scholarly journals Trade and the Topography of the Spatial Economy *

2014 ◽  
Vol 129 (3) ◽  
pp. 1085-1140 ◽  
Author(s):  
Treb Allen ◽  
Costas Arkolakis

Abstract We develop a general equilibrium framework to determine the spatial distribution of economic activity on any surface with (nearly) any geography. Combining the gravity structure of trade with labor mobility, we provide conditions for the existence, uniqueness, and stability of a spatial economic equilibrium and derive a simple set of equations that govern the relationship between economic activity and the geography of the surface. We then use the framework to estimate the topography of trade costs, productivities and amenities in the United States. We find that geographic location accounts for at least twenty percent of the spatial variation in U.S. income. Finally, we calculate that the construction of the interstate highway system increased welfare by 1.1 to 1.4 percent, which is substantially larger than its cost.

Author(s):  
Gregory Marinic ◽  
◽  
Zeke Leonard ◽  

It has been over fifty years since the beginning of the decline of the American industrial city. After World War II, urban life in the United States began to fracture along social, economic, and demographic lines. The rise of the interstate highway system facilitated the simultaneous collapse of downtown retail districts; advancing urban decay stood in marked contrast to a thriving, homogeneous, trans-continental suburban culture. Today, widespread obsolescence has catalyzed and accelerated to embody the future of shrinking cities in the RustBelt.


Author(s):  
Emi Minejima ◽  
Annie Wong-Beringer

Abstract Background Socioeconomic status (SES) is a complex variable that is derived primarily from an individual’s education, income, and occupation and has been found to be inversely related to outcomes of health conditions. Sepsis is the sixth most common admitting diagnosis and one of the most costly conditions for in-hospital spending in the United States. The objective of this review is to report on the relationship between SES and sepsis incidence and associated outcomes. Content Sepsis epidemiology varies when explored by race, education, geographic location, income, and insurance status. Sepsis incidence was significantly increased in individuals of Black race compared with non-Hispanic white race; in persons who have less formal education, who lack insurance, and who have low income; and in certain US regions. People with low SES are likely to have onset of sepsis significantly earlier in life and to have poorly controlled comorbidities compared with those with higher SES. Sepsis mortality and hospital readmission is increased in individuals who lack insurance, who reside in low-income or medically underserved areas, who live far from healthcare, and who lack higher level education; however, a person’s race was not consistently found to increase mortality. Summary Interventions to minimize healthcare disparity for individuals with low SES should target sepsis prevention with increasing measures for preventive care for chronic conditions. Significant barriers described for access to care by people with low SES include cost, transportation, poor health literacy, and lack of a social network. Future studies should include polysocial risk scores that are consistently defined to allow for meaningful comparison across studies.


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