The Implications of Public Policies on Health Economics

This dissertation evaluates the effects of public policies on health insurance coverage, mental health, provider quality and patient health outcomes. The first chapter demonstrates evidence of increased enrollments through the Health Insurance Exchange (HIX) as a result of expanded Premium Tax Credits. I use the variation in state Medicaid expansion statuses to identify the change in HIX enrollments. The second chapter evaluates the effects of the U.S. Supreme Court’s Dobbs vs. Jackson decision in June 2022 on mental health. I leverage the heterogeneity in state abortion restrictions to identify an increase in moderate to severe anxiety symptoms for individuals living in restricted states. I implement a Difference in Difference analysis using a linear probability model and do not find evidence of any pre-trends. Therefore, without the Dobbs’ decision, I would not find an increase in these negative mental health symptoms. The third chapter investigates the impacts of Managed Care on home health provider quality and patient health outcomes. I evaluate Managed Care programs that deliver Long Term Services and Supports (LTSS) for Medicaid beneficiaries. I implement the Callaway Sant’Anna Difference in Difference strategy using panel data at the provider level and find a reduction in overall provider quality. I also find downstream consequences in the form of worsened patient health outcomes. These results may have greater implications in the form of premature admissions to skilled nursing facilities. If patients are unable to receive quality care from home health providers, they may turn to other, more costly, LTSS providers

Redefining Periphery: Offshore Finance, Peripheral States and the World Economy

Το άρθρο αυτό επιχειρεί να εξετάσει την μεταβαλλόμενη δυναμική της σχέσης μεταξύ της περιφέρειας και του κέντρου της παγκόσμιας οικονομίας. Τις τελευταίες δεκαετίες, μικρά κράτη της περιφέρειας έχουν αναλάβει έναν ολοένα και πιο σημαίνοντα ρόλο στην παγκόσμια οικονομία, προσφέροντας μια σειρά χρηματοπιστωτικών υπηρεσιών σε μια πληθώρα επιχειρήσεων και ευκατάστατων ιδιωτών ο αριθμός και η γεωγραφική ταυτότητα των οποίων συνεχώς επεκτείνονται. Αυτά τα Εξωχώρια Χρηματοπιστωτικά Κέντρα ή φορολογικοί παράδεισοι, προσφέρουν υπηρεσίες οι οποίες συχνά έχουν αρνητικές επιπτώσεις στις οικονομίες των χωρών του κέντρου. Ωστόσο, παρά την πίεση των τελευταίων, τα κράτη αυτά της περιφέρειας συνεχίζουν να λειτουργούν χωρίς σοβαρά προβλήματα. Αυτό καθίσταται εφικτό γιατί σε ένα κόσμο υψηλής τεχνολογικής διασύνδεσης και ελευθερίας κινήσεων των κεφαλαίων αυτά τα κράτη μπορούν να χρησιμοποιήσουν αποτελεσματικά έναν πόρο που ξεπερνάει τους περιορισμούς του μεγέθους τους: την νομική εθνική κυριαρχία τους, δηλαδή το δικαίωμα τους να δημιουργούν και να εφαρμόζουν τους δικούς τους νόμους. Χρησιμοποιώντας ουσιαστικά την εθνική κυριαρχία τους σας εμπορικό ανταγωνιστικό πλεονέκτημα, τα κράτη αυτά προσφέρουν την δυνατότητα μιας νομικής μετακίνησης της έδρας των επιχειρήσεων και των ιδιωτών, οι οποίοι εκμεταλλεύονται την δυνατότητα αυτή τοποθετώντας τα κράτη αυτά στο κέντρο των παγκόσμιων δικτύων που χρησιμοποιούν για την διαχείριση του πλούτου τουςThis article seeks to examine the changing dynamics between the periphery and the core of the world economy. Small, peripheral states have assumed an increasingly important role in recent decades by offering fi nancial services to an increasing and geographically expanding range of corporate entities and wealthy individuals. These Offshore Financial Centres (OFCs) or tax havens, offer a service, which often has negative consequences for non-OFC countries at the core of the global economy. Despite pressure from the latter, these small states at the periphery of the global state system are able to continue their operation unabated. This is possible because in a world of growing technological nterconnectedness and capital mobility these states are able to employ the one resource they possess that has no limits: their legal sovereignty, that is, their right to write and enact law. By effectively commercializing their sovereignty small states are able to offer “juridical relocation”, a valuable service to wealthy individuals and companies around the world, which in turn employ them as a core piece in their intricate global wealth managing networks

EU’s Economic Governance in Transition

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A rift that never healed: how old divisions are undermining the Eurozone’s future

Europe’s political leaders are deeply divided over how to manage the economic consequences of the Covid-19 outbreak. Dimitris Katsikas writes that without a sizeable common funding mechanism, the danger is that European economies will be on very different fiscal and macroeconomic trajectories once the health crisis is over. However, the correction of these imbalances would come at a high economic and political cost, and further divisions between states could ultimately put the future of the Eurozone at risk

Muslim Minority in Greek National Historiography

This article provides a bibliographical review of the major academic works which have been published in or translated into Greek and deal with the life of the Muslim minority of Greece. The article focuses on the methodological approach of these works, the time of their publication and the research fields which they cover or disregard. It argues that Greek academic works on the subject are highly influenced by the climate of Greek-Turkish relations. Most remain silent about Muslim populations who lived in the country prior to 1923 and focus on the Muslims of western Thrace, of whose minority life they give a distorted picture. This picture has started to change since 1989, but there is still a long way to go until Greek academia overcomes its biased, emotional and politically-influenced modus operandi on the subject and adopts a more dispassionate approach

Crisis, clientelism and institutional resilience: reflections on a public sector reform under the MoUs

Structural reforms, particularly in the area of public administration, have always proved a challenge for Greek governments. During the 2010s crisis, the magnitude of the policy and institutional failures of the previous politico-administrative establishment and pressure from the creditors, led to an ambitious public administration reform programme. While many reforms were successfully implemented during this time, the overall implementation record remained erratic with many delays, gaps and even reversals in key reforms. Seeking to provide an explanation for the observed implementation record, this paper examines alternative propositions for the resilience of public administration institutions under conditions of deep crisis and external conditionality. Empirically, the paper focuses on one of the flagship public administration reforms in the conditionality programme, the reform of the remuneration system for public sector employees. It is shown that the implementation record for this reform can be best explained by recourse to the dynamics of the clientelist equilibrium at the core of the politico-administrative nexus in Greece