491 research outputs found

    Access to Medicine in an Era of Fractal Inequality

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    Those in the richest countries have far more income and wealth than those in poor countries. Moreover, the most fortunate in the richest countries – particularly those in the top centile of the income distribution – are far richer than those around them. Most dramatically, even within that top centile, the richest of the rich have far more resources than even their elite peers. Like fractals, the patterns of distribution repeat at various levels. This pattern of fractal inequality ensures that spending that seems trivial to those at the top of an income distribution can overwhelm the purchasing power of those in the middle, which in turn can dwarf the purchasing power of those at the bottom. The reallocative effects of higher spending on health care by the wealthiest can cascade down the distributive ladder. This paper describes some of these effects in the U.S. health care sector, modeling the rise of concierge medicine, single specialty hospitals, and cosmetic surgery as epiphenomenal of the expansion of the purchasing power of wealthier Americans between 1975 and 2005. Each of these developments is part of a larger trend toward allocating medical resources in accordance with ability to pay as opposed to medical need. This reallocation of medical resources has in turn provoked several stopgap measures to promote access to care for the underserved in the U.S., ranging from medical tourism to physician and nurse immigration. These measures may, in turn, divert medical attention away from the global poor. Zero-sum contests for influence and power remain prevalent within our social world, and cause particular concern in the health care sector. A relatively fixed supply of doctors can mean that any group that uses its buying power to purchase disproportionately time-consuming (and often unnecessary) medical attention threatens to divert care from those with less purchasing power. Fractal inequality of income and wealth forces us to reconsider the relationship between markets and health care. If high levels of inequality persist, policymakers will need to reinforce the redistributive aspects of health care law

    Think outside the box, work outside the office: remote work as a creative working model

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    In the creative industry, remote work is not an exceptional prerogative of freelancers anymore. Employees of advertising, design, marketing, and communication agencies have experienced working remotely since the beginning of 2020. The creative market tries to adapt to these changes and looks for a compromise. The aim of this study was to collect opinions about the advantages and disadvantages of remote and office-based work arrangements in the creative industry related to finance, communication, and working process features of each model. The qualitative approach was chosen to conduct the study. Twelve respondents shared their detailed answers to nine open questions. The findings reflected the influence of remote work implementation, but they didn’t tilt towards one or another side, but a compromise of the mix of both models was proposed by most of the respondents. Overall, the research demonstrates positive views about the remote collaborations and hiring freelancers, still there are some negative issues and barriers for remote workers and freelancers that have to be overcome. The negative aspects relate to the lack of team spirit and of managers’ open mindedness, and to the unstable financial situation of freelancers. This study contributes to the academic society with the theoretical advancement of creative remote work research, and to professionals with the insights and practical methods to manage their remote work efficiently.Na indústria criativa o trabalho remoto já não é uma prerrogativa exclusiva dos freelancers. Funcionários de agências de publicidade, design, marketing e comunicação têm vindo a desempenhar trabalho remoto desde o início de 2020. O mercado criativo tenta adaptar-se a estas mudanças e procura consensos entre as partes. O objetivo deste estudo foi recolher opiniões sobre as vantagens e desvantagens do trabalho remoto ou em escritório na indústria criativa, com base nas características financeiras, comunicacionais e laborais de cada modelo. Foi escolhida uma abordagem qualitativa na realização do estudo. Doze entrevistados proporcionaram respostas detalhadas a nove perguntas abertas. Os resultados refletiram a influência da implementação do trabalho remoto, mas não se inclinaram para um ou outro lado, tendo sido proposta uma combinação de ambos os modelos pela maioria dos entrevistados. No geral, a pesquisa demonstra pontos de vista otimistas quanto a colaborações remotas e contratação de freelancers, mas existem ainda alguns aspetos negativos e barreiras para trabalhadores remotos e freelancers que deverão ser ultrapassados. Os aspetos negativos estão relacionados com a falta de espírito de equipa e mente aberta por parte da gestão das empresas, assim como a instável situação financeira dos freelancers. Este estudo contribui para a comunidade académica com o avanço teórico da pesquisa referente ao trabalho criativo remoto e contribui para a prática profissional através de perceções e métodos práticos que visam conduzir o trabalho remoto de forma mais eficiente

    Managing law practice technology

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    Presented by Barron K. Henley, at a seminar by the same name, held November 17, 2020

    SDSU Collegian, April 26, 1978

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    Vol. 86, No. 27https://openprairie.sdstate.edu/collegian_1970-1979/1276/thumbnail.jp

    Retrospective Examination of Demand-side Energy-efficiency Policies

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    Energy efficiency policies are a primary avenue for reducing carbon emissions, with potential additional benefits from improved air quality and energy security. We review literature on a broad range of existing non-transportation energy efficiency policies covering appliance standards, financial incentives, information and voluntary programs, and government energy use (building and professional codes are not included). Estimates indicate these programs are likely to have collectively saved up to 4 quads of energy annually, with appliance standards and utility demand-side management likely making up at least half these savings. Energy Star, Climate Challenge, and 1605b voluntary emissions reductions may also contribute significantly to aggregate energy savings, but how much of these savings would have occurred absent these programs is less clear. Although even more uncertain, reductions in CO2, NOX, SO2, and PM-10 associated with energy savings may contribute about 10% more to the value of energy savings.energy efficiency policy, appliance standards, information, incentives, voluntary programs

    Spartan Daily, May 20, 1977

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    Volume 68, Issue 70https://scholarworks.sjsu.edu/spartandaily/6223/thumbnail.jp

    The George-Anne

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    SDSU Collegian, January 24, 1973

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    Vol. 81, No. 15https://openprairie.sdstate.edu/collegian_1970-1979/1136/thumbnail.jp
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