Does the Doctor Need a Boss?

The traditional model of medical delivery, in which the doctor is trained, respected, and compensated as an independent craftsman, is anachronistic. When a patient has multiple ailments, there is no longer a simple doctor-patient or doctor-patient-specialist relationship. Instead, there are multiple specialists who have an impact on the patient, each with a set of interdependencies and difficult coordination issues that increase exponentially with the number of ailments involved. Patients with multiple diagnoses require someone who can organize the efforts of multiple medical professionals. It is not unreasonable to imagine that delivering health care effectively, particularly for complex patients, could require a corporate model of organization. At least two forces stand in the way of robust competition from corporate health care providers. First is the regime of third-party fee-for-service payment, which is heavily entrenched by Medicare, Medicaid, and the regulatory and tax distortions that tilt private health insurance in the same direction. Consumers should control the money that purchases their health insurance, and should be free to choose their insurer and health care providers. Second, state licensing regulations make it difficult for corporations to design optimal work flows for health care delivery. Under institutional licensing, regulators would instead evaluate how well a corporation treats its patients, not the credentials of the corporation's employees. Alternatively, states could recognize clinician licenses issued by other states. That would let corporations operate in multiple states under a single set of rules and put pressure on states to eliminate unnecessarily restrictive regulations

Controlling electron-electron correlation in frustrated double ionization of molecules with orthogonally polarized two-color laser fields

We demonstrate the control of electron-electron correlation in frustrated double ionization (FDI) of the two-electron triatomic molecule D$_{3}^{+}$ when driven by two orthogonally polarized two-color laser fields. We employ a three-dimensional semi-classical model that fully accounts for the electron and nuclear motion in strong fields. We analyze the FDI probability and the distribution of the momentum of the escaping electron along the polarization direction of the longer wavelength and more intense laser field. These observables when considered in conjunction bear clear signatures of the prevalence or absence of electron-electron correlation in FDI, depending on the time-delay between the two laser pulses. We find that D$_{3}^{+}$ is a better candidate compared to H$_{2}$ for demonstrating also experimentally that electron-electron correlation indeed underlies FDI.Comment: 5 pages, 4 figure

Attosecond nanoplasmonic streaking of localized fields near metal nanospheres

Collective electron dynamics in plasmonic nanosystems can unfold on timescales in the attosec- ond regime and the direct measurements of plasmonic near-field oscillations is highly desirable. We report on numerical studies on the application of attosecond nanoplasmonic streaking spectroscopy to the measurement of collective electron dynamics in isolated Au nanospheres. The plasmonic field oscillations are induced by a few-cycle NIR driving field and are mapped by the energy of photoemitted electrons using a synchronized, time-delayed attosecond XUV pulse. By a detailed analysis of the amplitudes and phase shifts, we identify the different regimes of nanoplasmonic streaking and study the dependence on particle size, XUV photoelectron energy and emission position. The simulations indicate that the near-fields around the nanoparticles can be spatio-temporally reconstructed and may give detailed insight into the build-up and decay of collective electron motion.Comment: Revised versio

Neighborhood Effects on Crime for Female and Male Youth: Evidence from a Randomized Housing Voucher Experiment

The Moving to Opportunity (MTO) demonstration assigned housing vouchers via random lottery to public housing residents in five cities. We use the exogenous variation in residential locations generated by MTO to estimate neighborhood effects on youth crime and delinquency. The offer to relocate to lower-poverty areas reduces arrests among female youth for violent and property crimes, relative to a control group. For males the offer to relocate reduces arrests for violent crime, at least in the short run, but increases problem behaviors and property crime arrests. The gender difference in treatment effects seems to reflect differences in how male and female youths from disadvantaged backgrounds adapt and respond to similar new neighborhood environments.

Nanoplasmonic near-field synthesis

The temporal response of resonances in nanoplasmonic structures typically converts an incoming few-cycle field into a much longer near-field at the spot where non-linear physical phenomena including electron emission, recollision and high-harmonic generation can take place. We show that for practically useful structures pulse shaping of the incoming pulse can be used to synthesize the plasmon-enhanced field and enable single-cycle driven nonlinear physical phenomena. Our method is demonstrated for the generation of an isolated attosecond pulse by plasmon-enhanced high harmonic generation. We furthermore show that optimal control techniques can be used even if the response of the plasmonic structure is not known a priori.Comment: 6 page

Ultrafast Dynamic Metallization of Dielectric Nanofilms by Strong Single-Cycle Optical Fields

We predict a dynamic metallization effect where an ultrafast (single-cycle) optical pulse with a field less or on the order of 1 V/Angstrom causes plasmonic metal-like behavior of a dielectric film with a few-nm thickness. This manifests itself in plasmonic oscillations of polarization and a significant population of the conduction band evolving on a femtosecond time scale. These phenomena are due a combination of both adiabatic (reversible) and diabatic (for practical purposes irreversible) pathways.Comment: 4 pages, 4 figure

Experimental Analysis of Neighborhood Effects

Families, primarily female-headed minority households with children, living in high-poverty public housing projects in five U.S. cities were offered housing vouchers by lottery in the Moving to Opportunity program. Four to seven years after random assignment, families offered vouchers lived in safer neighborhoods that had lower poverty rates than those of the control group not offered vouchers. We find no significant overall effects of this intervention on adult economic self-sufficiency or physical health. Mental health benefits of the voucher offers for adults and for female youth were substantial. Beneficial effects for female youth on education, risky behavior, and physical health were offset by adverse effects for male youth. For outcomes exhibiting significant treatment effects, we find, using variation in treatment intensity across voucher types and cities, that the relationship between neighborhood poverty rate and outcomes is approximately linear.

“DALSTON! WHO ASKED U?”: A Knowledge-Centred Perspective on the Mapping of Socio-Spatial Relations in East London

Since the turn of the millennium, Dalston in the London Borough of Hackney has experienced fundamental change through public and private investment in new infrastructure and processes of urban restructuring. This was paralleled by the reform of the national planning system, which aimed to devolve decision-making to the local level and increase the possibilities for residents and stakeholders to participate in planning processes. However, the difficulty of translating local needs and aspirations into policy goals and broadly accepted area action plans resulted in a crisis, which, in 2018, led to the introduction of the Dalston Conversation and subsequently the revision of planning goals. It is in this context that the Relational States of Dalston mapping project generated and assembled local knowledge about the web of socio-spatial relations between different local actors and in this way highlighted the significance and fragility of the communities’ networks and their spatial dimensions. The collection, ordering, integration, and production of knowledge can be seen as part of the core work in urban planning processes and policymaking. Which forms of knowledge are routinely used in planning contexts and define the relationship between planning action and urban transformation? To what extent could the mapping of local community relations add to this knowledge and help to improve decision-making processes in contested spaces of knowledge? In what ways could a relational understanding of space and architectural modes of research and representation contribute to the analysis, conceptualisation, and communication of local community relations? This article engages with these questions, using the mapping project in Dalston as a case study