This chapter covers the economic theory and evidence about the impact of provider consolidations (mergers and acquisitions) in healthcare services. As expected, hospital combinations within local markets (horizontal) are associated with higher unit prices but no measurable improvement in metrics of quality or outcomes. Prices increase by about 15%. Currently 30%–40% of the US population lives in big cities with competitive hospital markets. However, an equal fraction lives in smaller cities that could support more competitive hospitals; public policy to encourage competition there would be appropriate. The chapter investigates economic theories of vertical integration across markets; results here are less robust. An example of enhanced market power through bundling is provided, but a health system’s ability to do so is limited by lower administrative cost to employers of dealing with a single insurer that covers sellers in such markets.

Chapter 3 explores the relationship between increased social tension and the emergence of nascent conflict and finds traces of this stage in the Damascus Document. This chapter continues to examine how the emergence of violence in New Religious Movements such as the People’s Temple or the Branch Davidians can serve as an analytical lens for understanding the Dead Sea Scrolls.

This chapter deals with the economics of prescription drugs and of insurance coverage for them. Sellers of drugs have temporary market power because of patents. Drugs are supplied under a cost structure with high fixed costs of research, discovery, and approval followed by low marginal cost of producing additional units; this structure does not permit competitive markets to exist during the period of patient protection. Health systems buy drugs for inpatients in the usual way, but outpatient and pharmacy sold drugs are priced above marginal cost with prices often distorted by insurance coverage. The result can be high prices (though not necessarily increasing ones). A potential solution to the inefficiencies in this market is an agreement between insurers and drug sellers to buy a predetermined volume with the marginal price of additional units low or zero – the so called “Netflix” model. The intent of above-cost pricing for drugs is to encourage the supply of innovative products, but evidence on whether the current patient system in the US achieves an ideal outcome is lacking.

Death, home, housing, and changes in Iranian identity through the materiality of space and the geography of social relations. Generational change is reflected in architecture, household organization, property values, and historical memory. The modern city and recent speculative residential building developments offer opportunities for more privacy, shiny surfaces, and dedicated space for nuclear families. But the loss of more integrated mixed-class neighborhoods and extended family residential spaces puts different pressures on individuals and the shared urban fabric. One family’s generational and spatial transitions symbolize the changes in Tehran’s social and architectural possibilities.

Chapter 7 provides a comparative analysis of regime complex effectiveness across cases to better perceive the conditions for impact and how intervening variables such as energy crises or domestic political interests mediate effectiveness. Through the three mechanisms – utility modifier, social learning, capacity building – the regime complex has had a notably different impact in moving renewable energy development in Indonesia and the Philippines. This chapter examines and explains the variable outcomes in geothermal development between the Philippines and Indonesia by illuminating the key role of political will at the domestic level. Major findings of this chapter reveal that throughout the case studies, diverging domestic political interests and lack of political will to develop geothermal energy or adopt renewable energy regulations are key in explaining the variation in effectiveness of the clean energy complex across case studies.

In the wake of the boycott, the British govenment strengthened the warrant chief system, gathered intelligence on these communities to reorganize them into discrete, governable units. Reorganization was carried out in the context of interwar colonial development policy, which sought to increase the efficiency and productivity of the colonies. The British government coerced Africans across their colonies to engage in waged labor, in order to pay taxes and contribute to local development initiatives. In the Niger Delta, ethnic competition was used as a mechanism by which colonial development was distributed. Paramount chieftaincy increased a community’s ability to access colonial resources, contributing to a proliferation of new chieftaincy titles in competition for these resources. The case of the Olu title among the Itsekiri people is exemplary of these developments.

We formally define polynomial endofunctors on the category of sets, referring to them as polynomial functors or simply polynomials. These are constructed as sums of representable functors on the category of sets. We provide concrete examples of polynomials and highlight that the set of representable summands of a polynomial is isomorphic to the set obtained by evaluating the functor at the singleton set, which we term the positions of the polynomial. For each position, the elements of the representing set of the corresponding representable summand are called the directions. Beyond representables, we define three additional special classes of polynomials: constants, linear polynomials, and monomials. We close the chapter by offering three intuitive interpretations of positions and directions: as menus and options available to a decision-making agent, as roots and leaves of specific directed graphs called corolla forests, and as entries in two-cell spreadsheets we refer to as polyboxes.

Each country in North America – the US, Canada, and Mexico – has a distinct beer culture and all made, and are making, significant contributions to how beer and beer law develops. The US is the source of the modern craft beer industry movement that has swept all over the world. Importantly, A legal reform catering for home brewing is seen as the foundation for this development. But this is not the only way in which North America’s brewing has challenged tradition. Other examples are also discussed in this chapter, and legal aspects are highlighted.