Public Utility Debt Securities: A Transaction Exempt from the Usury Law

The California Public Utilities Commission was recently presented with applications from two public utilities requesting approval of bond offerings carrying an interest rate greater than that prescribed by California\u27s usury laws. The authors comment on the solutions proposed by the utilities to prevent application of the usury laws to their offerings, and discuss the Commission\u27s ruling that the offerings were not subject to the proscriptions of the usury laws

Is bigger better for primary care groups and trusts?

SIGLEAvailable from British Library Document Supply Centre-DSC:m01/16032 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

Measuring Inequalities in the Distribution of Health Workers: The case of Tanzania.

The overall human resource shortages and the distributional inequalities in the health workforce in many developing countries are well acknowledged. However, little has been done to measure the degree of inequality systematically. Moreover, few attempts have been made to analyse the implications of using alternative measures of health care needs in the measurement of health workforce distributional inequalities. Most studies have implicitly relied on population levels as the only criterion for measuring health care needs. This paper attempts to achieve two objectives. First, it describes and measures health worker distributional inequalities in Tanzania on a per capita basis; second, it suggests and applies additional health care needs indicators in the measurement of distributional inequalities. We plotted Lorenz and concentration curves to illustrate graphically the distribution of the total health workforce and the cadre-specific (skill mix) distributions. Alternative indicators of health care needs were illustrated by concentration curves. Inequalities were measured by calculating Gini and concentration indices.\ud There are significant inequalities in the distribution of health workers per capita. Overall, the population quintile with the fewest health workers per capita accounts for only 8% of all health workers, while the quintile with the most health workers accounts for 46%. Inequality is perceptible across both urban and rural districts. Skill mix inequalities are also large. Districts with a small share of the health workforce (relative to their population levels have an even smaller share of highly trained medical personnel. A small share of highly trained personnel is compensated by a larger share of clinical officers (a middle-level cadre) but not by a larger share of untrained health workers. Clinical officers are relatively equally distributed. Distributional inequalities tend to be more pronounced when under-five deaths are used as an indicator of health care needs. Conversely, if health care needs are measured by HIV prevalence, the distributional inequalities appear to decline. The measure of inequality in the distribution of the health workforce may depend strongly on the underlying measure of health care needs. In cases of a non-uniform distribution of health care needs across geographical areas, other measures of health care needs than population levels may have to be developed in order to ensure a more meaningful measurement of distributional inequalities of the health workforce

Like father, like son: Justin Trudeau and valence voting in Canada's 2015 federal election

Canada's 2015 federal election was an exiting, as well as a nostalgia provoking, contest. After nine years in office, Prime Minister Stephen Harper and the governing Conservatives were defeated by the resurgent Liberals led by Justin Trudeau. Trudeau is the son of Pierre Trudeau, perhaps Canada’s best known prime minister. Analyses of national survey data demonstrate that party leader images—a major component of the "valence politics" model of electoral choice—were important in both cases. Unlike his father, Justin Trudeau was castigated as a "lightweight" and "just not ready." However, articulating plausible policies to jump-start Canada's sluggish economy and espousing "sunny ways," the younger Trudeau was warmly received by many voters. In contrast, Harper's image of managerial competence was tarnished by bad economic news, and his attempt to refocus the campaign on emotionally charged cultural issues failed. The result was a Liberal majority government and a prime minister named Trudeau

Measuring health inequalities in Albania: a focus on the distribution of general practitioners

BACKGROUND: The health workforce has a dynamically changing nature and the regular documentation of the distribution of health professionals is a persistent policy concern. The aim of the present study was to examine available human medical resources in primary care and identify possible inequalities regarding the distribution of general practitioners in Albania between 2000 and 2004. METHODS: With census data, we investigated the degree of inequality by calculating relative inequality indices. We plotted the Lorenz curves and calculated the Gini, Atkinson and Robin Hood indices and decile ratios, both before and after adjusting for mortality and consultation rates. RESULTS: The Gini index for the distribution of general practitioners in 2000 was 0.154. After adjusting for mortality it was 0.126, while after adjusting for consultation rates it was 0.288. The Robin Hood index for 2000 was 11.2%, which corresponds to 173 general practitioners who should be relocated in order to achieve equality. The corresponding figure after adjusting for mortality was 9.2% (142 general practitioners), while after adjusting for consultation rates the number was 20.6% (315). These figures changed to 6.3% (100), 6.3% (115) and 19.8% (315) in 2004. CONCLUSION: There was a declining trend in the inequality of distribution of general practitioners in Albania between 2000 and 2004. The trend in inequality was apparent irrespective of the relative inequality indicator used. The level of inequality varied depending on the adjustment method used. Reallocation strategies for general practitioners in Albania could be the key in alleviating the inequalities in primary care workforce distribution

Determinants of generals practitioners' wages in England

We analyse the determinants of annual net income and wages (net income/hours) of general practitioners (GPs) using data for 2,271 GPs in England recorded during Autumn 2008. The average GP had an annual net income of £97,500 and worked 43 hours per week. The mean wage was £51 per hour. Net income and wages depended on gender, experience, list size, partnership size, whether or not the GP worked in a dispensing practice, whether they were salaried or self-employed, whether they worked in a practice with a nationally or locally negotiated contract, and the characteristics of the local population (proportion from ethnic minorities, rurality, and income deprivation). The findings have implications for discrimination by GP gender and ethnicity, GP preferences for partnership size, incentives for competition for patients, compensating differentials for local population characteristics. They also shed light on the attractiveness to GPs in England of locally-negotiated (Personal Medical Services) versus nationally-negotiated (General Medical Services) contracts