State Oversight of Hospital Conversions: Preserving Trust or Protecting Health?

This paper explores the recent trend of hospital conversions from not-for-profit to for-profit corporate organizational form. Hospital conversions implicate the public interest in charitable assets and affect health policy goals. The paper concludes that current and developing oversight regimes do not adequately protect these interests. The paper finds that state attorneys general are frequently the only government actors with authority to review conversions. In some states, there is no effective regulation of conversions, and/or converted assets are not accurately valued. Without adequate oversight and thorough valuations, assets meant for charitable purposes are transferred to for-profit buyers or executives of the not-for-profit sellers. Even when attorneys general are able to oversee conversion, the doctrines upon which their authority is based -- trust law and corporations law -- hinder the advancement of health policy goals. These doctrinal limitations do not constrain all attorneys general from conducting substantive health policy reviews when they oversee conversions. While conversion statutes and proposed legislation resolve some of the obstacles to oversight, they do not address the conflict between health policy goals and trust and corporations law. The data are drawn primarily from interviews with assistant attorneys general in thirty-two states.This publication is Hauser Center Working Paper No. 10. The Hauser Center Working Paper Series was launched during the summer of 2000. The Series enables the Hauser Center to share with a broad audience important works-in-progress written by Hauser Center scholars and researchers

What Do Nonprofits Maximize? Nonprofit Hospital Service Provision and Market Ownership Mix

Conflicting theories of the nonprofit firm have existed for several decades yet empirical research has not resolved these debates, partly because the theories are not easily testable but also because empirical research generally considers organizations in isolation rather than in markets. Here we examine three types of hospitals – nonprofit, for-profit, and government – and their spillover effects. We look at the effect of for-profit ownership share within markets in two ways, on the provision of medical services and on operating margins at the three types of hospitals. We find that nonprofit hospitals’ medical service provision systematically varies by market mix. We find no significant effect of for-profit market share on the operating margins of nonprofit hospitals. These results fit best with theories in which hospitals maximize their own output.

Notes sobre la vida carmelitana de Vic al segle XV

This short article’s main aim is to reproduce the licence granted to the Carmelites in Vic at the time of the establishment of their new building in 1418. It emphasizes the importance of the Carmelite mission in Vic and refers to the chapel of the Esperança where they began to acquire popularity and economic support to proceed with a more permanent convent. The licence itself, transcribed in the appendix, mentions the people present in 1406 when Pere Prixana hands over the chapel to the Carmelites, and details the clauses agreed to by the friars and the bishop of Vic. It lays out the conditions under which they can preach, hold services, conduct funerals and carry out their apostolate which are similar to those observed by the Friars Minor in Vic

Impacts of the Westernization of Food Preferences on Medical Costs in China

The dietary changes in China to include more meat, dairy, and processed foods, are commonly attributed in literature to income increases, urbanization, and the availability of western food products. As seen in other Asian countries, these new food habits may increase obesity, diabetes, and other degenerative diseases among the Chinese people. These new health concerns will likely have economic consequences in terms of productivity losses and increased health care costs. This paper uses a Tobit model to analyze the influence of household demographics and food consumption on household medical costs in China. Results show that dietary choice has a definite impact on medical costs for the 800 households sampled. A nationwide dietary educational campaign in China may be useful in dampening the societal costs of dietary choice.China, dietary patterns, medical expenditure, westernization, Food Consumption/Nutrition/Food Safety,

Planting the Seeds for Public Health: How the Farm Bill Can Help Farmers to Produce and Distribute Healthy Foods

Analyzes provisions in the 2008 Farm Bill that impede farmers' production and strategic marketing of fruits and vegetables. Recommends policy changes to remove such barriers, improve consumer access to healthy foods, and help prevent childhood obesity

Emotional response inhibition is greater in older than younger adults

Emotional information rapidly captures our attention and also often invokes automatic response tendencies, whereby positive information motivates approach, while negative information encourages avoidance. However, many circumstances require the need to override or inhibit these automatic responses. Control over responses to emotional information remains largely intact in late life, in spite of age-related declines in cognitive control and inhibition of responses to non-emotional information. The goal of this behavioral study was to understand how the aging process influences emotional response inhibition for positive and negative information in older adults. We examined emotional response inhibition in 36 healthy older adults (ages 60–89) and 44 younger adults (ages 18–22) using an emotional Go/No-Go task presenting happy (positive), fearful (negative), and neutral faces. In both younger and older adults, happy faces produced more approach-related behavior (i.e., fewer misses), while fearful faces produced more avoidance-related behavior, in keeping with theories of approach/avoidance-motivated responses. Calculation of speed/accuracy trade-offs between response times and false alarm rates revealed that younger and older adults both favored speed at the expense of accuracy, most robustly within blocks with fearful faces. However, there was no indication that the strength of the speed/accuracy trade-off differed between younger and older adults. The key finding was that although younger adults were faster to respond to all types of faces, older adults had greater emotional response inhibition (i.e., fewer false alarms). Moreover, younger adults were particularly prone to false alarms for happy faces. This is the first study to directly test effects of aging on emotional response inhibition. Complementing previous literature in the domains of attention and memory, these results provide new evidence that in the domain of response inhibition older adults may more effectively employ emotion regulatory ability, albeit on a slower time course, compared to younger adults. Older adults’ enhanced adaptive emotion regulation strategies may facilitate resistance to emotional distraction. The present study extends the literature of emotional response inhibition in younger adulthood into late life, and in doing so further elucidates how cognitive aging interacts with affective control processes

Sulfur amino acid requirements of broilers from two to five weeks of age

Phase-feeding (PF) in broiler chickens has been researched as a way to reduce feed costs without reducing growth performance and yield. Predicted amino acid requirements for PF are generated using linear regression equations derived from best estimates of lysine (Lys), sulfur amino acid (SAA), and threonine (Thr) requirements. During the late starter and early grower periods, predicted requirements for the SAA methionine (Met) and cysteine (Cys) are higher than levels recommended by the National Research Council (NRC), and previous research suggests that SAA may be lowered during the grower period without sacrificing growth performance or yield. The objective of this study was to estimate Met and Cys requirements for broilers from 2 to 5 weeks of age. In Experiment 1, a Met-deficient corn-peanut meal diet was formulated to contain excess Cys, so that supplemental Met was not utilized for Cys synthesis. The basal diet for Experiment 2 met the Met requirement but was deficient in Cys. Graded levels of Met (0, 0.045, 0.09, 0.135, and 0.225%) and Cys (0, 0.035, 0.070, 0.105, 0.140, 0.175%) were added in Experiments 1 and 2, respectively, and diets were fed to five replicates of five broilers per pen. Broken-line analysis was used to estimate SAA requirements. The digestible Met and Cys requirements from 2 to 5 weeks of age were 0.33% and 0.31%, respectively. Requirement estimates were lower than those predicted by PF or recommended by NRC, indicating that lower SAA levels may be utilized in a PF progra