The U.S Health Care Paradox: How Spending More is Getting Us Less

Size: px
Start display at page:

Download "The U.S Health Care Paradox: How Spending More is Getting Us Less"

Transcription

1 The U.S Health Care Paradox: How Spending More is Getting Us Less Elizabeth H. Bradley Yale School of Public Health Lauren A. Taylor Harvard Divinity School 1

2 The paradox Then there's the problem of rising cost. We spend one and a half times more per person on health care than any other country, but we aren't any healthier for it. PRESIDENT OBAMA, JOINT SESSION OF CONGRESS ON HEALTH CARE, (9/9/09) 2

3 Research objective To examine the role of social service expenditures in explaining the US health care paradox 3

4 Spending on health care 4 $5,348 $5,135 $4,886 $4,786 $4,385 $4,346 $4,317 $4,225 $3,944 $3,930 $3,911 $3,711 $3,670 $3,539 $3,379 $3,271 $3,252 $3,097 $3,035 $3,005 $2,923 $2,697 $2,524 $2,071 $2,066 $2,048 $7,990 $1,864 $1,559 $923 $913 $1,385 $1,365 $1,210 Poland Chile Mexico Turkey Estonia $9,000 $8,000 $7,000 $6,000 $5,000 $4,000 $3,000 $2,000 Per capita, US$ PPP $1,000 $0 United States Norway Switzerland Netherlands Luxembourg Denmark Austria Canada Germany Ireland France Belgium Sweden Australia Iceland United Kingdom Finland OECD Spain Japan Italy New Zealand Portugal Slovenia Israel Slovak Republic Czech Republic Korea Hungary Data downloaded from OECD.StatExtracts. Available at stats.oecd.org

5 Health outcomes US Ranking out of 34 OECD countries Maternal Mortality: 25 th Life expectancy: 26 th Low birth weight: 28 th Infant mortality: 31 st Source: OECD, Health at a Glance 2009: OECD Publishing 5

6 Total health care investment in US is less 35.0 Total Social Service Expenditures Total Health Service Expenditures France Sweden Austria Switzerland Denmark Germany Belgium Italy Finland Netherlands Portugal Hungary United States Norway Greece Spain Slovenia United Poland Luxembourg Japan New Zealand Canada Czech Australia Iceland Israel Slovak Ireland Chile Estonia Turkey Korea Mexico Expenditures as % of GDP In OECD, for every $1 spent on health care, about $2 is spent on social services In the US, for $1 spent on health care, about 55 cents is spent on social services

7 2.50 Ratio of social to health spending is different

8 Statistical analysis Using OECD pooled data from on 29 countries, multivariable regression Outcomes: 5 key health indicators Independent variable: ratio of social to health spending Adjusted for year, country, and log GDP at purchasing power parity Bradley et al., BMJ Qual and Safety

9 Findings The ratio of social to health spending was significantly associated with better health outcomes: Less infant mortality, low birth weight, premature death; longer life expectancy Non significant for maternal mortality This remained true even when the US was excluded from the analysis Bradley et al., BMJ Qual and Safety

10 Qualitative study In depth interviews and site visits with health and social care front line providers and users, selected using snowball sampling in multiple regions Continued sampling until we reached theoretical saturation, which occurred after 60 interviews at 35 organizations and agencies Audio taped and professionally transcribed; line by line review to extract recurrent themes 10

11 Recurrent themes 1. The health care sector is bearing the brunt of an inadequate social service sector. 2. Frontline personnel are stretched to respond to the concerns of service users with limited resources. 3. A more holistic approach was desired by both health care and social service providers. 4. Difficulties in establishing relationships between social services and health care have many roots. 11

12 Health care bearing the brunt It s like you have one thing and everything leads up to, uh, like a disaster, you know? In the end, well you end up in the hospital. Client, Veterans Community Center 12

13 Frontline personnel stretched I am sitting here writing a prescription [for] this person who has limited ability to afford the medication or have insight on the situation, who can t go outside because the neighborhood is unsafe and I am totally unable to do my job. Internist 13

14 More holistic approach is desired What we do is an all treaters call everyone who is involved with the person, we will sit down at the table and discuss the person, what is the best care that we can give them.we can get three or four agencies working simultaneously side by side for one person; the key is communication and cooperation because if you don t cooperate, it doesn t get you anywhere. Case manager 14

15 Many barriers to holistic care Lack of resources Differences in cultural and professional norms Data limitations Even if you got past the privacy issues, it is very hard to tie in all of the information that was useful for the hospital based provider, the outpatient based provider, and social services to be able to capture what an individual is thinking or feeling at a given point in time, to know what intervention is necessary. Radiologist 15

16 Discussion Policymakers, practitioners, and researchers might consider the role of social services in health reforms aiming to limit costs and improve health outcomes. ACOs could reward health care providers for addressing the social, not just the medical, determinants of health. Research on successful integrative models across social and health sectors is needed to guide such reforms. 16

17 Thank you The American Health Care Paradox: Why Spending More Is Getting Us Less November 5, 2013 Public Affairs Books 17

TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS. Paulo Magina Public Sector Integrity Division

TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS. Paulo Magina Public Sector Integrity Division TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS Paulo Magina Public Sector Integrity Division 10 th Public Procurement Knowledge Exchange Platform Istanbul, May 2014 The Organization for Economic

More information

Cancer Care: Chart Set.

Cancer Care: Chart Set. Cancer Care: Chart Set www.oecd.org/health/health-systems/cancer-care.htm 110 123 129 120 130 146 143 138 144 164 167 163 156 163 162 166 156 149 172 172 175 166 167 179 182 173 138 187 189 178 192 186

More information

relating to household s disposable income. A Gini Coefficient of zero indicates

relating to household s disposable income. A Gini Coefficient of zero indicates Gini Coefficient The Gini Coefficient is a measure of income inequality which is based on data relating to household s disposable income. A Gini Coefficient of zero indicates perfect income equality, whereas

More information

Preventing fraud and corruption in public procurement

Preventing fraud and corruption in public procurement Preventing fraud and corruption in public procurement CRIM, European Parliament 24 September 2012 Brussels János Bertók Head of division Public Sector Integrity OECD Data on trends in procurement Size

More information

Expenditure and Outputs in the Irish Health System: A Cross Country Comparison

Expenditure and Outputs in the Irish Health System: A Cross Country Comparison Expenditure and Outputs in the Irish Health System: A Cross Country Comparison Paul Redmond Overview This document analyzes expenditure and outputs in the Irish health system and compares Ireland to other

More information

OECD Countries Local Government Fiscal Context [DRAFT ] Hal Wolman and Diana Hincapie, George Washington Institute of Public Policy

OECD Countries Local Government Fiscal Context [DRAFT ] Hal Wolman and Diana Hincapie, George Washington Institute of Public Policy OECD Countries Local Government Fiscal Context [DRAFT 1-29-133-31-14] Hal Wolman and Diana Hincapie, George Washington Institute of Public Policy Below we present a contextual overview of local government

More information

Delegation in human resource management

Delegation in human resource management From: Government at a Glance 2009 Access the complete publication at: http://dx.doi.org/10.1787/9789264075061-en Delegation in human resource management Please cite this chapter as: OECD (2009), Delegation

More information

On What Resources and Services Is Education Funding Spent?

On What Resources and Services Is Education Funding Spent? Indicator On What Resources and Services Is Education Funding Spent? In primary, secondary and post-secondary non-tertiary education combined, current accounts for an average of 92% of total spending in

More information

41 T Korea, Rep. 52.3. 42 T Netherlands 51.4. 43 T Japan 51.1. 44 E Bulgaria 51.1. 45 T Argentina 50.8. 46 T Czech Republic 50.4. 47 T Greece 50.

41 T Korea, Rep. 52.3. 42 T Netherlands 51.4. 43 T Japan 51.1. 44 E Bulgaria 51.1. 45 T Argentina 50.8. 46 T Czech Republic 50.4. 47 T Greece 50. Overall Results Climate Change Performance Index 2012 Table 1 Rank Country Score** Partial Score Tendency Trend Level Policy 1* Rank Country Score** Partial Score Tendency Trend Level Policy 21 - Egypt***

More information

Health Care in Crisis

Health Care in Crisis Health Care in Crisis The Economic Imperative for Health Care Reform James Kvaal and Ben Furnas February 19, 2009 1 Center for American Progress Health Care in Crisis U.S. spends twice as much per capita

More information

6 Social Welfare Payments

6 Social Welfare Payments 6 Social Welfare Payments Indicator 6.1 Indicator 6.2 Unemployment Benefits Compared to Earnings (OECD countries) Unemployment Benefits Compared to Earnings in the Republic of Ireland and the United Kingdom

More information

Chile. Czech Republic

Chile. Czech Republic FIVE FAMILY FACTS AUSTRALIA... 2 AUSTRIA... 2 BELGIUM... 3 CANADA... 3 CHILE... 4 CZECH REPUBLIC... 4 DENMARK... 5 ESTONIA... 5 FINLAND... 6 FRANCE... 6 GERMANY... 7 GREECE... 7 HUNGARY... 8 ICELAND...

More information

How many students study abroad and where do they go?

How many students study abroad and where do they go? From: Education at a Glance 2012 Highlights Access the complete publication at: http://dx.doi.org/10.1787/eag_highlights-2012-en How many students study abroad and where do they go? Please cite this chapter

More information

Cross-country comparison of health care system efficiency

Cross-country comparison of health care system efficiency Cross-country comparison of health care system efficiency Isabelle Joumard, OECD, Economics Department IMF conference, June 21, 2011 Public Health Care Reforms: Challenges and Lessons for Advanced and

More information

Culture Change in the Workforce in an Aging America: Are We Making Any Progress?

Culture Change in the Workforce in an Aging America: Are We Making Any Progress? Culture Change in the Workforce in an Aging America: Are We Making Any Progress? Anne Montgomery Center for Elder Care and Advanced Illness Anne.Montgomery@altarum.org Altarum Institute integrates independent

More information

What Is the Total Public Spending on Education?

What Is the Total Public Spending on Education? What Is the Total Public Spending on Education? Indicator On average, OECD countries devote 12.9% of total public expenditure to, but values for individual countries range from less than 10% in the Czech

More information

Higher education institutions as places to integrate individual lifelong learning strategies

Higher education institutions as places to integrate individual lifelong learning strategies Higher education institutions as places to integrate individual lifelong learning strategies Andrzej Krasniewski Warsaw University of Technology Bologna Expert QUALIFICATIONS FRAMEWORKS AS INSTRUMENTS

More information

PUBLIC VS. PRIVATE HEALTH CARE IN CANADA. Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007

PUBLIC VS. PRIVATE HEALTH CARE IN CANADA. Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007 PUBLIC VS. PRIVATE HEALTH CARE IN CANADA Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007 Possible private contribution Possible private contribution in the health

More information

Hong Kong s Health Spending 1989 to 2033

Hong Kong s Health Spending 1989 to 2033 Hong Kong s Health Spending 1989 to 2033 Gabriel M Leung School of Public Health The University of Hong Kong What are Domestic Health Accounts? Methodology used to determine a territory s health expenditure

More information

LATVIA S PENSION SYSTEM: CURRENT SITUATION AND FUTURE PROSPECTS. Monika Queisser Directorate for Employment, Labour and Social Affairs, OECD

LATVIA S PENSION SYSTEM: CURRENT SITUATION AND FUTURE PROSPECTS. Monika Queisser Directorate for Employment, Labour and Social Affairs, OECD LATVIA S PENSION SYSTEM: CURRENT SITUATION AND FUTURE PROSPECTS Monika Queisser Directorate for Employment, Labour and Social Affairs, OECD Demographic challenges Major demographic trends in Latvia Declining

More information

Trends in Digitally-Enabled Trade in Services. by Maria Borga and Jennifer Koncz-Bruner

Trends in Digitally-Enabled Trade in Services. by Maria Borga and Jennifer Koncz-Bruner Trends in Digitally-Enabled Trade in Services by Maria Borga and Jennifer Koncz-Bruner Digitally-enabled are those for which digital information and communications technologies (ICT) play an important

More information

Health Care a Public or Private Good?

Health Care a Public or Private Good? Health Care a Public or Private Good? Keith Schenone December 09, 2012 Economics & Institutions MGMT 7730-SIK Thesis Health care should be treated as a public good because it is not an ordinary commodity

More information

ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT

ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT 2 OECD RECOMMENDATION OF THE COUNCIL ON THE PROTECTION OF CRITICAL INFORMATION INFRASTRUCTURES ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT The OECD is a unique forum where the governments of

More information

Foreign Taxes Paid and Foreign Source Income INTECH Global Income Managed Volatility Fund

Foreign Taxes Paid and Foreign Source Income INTECH Global Income Managed Volatility Fund Income INTECH Global Income Managed Volatility Fund Australia 0.0066 0.0375 Austria 0.0045 0.0014 Belgium 0.0461 0.0138 Bermuda 0.0000 0.0059 Canada 0.0919 0.0275 Cayman Islands 0.0000 0.0044 China 0.0000

More information

What Proportion of National Wealth Is Spent on Education?

What Proportion of National Wealth Is Spent on Education? Indicator What Proportion of National Wealth Is Spent on Education? In 2008, OECD countries spent 6.1% of their collective GDP on al institutions and this proportion exceeds 7.0% in Chile, Denmark, Iceland,

More information

Insurance corporations and pension funds in OECD countries

Insurance corporations and pension funds in OECD countries Insurance corporations and pension funds in OECD countries Massimo COLETTA (Bank of Italy) Belén ZINNI (OECD) UNECE, Expert Group on National Accounts, Geneva - 3 May 2012 Outline Motivations Insurance

More information

VULNERABILITY OF SOCIAL INSTITUTIONS

VULNERABILITY OF SOCIAL INSTITUTIONS VULNERABILITY OF SOCIAL INSTITUTIONS 2 December 2014 Paris Seminar in Demographic Economics Falilou FALL Senior Economist OECD Economics Department 1 Introduction and outline Social institutions and the

More information

PUBLIC & PRIVATE HEALTH CARE IN CANADA

PUBLIC & PRIVATE HEALTH CARE IN CANADA PUBLIC & PRIVATE HEALTH CARE IN CANADA by Norma Kozhaya, Ph.D. Economist, Montreal Economic Institute before the Canadian Pension & Benefits Institute Winnipeg - June 15, 2007 Possible private contribution

More information

Reporting practices for domestic and total debt securities

Reporting practices for domestic and total debt securities Last updated: 4 September 2015 Reporting practices for domestic and total debt securities While the BIS debt securities statistics are in principle harmonised with the recommendations in the Handbook on

More information

Civil service pension schemes. Options for reform

Civil service pension schemes. Options for reform Civil service pension schemes Options for reform World Bank Core Course on Pensions Washington, DC, March, 2014 Agenda Institutional arrangements for public-sector workers pensions Demographic pressures

More information

SWECARE FOUNDATION. Uniting the Swedish health care sector for increased international competitiveness

SWECARE FOUNDATION. Uniting the Swedish health care sector for increased international competitiveness SWECARE FOUNDATION Uniting the Swedish health care sector for increased international competitiveness SWEDEN IN BRIEF Population: approx. 9 800 000 (2015) GDP/capita: approx. EUR 43 300 (2015) Unemployment

More information

SF3.1: Marriage and divorce rates

SF3.1: Marriage and divorce rates Marriage rates Definitions and methodology SF3.1: Marriage and divorce rates The crude marriage rate is the number of marriages formed each year as a ratio to 1 000 people. This measure disregards other

More information

Going for Growth: Structural Surveillance in the OECD

Going for Growth: Structural Surveillance in the OECD Going for Growth: Structural Surveillance in the OECD OECD World Bank Conference on Innovation and Sustainable Growth in a Globalised World, Paris, 18-19 November 2008 Sven Blondal Sven Blondal, Economics

More information

World Consumer Income and Expenditure Patterns

World Consumer Income and Expenditure Patterns World Consumer Income and Expenditure Patterns 2014 14th edi tion Euromonitor International Ltd. 60-61 Britton Street, EC1M 5UX TableTypeID: 30010; ITtableID: 22914 Income Algeria Income Algeria Income

More information

Survey on Strategic Human Resource Management

Survey on Strategic Human Resource Management Survey on Strategic Human Resource Management in Central Governments of OECD countries (2010) Preliminary Results Paris, 07 November 2011 Cornelia Lercher Main focus: Background and Aim of the Survey Scope

More information

Employment by Economic Activity

Employment by Economic Activity Employment by Economic Activity Short Term Indicators of the Labour Market Employment Trends through 2nd Quarter 2013 Department of Statistics Contents Methodological Note 2 Summary of Employment Trends

More information

Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments

Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments January 20, 2015 ShadEcEurope31_January2015.doc Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments by Friedrich Schneider *)

More information

Waiting times and other barriers to health care access

Waiting times and other barriers to health care access Dr. Frank Niehaus Wissenschaftliches Institut der PKV (Scientific Research Institute of the Association of German Private Health Insurers) Waiting times and other barriers to health care access 31.8 %

More information

TABLE OF CONTENTS HIGHLIGHTS. ORGANISATIONAL AND REGIONAL TABLES OECD Total 1 OECD Americas 2 OECD Asia Oceania 3 OECD Europe 4 IEA Total 5

TABLE OF CONTENTS HIGHLIGHTS. ORGANISATIONAL AND REGIONAL TABLES OECD Total 1 OECD Americas 2 OECD Asia Oceania 3 OECD Europe 4 IEA Total 5 tember Date of publication: 15 ember 216 Monthly Electricity Statistics TABLE OF CONTENTS Page # HIGHLIGHTS i ORGANISATIONAL AND REGIONAL TABLES OECD Total 1 OECD Americas 2 OECD Asia Oceania 3 OECD Europe

More information

CO1.2: Life expectancy at birth

CO1.2: Life expectancy at birth Definitions and methodology CO1.2: at birth at birth is the average number of years a newborn can expect to live if he or she experienced the age-specific mortality rates prevalent in a particular year.

More information

Health Care Systems: An International Comparison. Strategic Policy and Research Intergovernmental Affairs May 2001

Health Care Systems: An International Comparison. Strategic Policy and Research Intergovernmental Affairs May 2001 Health Care Systems: An International Comparison Strategic Policy and Research Intergovernmental Affairs May 21 1 Most industrialized countries have established hybrid systems in which the public sector,

More information

With data up to: May 2016. Monthly Electricity Statistics

With data up to: May 2016. Monthly Electricity Statistics With data up to: 216 Monthly Electricity Statistics Date of publication: 12 ust 216 Monthly Electricity Statistics TABLE OF CONTENTS Page # HIGHLIGHTS i ORGANISATIONAL AND REGIONAL TABLES OECD Total 1

More information

Education at a Glance. OECD Indicators. Annex: UOE Data Collection Sources

Education at a Glance. OECD Indicators. Annex: UOE Data Collection Sources Education at a Glance OECD Indicators Annex: UOE Data Collection Sources UOE DATA COLLECTION National Sources 2013 UNESCO/OECD/EUROSTAT (UOE) data collection on education statistics. Australia: The Commonwealth

More information

Internationalization and higher education policy: Recent developments in Finland

Internationalization and higher education policy: Recent developments in Finland Internationalization and higher education policy: Recent developments in Finland Seminar on Cooperation between Russian and Finnish Institutions of Higher Education St Petersburg 5.-7.2.2008. Rector Anneli

More information

B Financial and Human Resources

B Financial and Human Resources Chapter B Financial and Human Resources Invested In Education Education at a Glance OECD 2011 203 chapter B Classification of al expenditure Educational expenditure in this chapter is classified through

More information

How Many Students Finish Tertiary Education?

How Many Students Finish Tertiary Education? Indicator How Many Students Finish Tertiary Education? Based on current patterns of graduation, it is estimated that an average of 46% of today s women and 31% of today s men in OECD countries will complete

More information

Health Care Systems: Efficiency and Policy Settings

Health Care Systems: Efficiency and Policy Settings Health Care Systems: Efficiency and Policy Settings Summary in English People in OECD countries are healthier than ever before, as shown by longer life expectancy and lower mortality for diseases such

More information

Current Trends & Analysis of ACBS. Completion of Accredited Courses & Recognition of Prior Learning in ACBS

Current Trends & Analysis of ACBS. Completion of Accredited Courses & Recognition of Prior Learning in ACBS 1 2 3 4 Concept & Necessity of ACBS Current Trends & Analysis of ACBS Completion of Accredited Courses & Recognition of Prior Learning in ACBS Conclusion Concept of ACBS in Korea: An educational system

More information

OECD. Indicators of Education Systems

OECD. Indicators of Education Systems OECD Indicators of Education Systems Message from the OECD Secretary-General The challenges faced by 21st century economies and societies are daunting: addressing the human and social consequences of an

More information

PERMANENT AND TEMPORARY WORKERS

PERMANENT AND TEMPORARY WORKERS PERMANENT AND TEMPORARY WORKERS Australia Permanent worker: Permanent workers are employees with paid leave entitlements in jobs or work contracts of unlimited duration, including regular workers whose

More information

9 th World Telecommunication/ICT Indicators Meeting (WTIM-11) Mauritius, 7-9 December 2011

9 th World Telecommunication/ICT Indicators Meeting (WTIM-11) Mauritius, 7-9 December 2011 9 th World Telecommunication/ICT Indicators Meeting (WTIM-11) Mauritius, 7-9 December 2011 Contribution to WTIM-11 session Document C/28-E 9 December 2011 English SOURCE: TITLE: Czech Statistical Office,

More information

BULGARIAN TOURISM IN FACTS AND FIGURES (JANUARY DECEMBER 2013) 5.5 % more foreign tourists for the period January December 2013.

BULGARIAN TOURISM IN FACTS AND FIGURES (JANUARY DECEMBER 2013) 5.5 % more foreign tourists for the period January December 2013. BULGARIAN TOURISM IN FACTS AND FIGURES (JANUARY DECEMBER 2013) 5.5 % more foreign tourists for the period January December 2013. 6.3 % more foreign tourists for leisure and recreation for the year 2013.

More information

Determining OAS and GIS eligibility for people who come to Canada as adults

Determining OAS and GIS eligibility for people who come to Canada as adults Determining OAS and GIS eligibility for people who come to Canada as adults 2OAS and GIS eligibility Determining OAS and GIS eligibility for people who come to Canada as adults Are you close to age 65,

More information

SOCIO-ECONOMIC IMPACT OF THE ICTS

SOCIO-ECONOMIC IMPACT OF THE ICTS SOCIO-ECONOMIC IMPACT OF THE ICTS Evidence from the on-going work of the OECD Dr. Andrea de Panizza Dr. Piotr Stryszowski The views expressed are those of the author in his private capacity and do not

More information

Public Sector Pensions An Overview Hazel Bateman Centre for Pensions and Superannuation Australian School of Business, UNSW

Public Sector Pensions An Overview Hazel Bateman Centre for Pensions and Superannuation Australian School of Business, UNSW Public Sector Pensions An Overview Hazel Bateman Centre for Pensions and Superannuation Australian School of Business, UNSW October 2011 Outline Background and stylised facts Public sector pensions across

More information

A Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau

A Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau FISCAL FACT Jun. 2014 No. 434 A Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau Economist Key Findings Average wage earners in the United States face two major taxes: the individual

More information

Facts: Population Baldwin & Wyplosz 2006

Facts: Population Baldwin & Wyplosz 2006 Facts: Population Facts: Population 6 big nations: > 35 million (Germany, the UK, France, Italy, Spain and Poland). Netherlands: 16 million people. 8 small nations (size of a big city): 8 to 11 million:

More information

Review of R&D Tax Credit. Invitation for Submissions

Review of R&D Tax Credit. Invitation for Submissions Review of R&D Credit invitation for submissions Review of R&D Credit Invitation for Submissions February 2013 Economic and Fiscal Divisions Department of Finance Government Buildings, Upper Merrion Street,

More information

A Comparison of the Tax Burden on Labor in the OECD

A Comparison of the Tax Burden on Labor in the OECD FISCAL FACT July 2015 No. 475 A Comparison of the Tax Burden on Labor in the OECD By Sam Jordan & Kyle Pomerleau Research Assistant Economist Key Findings Average wage earners in the United States face

More information

Appendix 1: Full Country Rankings

Appendix 1: Full Country Rankings Appendix 1: Full Country Rankings Below please find the complete rankings of all 75 markets considered in the analysis. Rankings are broken into overall rankings and subsector rankings. Overall Renewable

More information

THE LOW INTEREST RATE ENVIRONMENT AND ITS IMPACT ON INSURANCE MARKETS. Mamiko Yokoi-Arai

THE LOW INTEREST RATE ENVIRONMENT AND ITS IMPACT ON INSURANCE MARKETS. Mamiko Yokoi-Arai THE LOW INTEREST RATE ENVIRONMENT AND ITS IMPACT ON INSURANCE MARKETS Mamiko Yokoi-Arai Current macro economic environment is of Low interest rate Low inflation and nominal wage growth Slow growth Demographic

More information

Under embargo until 11 September, at 11:00 am Paris time

Under embargo until 11 September, at 11:00 am Paris time COUNTRY NOTE Education at a Glance 2012: OECD Indicators Under embargo until 11 September, at 11:00 am Paris time FRANCE Questions can be directed to: Eric Charbonnier (Eric.Charbonnier@oecd.org) Visit

More information

Expenditure on Health Care in the UK: A Review of the Issues

Expenditure on Health Care in the UK: A Review of the Issues Expenditure on Health Care in the UK: A Review of the Issues Carol Propper Department of Economics and CMPO, University of Bristol NIERC 25 April 2001 1 Expenditure on health care in the UK: The facts

More information

Bahrain Telecom Pricing International Benchmarking. April 2014

Bahrain Telecom Pricing International Benchmarking. April 2014 Bahrain Telecom Pricing International Benchmarking April 2014 2014 Contents of this report Report overview 3 PSTN basket results for GCC countries, including time series 4 Mobile basket results for GCC

More information

Gross Domestic Product (GDP)

Gross Domestic Product (GDP) Gross Domestic Product (GDP) 1. Size of GDP 2. GDP growth 3. GDP per capita 15 1. Size of GDP 1. Gross Size domestic of GDP product (GDP) is the standard measure of the value of final goods and services

More information

GfK PURCHASING POWER INTERNATIONAL

GfK PURCHASING POWER INTERNATIONAL GfK PURCHASING POWER INTERNATIONAL 1 Agenda 1. Europe 3 2. Americas 45 3. Asia & Near East 54 4. Afrika 66 5. Australia 68 6. Overview of countries and available levels 70 2 2 EUROPE 4 GfK

More information

International comparisons of obesity prevalence

International comparisons of obesity prevalence International comparisons of obesity prevalence June 2009 International Comparisons of Obesity Prevalence Executive Summary Obesity prevalence among adults and children has been increasing in most developed

More information

STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE

STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE Möbel Zahlen Daten STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE 01/36 Economical growth in the regions of the world-economy Changes of the gross domestic

More information

Belgium (Fr.) Australia. Austria. England. Belgium (Fl.) United States 2. Finland 2. Norway 2. Belgium (Fr.) Australia. Austria Norway 2, 4.

Belgium (Fr.) Australia. Austria. England. Belgium (Fl.) United States 2. Finland 2. Norway 2. Belgium (Fr.) Australia. Austria Norway 2, 4. How Much Are Teachers Paid? Indicator The statutory salaries of teachers with at least 15 years of experience average USD 38 914 at the primary level, USD 41 701 at the lower level and USD 43 711 at the

More information

Eliminating Double Taxation through Corporate Integration

Eliminating Double Taxation through Corporate Integration FISCAL FACT Feb. 2015 No. 453 Eliminating Double Taxation through Corporate Integration By Kyle Pomerleau Economist Key Findings The United States tax code places a double-tax on corporate income with

More information

55-64. Percent of adults with postsecondary degree. Japan. Mexico. Canada. Poland. Denmark. Greece Germany. Italy. Austria. Korea.

55-64. Percent of adults with postsecondary degree. Japan. Mexico. Canada. Poland. Denmark. Greece Germany. Italy. Austria. Korea. 34 19 10 26 24 22 19 35 11 14 15 23 26 27 22 22 21 19 17 14 11 11 11 11 9 8 6 7 10 7 Turkey Percent of adults with postsecondary degree 55-64 New Zealand Switzerland Iceland Netherlands Greece Germany

More information

Number of retail outlets Number of retail outlets

Number of retail outlets Number of retail outlets Number 65708 of retail outlets Number of retail outlets Number of retail outlets Trends in total number of retail outlets 2002-2007 number / as stated number per million Table 2.3 % growth inhabitants

More information

FDI IN FIGURES. April 2013

FDI IN FIGURES. April 2013 97 98 99 1 2 3 4 5 6 7 8 9 1 11 12 97 98 99 1 2 3 4 5 6 7 8 9 1 11 12 p p FDI IN FIGURES April 213 According to preliminary estimates, global FDI flows have declined in 212 by 14% from 211 to USD 1.4 trillion

More information

Tax reform: Overview. Common elements. E.g., National Commission Fiscal Responsibility and Reform. E.g., Camp/Enzi. Eliminate tax preferences

Tax reform: Overview. Common elements. E.g., National Commission Fiscal Responsibility and Reform. E.g., Camp/Enzi. Eliminate tax preferences Tax reform: Overview Common elements Eliminate tax preferences Lower rates E.g., National Commission Fiscal Responsibility and Reform Individual rates: 8/14/23%; corporate rate: 26% Tax capital gains and

More information

Paul E. Lingenfelter President, State Higher Education Executive Officers

Paul E. Lingenfelter President, State Higher Education Executive Officers Paul E. Lingenfelter President, State Higher Education Executive Officers Western Interstate Commission on Higher Education Monday, November 5, 2007 Forces Flattening the Global Playing Field Fall of Berlin

More information

PISA FOR SCHOOLS. How is my school comparing internationally? Andreas Schleicher Director for Education and Skills OECD. Madrid, September 22 nd

PISA FOR SCHOOLS. How is my school comparing internationally? Andreas Schleicher Director for Education and Skills OECD. Madrid, September 22 nd PISA FOR SCHOOLS How is my school comparing internationally? Andreas Schleicher Director for Education and Skills OECD Madrid, September 22 nd PISA in brief Over half a million students representing 28

More information

Access to Health Care: A Basic Human Right or Privilege?

Access to Health Care: A Basic Human Right or Privilege? Access to Health Care: A Basic Human Right or Privilege? Ervin B. Podgorsak McGill University Montreal, Canada McGill Health Care Financing Models Public (national health service): Financed through government

More information

International Call Services

International Call Services International Call Services Affordable rates for business calls. Wherever you are in the world. We ve got plenty to say when it comes to staying in touch when you re overseas. We have agreements with 443

More information

IMD World Talent Report. By the IMD World Competitiveness Center

IMD World Talent Report. By the IMD World Competitiveness Center 2014 IMD World Talent Report By the IMD World Competitiveness Center November 2014 IMD World Talent Report 2014 Copyright 2014 by IMD: Institute for Management Development, Lausanne, Switzerland For further

More information

Projected Population of Scotland (2008-based) Figures

Projected Population of Scotland (2008-based) Figures Projected Population of Scotland (2008-based) Figures Contents Figure 1 Estimated population of Scotland, actual and projected, 1951-2083 Figure 2 Births and deaths, actual and projected, Scotland, 1951-2033

More information

OBESITY AND THE ECONOMICS OF PREVENTION: FIT NOT FAT

OBESITY AND THE ECONOMICS OF PREVENTION: FIT NOT FAT Rate of overweight OBESITY AND THE ECONOMICS OF PREVENTION: FIT NOT FAT KEY FACTS MEXICO, UPDATE 14 A. ADULTS 1. More than 70% of adults are overweight in Mexico, a higher proportion than in any other

More information

Cross-national data on child maltreatment, policy and legislation across the OECD

Cross-national data on child maltreatment, policy and legislation across the OECD Cross-national data on child maltreatment, policy and legislation across the OECD Expert consultation Satra Bruk, 19 June 201é María del Carmen Huerta Social Policy Division, OECD. www.oecd.org/els/social/family/

More information

32 nd National Conference on Law & Higher Education

32 nd National Conference on Law & Higher Education 32 nd National Conference on Law & Higher Education Improving the Quality of Student Learning Improving the quality of student learning and the level of degree attainment through common degree requirements

More information

Exchange Rate Effects of a Potential Brexit on German-UK Bilateral Trade. What to expect 11/2016. Current report

Exchange Rate Effects of a Potential Brexit on German-UK Bilateral Trade. What to expect 11/2016. Current report Current report Exchange Rate Effects of a Potential Brexit on German-UK Bilateral Trade 11/2016 What to expect In this report we look at German-UK bilateral trade in goods and estimate the shortrun sensitivity

More information

Bahrain Telecom Pricing

Bahrain Telecom Pricing Bahrain Telecom Pricing International Benchmarking December 2015 2015 Disclaimer This benchmarking report contains information collected by an independent consultant commissioned by the Telecommunications

More information

The Wharton School, University of Pennsylvania. Hillsdale College

The Wharton School, University of Pennsylvania. Hillsdale College Real Ways to Drive Down Healthcare Costs Scott E. Harrington The Wharton School, University of Pennsylvania www.scottharringtonphd.com com Free Market Forum Hillsdale College October 1, 2010 Outline The

More information

ERASMUS+ MASTER LOANS

ERASMUS+ MASTER LOANS ERASMUS+ MASTER LOANS Erasmus+ Master Loan: opening up access to more affordable lending for cross-border studies The Erasmus+ programme makes it possible for students who want to take a full Masters level

More information

Report on Government Information Requests

Report on Government Information Requests Report on Government Information July 1 - December 31, 2014 apple Apple takes our commitment to protecting your data very seriously and we work incredibly hard to deliver the most secure hardware, software

More information

Social insurance, private insurance and social protection. The example of health care systems in some OECD countries

Social insurance, private insurance and social protection. The example of health care systems in some OECD countries Social insurance, private insurance and social protection. The example of health care systems in some OECD countries References OECD publications on Health care Swiss Re publications Sigma No 6/2007 on

More information

July 2015. Figure 1. 1 The index is set to 100 in 2000. House prices are deflated by country CPIs in most cases.

July 2015. Figure 1. 1 The index is set to 100 in 2000. House prices are deflated by country CPIs in most cases. July 2015 Globally, house prices continue a slow recovery. The Global House Price Index, an equally weighted average of real house prices in nearly 60 countries, inched up slowly during the past two years

More information

Holidays (Full Recognition of Waitangi Day

Holidays (Full Recognition of Waitangi Day Holidays (Full Recognition of Waitangi Day and ANZAC Day) Amendment Bill 1 Contents Existing provisions The interface with other legislation Past considerations Who will be affected Benefits and Costs

More information

Diversity of supply for oil and oil products in OECD countries

Diversity of supply for oil and oil products in OECD countries of supply for oil and oil products in OECD countries Introduction and summary Countries meet their oil needs through a combination of indigenous production and trade. This article is a comparative assessment

More information

Total Domestic Factoring FCI 594, , , , , , , %

Total Domestic Factoring FCI 594, , , , , , , % Accumulative Turnover Figures for All FCI Members Compared to Worldwide Factoring Turnover (in Millions of EUR and USD) EUR EUR EUR EUR EUR EUR EUR INCREASE 2006 2007 2008 2009 2010 2011 2012 2011/2012

More information

Broadband Mapping 2013

Broadband Mapping 2013 Broadband Mapping 2013 Broadband Mapping 2013 Summary Publisher: The Danish Business Authority A full Danish edition can be downloaded from the website of the Danish Business Authority: www.erst.dk BROADBAND

More information

INEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES

INEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES INEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES Marion Devaux, OECD Health Division 2014 QICSS International Conference on Social Policy and Health Inequalities, Montreal, 9-May-2014

More information

Indicator B1 How much is spent per student?

Indicator B1 How much is spent per student? Education at a Glance 2014 OECD indicators 2014 Education at a Glance 2014: OECD Indicators For more information on Education at a Glance 2014 and to access the full set of Indicators, visit www.oecd.org/edu/eag.htm.

More information

Government at a Glance 2015

Government at a Glance 2015 Government at a Glance 2015 Size of public procurement Strategic public procurement E-procurement Central purchasing bodies 135 Size of public procurement Public procurement refers to the purchase by governments

More information

Recent trends in world CO 2 emissions from fuel combustion

Recent trends in world CO 2 emissions from fuel combustion Recent trends in world CO 2 emissions from fuel combustion The importance of energy emissions Among the many human activities that produce greenhouse gases (GHGs), the energy sector represents nearly two-thirds

More information

TREATY MAKING - EXPRESSION OF CONSENT BY STATES TO BE BOUND BY A TREATY

TREATY MAKING - EXPRESSION OF CONSENT BY STATES TO BE BOUND BY A TREATY A 355043 COUNCIL OF EUROPE CONSEIL DE L'EUROPE TREATY MAKING - EXPRESSION OF CONSENT BY STATES TO BE BOUND BY A TREATY CONCLUSION DES TRAITÉS - EXPRESSION PAR LES ÉTATS DU CONSENTEMENT À ÊTRE LIÉS PAR

More information