Efficiency effects of cross-border medical demand

There is a growing interest in cross-border medical care and its comparative advantages. In addition, medical care can be defined as a local assurance good. Little research is being carried out in this field. This paper discusses the individual considerations for medical treatment offered at home and abroad within a micro-economical framework. Specific assumptions as mistrust, monetary and non-monetary transaction-costs, a price and cost gradient, illness severity as well as a lump-sum insurance are discussed. We show that a demand abroad can be utility maximizing, however, only second best. There are inefficiencies in the dimensions of ex-post demand and income risk either on the side of gross-income or of costs. Furthermore, the foreign demand is restricted for low health stages driven by mistrust and restrictions in quality. Higher stages are more capable if fixed costs are low. To demand abroad the marginal treatment costs abroad must fall short of a threshold level. Finally, an out-of-pocket payment can reduce the moral hazard when treatment takes place abroad. --cross-border medical care,health tourism,efficiency,patient migration,trust

Patient autonomy and education in specific medical knowledge

The asymmetry between the patient as a layman and the physician as an expert is a key element in health economics. However, a change to a higher degree of patient autonomy has taken place. Furthermore, there is a consensus in a positive correlation between general education and productivity of medical care. This paper focuses on the individual investments of laymen in specific medical education as a decision problem in which the ex-post strategies of the individual are consultation and self-care as imperfect substitutes. It is assumed that specific knowledge increases the self-diagnosis competence (self-protection) and the self-care productivity (self-insurance) as dimensions of autonomy. The analysis is divided into two forms of ex-post decision making according to individual rationality: 1. ambiguity 2. uncertainty. An elaboration of necessary conditions for investments in education is undertaken. --patient autonomy,education,self-care,ambiguity,uncertainty

Stranger Things about Forcing without AC

Typically, set theorists reason about forcing constructions in the context of ZFC. We show that without AC, several simple properties of forcing posets fail to hold, one of which answers Miller's question from arXiv:0704.3998.Comment: 5 page

Many Different Uniformity Numbers of Yorioka Ideals

Using a countable support product of creature forcing posets, we show that consistently, for uncountably many different functions the associated Yorioka ideals' uniformity numbers can be pairwise different. In addition we show that, in the same forcing extension, for two other types of simple cardinal characteristics parametrised by reals (localisation and anti-localisation cardinals), for uncountably many parameters the corresponding cardinals are pairwise different.Comment: 29 pages, 4 figure

Boundary Inflation

Inflationary solutions are constructed in a specific five-dimensional model with boundaries motivated by heterotic M-theory. We concentrate on the case where the vacuum energy is provided by potentials on those boundaries. It is pointed out that the presence of such potentials necessarily excites bulk Kaluza-Klein modes. We distinguish a linear and a non-linear regime for those modes. In the linear regime, inflation can be discussed in an effective four-dimensional theory in the conventional way. We lift a four-dimensional inflating solution up to five dimensions where it represents an inflating domain wall pair. This shows explicitly the inhomogeneity in the fifth dimension. We also demonstrate the existence of inflating solutions with unconventional properties in the non-linear regime. Specifically, we find solutions with and without an horizon between the two boundaries. These solutions have certain problems associated with the stability of the additional dimension and the persistence of initial excitations of the Kaluza-Klein modes.Comment: 35 pages, Latex, one eps-figur

Five--Branes and Supersymmetry Breaking in M--Theory

Supersymmetry breaking via gaugino condensation is studied in vacua of heterotic M-theory with five-branes. We show that supersymmetry is still broken by a global mechanism and that the non-perturbative superpotential takes the standard form. When expressed in terms of low energy fields, a modification arises due to a threshold correction in the gauge kinetic function that depends on five-brane moduli. We also determine the form of the low energy matter field Kahler potential. These results are used to discuss the soft supersymmetry breaking parameters, in particular the question of universality.Comment: 28 pages, Late