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China's future will be determined by how its leaders manage its myriad interconnected challenges. In Fateful Decisions, leading experts from a wide range of disciplines eschew broad predictions of success or failure in favor of close analyses of today's most critical demographic, economic, social, political, and foreign policy challenges. They expertly outline the options and opportunity costs entailed, providing a cutting-edge analytic framework for understanding the decisions that will determine China's trajectory. Xi Jinping has articulated ambitious goals, such as the Belt and Road Initiative and massive urbanization projects, but few priorities or policies to achieve them. These goals h...
Life expectancy in Japan, South Korea, and much of urban China has now outpaced that of the United States and other high-income countries. With this triumph of longevity, however, comes a rise in the burden of noncommunicable diseases (NCDs) like diabetes and hypertension, reducing healthy life years for individuals in these aging populations, as well as challenging the healthcare systems they rely on for appropriate care. The challenges and disparities are even more pressing in low- and middle-income economies, such as rural China and India. Moreover, the COVID-19 pandemic has underscored the vulnerability to newly emerging pathogens of older adults suffering from NCDs, and the importance o...
The first section of this report analyzes pharmaceutical policy in China, Korea, Japan, Thailand, Taiwan, Australia, and India. The second section focuses on two cross-cutting themes: differences in "prescribing cultures" and physician dispensing; and the challenge of balancing access to drugs with incentives for innovation -- p. [4] of cover.
Chris McNickle argues that New York City Mayor David Dinkins failed to wield the power of the mayor with the skill required to run the city. His Tammany clubhouse heritage and liberal political philosophy made him the wrong man for the time. His deliberate style of decision-making left the government he led lacking in direction. His courtly demeanor and formal personal style alienated him from the people he served while the multi-racial coalition he forged as New York's first African-American mayor weakened over time.Dinkins did have a number of successes. He balanced four budgets and avoided a fiscal takeover by the unelected New York State Financial Control Board. Major crime dropped 14 pe...
By reviewing regulatory initiatives in health financing, service provision, pharmaceutical sector and public health, this book attempts to connect recent research with policy developments in the Chinese health-care system. While there are a small number of studies on the regulations in the Chinese health-care system, this book contributes to the literature in three ways. First, a review of the recent developments in the Chinese health-care system illustrates that the capacity and incentives of the regulatory agencies matter in the implementation and enforcement of the regulations. Second, this book also shows that some institutional arrangements in the Chinese context are particularly important for configuring the capacity and incentives of the regulatory system. Third, this book lays out the mechanisms for the regulatory reform of the Chinese health-care system.
A Brookings Institution Press and Visions of Governance for the 21st Century publication The latest in a series exploring twenty-first-century governance, this new volume examines the use of market means to pursue public goals. Market-based governance includes both the delegation of traditionally governmental functions to private players, and the importation into government of market-style management approaches and mechanisms of accountability. The contributors (all from Harvard University) assess market-based governance from four perspectives: The demand side deals with new, revised, or newly important forms of interaction between government and the market where the public sector is the cus...
Have neighborhoods been left out of the seismic healthcare reform efforts to connect struggling Americans with the help they need? Even as US spending on healthcare skyrockets, impoverished Americans continue to fall ill and die of preventable conditions. Although the majority of health outcomes are shaped by non-medical factors, public and private healthcare reform efforts have largely ignored the complex local circumstances that make it difficult for struggling men, women, and children to live healthier lives. In Dying and Living in the Neighborhood, Dr. Prabhjot Singh argues that we must look beyond the walls of the hospital and into the neighborhoods where patients live and die to addres...
This book carefully develops the perspective of nonprofit organizations as social capital assets and agents of public policy within a principal-agent framework. It shows the practical as well as managerial and marketing advantages of such an approach, one that can lead to serious questions about many of the existing views that all nonprofits result from market or government failure. Bryce provides a more positive, cross-national and inclusive perspective on these organizations that applies across all of their disciplines and in developed or developing countries alike.
This open access book consists of 39 short essays that exemplify how interactions between inter- and trans-national interdependencies and domestic factors have shaped the dynamics of social policy in various parts of the world at different points in time. Each chapter highlights a specific type of interdependence which has been identified to provide us with a nuanced understanding of specific social policy developments at discrete points in history. The volume is divided into four parts that are concerned with a particular type of cross-border interrelation. The four parts examine the impact on social policy of trade relations and economic crises, violence, international organisations and cross-border communication and migration. This book will be of interest to academics and postgraduate students in the field of social policy, global history and welfare state research from diverse disciplines: sociology, political science, history, law and economics. .