A Question of Empowerment: Information Technology and Civic Engagement in New Haven, Connecticut

Extravagant claims have been made for the capacity of IT (information technology) to empower citizens and to enhance the capacity of civic organizations. This study of IT use by organizations and agencies in New Haven, Connecticut, 1998-2004, tests these claims, finding that the use of IT by nonprofits is selective, tending to serve agencies patronized by community elites rather than populations in need. In addition, the study finds that single interest groups are far more effective in using IT than more diverse civic and neighborhood groups.This publication is Hauser Center Working Paper No. 30. 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

ALCOHOL REGULATION AND CRIME

We provide a critical review of research in economics that has examined causal relationships between alcohol use and crime. We lay out several causal pathways through which alcohol regulation and alcohol consumption may affect crime, including: direct pharmacological effects on aggression, reaction time, and motor impairment; excuse motivations; venues and social interactions; and victimization risk. We focus our review on four main types of alcohol regulations: price/tax restrictions, age-based availability restrictions, spatial availability restrictions, and temporal availability restrictions. We conclude that there is strong evidence that tax- and age-based restrictions on alcohol availability reduce crime, and we discuss implications for policy and practice.Health Economics and Policy, Public Economics,

The Effect of Alcohol Consumption on Mortality: Regression Discontinuity Evidence from the Minimum Drinking Age

This paper estimates the effect of alcohol consumption on mortality using the minimum drinking age in a regression discontinuity design. We find that granting legal access to alcohol at age 21 leads to large and immediate increases in several measures of alcohol consumption, including a 21 percent increase in the number of days on which people drink. This increase in alcohol consumption results in a discrete 9 percent increase in the mortality rate at age 21. The overall increase in deaths is due primarily to a 14 percent increase in deaths due to motor vehicle accidents, a 30 percent increase in alcohol overdoses and alcohol-related deaths, and a 15 percent increase in suicides. Combining the reduced-form estimates reveals that a 1 percent increase in the number of days a young adult drinks or drinks heavily results in a .4 percent increase in total mortality. Given that mortality due to external causes peaks at about age 21 and that young adults report very high levels of alcohol consumption, our results suggest that public policy interventions to reduce youth drinking can have substantial public health benefits.

Historical Statistics of the United States Chapter on Voluntary, Nonprofit, and Religious Entities and Activities: Underlying Concepts, Concerns, and Opportunities

This paper is a draft of the introduction to the chapter on voluntary, nonprofit, and religious entities and activities slated to appear in the Millennial Edition of Historical Statistics of the United States (forthcoming, Cambridge University Press). Conceding the various problematic definitions of the "nonprofit sector," the essay offers a rationale for the broadly inclusive approach to the selection of historical statistics of institutions and activities presented in the chapter. In addition, it reviews the challenges and opportunities for researchers working on the statistical aspects of nonprofit, voluntary, and religious organizations. The essay includes samples of the statistical series that will appear in HSUS.This publication is Hauser Center Working Paper No. 14. 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

Does Medicare Save Lives?

The health insurance characteristics of the population changes sharply at age 65 as most people become eligible for Medicare. But do these changes matter for health? We address this question using data on over 400,000 hospital admissions for people who are admitted through the emergency room for "non-deferrable" conditions -- diagnoses with the same daily admission rates on weekends and weekdays. Among this subset of patients there is no discernible rise in the number of admissions at age 65, suggesting that the severity of illness is similar for patients on either side of the Medicare threshold. The insurance characteristics of the two groups are much different, however, with a large jump at 65 in the fraction who have Medicare as their primary insurer, and a reduction in the fraction with no coverage. These changes are associated with significant increases in hospital list chargers, in the number of procedures performed in hospital, and in the rate that patients are transferred to other care units in the hospital. We estimate a nearly 1 percentage point drop in 7-day mortality for patients at age 65, implying that Medicare eligibility reduces the death rate of this severely ill patient group by 20 percent. The mortality gap persists for at least two years following the initial hospital admission.

The Impact of Nearly Universal Insurance Coverage on Health Care Utilization and Health: Evidence from Medicare

We use the increases in health insurance coverage at age 65 generated by the rules of the Medicare program to evaluate the effects of health insurance coverage on health related behaviors and outcomes. The rise in overall coverage at age 65 is accompanied by a narrowing of disparities across race and education groups. Groups with bigger increases in coverage at 65 experience bigger reductions in the probability of delaying or not receiving medical care, and bigger increases in the probability of routine doctor visits. Hospital discharge records also show large increases in admission rates at age 65, especially for elective procedures like bypass surgery and joint replacement. The rises in hospitalization are bigger for whites than blacks, and for residents of areas with higher rates of insurance coverage prior to age 65, suggesting that the gains arise because of the relative generosity of Medicare, rather than the availability of insurance coverage. Finally, there are small impacts of reaching age 65 on self-reported health, with the largest gains among the groups that experience the largest gains in insurance coverage. In contrast we find no evidence of a shift in the rate of growth of mortality rates at age 65.

Introduction

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Common decency

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