Pharmaceutical Prices

Author(s):  
Stuart O. Schweitzer ◽  
Z. John Lu

This chapter provides a detailed examination of pharmaceutical pricing strategies in the United States. It points out that pharmaceutical expenditure as a share of total healthcare spending has historically been quite low in comparison to that of hospitalization and physician services. It identifies several common measures of pharmaceutical prices, and highlights the difference in conclusions reached based on different measures. It offers a critical review of several models used to explain pharmaceutical price behavior, which are grouped into three major categories: market structure models, R&D cost-based models, and product quality or value based models. The chapter concludes that prices of brand-name drugs in the United States are largely driven by product quality attributes, not cost of R&D. Lastly, the chapter examines the impact of generic entry on price.

Author(s):  
Philippe W. Zgheib

This chapter examines the impact of sexual harassment laws in a work environment. Different contexts are examined with different sexual harassment laws. The most vulnerable individuals are identified. The particular case of Lebanon is inspected where few laws regulate this matter. A comparison is established with the USA. Lebanon and the United States have a different view of sexual harassment. In Lebanon, no clear laws protect women. In addition, Lebanon is more tolerant than the United States. The difference in cultures also contributes in people's willingness to disclose harassment. In the United States, people are used to the concept of right and a judicial system that preserves it. In Lebanon, such a matter is taboo, and people are discouraged from disclosing to preserve their reputation.


2018 ◽  
Vol 73 (02) ◽  
pp. 435-468 ◽  
Author(s):  
Benjamin O. Fordham

AbstractThe United States' 1890–91 decision to begin building a battleship fleet, an important point in its development as a world power, can illuminate the domestic sources of foreign policy ambition. An analysis of roll-call votes in the House of Representatives indicates that socioeconomic divisions arising from industrialization strongly influenced support and opposition to the battleship fleet. This relationship worked mainly through trade policy interests: members of Congress from import-competing states tended to support the effort, while those from export-oriented states tended to oppose it. The patriotic symbolism of battleships at a time of labor unrest also helped motivate support for the program, though evidence of this pattern is less conclusive. Although party affiliation was crucial, it was also partly a function of economic structure, which shaped the two parties’ electoral fortunes. The impact of trade interests during this period is a mirror image of what previous research has found concerning the post-World War II era, when export-oriented interests tended to support American global activism and import-competing interests to oppose it. The reason for the difference is the Republican Party's commitment to trade protection, which strongly influenced both the goals of the policy and the identity of its supporters.


Author(s):  
Stuart O. Schweitzer ◽  
Z. John Lu

This chapter provides a comparative analysis of pharmaceutical expenditure levels across major global markets. It identifies several factors for the difference across countries, including national income, spending on overall healthcare, price for substitutable healthcare products and services, age distribution, patient and physician tastes and preferences, and even culture. The discussion focuses on seven of the largest national markets outside the United States: Japan, China, France, Germany, the United Kingdom, Canada, and Brazil. While there are notable differences between these markets, one especially important commonality distinguishes them from the United States: in every single market, the central government plays a pivotal role in the determination of drug prices by using its monopsonist power in negotiations with and regulations of drug manufacturers.


This chapter examines the impact of sexual harassment laws in a work environment. Different contexts are examined with different sexual harassment laws. The most vulnerable individuals are identified. The particular case of Lebanon is inspected where few laws regulate this matter. A comparison is established with the USA. Lebanon and the United States have a different view of sexual harassment. In Lebanon, no clear laws protect women. In addition, Lebanon is more tolerant than the United States. The difference in cultures also contributes in people's willingness to disclose harassment. In the United States, people are used to the concept of right and a judicial system that preserves it. In Lebanon, such a matter is taboo, and people are discouraged from disclosing to preserve their reputation.


1988 ◽  
Vol 44 (1-2) ◽  
pp. 83-99
Author(s):  
S. C. Saha

The United States had an inbuilt constituency in India, a constituency that had its origins in the pre-independent period. Although the British were under fire, they enjoyed a certain amount of respect for their commitment to justice and law. The Indian elites were the products of English education. All these resulted in a love-hate relationship between the Indians and the Anglo-Saxon groups in general. Besides, the amount of importance the Indian nationalist leaders gave to the mediatory role of President Franklin D. Roosevelt and the liberal American Press in bringing about India's independence bears testimony to this formulation. Thus in 1941 when India won independence, the United States enjoyed considerable goodwill in India. The United States was willing and far abler than Stalin's Soviet Union to help in the economic betterment of India. The US launched the Point Four Programme, a politico-humanitarian package.1 Jawaharlal Nehru, the Prime Minister of India, was consciously warm towards it because, apart from other reasons, he found it good tactics to use against domestic communism, and the collapse of the Telengana rebellion in Southern India proved him right. During his first visit to the United States in 1949, Nehru and President Truman seemed to have achieved a reasonable desire of mutual sympathy in genera! outlook on. world affairs. What alienated India's diplomacy from that of the United States most was the difference in their views of the nature of Chinese Communist threat and what approaches could be made about it. The United States had not yet given in to Dulles's pactomania, nor had the dreadful McCarthy era started. Yet guided by their different experiences, the two countries began to choose their different paths which did not converge until the Communist Chinese massive invasion of India's north-eastern border in October 1962. So conflicting were the approaches of India and the United States that they found themselves ranged on opposite sides on many issues regarding China. This worked clearly to the disadvantage of both. The differences discouraged economic assistance to India while the United States lost the sympathy of the emerging Asian nations. My paper examines the various aspects of these Indo-American differences over Communist China in order to define the impact on their political relations. It establishes that the ‘China Question’—the non-recognition by the United States, non-admission to the United Nations, the status of Formosa, etc., created bitter differences between India and the United States till the China War of 1962. This provided cause for an unparalleled deepening of the Indo-US involvement.


2018 ◽  
Vol 9 (2) ◽  
pp. 270-285
Author(s):  
Romulo Rhemo Palitot Braga ◽  
Arthur Augusto Barbosa Luna

This article analyzes some of the existing digital anonymity technologies, as well as their impact on the process and facilitation of the money laundering process. It presents the concept of superficial Internet and clarifies the difference between the Deep Web and the Dark Web, exposing how it works one of its most important operating structures, the TOR protocol. It also details the operation of BitCoin, one of the most important crypto-coins today, and draws a parallel on how these technologies can impact the practice of money laundering, as well as discusses the capacity of the mechanisms currently in place to curb and punish it. The anonymity guaranteed by the use of BitCoin is so much that in the first half of May 2017, hackers infected thousands of computers in dozens of countries, including Brazil, the United Kingdom, the United States, China, Russia, Spain and Italy, encrypting computer files and requiring redemption payment for the coded data.


2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Victoria Avanesov ◽  
Robert Hodgson

The United States' laissez-faire approach to moral rights legislation has left many academics questioning the impact that these laws have on artists' welfare. In using artists' income as one component of measuring overall well-being, states with additional statewide moral rights legislation have been shown to contribute to more significant artist losses, in contrast to states with only federal legislation. At the same time, moral rights laws have been shown to have no impact on artists' choice of residency, leaving some artists possibly disadvantaged regarding their choice of residency. Utilizing a difference in differences framework, this paper explores the impact of moral rights legislation on artists' weekly incomes between moral rights states of varying outputs of GDP. Although results suggested that artists would lose approximately $0.18 per one billion dollar increase in GDP at the statewide level, after conducting an additional t-test, these findings were shown to have no statistical significance. Several limitations, most prominently a lack of data availability in the pre-law values required for the difference in differences framework, may have contributed to these findings. These indeterminate results leave the question of whether some artists remain economically disadvantaged as a result of moral rights legislation uncertain.  


An extensive amount of literature examines the impact of expectations on economic behavior at both the micro and macro level. In the area of individual financial security, research taking into account the difference between rational expectations and actual behavioral expectations regarding asset returns, inflation, savings, and spending has contributed to better understanding and improved program design. In contrast, relatively little attention has been paid to workers’ expectations of their future Social Security benefits. Because Social Security benefits are an important source of retirement income for most workers in many countries, future Social Security benefit expectations presumably play an important role in their consumption, saving, labor supply, and portfolio investment decisions. This article surveys the literature relating to these expectations and presents evidence of workers’ expectations of future Social Security benefits in Canada, Ireland, and the United States. In all three countries, with differing systems of financing and differing politics concerning the programs, surveys find a surprising degree of pessimism and lack of trust in Social Security programs. Although rhetoric in the United States about Social Security being “broken” may be part of the explanation there, such rhetoric is not present in Canada and Ireland.


2015 ◽  
Vol 8 (11) ◽  
pp. 139 ◽  
Author(s):  
Priscilla Samantha Den Besten ◽  
Georgios Georgakopoulos ◽  
Konstantinos Z. Vasileiou ◽  
Nikolaos Ereiotis

<p>The worldwide adoption of International Financial Reporting Standards (IFRS) is affecting many countries around the globe as it has become widely spread. Since 2007 the United States (US) allows foreign issuers to voluntarily adopt IFRS. This paper investigates the effect of IFRS adoption on earnings quality after voluntary IFRS adoption was allowed to foreign issuers in the US. More precisely, the discretionary accruals and the small positive earnings are tested for a sample of foreign issuers in the US that are registered and reporting with the SEC, comparing a pre-period from 2002 to 2006 with a post-period from 2008 to 2011. The results from the difference-in-differences regression analysis suggest that in terms of discretionary accruals there is no statistical difference between the pre-IFRS and the post-IFRS period, therefore the earnings quality remains the same. For small positive earnings it is found that, when foreign issuers incorporate IFRS, these are lower, indicating higher earnings quality.</p>


2020 ◽  
pp. 32-43
Author(s):  
Karla Liliana HARO-ZEA ◽  
Karla CONTRERAS-ALCÁNTARA

The purpose of this research is to study if there is sustainable development from remittances sent to families in Puebla and Guerrero, Mexico; since remittances represent a fundamental income for families in places with high migratory intensity, hence the importance of carrying out this research. In this research, income from remittances received by families from Puebla and Guerrero was studied, as well as the difference with respect to gender and place of origin. It is an exploratory, descriptive, explanatory and transversal research. The sample was not probabilistic by 50 people in each state, so the sample is a total of 100 people. To collect the data, an instrument was applied to measure the impact of the news received, its use and benefit. The results showed that 33% of relatives of migrants based in the United States of America managed to start a business based on remittances received in Puebla and Guerrero, and there was a greater entrepreneurial spirit on the part of women. Therefore, it can be said that for Mexican migrants and their families, a route to sustainability is the sending of remittances through investment.


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