The Affordable Care Act and the Transformation of US Health Care

The neoliberal period was accompanied by a momentous transformation within the US health care system.  As the result of a number of political and historical dynamics, the healthcare law signed by President Barack Obama in 2010 ‑the Affordable Care Act (ACA)‑ drew less on universal models from abroad than it did on earlier conservative healthcare reform proposals. This was in part the result of the influence of powerful corporate healthcare interests. While the ACA expands healthcare coverage, it does so incompletely and unevenly, with persistent uninsurance and disparities in access based on insurance status. Additionally, the law accommodates an overall shift towards a consumerist model of care characterized by high cost sharing at time of use. Finally, the law encourages the further consolidation of the healthcare sector, for instance into units named “Accountable Care Organizations” that closely resemble the health maintenance organizations favored by managed care advocates. The overall effect has been to maintain a fragmented system that is neither equitable nor efficient. A single payer universal system would, in contrast, help transform healthcare into a social right.

Determining factors of the innovative behavior of cooperatives: an analysis of the case of Castilla y León

Cooperatives have a long historical experience in the Spanish economy and have demonstrated their ability to compete against traditional firms in the market. To maintain this capability, while taking advantage of the competitive advantages associated with their idiosyncrasies as social economy enterprises, they should take into consideration that the economy is increasingly globalized and increasingly knowledge-based, especially with regards to technological content. As a consequence, the innovative capacity appears to be a key aspect in order to be able to challenge competitors. This article characterizes the innovative behavior of cooperatives in the region of Castile and Leon and analyses the internal and external factors affecting their innovative performance, based on data from a survey of 581 cooperatives. The results of the empirical analysis, which is performed by multivariate binary logistic regression on various types of innovation, lead us to identify the size of the organizations, the existence of planning, the R & D activities and the human capital as the main determining factors.

Facultad por Facultad. Origen familiar y empleo de los licenciados en CCSS y Humanidades de la UCM en el año 2003

Muchos estudios encuentran un efecto del origen social sobre la ocupación y el salario incluso tras controlar la educación. Este efecto, que suele ser pequeño, puede ser un artificio resultante del deficiente control de la educación. Este trabajo examina la importancia de controlar en detalle la educación desagregando las carreras universitarias. Estudiamos el clasismo del mercado de trabajo para una promoción de titulados en Ciencias Sociales y Humanidades de la Universidad Complutense de Madrid (UCM) en los seis años entre su graduación en 1997 y 2003. Esta es la fecha de la encuesta gracias a la cual podemos medir la influencia del status social de los padres sobre las oportunidades de empleo de los hijos no con título universitario en general, sino con el mismo título universitario. Encontramos que la influencia del origen social sobre la clase profesional y los ingresos disminuye mucho cuando se controlan las titulaciones, y que no se observa en la mayor parte de ellas, pero sí en algunas, en concreto Políticas y Sociología y Económicas. Esta concreción allana el camino para investigar las vías por las que esta influencia se produce.