Inequality in South Africa

Post-apartheid South Africa inherited one of the most unequal societies in the world in 1994 and inequality has featured prominently as a key socio-economic and policy challenge over the post-apartheid period. Yet, despite policy interventions aimed at reducing inequality, these high levels of inequality remain in place. Such persistence demands a better understanding of the mechanisms that reproduce and create inequalities. We start by consolidating the extensive research on South Africa’s income inequality and the emerging literature on wealth inequality. We go on to explore the interactions between these economic inequalities, spatial inequality and two key categorical inequalities, gender and race. These inequalities work collectively to stifle opportunity and agency in contemporary South Africa. We show this through the lens of recent work on social mobility that highlights very low levels of social mobility and the precariousness of upward mobility. We conclude by reviewing policies to overcome inequality against this prevailing reality. Some of these policies have addressed important drivers of inequality, but in isolation. This chapter has shown that such an approach will have limited effectiveness. A coherent, integrated approach is required. Derivatively, there is an urgent need for further interdisciplinary research on how to break these inequality traps.

Which Risks to Health Matter Most?

This chapter addresses how to prioritize public health policies. Public health interventions need to be justifiable to individuals, but designing approaches to prioritization that are adequately justifiable to individuals can be extremely difficult. One tool for clarifying the problem, which has been widely explored in the philosophical literature, is the idea of a claim—where the strength of an individual’s claim depends on features such as how badly off they are, their capacity to benefit, the time at which their need arises, and whether the bad that will befall them is certain or merely possible. The chapter argues that it is mistaken to think that there is a single and uniquely correct way of measuring claims. Approaches to prioritization need to be pluralistic, and need to reflect on the measures most appropriate for a particular policy challenge.

Health Policy Challenge for Breast Cancer Prevention: A Case Report

Breast cancer early diagnosis increases treatment chances, and self-examination is one of the commonest screening methods employed by women. The case of a 24-year-old Iranian woman with a history of mild mental retardation and chest pain was reported. A large lump was detected in the breast during visitation to the surgical clinic. The parents stated the lump was noticed due to a shape change in the clothes covering the patient's chest area. Therefore, the patient had mastectomy surgery after a biopsy and a malignant breast lump was confirmed. The registration and identification of people with mental disorder histories or various mental retardation degrees in each region's health centers to periodically assess their breast health tend to reduce the risk of late breast cancer detection in women.

Contracting out Rules for Family Income Sharing Arrangements: Providing Certainty and Protecting the Vulnerable

Despite equal division of assets at the end of a relationship, residual economic disparity often remains. This is especially common when one partner has left the workforce to care for children. Addressing such divergent economic prospects at the end of long-term relationships has been a perennial policy challenge. In 2019, the Law Commission completed its review of the Property (Relationships) Act 1976 (PRA). The Commission recommended replacing the current economic disparity compensation and maintenance regimes with an income pooling mechanism: Family Income Sharing Arrangements (FISAs). It also recommended that couples be able to contract out of FISAs. This article explores the rationale for changing the current regime and the conceptual underpinnings of the proposed FISA regime, using human capital as a framework. The article proposes a detailed policy regime for FISA contracting out. The proposed rules consider the needs of couples with children, where a partner has left the labour force, or where lived reality has not met the couple's ex ante expectations. The resulting rules meet the policy goal of allowing couples to contract out of FISAs, but only where their contract causes no hardship. Additional disclosure is also recommended for contracting out of the other provisions of the PRA, with greater deference recommended for such private arrangements as a result.

Who Is Paying for Carbon Dioxide Removal? Designing Policy Instruments for Mobilizing Negative Emissions Technologies

Carbon dioxide removal (CDR) poses a significant and complex public policy challenge in the long-term. Presently treated as a marginal aspect of climate policy, addressing CDR as a public good is quickly becoming essential for limiting warming to well below 2 or 1.5°C by achieving net-zero emissions in time – including by mobilization of public and private finance. In this policy and practice review, we develop six functions jointly needed for policy mixes mobilizing CDR in a manner compatible with the Paris Agreement's objectives. We discuss the emerging CDR financing efforts in light of these functions, and we chart a path to a meaningful long-term structuring of policies and financing instruments. CDR characteristics point to the need for up-front capital, continuous funding for scaling, and long-term operating funding streams, as well as differentiation based on permanence of storage and should influence the design of policy instruments. Transparency and early public deliberation are essential for charting a politically stable course of action on CDR, while specific policy designs are being developed in a way that ensures effectiveness, prevents rent-seeking at public expense, and allows for iterative course corrections. We propose a stepwise approach whereby various CDR approaches initially need differentiated treatment based on their differing maturity and cost through R&D pilot activity subsidies. In the longer term, CDR increasingly ought to be funded through mitigation results-oriented financing and included in broader policy instruments. We conclude that CDR needs to become a regularly-provided public service like public waste management has become over the last century.

Economics of Water Security in India: Need for Strengthening Natural Capital

Water security forms the basis for achieving multi-dimensional poverty alleviation. Water security is necessary for moving toward sustainable development. It reduces poverty and improves quality of life. Achieving water security is increasingly becoming a policy challenge in most of the developing countries like India. Water security is a comprehensive concept that comprises access to quantity and quality for different users and uses, ensuring environmental, economic, and social sustainability in the long run. It needs to be achieved at different scales (i.e., household, regional, and national levels). This calls for an integrated approach incorporating hydrological, socioeconomic, and ecosystem aspects. Water resources accounting is critical for ensuring water security. Resource accounting helps in identifying efficient and optimum allocation of resources to various components of water security. Integrating the costs of strengthening the natural resource base and environmental externalities is likely to help sustaining services in the long run. Integrating the economics of protecting the natural resource base into the planning and designing of service delivery is critical in this regard.