Interest, usury and time

This paper argues that there are both ethical and economic reasons to support a normative claim that lower interest rales are preferable to higher ones. Biblical material as well as general ethical norms favours economic decisions that give a high weight to the future. High interest rates make the economy less stable, economic growth less sustainable, and the income distribution less equal. Policy directions are offered for government, business, and households

Promotionele spaarsystemen: ei van Columbus of paard van Troje?

Promotionele spaarsystemen: ei van Columbus of paard van Troje

Integrating buprenorphine treatment for opioid use with primary care is associated with greater retention in treatment

Background: Medication-assisted treatment (MAT) for opioid use disorder (MAT) is encouraged for primary care use, but evidence for effectiveness when fully integrated with primary care versus provided separately is limited. Method: We conducted a retrospective cohort study of 257 MAT patients in our family medicine clinic to assess retention in treatment for patients receiving MAT integrated with primary care compared with our MAT patients who received their primary care elsewhere. Results: At 1 year after enrollment, 60% of patients receiving MAT integrated with primary care remained in treatment versus 43% of patients who received their primary care separately. In multivariate analysis, the patients receiving integrated MAT had a significantly lower risk of dropout (hazard ratio 0.49, 95% CI, 0.33-0.72). Conclusion: In this rural family medicine clinic, MAT integrated with primary care was associated with higher retention in treatment. Providing MAT as a component of comprehensive primary care may be superior to referring patients to an outside source

The Social Economics of Globalization

Social economics, Globalization, Economy,