Nutrition Economics: Principles and Policy Applications establishes the core criteria for consideration as new policies and regulations are developed, including application-based principles that ensure practical, effective implementation of policy. From the economic contribution of nutrition on quality of life, to the costs of malnutrition on society from both an individual and governmental level, this book guides the reader through the factors that can determine the success or failure of a nutrition policy. Written by an expert in policy development, and incorporating an encompassing view of the factors that impact nutrition from an economic standpoint (and their resulting effects), this book is unique in its focus on guiding other professionals and those in advanced stages of study to important considerations for correct policy modeling and evaluation. As creating policy without a comprehensive understanding of the relevant contributing factors that lead to failure is not an option, this book provides a timely reference.

This book is the first to chronicle the story of Housing First (HF), a paradigm-shifting evidence-based approach to ending homelessness that began in New York City in 1992 and rapidly spread to other cities nationally and internationally. The authors report on the rise of a 'homeless industry' of shelters and transitional housing programs that the HF approach directly challenged by rejecting the usual demands of treatment, sobriety and housing readiness. Based upon principles of consumer choice, harm reduction and immediate access to permanent independent housing in the community, HF was initially greeted with skepticism and resistance from the 'industry'. However, rigorous experiments testing HF against 'usual care' produced consistent findings that the approach produced greater housing stability, lower use of drugs, and alcohol and cost savings. This evidence base, in conjunction with media accounts of HF's success, led to widespread adoption in the U.S., Canada, Western Europe, and Australia. The book traces the history of homelessness and the rapid growth of the publically funded homeless industry, an amalgam of religious and philanthropic organizations, advocacy groups, and non-profits that were insufficient to stem the tide of homelessness resulting from dramatic reductions in affordable housing in the 1980s and continuing to the present day. The authors summarize research findings on HF and include a chapter of personal stories of individuals who have experienced HF. Unique to this book is the participation of the founder of HF (Tsemberis) and well-known research on HF by the co-authors (Padgett and Henwood). Also unique is the deployment of theories-organizational, institutional and implementation-to conceptually frame the rise of HF and its wide adoption as well as the resistance that arose in some places. Highly readable yet informative and scholarly, this book addresses wider issues of innovation and systems change in social and human services.

Territories of Poverty challenges the conventional North-South geographies through which poverty scholarship is organized. Staging theoretical interventions that traverse social histories of the American welfare state and critical ethnographies of international development regimes, these essays confront how povertyis constituted as a problem. In the process, the book analyzes bureaucracies of poverty, poor people's movements, and global networks of poverty expertise, as well as more intimate modes of poverty action such as volunteerism. From post-Katrina New Orleans to Korean church missions in Africa, this book is fundamentally concerned with how poverty is territorialized. In contrast to studies concerned with locations of poverty, Territories of Poverty engages with spatial technologies of power, be they community development and counterinsurgency during the American 1960s or the unceasing anticipation of war in Beirut. Within this territorial matrix, contributors uncover dissent, rupture, and mobilization. This book helps us understand the regulation of poverty-whether by globally circulating models of fast policy or vast webs of mobile money or philanthrocapitalist foundations-as multiple terrains of struggle for justice and social transformation.

Why do some countries construct strong systems of social protection, while others leave workers exposed to market forces? In the past three decades, scholars have developed an extensive literature theorizing how hegemonic social democratic parties working in tandem with a closely-allied trade union movement constructed models of welfare capitalism. Indeed, among the most robust findings of the comparative political economy literature is the claim that the more political resources controlled by the left, the more likely a country is to have a generous, universal system of social protection. The Left Divided takes as its starting point the curious fact that, despite this conventional wisdom, very little of the world actually approximates the conditions identified by mainstream scholarship for creating universal, generous welfare states. In most countries outside of northern Europe, divisions within the left-within the labor movement, among left parties, as well as between left parties and a divided union movement-are a defining feature of politics. The Left Divided, in contrast, focuses on the far more common and deeply consequential situation where intra-left divisions shape the development of social protection. Arguing that the strength and position taken by the far left is an important and overlooked determinant of social protection outcomes, the book presents a framework for distinguishing between different types of left movements, and analyzes how the distribution of resources within the left shapes party strategies for expanding social protection in theoretically unanticipated ways. To demonstrate the counterintuitive effects of having the far-left control significant political resources, Watson combines in-depth case studies of Iberia with cross-national analysis of OECD countries and qualitative comparative analyses of other divided lefts.

For many of us, Social Security doesn't seem to be the good deal our parents enjoyed. Pensions from previous generations have either disappeared or been completely reengineered and, to make matters worse, we have just gone through the worst decade for investing since the Depression. As the 'Baby Boomer' generation reaches the age of 65, Americans are faced with the confounding problem of how to pay for a growing retired population with increasingly limited financial resources.Yet the historical evolution of these current dilemmas has been full of signs indicating that we would arrive ultimately at where we are now. In Predictable Surprise, Sylvester J. Schieber explains how retirement systems work and the implications for various generations of continuing our current course. He lays the background for the establishment of retirement programs in the United States, focusing on the beginning of employer-sponsored pensions and on Social Security. The motivations for setting up these programs decades ago still persist, despite current developments. Schieber explains how the original architecture of Social Security has changed in ways that have led to current concerns about financing and equity of the program. In contrast, he shows how Social Security has at the same time defied change to accommodate to social and economic circumstances that have evolved since its 1935 inception. Schieber discusses benefits that Social Security has delivered over time, how the system is changing before our eyes, and the costs that it has exacted from various segments of our society. Employing clear and concise language, Schieber's Predictable Surprise describes the nuances of the political economics of retirement in an approachable and applicable manner-just when we need it the most.

Inheritances are often regarded as a societal "evil, " enabling great fortunes to be passed from one generation to another, thus exacerbating wealth inequality and reducing wealth mobility. Discussions of inheritances in America bring to mind the Vanderbilts, Rockefellers, and "trust fund babies "--people who receive enough money through inheritances or gifts that they do not have any need to work during their lifetime. Though these are, of course, extreme outliers, inheritances in America have a reputation for being a way the rich keep getting richer. In Inheriting Wealth in America, Edward Wolff seeks to counter these misconceptions with data and arguments that illuminate who inherits what in the United States and what results from these wealth transfers. Using data from the Survey of Consumer Finances--a triennial survey conducted by the Federal Reserve Board that contains detailed information on household wealth, inheritances, and gifts--as well as the Panel Study of Income Dynamics and a simulation model over years 1989 to 2010, Wolff reports six major findings on the state of inheritances in America. First, wealth transfers (inheritances and gifts) accounted for less than one quarter of household wealth. However, for persons age 75 and over, the figure was about two-fifths since they have more time to receive wealth transfers. Indirect evidence, derived from the simulation model, indicates a figure closer to two-thirds at end of life - probably the best estimate. Second, despite prognostications of a coming "inheritance boom, " it has not materialized yet. Only a small (and statistically insignificant) uptick in average wealth transfers was observed over the period, and wealth transfers were actually down as a share of household wealth. Third, while wealth transfers are greater in dollar amount for richer households than poorer ones, they constitute a smaller share of the accumulated wealth of the rich. Fourth, contrary to popular belief, inheritances and gifts, on net, reduce wealth inequality rather than raising it. The rationale is that inheritances and particularly gifts typically flow from richer to poorer persons, thus lowering wealth inequality. Fifth, despite a rapid rise in income inequality, the inequality of wealth transfers shows no discernible time trend from 1989 to 2010, neither upward nor downward. Sixth, among the very wealthy, the share of wealth accounted for by wealth transfers is surprisingly low, only about a sixth, and this share has trended significantly downward over time. It is true that inheritances and gifts are unequal, with only one fifth of families receiving wealth transfers and these transfers benefitting the rich far more than the middle class and the poor. That, however, is not the whole picture of inheritances in America. Clearly-written and illuminating, this books expertly distills an abundance of data on inheritances into important takeaways for all who wonder about the current state of inheritances and gifts in the United States.

Ghana is one of only several African countries to enact legislation and earmark financing for universal health insurance coverage for its entire population. Seven years into its implementation the Ghana National Health Insurance Scheme (NHIS) has made significant progress in transitioning to universal coverage, but faces significant fiscal and coverage challenges. This study reviews Ghana's health financing system with a special emphasis on its National Health Insurance Scheme. Such an assessment is important because Ghana is often considered a global 'good practice' in terms of earmarking significant amounts of its general revenues for health insurance coverage, providing formal coverage to its vulnerable population groups, and extending coverage by transitioning its existing community health insurance schemes into a national health insurance program. In addition to the global interest in the Ghana 'model', this review is timely in view of recent critiques of the system and questions about its financial sustainability. The study is also unique in terms of evaluating Ghana's NHIS in terms of basic health system goals of health outcomes, financial protection, consumer satisfaction, equity, efficiency, and financial sustainability. The strengths and weaknesses of Ghana's health financing system are assessed on the basis of these performance goals to provide the current health policy reform baseline. The assessment is also based on several new and updated sources of information on: total health spending, inputs, outcomes, household spending, and the macro economy. It also undertakes for the first time an extensive international benchmarking analysis; assesses the financial protection/equity of the system at both macro and micro levels; and, contains an extensive fiscal space analysis based on Ghana's new macroeconomic realities (i.e., the revaluation of Ghana's Gross Domestic Product (GDP) upward by some 60 percent in November 2010, making Ghana a lower middle income country). The study concludes with an assessment of potential structural and operational reform options to assure NHISs long-term efficacy and sustainability in the context of its future available fiscal space.

"In Caring for Our Own, Sandra Levitsky has written a moving and perceptive account of the dilemma facing those who provide care for frail family members. Based on in-depth interviews and participant observation with family caregivers and the social workers that attempt to ameliorate their burden, this book uncovers the complex ideological and political factors that have made long term care the neglected stepchild of the welfare state in the United States."-Jill Quadagno, Mildred and Claude Pepper Eminent Scholar in Social Gerontology, Florida State University Aging populations and dramatic changes in health care provision, household structure, and women's labor force participation over the last half century have created what many observers have dubbed a "crisis in care": demand for care of the old and infirm is rapidly growing, while the supply of private care within the family is substantially contracting. And yet, despite the well-documented adverse effects of contemporary care dilemmas on the economic security of families, the physical and mental health of family care providers, the bottom line of businesses, and the financial health of existing social welfare programs, American families have demonstrated little inclination for translating their private care problems into political demands for social policy reform. Caring for Our Own inverts an enduring question of social welfare politics. Rather than asking why the American state hasn't responded to unmet social welfare needs by expanding social entitlements, this book asks: Why don't American families view unmet social welfare needs as the basis for demands for new state entitlements? How do traditional beliefs in family responsibility for social welfare persist even in the face of well-documented unmet need? The answer, this book argues, lies in a better understanding of how individuals imagine solutions to the social welfare problems they confront and what prevents new understandings of social welfare provision from developing into political demand for alternative social arrangements. Caring for Our Own considers the powerful ways in which existing social policies shape the political imagination, reinforcing longstanding values about family responsibility, subverting grievances grounded in notions of social responsibility, and in some rare cases, constructing new models of social provision that would transcend existing ideological divisions in American social politics.

This Discussion Paper provides insights into the challenges posed by the proliferation of small arms and light weapons in West Africa, paying particular attention to the ECOWAS convention on small arms and light weapons as a collective sub-regional response to a potent threat to peace, security and development. It connects global and regional discourses on illicit arms control and provides a balanced, empirical examination of the performance of the convention. It is a useful contribution to debates on arms-proliferation control in Africa and provides well-informed recommendations of interest to scholars, peace activists, policy practitioners and strategists working on peace and security in Africa.

For decades, scholars and commentators have differentiated the US from Europe by pointing to the relative weakness of the American social welfare state. European social democracies-particularly the Nordic ones-have erected broad and deep social insurance systems to buffer the effects of the capitalist marketplace, and as consequence virtually all citizens have access to housing, health care, and transfer payments that alleviate the effects of unemployment/underemployment. In combination, these policies have made Northern European societies among the most comfortable and egalitarian in human history. In contrast, conventional wisdom holds that America's patchwork welfare state, which only grudgingly redistributes income to the least wealthy, is miserly in comparison, more wedded to free market individualism than social solidarity. In Social Democratic America, the eminent scholar Lane Kenworthy has crafted the most definitive rejoinder yet to champions of American exceptionalism. He shows that in fact, the US is well along the path toward becoming a social democratic society. Certainly, it has moved in fits and starts, and our nation's peculiar federal structure has generated a number of cumbersome solutions for delivering social insurance. But over time it has delivered, and for every step backward, policymakers have crafted and passed policies that have moved the nation two steps forward toward social democracy. Built in bits and pieces, the modern US welfare state, while still less encompassing than European counterparts, is not only massive but expanding its reach. The evidence, which has accumulated over three quarters of a century, is now overwhelming: Social Security, national unemployment insurance, AFDC (later replaced by TANF), Medicare and Medicaid, the Earned Income Tax Credit, and-most recently-the Affordable Care Act (Obamacare). What's more, almost every conservative effort to undo these programs has failed ignominiously. Along with tracing the evolution of the American social welfare state, Kenworthy stresses throughout that America is bending ever further toward a social democratic path. This is a difficult argument to make for two reasons. First, Americans are deeply invested in the idea of American exceptionalism, Second, Republican policy successes in the 1980s and 2000s reinforced the notion that America is at base a center-right nation, inhospitable to European-style social insurance schemes. The combination of Obama's first-term legislative successes and his recent re-election has caused observers to think twice about these arguments, but Kenworthy shows that this is only the tip of the iceberg. Drawing from his unparalleled knowledge of social policy in the advanced industrial world, he shows how the US has been (and continues to be) progressing slowly but steadily toward a clear endpoint: genuine social democracy. Social Democratic America will attract a great deal of criticism, but even the most incorrigible doubters will have to take stock of his powerful and well-substantiated thesis.

Comprehensive reform of China s pension and social security system is an essential element of achieving its objectives of a harmonious society and sustainable development. Over the past few years, the Government has considered various options and initiated several significant measures. In 2009 the authorities established a national framework for rural pensions, the Rural Pension Pilot Program (RPPP) and in 2011 a Pilot Social Pension Insurance for Urban Residents announced. In this process, it has articulated principles for a reformed urban pension system (indicated by 12 Chinese characters ) which are broad coverage, protects at the basic level, is multi-layered, and sustainable while the principles for the rural system (indicated by 12 characters ) are broad coverage, protects at the basic level, flexible, and sustainable. These principles underpin the commitments made at the 17th Party Congress towards a comprehensive and integrated social security system by 2020. Although substantial reforms of the pension system have been undertaken over the past two decades, some policymakers have suggested that additional reforms are needed to meet the needs of China s rapidly changing economy and society. Issues such as legacy costs, system fragmentation and limited coverage have not been fully addressed. At the same time, many new challenges have emerged such as rapid urbanization, increased income inequality and urban-rural disparities, greater informalization of the labor force, changes in family structure, and the effects of increased globalization. This report has been prepared at the request of the Ministry of Finance to develop a medium term vision of a holistic framework that could be realized by 2040 for strengthening old age income protection in China which is consistent with the principles outlined in the 12 characters and design options towards achieving it. The main body of this report outlines this vision summarizing the key features of a proposed medium-term pension system while the annexes provide the deeper analysis and context which underpins the recommendations contained herein."

Reg Pengelly has gained considerable experience of managing arrangements to safeguard children in both the police service and the NHS. This short and practical guide has been written for the benefit of all managers who are either directly responsible for safeguarding children or whose organisations provide services that children use. The book will be especially useful to managers working for the growing number of private sector providers who may be commissioned by public organisations and who by dint of their contractual obligations are under a duty to safeguard and promote the welfare of children.

In nearly every industrialized country, large aging populations and increased life expectancy have placed enormous pressure on social security programs--and, until recently, the pressure has been compounded by a trend toward retirement at an earlier age. With a larger fraction of the population receiving benefits, in coming decades social security in many countries may have to be reformed in order to remain financially viable.
This volume offers a cross-country analysis of the effects of disability insurance programs on labor force participation by older workers. Drawing on measures of health that are comparable across countries, the authors explore the extent to which differences in the labor force are determined by disability insurance programs and to what extent disability insurance reforms are prompted by the circumstances of a country's elderly population.

Congress, through the U.S. Department of Veterans Affairs (VA), provides a variety of benefits and services to veterans and to certain members of their families. These benefits include disability compensation and pensions, education benefits, survivor benefits, medical treatment, life insurance, vocational rehabilitation, and burial and memorial benefits. In order to receive these benefits, a veteran (or an eligible family member) must apply for them by submitting the necessary information to a local VA office. The local VA office will make an initial determination on the application for benefits. Any veteran who is not satisfied with the local VA's determination is permitted to appeal the decision. This book provides a step-by-step breakdown of the appeal process for veterans' claims.

The Welfare and Retirement Fund of the United Mine Workers of America (UMWA) is widely acknowledged as the most innovative effort at group health care in the United States in the twentieth century. Ivana Krajcinovic describes the establishment, operation, and demise of the Fund that brought mining families from the backwater to the forefront of medical care in less than a decade. Krajcinovic analyzes the success of the Fund over nearly three decades in providing high-quality cost-effective care to miners and their families. She also explains the irony of its dismantlement at the very moment when its innovations gained currency among mainstream commercial plans.

The Patient Protection and Affordable Care Act signed by President Obama in March 2010 is a landmark in U.S. social legislation, and the Supreme Court's recent decision upholding the Act has ensured that it will remain the law of the land. The new law extends health insurance to nearly all Americans, fulfilling a century-long quest and bringing the United States to parity with other industrial nations. Affordable Care aims to control rapidly rising health care costs and promises to make the United States more equal, reversing four decades of rising disparities between the very rich and everyone else. Millions of people of modest means will gain new benefits and protections from insurance company abuses - and the tab will be paid by privileged corporations and the very rich. How did such a bold reform effort pass in a polity wracked by partisan divisions and intense lobbying by special interests? What does Affordable Care mean-and what comes next? In this updated edition of Health Care Reform and American Politics: What Everyone Needs to Know (R), Lawrence R. Jacobs and Theda Skocpol-two of the nation's leading experts on politics and health care policy-provide a concise and accessible overview. They explain the political battles of 2009 and 2010, highlighting White House strategies, the deals Democrats cut with interest groups, and the impact of agitation by Tea Partiers and progressives. Jacobs and Skocpol spell out what the new law can do for everyday Americans, what it will cost, and who will pay. In a new section, they also analyze the impact the Supreme Court ruling that upheld the law. Above all, they explain what comes next, as critical yet often behind-the-scenes battles rage over implementing reform nationally and in the fifty states. Affordable Care still faces challenges at the state level despite the Court ruling. But, like Social Security and Medicare, it could also gain strength and popularity as the majority of Americans learn what it can do for them.