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Health: Switzerland’s health system is high-performing but must prepare for the future

The Swiss health system is one of the world’s best but must adapt to deal with rising costs and higher rates of cancer, cardiovascular disease and diabetes, according to a new OECD/WHO report.




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US health care system from an international perspective

Data from OECD Health Data 2012 focusing on key US issues: why is the US health spending so high? Is US health spending higher due to higher prices or higher service provision? (or both?)? Is the quality of care better in the US? What are the trends in key risk factors to health in the US?




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Japan needs to improve the efficiency of its health care system, says OECD Health at a Glance report

Japan has good health outcomes and has rapidly increased its spending on health care in recent years. It now needs to focus on improving efficiency of its health system in order to continue delivering high-quality care while containing costs, according to a new OECD report.




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Health systems are still not prepared for an ageing population

OECD insights blog: Francesca Colombo, Head of the OECD Health Division, discusses the issues related to health systems and an ageing population.




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Australia’s health system is too complex for patients

Australia should improve the integration of care across the patient pathway to prepare for a rise in chronic disease and make the health system less complex for patients, according to a new OECD report.




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The Mexican health care system has made great progress during the last decade – but the remaining challenges are daunting

In the ten years since the introduction of Seguro Popular, some 50 million Mexicans previously at risk of unaffordable health care bills now have access to health insurance. The OECD Review of Health Systems: Mexico 2016 finds that the share of the population exposed to unaffordable or impoverishing health care costs has fallen from 3.3% to 0.8% of the population in the past decade.




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Health Systems Characteristics

Responses from the third wave of the OECD Health System Characteristics Survey are available online, providing access to the most recent information on key institutional characteristics of health systems of OECD countries and key partner and accession countries.




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Latvia faces important challenges to improve the performance of its health system

Latvia has successfully consolidated its hospital sector and strengthened primary care since the financial crisis. But persistent barriers to accessing high quality care need to be removed, according to a new OECD report.




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Mental Health Systems in OECD Countries

Mental disorders represent a considerable disease burden, and have a significant impact on the lives of the OECD population, and account for considerable direct and indirect costs. This report argues that even in those OECD countries with a long history of deinstitutionalisation, there is still a long way to go to make community-based mental health care that achieves good outcomes for people with severe mental illness a reality.




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Urgent reform key to securing Asia’s pension systems, says OECD

Asia’s pension systems need modernising urgently to deliver secure, sustainable and adequate retirement incomes for today’s workers in the context of the rapid population ageing that will occur over the next two decades, according to a new OECD report.




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Improving Agricultural Knowledge and Innovation Systems: OECD Conference Proceedings

How can government policies move towards increasing agricultural innovation and improving productivity? This OECD conference shared case studies and ideas from Europe, China, United States, India, Africa, Brazil, Australia and New Zealand.




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Australia’s health system is too complex for patients

Australia should improve the integration of care across the patient pathway to prepare for a rise in chronic disease and make the health system less complex for patients, according to a new OECD report.




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Japan needs to improve the efficiency of its health care system, says OECD Health at a Glance report

Japan has good health outcomes and has rapidly increased its spending on health care in recent years. It now needs to focus on improving efficiency of its health system in order to continue delivering high-quality care while containing costs, according to a new OECD report.




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The Role of National Ecosystem Assessments in Influencing Policy Making

An ecosystem assessment is a social process through which the findings of science concerning the causes of ecosystem change, their consequences for human well-bring, and the management and policy options are evaluated. The main objective of the paper is to draw insights from experience in the UK, Japan, Spain and Portugal of the added value to policy making of undertaking national level ecosystem assessments.




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Developing a funded pension system in Russia

Faced with the acute poverty of many Russian pensioners, the Russian government is engaged in wide-ranging systemic reforms. This report contributes to the policy discussion by identifying aspects of the system that may need to be reformed and describing the experience of other countries as a point of comparison.




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Macro-prudential Policy, Bank Systemic Risk and Capital Controls

This paper looks at macro-prudential policies in the light of empirical evidence on the determinants of bank systemic risk, and the effectiveness of capital controls. It concludes that complexity and interdependence is such that care should be taken in implementing macro-prudential policies until much more is understood about these issues.




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Bank Business Models and the Basel System: Complexity and Interconnectedness

The main hallmarks of the global financial crisis were too-big-to-fail institutions taking on too much risk with other people’s money: excess leverage and default pressure resulting from contagion and counterparty risk. This paper looks at whether the Basel III reforms address these issues effectively and proposes improvements to the current reform proposals.




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Problems in the International Financial System

Since the 1980s, OECD investment-saving correlations – as an inverse measure of economic openness – indicate a very wide disparity of openness between the OECD and emerging market economies (EMEs) with an absence of open markets in the latter. Given the increasing weight of EMEs in the world economy, this paper warns that this pattern of growth with disparity of openness is ultimately unsustainable.




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Economic stagnation compounds demographic pressure on pension systems, says OECD

Low growth, low interest rates and low returns on investment linked to the slow global economy are now compounding the problems of population ageing for both public and private pension systems, according to a new OECD report.




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The transition in the Mexican pensions system to one based on individual defined contribution accounts has increased its financial sustainability

The reforms to the pensions system in Mexico, especially the introduction of a system of individual defined contribution accounts, have significantly improved the system’s financial sustainability.




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Colombia: Review of the Financial System

This review of Colombia by the by the OECD Committee on Financial Markets examines Colombia’s position with respect to core principles related to financial systems.




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Latvia: Review of the Financial System

This review of Latvia by the by the OECD Committee on Financial Markets examines Latvia’s position with respect to core principles related to financial systems.




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Latvia: Review of the Insurance System

This review of Latvia by the OECD Working Party of Governmental Experts on Insurance examines Latvia’s position with respect to core principles related to insurance systems.




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Lithuania: Review of the Financial System

This review of Lithuania by the OECD Committee on Financial Markets examines Lithuania’s position with respect to core principles related to financial systems.




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Financial system risk is elevated and global standards are essential in managing cross-border infrastructure investment

A new OECD report, the 2018 Business and Finance Outlook, highlights a number of major risks having the potential to disrupt global economic growth. It notes that the gradual normalisation of monetary policy in an environment of growing debt will be a major test of whether the Basel III regulatory reforms have achieved their goal of ensuring safety and soundness in the financial system.




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Reforming the Pension System in Turkey 2019

This paper studies the case of Turkey and suggests several tools to promote retirement planning. Section I provides a review of the traditional and behavioural policy instruments designed to promote retirement savings, along with a discussion on their effectiveness.




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The system of revenue sharing and fiscal transfers in China

The main features of China’s current sub-national finance arrangements date back to the 1994 tax reform. China has a multi-level government structure that shares national tax revenues through a system of tax sharing and transfers, and divides spending assignments and responsibilities.




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Work incentives and Universal Credit – reform of the benefit system in the United Kingdom

Under the Universal Credit reform, the main means-tested benefits except the Council Tax Benefit will be pooled into one single benefit with one single taper rate. The reform will give people better incentives to work, reduce complexity and contribute to reducing poverty.




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Better civil justice systems can boost investment, competition, innovation and growth, OECD says

Well-functioning judicial systems play a crucial role in determining economic performance – notably by guaranteeing the security of property rights and the enforcement of contracts – but not all countries’ judiciaries operate at the same level of efficiency.




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How to improve Israel’s health-care system

Israelis enjoy higher life expectancy and have a much younger demographic profile than most OECD countries. However, the demand for health care is expanding rapidly due to population growth and ageing.




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Macroprudential policy tools in Norway: strengthening financial system resilience

In Norway house prices have risen to high levels, associated with very strong credit growth, in a context of low interest rates. Such a combination was in many countries a contributory factor to the 2008-09 crisis.




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Overcoming vulnerabilities of health care systems

This paper investigates the vulnerabilities of health care systems in OECD and BRIICS countries to adverse secular trends and large macroeconomic shocks.




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Overcoming vulnerabilities of pension systems

Demographic developments are unfavourable for the financing of pension schemes in most OECD countries, implying continued growth in pension expenditure in virtually all OECD countries. This paper examines the vulnerability of pension systems, with an emphasis on financial sustainability and adequacy.




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Colombia: Supporting the development of local innovation systems – Policy review

The project provided recommendations to the city of Medellin and Antioquia to support the development of the local economy and includes a focus on how the innovative environment can be strengthened to support inclusion, entrepreneurship, SME, and local developmentto and how to better coordinate and integrate its policies with the national level.




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Reforming the pension system to increase coverage and equity in Colombia

Colombia is one of the most unequal countries in Latin America. The high level of informality in the labour market and many characteristics of the pension system leave many elderly in poverty. Only formal-sector employees earning more than the relatively high minimum wage are covered.




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Improving the pension system and the welfare of retirees in Israel

Israel is a young country with still dynamic population growth, but it is already beginning to face the consequences of population ageing.




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Recovery underway in Denmark, but reforms needed to maintain high living standards and ensure sustainability of social welfare system

Denmark’s economic prospects are improving, but further reforms are needed to maintain the country’s high living standards and ensure the well-being of all citizens, according to a new report from the OECD.




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Governments should use tax systems to drive inclusive growth agenda

Governments should use tax policy to drive forward economic agendas that seek to boost growth while sharing the benefits more evenly within society, according to a new OECD report.




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Efficient, Equitable and Enforceable: three "Es" for reforming India's tax system and better finance public services

Promoting inclusive growth in India requires improving social and physical infrastructure.




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Reforming Brazil’s pension system

Brazil’s old-age pensions have reduced old-age poverty below OECD levels, but pension expenditures of 8.2% of GDP are expected to rise rapidly as the population ages. A pension reform is necessary to ensure the financial sustainability of the system.




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Reforming Brazil’s old-age pension system to ensure its sustainability

Pensions have been successful in reducing old-age poverty well below the population-wide average, and below the OECD average. At present, all pension recipients – and this includes around 90% of those aged 65 and above – receive at least the minimum wage, which is more than 5 times as much as the poverty line of BRL 170 (equivalent to USD 55).




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Improving the efficiency and outcomes of the Slovak health-care system

Despite improvements over the past few decades, Slovak health outcomes remains poor compared with most other OECD countries, even after controlling for differences in per capita income and other social, cultural and lifestyle factors.




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Ensuring a dynamic skills-training and life-long learning system in Switzerland

Switzerland makes more use of its human resources than most other OECD countries. Labour force participation is high and the unemployment rate low for most segments of society.




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France: Improving the efficiency of the health-care system

France’s health-care system offers high-quality care. Average health outcomes are good, public satisfaction with the health-care system is high, and average household out-of-pocket expenditures are low.




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Improving Agricultural Knowledge and Innovation Systems: OECD Conference Proceedings

How can government policies move towards increasing agricultural innovation and improving productivity? This OECD conference shared case studies and ideas from Europe, China, United States, India, Africa, Brazil, Australia and New Zealand.




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Reforming Brazil’s pension system

Brazil’s old-age pensions have reduced old-age poverty below OECD levels, but pension expenditures of 8.2% of GDP are expected to rise rapidly as the population ages. A pension reform is necessary to ensure the financial sustainability of the system.




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Improving the tax system in Indonesia

Indonesia has come a long way in improving its tax system over the last decade, both in terms of revenues raised and administrative efficiency. Nonetheless, the tax take is still low, given the need for more spending on infrastructure and social protection.




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The efficiency and equity of the tax and transfer system in France

Taxes and cash transfers reduce income inequality more in France than elsewhere in the OECD, because of the large size of the flows involved. But the system is complex overall. Its effectiveness could be enhanced in many ways, for example so as to achieve the same amount of redistribution at lower cost.




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Making the tax system less distortive in Switzerland

The tax burden in Switzerland is low in international comparison, largely reflecting the substantial non-tax compulsory contributions towards the health and pension systems which are managed by private institutions. Taxation of personal income and labour earnings is relatively high, whereas the taxation of consumption is low.




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Fiscal federalism and its impact on economic activity, public investment and the performance of educational systems

Intergovernmental fiscal frameworks usually reflect fundamental societal choices and history and are not foremost geared towards achieving economic policy objectives. Yet, like most institutional arrangements, fiscal relations affect the behaviour of firms, households and governments and thereby economic activity.