To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
The Minorities Commission of 1957-58 demonstrated the degree to which people had aligned their ethnic affiliation with the newly articulated political identities by the late 1950s. Even though each region contained significant heterogeneous populations, each of the major political parties aligned with the numerically major ethnic group, which also conformed to colonially construed majorities (i.e., Hausa, Yoruba, Igbo). This further exacerbated the growing sense of alienation minorities felt amid nationalist fervor during this period. In the end, the Minorities Commission recommended that Nigeria enter independence with the existing tripartite regional structure. However, it did recommend the new Nigerian state set up “special areas” or “minority areas” in the Western and Eastern Regions under the jurisdiction of the federal government; the idea was that these would receive special consideration for further development. Addressing the minority question would have required more time and resources than the British government was willing to give to this colony.
Chapter 5 discusses the economic structure of a rational state. Anticipating Marx’s critique of capitalism, Hegel associates the maximization of self-interest promoted by the modern market to an inconsistent and ultimately irrational conception of freedom. He argues that the elevation of freedom to a rational form requires not merely a readjustment of the economic sphere, but a change of paradigm, and this change is entrusted to a system of professional corporations in which competition is replaced by cooperation and trust. Yet although these groups can help mitigate capitalism’s worst excesses, they are not up to the conceptual role Hegel wants them to play. This does not mean, however, that his associative strategy cannot be successfully revived. The chapter’s final section shows that a rational economic sphere implies not only the common ownership of society’s productive resources, but also the democratization of the productive sphere. Drawing on the market socialist tradition, it is suggested that the corporations can be fruitfully reconstructed as worker-directed enterprises, capable of recapturing their communal spirit while avoiding their main limitations.
There has always been something paradoxical with mainstream theories of international organizations in public international law. Yet the source of the field’s many perplexities has remained somewhat elusive. Instead of adding another layer on top of existing constructions, this book has argued that the real problem lies right at the bottom. It pertains to how international lawyers have generally tended to theorize the state for analytical purposes, explicitly or implicitly, literally or fictionally. So long as we leave these assumptions about the state uninterrogated, our theories are bound to push themselves into the same analytical corner.
Neoclassical economics is inherently biased against progressive policies and therefore should be avoided by progressives seeking to make the case for them. This is reflected in the history of regulation of payday loans and other fringe financial products. Conservatives used economic arguments to roll back regulation of these products in the second half of the twentieth century. Attempts to reregulate them have since been stymied despite progressives’ use of behavioral economic arguments to justify greater regulation. Progressives who eschew economic argument have had more success pursuing reform in other areas in the Biden Administration. The failure of behavioral economics to advance a progressive agenda in fringe finance suggests that inframarginalism, which also embraces the neoclassical analytic, will not help progressives. Another problem is that any neoclassical approach privileges elite expertise.
The typical American nonprofit hospital does not fit well with the economic theory of the firm. That theory, as explained by Ronald Coase, imagines that a firm is an organization in which a manager directs the allocation of capital and labor already contracted with the firm. In contrast, US hospital management historically did not employ physicians, supplies of a key input. Physicians were a parallel entity, the medical staff, who billed separately and could issue orders for deployment of other hospital inputs (such as nursing staff). More physicians are not salaried hospital employees, but they still bill separately and have independent control. This chapter outlines a model of the nonprofit hospital in which the objective is maximization of net income of the medical staff and argues that this theory explains much of hospital behavior. Care coordination, tax advantages for nonprofits, and community benefits are also discussed.
Despite international instruments on trafficking and forced labour that stipulate the importance of ensuring rightsholders can access effective remedy, instances of remediation for harms including forced, bonded, and child labour, as well as trafficking, have been rare. While remedy is also a common feature of strategies to address modern slavery adopted by nation states and multinational businesses, in practice workers who have been subject to severe forms of labour exploitation in global value chains (GVCs) continue to face significant obstacles to securing redress from those who have violated, or contributed to violation, of their rights.
Obstacles to remedy are multifarious and well-documented (OHCHR, 2016; ICAR et al., 2013). GVCs are complex, involving multiple actors and crossing multiple jurisdictions, rendering it challenging to assign accountability and secure appropriate remedial measures, and most legal systems have not adapted to the reality of service and production within GVCs. Even where powerful (‘lead’) companies in the value chain shape the terms of supply and working conditions and are in the same jurisdiction in which the harm arising from their actions or omissions has occurred, remedial action is often stymied by labour law systems that only allow claims against direct employers. Where claims of joint employment or accessorial liability are possible under labour law, such claims are infrequent because of the stringency of tests of control or contribution, and the costs of such litigation (Marshall et al., 2023). In rare cases where litigants are successful in their legal claims, they often struggle to secure enforcement of any court order. Where the lead company that is influencing working conditions in the value chain is in another jurisdiction to where the harm has occurred, the chances of such claims succeeding are even lower (Fudge and Mundlak, 2023). Key principles underpinning private international law – such as those pertaining to jurisdiction and choice of law – largely operate to the benefit of businesses rather than those affected by their activities.
This chapter investigates price discrimination among buyers and sellers of healthcare. It is very common for different buyers to pay different prices for the same medical service or drug. Economics does not predict that profit-maximizing sellers will increase the price to other buyers if one buyer reduces price (no cost-shifting), but it does hypothesize that buyers with less price-responsive demands can be charged more than those with more responsive demands by sellers with market power. Likewise, buyers with more buyer market power (e.g., larger insurers) often pay less than smaller insurers or individual uninsured consumers. This chapter explains why price discrimination may improve efficiency compared to simple monopoly by allowing a lower price to be charged to those with lower willingness to pay that is still above marginal cost. The role of pharmacy benefit managers (PBMs) in extracting discounts for drugs is described.
This chapter describes the concept of “value-based” healthcare as an attempt to prioritize value (or quality) over volume (or quantity). However, it points out that the problem with fee-for-service is not that it prioritizes volume per se but that it may prioritize volume of the wrong (low-value) things. This chapter also acknowledges that “value” is difficult to define and quantify – if we are going to pay on it, how do we determine which health services are valuable for which patients? It then outlines an economic model of supplier payment that would lead to maximizing net value and discusses supply curves more in depth. The chapter discusses several forms of value-based payment, including pay-for-performance, bundled episode-based payments, and capitated population-based payments, as well as value-based insurance design. It concludes that the optimal payment mechanism may be a hybrid payment between part capitated (fixed per-patient per-month) and part fee-for-service to carve out high-value services.
Chapter 5 shifts focus to the impacts of the regime complex – particularly financial and technical assistance (utility modifier and capacity-building mechanisms) coupled with policy advising (social learning mechanism) – on the removal of barriers to geothermal development in Indonesia. The chapter provides a political economy analysis of the domestic actors and interests involved in the energy sector in Indonesia, and then recounts the history of geothermal development in Indonesia with a focus on the impacts of the clean energy regime complex on the dynamics of barriers to geothermal development. This analysis reveals that the clean energy regime complex, through financial and technical assistance combined with policy advising, is critical to impacting geothermal development in Indonesia by filling gaps in financing for high-risk exploration and early-stage development. This chapter provides insights on how the regime complex impacted domestic politics and geothermal barriers despite the absence of a legally binding framework. It also sheds light on the narrow pathway of change in the face of domestic political barriers and energy security concerns affecting political will.
Chapter 7 focuses on the War Scroll, the most sustained portrait of the imagined end-time war against the Sectarian enemies. Alongside its elements of fantasy, the War Scroll simultaneously contains many prescriptive details for the eschatological war that the Sectarians believed was imminent. This chapter characterizes the War Scroll using the language of social anthropologists as a violent imaginary and argues that it functions as a propagandistic tool to prepare the Sectarians for this war.
This chapter reviews the potential use of cost-effectiveness (CE) analysis in health and health insurance management. The goal is to assure the supply of all medical services with positive benefits greater than cost and none with benefits less than cost. This method is sometimes unpopular in the US because it limits use of care with positive benefits but very high costs; however, the great majority of treatments studied are cost-effective by the usual standards for the dollar value of health improvements. It is shown than cost-sharing can make a service cost-effective. The relevance of the incremental cost-effectiveness ratio (ICER) model for the use of CE analysis by insurers is questioned.
Consumer items and gendered identities on display and in transition, existing materially and symbolically within a matrix of relations of production and desire. The practical frustrations and self-confirming identity choices of local shopping lead to consideration of twentieth-century consumer society’s essentialization of individual gender identities despite apparent freedoms and autonomy of choice. Marx’s analysis of the reification of the object and the fetishization of the commodity informs public displays of youth culture: masculine, feminine, and trans. Modern young women and men shape their gendered public personas through the knowing appropriation of brands as identity performance, yet risk repression by the state, society, and family. Whether dancing too exclusively to Pharrell Williams’ Happy, or performing gender identity too essentially through transsexual identification, Iranian youth encounter the limits of branded identity even as they claim the freedoms apparently promised by the social market. Borrowing from Jacques Lacan’s positing of gender as a choice between two doors, the question of what is behind the doors might matter more than deciding between them.
Kant’s distinction between different uses of judgments – determining and reflecting – sheds light on two areas of recent debates about thought experiments as a method: (1) the question of bizarre cases and (2) the problem of missing context. On the question of bizarre cases, I show how a Kantian explains why it is sometimes acceptable for thought experiments to be far-fetched. For philosophical problems that call for reflecting judgment (i.e., the creation or discovery of new concepts), bizarre cases can be particularly effective. The problem of bizarre cases is closely related to the problem of missing context, which is another common objection to their use. The problem is that readers are often left to fill in background context that might be relevant for how they evaluate the thought experiment scenario. I will argue that missing context is a problem only if readers evaluate scenarios based on their prior knowledge and familiar experience. If instead, as I claim, the fictional case makes a new presentation possible, the additional context may be irrelevant and might distract from the presentation the thought experiment is designed to recreate.