Commodification of health care systems: The Catalan case

Commodification of the public healthcare system has been a growing process in recent decades, especially in universal healthcare systems and in high-income countries like Spain.  There are substantial differences in the healthcare systems of each autonomous region of Spain, among which Catalonia is characterized by having a mixed healthcare system with complex partnerships and interactions between the public and private healthcare sectors.  Using a narrative review approach, this article addresses various aspects of the Catalan healthcare system, characterizing the privatization and commodification of health processes in Catalonia from a historical perspective with particular attention to recent legislative changes and austerity measures.  The article approximates, the eventual effects that commodification and austerity measures will have on the health of the population and on the structure, accessibility, effectiveness, equity and quality of healthcare services.

5 Jahre seit der normativen Konsolidierung der Stabilität des Staatshaushalts in Spanien. Kritische Analyse, Bilanz und Zukunftsperspektiven

Diese Arbeit führt in erster Linie eine kritische Analyse der normativen Gestaltung in Bezug auf die Stabilisierung des Staatshaushalts während der letzten 5 Jahre unter dem Einfluss des EU-Rechts durch. Anschließend werden die Wirkung und die Auswirkungen dieses Gesetzes bewertet. Abschließend werden einige Vorschläge und Erwägungen zur Zukunft geäußert.

The elderly care and domestic services sector during the recent economic crisis. The case of Italy, Spain and France.

Over the past ten years in Italy, Spain and France, the demographic pressure and the increasing women’s participation in labour market have fuelled the expansion of the private provision of domestic and care services. In order to ensure the difficult balance between affordability, quality and job creation, each countries’ response has been different. France has developed policies to sustain the demand side introducing instruments such as vouchers and fiscal schemes, since the mid of the 2000s. Massive public funding has contributed to foster a regular market of domestic and care services and France is often presented as a “best practices” of those policies aimed at encouraging a regular private sector. Conversely in Italy and Spain, the development of a private domestic and care market has been mostly uncontrolled and without a coherent institutional design: the osmosis between a large informal market and the regular private care sector has been ensured on the supply side by migrant workers’ regularizations or the introduction of new employment regulations . The analysis presented in this paper aims to describe the response of these different policies to the challenges imposed by the current economic crisis. In dealing with the retrenchment of public expenditure and the reduced households’ purchasing power, Italy, Spain and France are experiencing greater difficulties in ensuring a regular private sector of domestic and care services. In light of that, the paper analyses the recent economic conjuncture presenting some assumptions about the future risk of deeper inequalities rising along with the increase of the process of marketization of domestic and care services in all the countries under analysis.    

Immigration in Spain: Integration with Feet of Clay?

The aim of the paper is to analyze the impact of the economic crisis on the integration of the immigrant population in Spain. The Spanish case is singular because during the years of intense immigration achieved a remarkable degree of socio-cultural integration. The paper argues that such integration it has been the result of the confluence of exceptional factors rather than the result of the policy making. From a mixed methodology approach, it shows that, during the period of expansion, two factors of the immigration contribute to their coexistence with native population: finding job and access to public services. But the economic crisis, with its impact in terms of job losses and austerity policies, expose the weaknesses of the Spanish model of integration.

De la moral del sacrificio a la conciencia de la precariedad. Un análisis cualitativo de los discursos sobre la evolución de la crisis en España

La larga crisis económica que padece España está teniendo importantes consecuencias sociales. La más comentada por académicos, mass media y parte del arco político es la fractura social que se está abriendo en el país, ante el aumento de las desigualdades económicas que generan el enorme desempleo y las duras políticas de ajuste del gasto público. Sin embargo, más allá de cuestiones económicas la crisis está haciendo mella de forma muy profunda en el imaginario social del país en relación a las razones y consecuencias de la crisis, tanto a corto como a largo plazo. El objetivo de este artículo es el realizar una valoración de esas percepciones sociales de la ciudadanía en relación con la crisis, centrándonos en un aspecto como es el de la relación de la población española con el consumo de bienes y servicios públicos, en un escenario de hegemonía de la austeridad como única receta anti-crisis. Para ello, realizaremos un análisis de los discursos recogidos en una investigación cualitativa realizada en el año 2014 mediante grupos de discusión. Los resultados muestran un pesimismo enorme de la población en relación al futuro del Estado del Bienestar y de la propia clase media española, junto a una frustración que puede anunciar futuros ciclos de movilización social.

Keynes’s "Treatise on Money" and the role of the State

Este artículo hace una reconstrucción crítica de la visión de Keynes sobre la relación entre gasto público, tipo de interés, salarios y desempleo, tal y como se formula en su Tratado sobre el Dinero. El trabajo defiende que el enfoque de Keynes lleva a propuestas de política económica que enfatizan la necesidad de intervención estatal directa en la provisión de bienes y servicios. Esta conclusión se deriva de una interpretación circuitista de su obra.

Implementação de software livre na administração pública: um estudo de múltiplos casos no Estado do Rio Grande do Norte

New technologies appear each moment and its use can result in countless benefits for that they directly use and for all the society as well. In this direction, the State also can use the technologies of the information and communication to improve the level of rendering of services to the citizens, to give more quality of life to the society and to optimize the public expense, centering it in the main necessities. For this, it has many research on politics of Electronic Government (e-Gov) and its main effect for the citizen and the society as a whole. This research studies the concept of Electronic Government and wishes to understand the process of implementation of Free Softwares in the agencies of the Direct Administration in the Rio Grande do Norte. Moreover, it deepens the analysis to identify if its implantation results in reduction of cost for the state treasury and intends to identify the Free Software participation in the Administration and the bases of the politics of Electronic Government in this State. Through qualitative interviews with technologies coordinators and managers in 3 State Secretaries it could be raised the ways that come being trod for the Government in order to endow the State with technological capacity. It was perceived that the Rio Grande do Norte still is an immature State in relation to practical of electronic government (e-Gov) and with Free Softwares, where few agencies have factual and viable initiatives in this area. It still lacks of a strategical definition of the paper of Technology and more investments in infrastructure of staff and equipment. One also observed advances as the creation of the normative agency, the CETIC (State Advice of Technology of the Information and Communication), the Managing Plan of Technology that provide a necessary diagnosis with the situation how much Technology in the State and considered diverse goals for the area, the accomplishment of a course of after-graduation for managers of Technology and the training in BrOffice (OppenOffice) for 1120 public servers

Looking for a road to get out for poverty. Is the current allocation of public spending on education in Colombia helping?

This paper presents a methodology to explore the impact on poverty of the public spending on education. The methodology consists of two approaches: Benefit Incidence Analysis (BIA) and behavioral approach. BIA considers the cost and use of the educational service, and the distribution of the benefits among groups of income. Regarding the behavioral approach, we use a Probit model of schooling attendance, in order to determinethe influence of public spending on the probability for thepoor to attend the school. As a complement, a measurement of targeting errors in the allocation of public spending is included in the methodology.

El papel de las instituciones educativas públicas en la eliminación de la pobreza

Este trabajo presenta un conjunto de propuestas que contribuirían a fortalecer el papel de las instituciones educativas en la eliminación de la pobreza. Se trata de un conjunto de acciones por parte del Gobierno y las instituciones educativas que podría hacer más eficiente el gasto público en educación. El documento es el resul tado del trabajo de campo realizado en las instituciones educativas del Distrito de Aguablanca en Cali, de la revisión de la literatura nacional e internacional y del análisis de información complementaria efectuados por el equipo de investigación de la Universidad Icesi sobre el problema de la pobreza.

Tasa de cambio, producto nacional y equilibrio de la economía a corto plazo

Hasta hace poco existía una controversia entre el gobierno y la Junta Directiva del Banco de la República, en relación con las altas tasas de interés y su efecto en la economía colombiana. El gobierno decía que el culpable de las altas tasas de interés era el Banco de la República por su monetaria contraccionista (reducción de la cantidad de dinero en poder del público) y a su vez el Banco de la República decía que el culpable era el por su excesivo gasto público (política fiscal expansionista). Para comprender mejor esta controversia, los economistas (y en especial los académicos) usamos el modelo ISLM que relaciona tasas de interés con nivel de producción.

Definição dos padrões químicos e geológicos naturais do Paul de Arzila e da sua envolvente

A Reserva Natural do Paul de Arzila (Decreto Lei nº 219/88 de 27 de Junho) está integrada na Rede Europeia de Reservas Biogen ticas do Concelho da Europa desde 1990. A Reserva Natural do Paul de Arzila goza de um estatuto privilegiado pelo que o planeamento da área em questão está sujeito aos ditames do Concelho da Europa que garante o equilírio biológico e, consequentemente, a conservação da diversidade genética da Reserva. Impõe-se assim a necessidade de se proceder à definição dos padrões químicos e geológicos naturais não só da área da Reserva Natural do Paul de Arzila, mas também da sua envolvente. Inicialmente procedeu-se, a uma caracterização da área do Paul de Arzila referente à fisiografia, relevo, geologia, tectónica, unidades pedológicas e capacidade de uso do solo, recursos naturais, focos de poluição e seus impactos e caracterização sócio - económica. A caracterização geoquímica do Paul de Arzila foi estabelecida com base nos resultados das análises químicas efectuadas em amostras de solos, sedimentos de corrente e águas. Trata-se de um projecto que, a longo prazo, permitirá alargar a problemática da conservação ambiental e da diversidade gené tica das Reserva existentes ao nível do público local e nacional com a implementação de projectos de preservação e sensibilização ambiental.

Implementação de software livre na administração pública: um estudo de múltiplos casos no Estado do Rio Grande do Norte

New technologies appear each moment and its use can result in countless benefits for that they directly use and for all the society as well. In this direction, the State also can use the technologies of the information and communication to improve the level of rendering of services to the citizens, to give more quality of life to the society and to optimize the public expense, centering it in the main necessities. For this, it has many research on politics of Electronic Government (e-Gov) and its main effect for the citizen and the society as a whole. This research studies the concept of Electronic Government and wishes to understand the process of implementation of Free Softwares in the agencies of the Direct Administration in the Rio Grande do Norte. Moreover, it deepens the analysis to identify if its implantation results in reduction of cost for the state treasury and intends to identify the Free Software participation in the Administration and the bases of the politics of Electronic Government in this State. Through qualitative interviews with technologies coordinators and managers in 3 State Secretaries it could be raised the ways that come being trod for the Government in order to endow the State with technological capacity. It was perceived that the Rio Grande do Norte still is an immature State in relation to practical of electronic government (e-Gov) and with Free Softwares, where few agencies have factual and viable initiatives in this area. It still lacks of a strategical definition of the paper of Technology and more investments in infrastructure of staff and equipment. One also observed advances as the creation of the normative agency, the CETIC (State Advice of Technology of the Information and Communication), the Managing Plan of Technology that provide a necessary diagnosis with the situation how much Technology in the State and considered diverse goals for the area, the accomplishment of a course of after-graduation for managers of Technology and the training in BrOffice (OppenOffice) for 1120 public servers

LA EVASIÓN FISCAL COMO UN JUEGO PERDERPERDER

El Estado en la economía moderna no solo debe ser un Estado de Bienestar que ofrezca “algún tipo de protección a las personas que sin la ayuda del Estado puede que no sean capaces de tener una vida mínimamente aceptable según los criterios de la sociedad moderna” (Amartya Sen), sino que también debe estar preocupado por el bienestar ciudadano en general y por el fortalecimiento de la competitividad empresarial. En ese sentido, aparte de jugar papeles básicos como “garantizar la ley y el orden” y un mínimo de seguridad social, también debe jugar papeles estratégicos en la provisión y regulación de servicios que podrían actualmente estarse compartiendo con el sector privado tales como salud y educación. Además, la provisión y regulación de estos servicios,conjuntamente con la provisión y regulación de inversión pública de carácter estratégico (por ejemplo en infraestructura: puentes, carreteras, puertos y aeropuertos), garantizará las condiciones para fortalecer la competitividad empresarial.

Hacienda Pública. Un enfoque económico

Este libro ofrece un refrescante discernimiento sobre los aspectos relevantes de la economía del sector público y la hacienda pública, desarrollado en cada uno de los capítulos temas propios de las finanzas del Estado, el gasto público, los ingresos públicos, el presupuesto público, el intervencionismo de Estado; además, plantea la fecundidad y originalidad de la public choice, federalismo fiscal y presenta una convincente justificación sobre el tamaño de sector público.

Primeiras aproximações de uma análise do financiamento da política nacional de esporte e lazer no Governo Lula

Este artigo realiza uma análise introdutória sobre o gasto público referente às políticas de esporte e lazer no Governo Lula. Os dados coletados apresentaram uma distribuição instável entre os programas, o que impede o estabelecimento de um padrão de financiamento para o esporte e lazer durante o período analisado (2003-2010), bem como de afirmar a existência de programas e/ou frações de classes hegemônicas no que tange aos gastos públicos do setor. Todavia, algumas particularidades indicam a razoabilidade do pressuposto sobre a priorização do esporte de alto rendimento dentro da alocação dos recursos públicos destinados ao financiamento da Política Nacional de Esporte e Lazer (PNEL) do Governo Lula. __________________________________________________________________________________________________ ABSTRACT