Estimación del gasto público en protección ambiental en Chile

La creciente preocupación de los países por proteger el medio ambiente ha motivado la generación de más y mejor información que sustente las decisiones de política pública. En esta línea, el Gobierno de Chile, respondiendo a sus compromisos internacionales e institucionales, a través del Ministerio del Medio Ambiente de Chile y en colaboración con la Comisión Económica para América Latina y el Caribe (CEPAL), ha estimado por primera vez el gasto público en protección ambiental (GPPA) con estándares estadísticos internacionales.

Tributación, seguridad y cohesión social en Brasil

Versión ampliada del trabajo presentado en el Seminario Internacional “Cohesión social en América Latina y el Caribe: una revisión perentoria de alguna de sus dimensiones, realizado por la CEPAL en la Ciudad de Panamá los días 6 y 7 de septiembre de 2006

Impactos das reformas tributárias e dos gastos públicos sobre o cresciento e os investimentos: O caso do Brasil

Um tradicional desafio das finanças públicas no Brasil ainda persiste: a taxa de investimento governamental prossegue em um patamar muito baixo, em termos históricos e comparada com a de outros países, em que pese o País tenha passado a ostentar das maiores cargas tributárias globais e também do volume total de gastos públicos entre as economias emergentes. Neste contexto, o objetivo desta análise é avaliar de que maneira reformas nas finanças públicas impactaram os indicadores e a política macroeconômica, com destaque para o crescimento potencial e investimentos fixos. No Brasil, as reformas institucionais historicamente se constituíram como reações às crises, logo, perderam ímpeto depois da virada dos século quando se atravessou o período mais longo de prosperidade econômica na América Latina puxado pelo boom das comoditties. Nem mesmo a crise financeira global levou aretomada de um ciclo de reformas no Brasil que optou por concentrar as atenções no crédito e o avalancar via endividamento público. O cenário atual passou a ser marcado pelo produto estagnado e por inflação crescente. A experiência brasileira não é animadora para os propósitos de vincular reformas institucionais, investimentos públicos e crescimento econômico.

Panorama Económico y Social de la Comunidad de Estados Latinoamericanos y Caribeños, 2015

Este Panorama Económico y Social de la Comunidad de Estados Latinoamericanos y Caribeños es una contribución de la Comisión Económica para América Latina y el Caribe (CEPAL) a la Cuarta Cumbre de Jefes de Estado y de Gobierno de la Comunidad de Estados de América Latina y el Caribe (CELAC), (Quito, enero de 2016).

Economic and Social Panorama of the Community of Latin American and Caribbean States 2015

This edition of the Economic and Social Panorama of the Community of Latin American and Caribbean States is a contribution by the Economic Commission for Latin America and the Caribbean (ECLAC) to the fourth Summit of Heads of State and Government of the Community of Latin American and Caribbean States (CELAC), to be held in Quito in January 2016. This document continues the work carried out since the first summit of CELAC held in Santiago and is a testimony to our ongoing commitment to work in collaboration with the countries of the region.

Social Panorama of Latin America 2015. Briefing paper

The 2015 edition of Social Panorama of Latin America analyses poverty trends, as measured by ECLAC. It also examines changes in income distribution and in other aspects of inequality. With a view to contributing to the development of public policies to overcome poverty and socioeconomic inequality, this edition examines the latest trends in social spending and the challenges posed by demographic change, and provides in-depth analysis of persistent gaps in the labour market, of the challenges facing policies and programmes that foster inclusion in the labour market and production, and of social development institutions in Latin America.

Panorama Social de América Latina 2015

En esta edición de 2015 del Panorama Social de América Latina se analizan las tendencias de la pobreza según las mediciones propias de la CEPAL. Asimismo, se revisan los cambios registrados en la distribución del ingreso y en algunas otras dimensiones de la desigualdad. Con el objeto de contribuir al avance de las políticas públicas para superar la pobreza y la desigualdad socioeconómica, además de examinarse las últimas tendencias del gasto social y los desafíos que presenta la transición demográfica, se profundiza el análisis de las persistentes brechas que se manifiestan en el mercado laboral, de los desafíos en materia de políticas y programas de inclusión laboral y productiva, y de la institucionalidad para el desarrollo social en América Latina.

Influência da prática de atividades físicas sobre os gastos com o tratamento ambulatorial de pacientes da rede pública de Bauru, São Paulo

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Quantifying the Economics of Medical Malpractice - A View from a Civil Law Perspective

Life is full of uncertainties. Legal rules should have a clear intention, motivation and purpose in order to diminish daily uncertainties. However, practice shows that their consequences are complex and hard to predict. For instance, tort law has the general objectives of deterring future negligent behavior and compensating the victims of someone else's negligence. Achieving these goals are particularly difficult in medical malpractice cases. To start with, when patients search for medical care they are typically sick in the first place. In case harm materializes during the treatment, it might be very hard to assess if it was due to substandard medical care or to the patient's poor health conditions. Moreover, the practice of medicine has a positive externality on the society, meaning that the design of legal rules is crucial: for instance, it should not result in physicians avoiding practicing their activity just because they are afraid of being sued even when they acted according to the standard level of care. The empirical literature on medical malpractice has been developing substantially in the past two decades, with the American case being the most studied one. Evidence from civil law tradition countries is more difficult to find. The aim of this thesis is to contribute to the empirical literature on medical malpractice, using two civil law countries as a case-study: Spain and Italy. The goal of this thesis is to investigate, in the first place, some of the consequences of having two separate sub-systems (administrative and civil) coexisting within the same legal system, which is common in civil law tradition countries with a public national health system (such as Spain, France and Portugal). When this holds, different procedures might apply depending on the type of hospital where the injury took place (essentially whether it is a public hospital or a private hospital). Therefore, a patient injured in a public hospital should file a claim in administrative courts while a patient suffering an identical medical accident should file a claim in civil courts. A natural question that the reader might pose is why should both administrative and civil courts decide medical malpractice cases? Moreover, can this specialization of courts influence how judges decide medical malpractice cases? In the past few years, there was a general concern with patient safety, which is currently on the agenda of several national governments. Some initiatives have been taken at the international level, with the aim of preventing harm to patients during treatment and care. A negligently injured patient might present a claim against the health care provider with the aim of being compensated for the economic loss and for pain and suffering. In several European countries, health care is mainly provided by a public national health system, which means that if a patient harmed in a public hospital succeeds in a claim against the hospital, public expenditures increase because the State takes part in the litigation process. This poses a problem in a context of increasing national health expenditures and public debt. In Italy, with the aim of increasing patient safety, some regions implemented a monitoring system on medical malpractice claims. However, if properly implemented, this reform shall also allow for a reduction in medical malpractice insurance costs. This thesis is organized as follows. Chapter 1 provides a review of the empirical literature on medical malpractice, where studies on outcomes and merit of claims, costs and defensive medicine are presented. Chapter 2 presents an empirical analysis of medical malpractice claims arriving to the Spanish Supreme Court. The focus is on reversal rates for civil and administrative decisions. Administrative decisions appealed by the plaintiff have the highest reversal rates. The results show a bias in lower administrative courts, which tend to focus on the State side. We provide a detailed explanation for these results, which can rely on the organization of administrative judges career. Chapter 3 assesses predictors of compensation in medical malpractice cases appealed to the Spanish Supreme Court and investigates the amount of damages attributed to patients. The results show horizontal equity between administrative and civil decisions (controlling for observable case characteristics) and vertical inequity (patients suffering more severe injuries tend to receive higher payouts). In order to execute these analyses, a database of medical malpractice decisions appealed to the Administrative and Civil Chambers of the Spanish Supreme Court from 2006 until 2009 (designated by the Spanish Supreme Court Medical Malpractice Dataset (SSCMMD)) has been created. A description of how the SSCMMD was built and of the Spanish legal system is presented as well. Chapter 4 includes an empirical investigation of the effect of a monitoring system for medical malpractice claims on insurance premiums. In Italy, some regions adopted this policy in different years, while others did not. The study uses data on insurance premiums from Italian public hospitals for the years 2001-2008. This is a significant difference as most of the studies use the insurance company as unit of analysis. Although insurance premiums have risen from 2001 to 2008, the increase was lower for regions adopting a monitoring system for medical claims. Possible implications of this system are also provided. Finally, Chapter 5 discusses the main findings, describes possible future research and concludes.

Essays on Inequality and Integration

Inequality and integration have been sociology’s two key paradigms since the classics, associated with the names of Marx and Durkheim and Europe’s current economic crisis has forcefully reinvigorated their joint relevance. Above all, the debt crisis has fueled the wheel of social inequality: cash-starved states are further forced to cut back on public expenditures, to minimize the margin for redistribution and to raise new challenges for the integration policies addressing the emerging disparities. At the same time, global environmental and demographic problems, intertwined with escalating migration pressure, tear at the texture of European and all Western societies, in particular, the unequal impact of climate change and the unequal distribution of population growth make migration and integration paramount public policy issues and a soaring source of social conflict. In principle, the inequalities engendered by these cascading processes are also an opportunity. They increase the diversity of society and can bring about innovation and growth. Our desire and ability for social integration depends, above all, on the ultimate balance between these advantages and disadvantages. The chapters in the volume concentrate on the opportunities as well as the risks associated with these social changes from various angles. They are a handpicked set of outstanding contributions from the Congress of the Swiss Sociological Association that took place at the University of Bern, June 26–28, 2013.

Crowding-out and Crowding-in Effects of Government Bonds Market on Private Sector Investment (Japanese Case Study)

This paper reviews the relationship between public sector investment and private sector investment through government expenditures financed by government bonds in the Japanese economy. This study hypothesizes that deficit financing by bond issues does not crowd out private sector investment, and this finance method may crowd in. Thus the government increases bond issues and sells them in the domestic and international financial markets. This method does not affect interest rates because they are insensitive to government expenditures and they depend on interest rates levels in the international financial market more than in the domestic financial market because of globalization and integration among financial markets.