Do Drug Plans Matter? Effects of Drug Plan Eligibility on Drug Use Among the Elderly, Social Assistance Recipients and the General Population

The 1984 Canada Health Act does not require that the provinces subsidize prescription drugs. Many provinces do, however, provide categorical coverage to the elderly, social assistance recipients and others, although the generosity of coverage is highly variable. A system of parallel private insurance covers the non-elderly ineligible for social assistance. In this study, we assessed the socio-economic, health and demographic determinants of private drug insurance. We also assessed the effect of inter- provincial variations in drug insurance coverage for the elderly and low income on variations in drug insurance coverage for the elderly and low income on their drug use. In addition, using instrumental variables methods, we considered the effect of prescription drug insurance coverage status on drug use in the non-elderly population ineligible for social assistance. Consistent with the previous literature, we find that for most seniors and non-indigent, drug coverage has only minor effects on drug use. The drug use of social assistance recipients was, however, sensitive to even relatively modest copayments of $0-$6.prescription drug utilization, copayments, user fees, pharmaceutical cost control

Expected Changes in the Workforce and Implications for Labor Markets

[Excerpt] While many have written about possible effects of the baby boom on the U.S. economy, few have recognized that this demographic transition provides analysts with a unique and valuable opportunity to investigate how the labor market works. Specifically, as baby boomers move up the age distribution, they impart a one-time shock to the supply of potential workers in each age bracket. Because this change is exogenous, many of the tools labor economists typically apply can be utilized to predict how the aging of the baby boom will alter key labor market outcomes. Theoretical and empirical models which (either implicitly or explicitly) hold constant structural parameters in order to work through the effects of an exogenous shock are well-suited to address this issue

Do Drug Plans Matter? Effects of Drug Plan Eligibility on Drug Use Among the Elderly, Social Assistance Recipients and the General Population

The 1984 Canada Health Act does not require that the provinces subsidize prescription drugs. Many provinces do, however, provide categorical coverage to the elderly, social assistance recipients and others, although the generosity of coverage is highly variable. A system of parallel private insurance covers the non-elderly ineligible for social assistance. In this study, we assessed the socio- economic, health and demographic determinants of private drug insurance. We also assessed the effect of inter-provincial variations in drug insurance coverage for the elderly and low income on variations in drug insurance coverage for the elderly and low income on their drug use. In addition, using instrumental variables methods, we considered the effect of prescription drug insurance coverage status on drug use in the non-elderly population ineligible for social assistance. Consistent with the previous literature, we find that for most seniors and non-indigent, drug coverage has only minor effects on drug use. The drug use of social assistance recipients was, however, sensitive to even relatively modest copayments of $0-$6.prescription drug utilization, copayments, user fees, pharmaceutical cost control

Expected Changes in the Workforce and Implications for Labor Markets

This paper examines the likely effects of the aging of the baby boom on labor force attachment, unemployment, and wages. Labor market trends between now and 2020 are the focus of analysis, when the majority of the baby boom generation will confront its retirement decision. We begin by reviewing past labor force trends and discussing important limitations of existing projection methods. Key elements needed to project the consequences of the demographic shock facing the labor market are identified. The task of developing a fully specified economic model to examine the effect of the aging of the baby boom on the labor market is as yet incomplete. On the basis of the best available evidence, we suggest the following conclusions can be drawn: The trend towards earlier retirement will slow and perhaps reverse in the next few decades. Unemployment should fall among older workers and the aggregate full-employment unemployment rate should also decline as the baby boom ages. The aging of the baby boom will not depress wages substantially, either for older workers or for other demographic groups.

Aging, Job Satisfaction, and Job Performance

The national trend to earlier retirement is surprising in light of conventional wisdom holding that older workers are healthy, satisfied and productive employees -- sometimes even more so than their younger counterparts. This paper examines whether conventional wisdom is wrong by reviewing existing studies and noting some of their most important shortcomings. New empirical evidence is provided on the links between aging, job satisfaction, and job performance using data from a nationally representative survey of workers

Worklife Determinants of Retirement Income Differentials Between Men and Women

Women enter retirement having spent fewer years in market work, earned less over their lifetimes, and worked in different jobs than men of the same age. This study examines whether these differences in work-life experiences help explain why many women end up with lower levels of retirement income in old age. We use the Health and Retirement Study (HRS), which provides information on labor market histories along with the ability to predict retirement income from employer pensions, social security benefits, and investment returns. We document differences in anticipated retirement income by sex that exist largely between nonmarried men and women. Multivariate models show that 85 percent of this retirement income gap can be attributed to differences in lifetime labor market earnings, years worked, and occupational segregation by sex. Our results suggest that as women's work-life experiences become more congruent with men's over time, the gap in retirement income between men and women may shrink.

The Baby Boom\u27s Legacy: Relative Wages in the 21st Century

This paper assesses the impact of the post WWII baby boom on relative wages, when this baby boom cohort becomes the oldest segment of the workforce. Time series data are used to estimate a model of the demand for workers in eight age/sex groupings. Using these estimates, we simulate relative wages in the year 2020 assuming the age/sex composition of the workforce behaves according to projections. The results are used to examine the baby boom\u27s potential impact on wages of older, prime-age, and teenage workers, as well as the anticipated wage gap between males and females

Angular Momentum Transfer and Lack of Fragmentation in Self-Gravitating Accretion Flows

Rapid inflows associated with early galaxy formation lead to the accumulation of self-gravitating gas in the centers of proto-galaxies. Such gas accumulations are prone to non-axisymmetric instabilities, as in the well-known Maclaurin sequence of rotating ellipsoids, which are accompanied by a catastrophic loss of angular momentum (J). Self-gravitating gas is also intuitively associated with star formation. However, recent simulations of the infall process display highly turbulent continuous flows. We propose that J-transfer, which enables the inflow, also suppresses fragmentation. Inefficient J loss by the gas leads to decay of turbulence, triggering global instabilities and renewed turbulence driving. Flow regulated in this way is stable against fragmentation, whilst staying close to the instability threshold for bar formation -- thick self-gravitating disks are prone to global instabilities before they become unstable locally. On smaller scales, the fraction of gravitationally unstable matter swept up by shocks in such a flow is a small and decreasing function of the Mach number. We conclude counterintuitively that gas able to cool down to a small fraction of its virial temperature will not fragment as it collapses. This provides a venue for supermassive black holes to form via direct infall, without the intermediary stage of forming a star cluster. Some black holes could have formed or grown in massive halos at low redshifts. Thus the fragmentation is intimately related to J redistribution within the system: it is less dependent on the molecular and metal cooling but is conditioned by the ability of the flow to develop virial, supersonic turbulence.Comment: 5 pp., 1 figures, to be published by the Astrophysical Journal Letters. Minor corrections following the referee repor