployment is not affected. The effects are even larger for the unemployed with high UB replacement ratios or those who meet the eligibility condition from multiple short employment spells. These transitions deserve greater attention from UB agencies and public employment services.     

工伤保险赔偿责任研究 ——以劳务派遣用工为切入点

劳务派遣作为一种灵活的用工形式,受到我国各类用人单位的青睐和广泛运用。2013年《劳动合同法》修订弥补了我国劳务派遣制度上的不足,但由于起步时间较晚,加上制度的复杂性,存在工伤赔偿制度的责任划分不清晰、工伤保险待遇先行支付具体操作存在困难、异地劳务派遣工伤保险制度执行不明确等方面的问题。我国需要从确立《劳动合同法》中派遣单位与用工单位的具体责任分担制度、完善劳务派遣工伤待遇先行支付规定、明确异地保险制度相关规定等方面入手,进一步完善工伤保险制度在劳务派遣用工中的适用,有效保护被派遣劳动者的合法权益。     

户籍类型与城乡居民医疗服务利用 ——基于Andersen模型的经验分析

本文利用中国社会科学院经济研究所2018年城乡居民入户调查数据,从户籍改革角度分析户口类型改变对城乡居民医疗服务利用的影响。研究发现:与户口类型未发生改变的城乡居民相比,户口类型发生过改变(农转非)的城乡居民门急诊服务利用的可能性更高,住院医疗服务支出水平更低。从户籍改革与参保类型交互效应看,相对于户口类型未发生过改变的居民医保参保人群,户口类型发生改变(农转非)会显著提高居民医保参保人群门急诊服务利用,同时降低其住院服务利用。进一步采用PSM方法进行稳健性检验,户籍改革对提高城乡居民门急诊服务利用,降低住院医疗服务利用的结论依然成立。此外,本文还发现,直接结算提高了城乡居民门急诊和住院的就诊概率;健康自评状况越差,门急诊和住院医疗服务利用可能性越高,门急诊医疗支出、住院医疗支出和跨省异地就医支出也越高。本文认为,相对于推行基层分级诊疗制度,以户籍改革推动农村居民自由流入医疗资源更丰富的城镇地区,改革基层卫生院制度,以及改变基层医疗服务提供激励机制,可能更有助于改善农村居民健康状况。