The New Politics of US Health Care Prices: Institutional Reconfiguration and the Emergence of All-Payer Claims Databases

Prices are a significant driver of health care cost in the United States. Existing research on the politics of health system reform has emphasized the limited nature of policy entrepreneurs’ efforts at solving the problem of rising prices through direct regulation at the state level. Yet this literature fails to account for how change agents in the states gradually reconfigured the politics of prices, forging new, transparency-based policy instruments called all-payer claims databases (APCDs), which are designed to empower consumers, purchasers, and states to make informed market and policy choices. Drawing on pragmatist institutional theory, this article shows how APCDs emerged as the dominant model for reforming health care prices. While APCD advocates faced significant institutional barriers to policy change, we show how they reconfigured existing ideas, tactical repertoires, and legal-technical infrastructures to develop a politically and technologically robust reform. Our analysis has important implications for theories of how change agents overcome structural barriers to health reform

Towards a Formal Model of Privacy-Sensitive Dynamic Coalitions

The concept of dynamic coalitions (also virtual organizations) describes the temporary interconnection of autonomous agents, who share information or resources in order to achieve a common goal. Through modern technologies these coalitions may form across company, organization and system borders. Therefor questions of access control and security are of vital significance for the architectures supporting these coalitions. In this paper, we present our first steps to reach a formal framework for modeling and verifying the design of privacy-sensitive dynamic coalition infrastructures and their processes. In order to do so we extend existing dynamic coalition modeling approaches with an access-control-concept, which manages access to information through policies. Furthermore we regard the processes underlying these coalitions and present first works in formalizing these processes. As a result of the present paper we illustrate the usefulness of the Abstract State Machine (ASM) method for this task. We demonstrate a formal treatment of privacy-sensitive dynamic coalitions by two example ASMs which model certain access control situations. A logical consideration of these ASMs can lead to a better understanding and a verification of the ASMs according to the aspired specification.Comment: In Proceedings FAVO 2011, arXiv:1204.579

Capturing industrial CO2 emissions in Spain: Infrastructures, costs and break-even prices

This paper examines the conditions for the deployment of large-scale pipeline and storage infrastructure needed for the capture of CO2 in Spain by 2040. It details a modeling framework that allows us to determine the optimal infrastructure needed to connect a geographically disaggregated set of emitting and storage clusters, along with the threshold CO2 values necessary to ensure that the considered emitters will make the necessary investment decisions. This framework is used to assess the relevance of various policy scenarios, including (i) the perimeter of the targeted emitters for a CCS uptake, and (ii) the relevance of constructing several regional networks instead of a single grid to account for the spatial characteristics of the Spanish peninsula. We find that three networks naturally emerge in the north, center and south of Spain. Moreover, the necessary CO2 break-even price critically depends on the presence of power stations in the capture perimeter. Policy implications of these findings concern the elaboration of relevant, pragmatic recommendations to envisage CCS deployment locally, focusing on emitters with lower substitution options toward low-carbon alternatives

Investing in Curation: A Shared Path to Sustainability

No abstract available

Water Infrastructures Facing Sustainable Development Challenges: Integrated Evaluation of Impacts of Dams on Regional Development in Morocco

During the past century, large hydraulic infrastructures have been considered as the most effective tools for increasing water supply and rationalise water management. According to this approach, large infrastructures are seen as catalysts for territorial development and economic progress. More recently, international surveys of results of water supply policies and performances of large dams, show that these structures need to be integrated in more comprehensive Integrated Water Resource Management strategies at catchments’ scale, to promote equitable and sustainable regional development. The aim of this communication is to present the role of large hydraulic infrastructures within the regional development dynamics with particular attention to the Sebou basin in Morocco, in order to assess some relevant impacts on local communities and their ecosystems. The Sebou region is one of the most important basins in Morocco, in the context of the national strategies and policies of management of water resources, established by the Water Law of 1995. The development of hydraulic infrastructures in the Sebou Basin begun in 1935, with construction of a complex of ten large dams and nine small dams, to provide water for agriculture, domestic and industrial use, and to generate hydropower and control floods, in line with the national water policies that, from the 1960s onwards, looked at large dams as core infrastructures for regional development. A critical view will be given about the coherence of this strategy with the sustainability principles.Water Policy, Morocco, Dams, Sustainable Development, Impacts

Fostering Bibliodiversity in Scholarly Communications: A Call for Action!

Diversity is an important characteristic of any healthy ecosystem, including scholarly communications. Diversity in services and platforms, funding mechanisms, and evaluation measures will allow the scholarly communication system to accommodate the different workflows, languages, publication outputs, and research topics that support the needs and epistemic pluralism of different research communities. In addition, diversity reduces the risk of vendor lock-in, which inevitably leads to monopoly, monoculture, and high prices. Bibliodiversity has been in steady decline for decades.1 Far from promoting diversity, the dominant “ecosystem” of scholarly publishing today increasingly resembles what Vandana Shiva (1993) has called the “monocultures of the mind”2, characterized by the homogenization of publication formats and outlets that are largely owned by a small number of multinational publishers who are far more interested in profit maximization than the health of the system. Yet, a diverse scholarly communications system is essential for addressing the complex challenges we face. As we transition to open access and open science, there is an opportunity to reverse this decline and foster greater diversity in scholarly communications; what the Jussieu Call refers to as bibliodiversity3. Bibliodiversity, by its nature, cannot be pursued through a single, unified approach, however it does require strong coordination in order to avoid a fragmented and siloed ecosystem. Building on the principles outlined in the Jussieu Call, this paper explores the current state of diversity in scholarly communications, and issues a call for action, specifying what each community can do individually and collectively to support greater bibliodiversity in a more intentional fashion

Tourism and Economic Growth in Latin American Countries: A Panel Data Approach

We consider the relationship between tourism and economic growth for Latin American countries since 1985 until 1998. The analysis proposed is based on a panel data approach and the Arellano-Bond estimator for dynamic panels. We obtain estimates of the relationship between economic growth and growth in tourists per capita conditional on main macroeconomic variables. We show that the tourism sector is adequate for the economic growth of medium or low-income countries, though not necessarily for developed countries. We then invert the causality direction of the analysis. Rather than explaining economic growth, we try to explain tourism arrivals conditional on GDP and other covariates such as safety, prices and education level, and investment in infrastructures. We employ a generalised least squares AR(1) panel data model. The results provide evidence that low-income countries seem to need adequate levels of infrastructures, education and development to attract tourists. Medium-income countries need high levels of social development like health services and high GDP per capita levels. Finally, the results disclose that price of the destination, in terms of exchange rate and PPP is irrelevant for tourism growth.Tourism, Economic growth, Panel data

Between reason of state and reason of market: the developments of internet governance in historical perspective

“No sovereignty, no elected government, no authority, no borders”. It was exactly twenty years ago, John Perry Barlow proclaimed his Declaration of the Independence of Cyberspace. And those were his keywords. Today, we can say that the development of Internet governance as a global policy arena is the answer to the questions that Barlow believed irrelevant to the proper development of cyberspace. If founding myths about an ungovernable, borderless, and intangible Internet have been demolished, what power relations have emerged in the Internet governance arena? What are the ideas –or the normative values– that sustain and legitimize the political role of governmental and nongovernmental actors? And, finally, is the multi-stakeholder model capable of grasping the real conflicts over political power, or is it part of those conflicts, a narrative supporting specific interests and coalitions? The main aim of this article is to consider these issues by analysing the developments of political conflicts over Internet governance, from the IAHC to WSIS, until recent processes such as the WCIT and NetMundial.“Ninguna soberanía, ningún gobierno electivo, ninguna autoridad, ningún confín”. Hace veinte años, John Perry Barlow proclamó su Declaración de Independencia del Ciberespacio. Y estas eran las palabras clave. Hoy día, podemos afirmar que el desarrollo del Internet Governance como ámbito de policy global responde a las preguntas que Barlow consideraba irrelevantes precisamente por lo que al desarrollo del ciberespacio se refería. Una vez que los mitos fundadores de un Internet sin confines, inmaterial y falto de estructuras de gobierno han sido derrotados, ¿cuáles son las relaciones de poder que han emergido en el campo del dominio del Internet? ¿Cuáles son las ideas –o los valores normativos– que sostienen y legitiman el papel político de los actores gubernamentales y no gubernamentales? Además, ¿el modelo multi-stakeholder sabe distinguir los conflictos de poder reales, o él mismo parte de esos conflictos, como un discurso de apoyo de los intereses y de las coaliciones en juego? El objetivo principal del artículo es analizar esos cuestionamientos a través del análisis del desarrollo de los conflictos políticos respecto de la gobernanza de la red: del IAHC al WSIS, hasta llegar a los procesos más recientes, como el WCIT y el NetMundial

Roadmaps to Utopia: Tales of the Smart City

Notions of the Smart City are pervasive in urban development discourses. Various frameworks for the development of smart cities, often conceptualized as roadmaps, make a number of implicit claims about how smart city projects proceed but the legitimacy of those claims is unclear. This paper begins to address this gap in knowledge. We explore the development of a smart transport application, MotionMap, in the context of a £16M smart city programme taking place in Milton Keynes, UK. We examine how the idealized smart city narrative was locally inflected, and discuss the differences between the narrative and the processes and outcomes observed in Milton Keynes. The research shows that the vision of data-driven efficiency outlined in the roadmaps is not universally compelling, and that different approaches to the sensing and optimization of urban flows have potential for empowering or disempowering different actors. Roadmaps tend to emphasize the importance of delivering quick practical results. However, the benefits observed in Milton Keynes did not come from quick technical fixes but from a smart city narrative that reinforced existing city branding, mobilizing a growing network of actors towards the development of a smart region. Further research is needed to investigate this and other smart city developments, the significance of different smart city narratives, and how power relationships are reinforced and constructed through them