Contracting for Government Services

Local governments provide a variety of services which are highly valued by their residents. From police protection to waste disposal, from snow plowing to utility meter reading, the local government is charged with providing the infrastructure necessary for a smooth functioning economy and a high level quality of life. But should local governments outsource these…

Legislating Medical Care

A press release from Senator Ron Wyden sent to me at 7am this morning states the following: Working to enhance screening and prevention of childhood type 2 diabetes, U.S Senator Ron Wyden (D-OR) today announced that an amendment giving states $15 million to combat the disease has been included in the final conference version of…

Public Health vs. Medicine

What are the major differences between medicine and public health? What challenges do public health officials frequently ignore? On Tuesday, I attended a seminar by Dr. Richard Schieber. Dr. Schieber was a practicing pediatrician, however for the last fifteen years he has worked as a medical epidemiologist for the CDC. One of the major challenges…

Banzhof power index

Why do the Orthodox Jews have so much political power in Israel? Why are third parties in the U.S. so weak? These phenomenon can be explained by the Banzhof power index. The index is calculated as follows. Let us look at the Israeli election in 2003 for the Knesset. Here are the voting results of…

Rx: Cut U.S. medical spending in half!?!?!

A pair of interesting essays are available at Cato-Unbound. Robin Hanson argues that the best way to help patients is to cut U.S. medical spending in half. He argues that there has been little evidence that increasing medical spending increases health outcomes. The best evidence comes from the RAND Health Insurance Experiment. The RAND HIE…

ESD: Mathias Kifmann

Below is a summary of some of the interesting points in the lecture of Mathias Kifman. Gouveia model This is a topping up political economy model. First, we have individuals who get utility from consumption and health care. There are two types: high risk πh and low risk πl. There are also two incomes, yi:…

Schwarzenegger’s Health Reform Proposal

What exactly is Governor Arnold Schwarzenegger proposing in his health care initiative unveiled early this year? Below I briefly summarize his press release, as to what the reforms will entail and then follow with some of my comments. Individual Mandate All individuals must have a minimum level of insurance. Children Children of families whose income…

Senate to back Drug Reimportation

The Washington Post (“Senate likely to Back…“) reports that the Senate will support a plan to remove the legislative barriers against the importation of pharmaceuticals from other countries.   According to the article: “The provision would allow consumers to buy prescription drugs from Canada and permit commercial distributors to obtain them from Canada, Japan, Austria, Switzerland…