Changing values in heritage: shifts from the tangible to intangible in urban historic environments bo-kaap as case study

This study explores the emergence of changing values associated with heritage in postapartheid South Africa, expressed as a shift from tangible to intangible heritage values. Central to the study is an understanding of the evolutionary construction of changing values in a rooted heritage community within the urban historic environment of Bo-Kaap, the oldest residential suburb of Cape Town. Exploring changing values in Bo-Kaap, where tangible and intangible heritage intersect in the contemporary moment, showcases how heritage ably and fluidly adapts and transforms as an ever-shifting cultural process, and forges new, or altered, modes of identity construction. Bo-Kaap, as the case study, is a significant historic urban environment of Cape Town's central city with a vibrant community having cultural rootedness in place, in slave ancestral heritage, and existing living heritage deserving of protection. It is examined against a backdrop of the localised political, governance and civic agency milieu. The study follows the narrative of Bo-Kaap from its origins as a residential quarter of the early Cape colonial settlement, through the mid twentieth century when Bo-Kaap became largely fashioned and formed into an ethnically defined 'Malay' quarter, conforming to essentialised notions of race and ethnicity dominant in nationalist ideology, through the apartheid regime and the penetrating effects of Group Areas on the social and physical fabric of the area, until the present day where we are witness to a sea-change in outlook of the public on the very meaning and purpose of heritage. Heritage claims and heritage activism entered the realm of active public discourse in 2019 in response to free-market developmental pressures in Bo-Kaap, with inflections of social justice touching the edges of the heritage debate, and invited a broadening of the outermost limits of heritage discourse. Integral to this story is how heritage systems have been shaped by the past and colonial histories, new systems of governance post 1994, and a culture of intensifying identity politics. Following the arc of time illuminates the complex interrelatedness of heritage values with social, historical, and political trajectories, and aims to examine just how dynamically heritage values arise, merge and shift within the inter-relational temporal space; what activates them, who activates them, and to what end; and how they have entered into a space of heritage activism and public discourse. I suggest that this present change in discourse and the display of emerging sets of heritage values requires a highly critical reflexivity on the part of heritage structures and the profession, to look at what these changes mean for heritage praxis and governance and, more importantly, how to advance the relevance of heritage to a sector of South African society advocating for a decolonised heritage value framework

Labor Migration and the Case for Flat Tax

In this paper we employ a tax-competition model to demonstrate that in the presence of migration the re-distributive advantage of a non-linear income tax system over a linear (flat) one is significantly mitigated relative to the autarky (no-migration) equilibrium. When migration threats are sufficiently strong, a coordinated shift from a non-linear (prima-facie superior) system to a flat (inferior) regime is not too welfare-costly, even when the extent of re-distribution is significant. Therefore, such a shift may be warranted on administrative grounds. We also show, as expected, that migration reduces the extent of redistribution.flat tax, re-distribution, migration, tax-competition

On Recoding Ordered Treatments as Binary Indicators

Researchers using instrumental variables to investigate the effects of ordered treatments (e.g., years of education, months of healthcare coverage) often recode treatment into a binary indicator for any exposure (e.g., any college, any healthcare coverage). The resulting estimand is difficult to interpret unless the instruments only shift compliers from no treatment to some positive quantity and not from some treatment to more -- i.e., there are extensive margin compliers only (EMCO). When EMCO holds, recoded endogenous variables capture a weighted average of treatment effects across complier groups that can be partially unbundled into each group's treated and untreated means. Invoking EMCO along with the standard Local Average Treatment Effect assumptions is equivalent to assuming choices are determined by a simple two-factor selection model in which agents first decide whether to participate in treatment at all and then decide how much. The instruments must only impact relative utility in the first step. Although EMCO constrains unobserved counterfactual choices, it places testable restrictions on the joint distribution of outcomes, treatments, and instruments

Emergency Department Utilization: A Qualitative Analysis of Illinois Medical Home Network Patients.

Background Inappropriate emergency department (ED) use continues to plague healthcare in terms of disease management and costs. In 2012, the State of Illinois implemented Medical Home Network (MHN) where Medicaid recipients were assigned to primary care providers to, in part, reduce overreliance on EDs. However, MHN patients have continued to use EDs. Objective The purpose of this study is to provide a qualitative analysis of Medicaid patient-identified barriers to primary care, facilitators of emergency use, and related mental health and psychosocial factors. Methods Patients who presented themselves at the ED located at an urban, academic medical center participated in one-time, individual interviews. Participants arrived with non-urgent, minor, or moderate acuity. Interviews were digitally audiorecorded and transcribed for data analysis. Researchers analyzed data using the Grounded Theory approach. Results Four themes were identified: 1) barriers related to visiting a primary care provider (not having an appointment and scheduling issues), 2) elements of ED use (the experience of physical pain), 3) mental health and stress (a lack of willingness to discuss mental health issues), and 4) varying perceptions of primary care and the ED (the ED provides care that is fast, solution-oriented, team-based, and patient-centered within an environment containing necessary equipment). Conclusions Findings may inform interventions such as the use of community health workers as liaisons between MHN, the ED, primary care, and patients. Addressing patient perceptions regarding the role of primary care and stigma surrounding mental health can lead to decreasing ED use and increasing continuous primary care use for vulnerable patients