A unique historical review that traces health spending from ancient times to the present and forecasts 21st century trends. There are many histories of medicine, yet none that assess the dynamics of expenditures over decades and centuries. Economists have not yet addressed the magnitude of the transformation that occurred during the twentieth century as payments shifted from solo physician practices to health systems, nor the legacy effects of social practices accumulated over millennia that will shape health spending in the twenty-first. In Money and Medicine, Thomas E. Getzen provides a unified narrative of medical spending from ancient Egypt and Babylonia to the present day. Drawing on a wealth of historical reports, data, and documents, Getzen concentrates on a single ratio-the share of income devoted to medical care-to frame the evolutionary path of medicine, revealing an S-shaped growth curve that rose rapidly after 1900 as science made therapies more effective and more expensive, inflected as national health systems coalesced and rates of expansion peaked in the 1960s, then decelerated after 1975. International trends in forty-three countries are graphically illustrated with analysis supporting a parsimonious financial model. Significant lags are seen between medical innovation or macroeconomic shocks and the corresponding changes in national health expenditures. Getzen explains inertial responses to the 2008 financial crisis and Covid-19 recession, provides a method for projecting trends over the next fifty years, and suggests why spending is so much higher in the United States than other countries. As rising costs and unequal distribution of medical care have created a sense of crisis in many countries, Money and Medicine shows that we must look beyond the last few years to craft sensible solutions.

This book assesses Ecological Migration and Precision Poverty Alleviation Measures, based on research conducted in Ningxia. "Resettling residents currently living in poor areas" is an important measure for "precise poverty alleviation." China's central government has provided extraordinary support for these areas, so as to help with "removing poverty nests," "changing poverty industries," and "pulling out the roots of poverty."This book is mainly based on research conducted in Ningxia, one of the earliest areas in China to achieve poverty alleviation and development through immigration and relocation. Since the Twelfth Five-Year Plan, Ningxia's ecological migration has been integrated into the process of new urbanization and industrialization. Poverty alleviation and relocation not only involves regional transfer, industrial transformation, and changes in livelihood, but also the social adaptation and integration of migrant groups. In addition to examining these aspects, the book shares stories of how impoverished individuals have succeeded in changing their fates.

Extensive welfare, law, and policy reforms characterized the making and unmaking of Keynesian states in the 20th century. This collection highlights the gendered nature of these regulatory shifts and, specifically, the roles played by women - as reformers, welfare workers, and welfare recipients - in the historical development of welfare states. The contributors are leading feminist socio-legal scholars from a range of disciplines in the US, Canada, and Israel. Collectively, their analyses of women, law, and poverty speak to long-standing and ongoing feminist concerns: the importance of historically informed research, the relevance of women's agency and resistance to the experience of inequality and injustice, the specificity of the experience of poor women and poor mothers, the implications of changes to social policy, and the possibilities for social change. Such analyses are particularly timely as the devastation of neo-liberalism becomes increasingly obvious. The current world crisis of capitalism is a defining moment for liberal states - a global catastrophe that concomitantly creates a window of opportunity for critical scholars and activists to reframe debates about social welfare, work, and equality, and to reinsert the discourse of social justice into the public consciousness and political agenda of liberal democracies. (Series: Onati International Series in Law and Society)

Like many countries in the world, India is mired in bureaucratic rigidities and hierarchical structures of exploitation and oppression, leading to a well-known problem of clogged pipes in the complex system of public welfare services. It is widely recognised that this clogged system requires innovative intervention, via transparent policies that are able to avoid political capture. This book reports on three overlapping pilot schemes in Madhya Pradesh and Delhi, including a special project in tribal villages, in which over 6,000 people were provided with a modest basic income paid monthly over 18 months. The project was funded by UNICEF and UNDP and implemented by SEWA (The Indian Self-Employed Women's Association). Written by Guy Standing who designed the pilot schemes and Renana Jhabvala, the head of SEWA, who implemented them, the book examines the effects of these pilot schemes at the individual, family and local economy levels. The pilots are discussed in the context of the new Food Security Act, the government's job guarantee plan, MGNREGA, and ongoing debate over the efficacy of the Public Distribution System and its ration shops disbursing rice, wheat, sugar and kerosene.The authors look at a number of alternative options for addressing rural poverty, including subsidies, targeting, selectivity and conditionality, contrasting them with the basic income model. They argue that the provision of basic incomes not only provides economic security but has many knock-on effects, allowing families to escape the debt trap, enrich food consumption and unlock constraints to schooling and healthcare. Above all it may enable individuals, including women, the disabled, the elderly and those in excluded castes or tribes, to engage more effectively in wider society.

Family-based service (FBS) programs have been developing rapidly across the country at a time of increasingly scarce human resources and in a politically volatile climate. Such a context has made evaluation of such programs imperative. The present volume reviews basic elements of evaluation in the light of current knowledge and then highlights the most useful research instruments for measuring changes in child and family functioning. Chapters focus on evaluation methods that can be employed to determine the success of existing policy and to influence the development of new policy. The authors assume that their readers will have a basic familiarity with research methods and program evaluation. They discuss the challenges they have encountered in conducting extensive research on family preservation, family support. and other related programs and pose practical solutions for administrators, practitioners, and evaluators confronted with similar difficult issues. Each chapter presents a brief conceptual framework for understanding issues related to assessment. Essential elements are reviewed, while research design, measurement variables, and qualitative and quantitative analyses are discussed in turn. The book concludes with a review of the limitations of evaluations.

LONGLISTED FOR A PEN/FAULKNER AWARD, 2020 A dazzling tribute to the resilience and determination of a remarkable community of women In the sprawling Bangalore slum of Heaven, five girls - Muslim, Christian and Hindu; gay and straight - form an unbreakable bond. These are girls who refuse to be silenced, no matter how much their city would like to forget they exist. But now Heaven is threatened by government bulldozers, and the friends must come together to protect the close-knit, vibrant community they call home. Sparkling with passion and courage and laced with humour, this is the story of five unforgettable young women and their fierce determination, not only to survive, but to triumph.

This book studies the recent legacy of basti "evictions" in Delhi-mass clearings of some of the city's poorest neighborhoods as a way to understand how the urban poor are disenfranchised in the name of "public interest" and, in the case of Delhi, by the very courts meant to empower and protect them. Studying bastis, says Gautam Bhan, provokes six clear lines of inquiry applicable to studies of urbanism across the global south. The first is the long-standing debate over urban informality and illegality: the debate's impact on conceptions and practices of urban planning, the production of space, and the regulation of value. The second is a set of debates on "good governance," read through their intersections with ideas of "planned development" within rapidly transforming cities. The third is the political field of urban citizenship and the possibilities of substantive rights and belonging in the city. The fourth is resistance and the ability of a city's subaltern residents to struggle against exclusion. The two remaining inquiries both cut across and unify the first four. One of these is the role of the judiciary and the relationships between law and urbanism in cities of the global south. The other is the relationship between democracy and inequality in the city. What emerges about Delhi in particular is a multilayered double standard in attention to, and enforcement of, property laws. Rights are lost, citizenship is unequal and differentiated, the promise of development is refused, and poverty and inequality are reproduced and deepened. The task at hand, says Bhan, is not just to explain evictions but also to listen to what they are telling us about "the city that is as well as the city that can be."

This comprehensive and carefully organized collection provides an overview of the relationship between gender and economic stratification in seven industrialized countries. Everywhere, as a Polish commentator notes, `men have too much power, and women too much work.' Nevertheless, these studies reveal large differences in the circumstances of women in different countries and help to illuminate the several developments in the labor market, the family, and public policy which explain the extreme feminization of poverty in the United States. Frances Fox Piven, City University of New York Lucid, careful, and systematic, the book builds a compelling explanation for the needless impoverishment experienced by millions of American women and offers a sensible, realistic agenda for its reduction. Michael B. Katz, University of Pennsylvania This study asks whether the feminization of poverty, the tendency of women and their families to become the majority of the poor, is unique to the United States, where the phenomenon was first discovered. Seven industrialized nations, both capitalist and socialist, with different degrees of commitment to social welfare are compared: Canada, Japan, France, Sweden, Poland, the Soviet Union, and the United States. In each of the countries the authors analyze information about women, labor market conditions, equalization policies, social welfare programs, and demographic variables such as the rates of divorce and single parenthood. According to Goldberg and Kremen, it is possible to predict the feminization of poverty when three conditions are present: (1) insufficient efforts to reduce work place and wage inequities for women; (2) the absence or ineffectiveness of social welfare programs which can redress the cost, both economic and personal, of the dual role that women have assumed in industrialized societies; and (3) the presence of increasing rates of divorce and single motherhood. An array of labor market and social welfare programs in use in the six other industrialized nations are then reviewed by the authors for possible adaptation in the United States. This important work will be a valuable resource for scholars across the academic and professional disciplines of political science, sociology, economics, social work, and women's studies.

This book provides a novel approach to unemployment as a contested political field in Europe and examines the impact of welfare state regimes, conceived as political opportunity structures specific to this field, public debates and collective mobilizations in unemployment politics.

South Africa has one of the highest rates of youth unemployment and is renowned for being one of the most unequal societies in the world. In this context, training and education play critical roles in helping young people escape poverty and unemployment. Post-school Education offers insights about the way in which young people in South Africa navigate their way through a host of post-school training and education options. The topics range from access to, and labour market transitions from, vocational education, adult education, universities, and workplace-based training. The individual chapters offer up-to-date analyses, identify some of the challenges that young people face when accessing training and education and also point to gaps between education and the labour market. The contributors are all experts in their respective components but write with a holistic view of the post-school education system, using an unashamedly empirical lens. Post-school Education will be of interest to all researchers and policymakers concerned with the transformative role of further education and training in society.

The current economic crisis has presented itself as a formidable challenge to the welfare states of Europe. It is more relevant than ever to ask: do existing minimum income protection schemes succeed in adequately protecting citizens, be it whether they are excluded from work, working, retired, or having children? Drawing on in-depth and up-to-date institutional data from across Europe and the US, this volume details the reality of minimum income protection policies over time. Including contributions from leading scholars in the field, each chapter provides a systematic cross-national analysis of minimum income protection policies, developing concrete policy guidance on an issue at the heart of the European debate.

Understanding the nexus between employment, living standards and poverty is a major challenge in Indonesia. Trends in poverty are heavily dependent on labour market opportunities and social spending in education and health. The question is how to create opportunities and spend money wisely - a subject of intense debate in Indonesia. The government has brought a renewed focus to poverty reduction since the end of the Asian financial crisis, especially under the current president, Susilo Bambang Yudhoyono. This book shows how Indonesia is travelling with regard to employment, social policy and poverty. It identifies promising new directions for strategies to alleviate poverty, some of which are already showing results.

In her extraordinary bestseller, Adrian Nicole LeBlanc immerses readers in the intricacies of the ghetto, revealing the true sagas lurking behind the headlines of gangsta glamour, gold-drenched drug dealers, and street-corner society. Focusing on two romances--Jessica's dizzying infatuation with a hugely successful young heroin dealer, Boy George, and Coco's first love with Jessica's little brother, Cesar--"Random Family" is the story of young people trying to outrun their destinies. Jessica and Boy George ride the wild adventure between riches and ruin, while Coco and Cesar stick closer to the street, all four caught in a precarious dance between survival and death. Friends get murdered; the DEA and FBI investigate Boy George; Cesar becomes a fugitive; Jessica and Coco endure homelessness, betrayal, the heartbreaking separation of prison, and, throughout it all, the insidious damage of poverty.
Charting the tumultuous cycle of the generations--as girls become mothers, boys become criminals, and hope struggles against deprivation--LeBlanc slips behind the cold statistics and sensationalism and comes back with a riveting, haunting, and true story.

While recent Labour and coalition governments have insisted that many unemployed people prefer state benefits to a job, and have tightened the rules attached to claiming unemployment benefits, mainstream academic research repeatedly concludes that only a tiny minority of unemployed benefit claimants are not strongly committed to employment. Andrew Dunn argues that the discrepancy can be explained by UK social policy academia leaving important questions unanswered. Dunn presents findings from four empirical studies which, in contrast to earlier research, focused on unemployed people's attitudes towards unattractive jobs and included interviews with people in welfare-to-work organisations. All four studies' findings were consistent with the view that many unemployed benefit claimants prefer living on benefits to undertaking jobs which would increase their income, but which they find unattractive. Thus, the studies gave support to politicians' view about the need to tighten benefit rules.

This volume looks at the three dimensions of social exclusion: economic, social and political. Exclusion is analyzed as a new approach to such issues as the "new" poverty, precariousness, long-term unemployment, social polarization and lack of citizenship. The book shows how relational and distributional aspects of poverty are interlinked.

Affluent Seattle has one of the highest numbers of unhoused people in the United States. In 2021 an estimated 40,800 people experienced homelessness in Seattle and King County during the year, not counting the significant number of "hidden" homeless people doubled up with friends or living in and out of cheap hotels. In Skid Road Josephine Ensign uncovers the stories of overlooked and long-silenced people who have lived on the margins of society throughout Seattle's history. How, Ensign asks, has a large, socially progressive city like Seattle responded to the health and social needs of people marginalized by poverty, mental illness, addiction, racial/ethnic/sexual identities, and homelessness? Through extensive historical research, Ensign pieces together the lives and deaths of those not included in official histories of the city. Drawing on interviews, she also shares a diversity of voices within contemporary health and social care and public policy debates. Ensign explores the tensions between caregiving and oppression, as well as charity and solidarity, that polarize perspectives on homelessness throughout the country.

A volume in Research on Hispanic and Latino Business Series Editors Michael William Mulnix and Esther Elena Lopez-Mulnix More than one in every five Latin Americans lives on less than $2 a day, and Latin America is the most unequal region in the world. The book tackles the problem of poverty and inequality in Latin America through the novel approach of using the decentralization of government functions to satisfy the basic needs of the poor. Decentralization can bring government closer to the people and strengthen the voice of the voiceless. Satisfying basic needs for services such as education and health care enhances productivity and imparts an indispensable opportunity to earn an income sufficient to emerge from poverty and to live a full life. Part 1 describes the poverty and inequality of Latin America and the Basic Needs Approach to Development. Part 2 introduces a model of decentralization as a step-by-step process, and it shows the policymaker how to implement decentralization in stages through matching its various degrees with real-world circumstances. Part 3 enriches the understanding of policymakers by analyzing real-world cases of decentralization in light of the decentralization model. The second edition includes two new chapters that cover the important but often neglected topic of taxation for inclusive development. Chapter 8 analyzes the influential tax advice of the World Bank in terms of its effect on decentralization and the satisfaction of basic needs. Appendix B of Chapter 8 presents an empirical analysis in support of the chapter's argument that the Bank's policy is in need of revision. Chapter 9 analyzes the effects of the World Bank's tax advice on El Salvador's tax reform and development process. Two other chapters have been extensively updated: Chapter 6 records and analyzes the rapid evolution of Mexico's Oportunidades program for health, education and nutrition, and Chapter 10 evaluates the progress of the United States' innovative program for foreign aid, The Millennium Challenge Account. Throughout the book, tables and references have been updated.

The stated aim of much development assistance is the reduction of poverty. This book examines how development interventions might be more effectively targeted to achieve this aim. Part One provides an overview of planning for poverty reduction, and evidence on the extent and causes of poverty. Part Two examines participatory approaches to development planning. Part Three assesses macro-economic strategies and programs for poverty reduction. Part Four concludes with a microeconomic analysis of the distribution of benefits from investment projects.

"Racism is like a Cadillac, they bring out a new model every year." - Malcolm X (a former auto worker) Written in a lively, accessible fashion and drawing extensively on interviews with people who were formerly incarcerated, Cars and Jails examines how the costs of car ownership and use are deeply enmeshed with the U.S. prison system. American consumer lore has long held the automobile to be a "freedom machine," consecrating the mobility of a free people. Yet, paradoxically, the car also functions at the cross-roads of two great systems of entrapment and immobility- the American debt economy and the carceral state. Cars and Jails investigates this paradox, showing how auto debt, traffic fines, over-policing, and automated surveillance systems work in tandem to entrap and criminalize poor people. The authors describe how racialization and poverty take their toll on populations with no alternative, in a country poorly served by public transport, to taking out loans for cars and exposing themselves to predatory and often racist policing. Looking skeptically at the frothy promises of the "mobility revolution," Livingston and Ross close with thought-provoking ideas for a radical overhaul of transportation.

This open access book presents the findings of the author's 3 decades of studying China's evolving anti-poverty strategies. It argues that much of the billions that nations spend yearly on economic aid is used inefficiently or to treat the symptoms but not the root causes of poverty. China, however, has evolved an effective sustainable alternative by providing the means for self-reliance to not only relieve economic poverty but also poverty of spirit. As a result, the success of China's historic war on poverty has been due not only to top-down visionary leadership but also to the bottom-up initiatives of an empowered populace unswervingly united in ending poverty. From 1993 to 2019, the author drove over 200,000 km around China and interviewed hundreds of people from all walks of life as he explored the evolution of China's anti-poverty strategies from simplistic aid and redistribution, which often engendered dependency and poverty of spirit. Over time, the philosophy shifted to empowerment by fostering self-reliance-or as Chinese put it, "blood production rather than blood transfusion." The primary method of empowerment was to provide modern infrastructure, "Roads first, then riches," so rural dwellers in remote Inner Mongolia or the Himalayan heights of Tibet had the same access to markets, jobs and internet for e-commerce as their urban counterparts. People who seized the opportunities and prospered first then used their newfound wealth and experience to help others. The stories in this book include a Tibetan entrepreneur whose family was impoverished in spite of 300 years of service to the Panchen Lama, or the farm girl with 4 years of education who now has several international schools, a biotechnology company and poverty alleviation projects across China, or the photographer who walked 40,000 km through deserts to chronicle the threat of desertification. Their tales underscore how diverse people across China helped make possible China's success in alleviating absolute poverty and why Chinese are now confident in achieving a "moderately prosperous society."