ual Driver reaction after Saturday qualifying By en.espnf1.com Published On :: Sun, 29 Aug 2010 11:19:11 GMT Read what the drivers had to say after a rain-affected qualifying at Spa Francorchamps Full Article
ual Button blames tyre temperature for qualifying struggle By en.espnf1.com Published On :: Sat, 23 Oct 2010 07:34:21 GMT Jenson Button has blamed a lack of tyre temperature for his seventh place qualifying position for the Korean Grand Prix Full Article
ual Bottas: More to come in qualifying By en.espnf1.com Published On :: Fri, 13 Mar 2015 09:54:21 GMT Valtteri Bottas is sure Williams has more one-lap pace in the bag after he finished behind both Ferrari's during Friday's qualifying simulations in Australia Full Article
ual Challenges Facing Low-Income Individuals and Families By webfeeds.brookings.edu Published On :: Wed, 11 Feb 2015 00:00:00 -0500 Thanks for inviting me to testify on the important topic of challenges facing low-income families. It is an honor to testify before the Human Resources Subcommittee. I applaud your purposes and hope that I can help the Subcommittee members understand our current circumstances regarding work, benefits, and poverty by single mothers a little better. For well over a decade, my Brookings colleague Isabel Sawhill, a Democrat and former member of the Clinton administration, and I have been analyzing data and writing about the factors that influence both poverty rates and economic mobility.[i] We long ago concluded that education, work, and marriage are major keys to reducing poverty and increasing economic opportunity. We also emphasize the role of personal responsibility in all three of these vital components of building a path to the American Dream. But government programs to help low-income American parents escape poverty and build opportunity for themselves and their children are also important. In today’s hearing, the Subcommittee is taking testimony about marriage and work, two of these three keys to reducing poverty and increasing opportunity. Brad Wilcox from the University of Virginia will discuss the decline of married-couple families, the explosion of births outside marriage, and the consequent increase in the number of the nation’s children being reared by single (and often never-married) mothers. The increase in the proportion of children in female-headed families contributes to substantial increases in poverty by virtue of the fact that poverty rates in female-headed families are four to five times as great as poverty rates in married-couple families.[ii] If the share of the nation’s children in female-headed families continues to increase as it has been doing for four decades, policies to reduce poverty will be fighting an uphill battle because the rising rates of single-parent families will exert strong upward pressure on the poverty rate.[iii] But perhaps of even greater consequence, children reared in single-parent families are more likely to drop out of school, more likely to be arrested, less likely to go to college, more likely to be involved in a nonmarital birth, and more likely to be idle (not in school, not employed) than children from married-couple families.[iv] In this way, a disproportionate number of children from single-parent families carry poverty into the next generation and thereby minimize intergenerational mobility. So far public and nongovernmental programs have not been able to reverse falling marriage rates or rising nonmarital birth rates, but there is a lot we have done and can do to increase work rates, especially the work rates of low-income mothers. The goal of my testimony today is to explain the government policies that have been adopted in recent decades to increase work rates and subsidize earnings, which in turn have led to substantial declines in poverty. I make two points and a small number of recommendations. The first point is that the employment of low-income single mothers has increased over the two decades, in large part because of work requirements in federal programs, especially Temporary Assistance for Needy Families (TANF). The recessions of 2001 and 2007-2009 caused the employment rate of single mothers to fall (as well as nearly every other demographic group), but after both recessions work rates began to rise again. The second point is that the work-based safety net is an effective way to boost the income of working families with children that would be poor without the work supports. In my view, this combination of work requirements and work supports is the most successful approach the nation has yet developed to fight poverty in single-parent families with children. Here’s the essence of the policy approach: first, encourage or cajole single mothers to work by establishing work requirements in federal welfare programs; second, subsidize the earnings of low-income workers, both to increase their work incentive and to help them escape poverty. The primary work-based safety-net programs are the Earned Income Tax Credit (EITC), the Additional Child Tax Credit, the Supplemental Nutrition Assistance Program (SNAP), child care, and Medicaid. [i] Ron Haskins and Isabel Sawhill, Work and Marriage: The Way to End Poverty and Welfare (Washington: Brookings Institution, 2003); Haskins and Sawhill, Creating an Opportunity Society (Washington: Brookings Institution Press, 2009) [ii] Ron Haskins, “The Family is Here to Stay,” Future of Children 25, no. 2 (forthcoming); Kaye Hymowitz, Jason S. Carroll, W. Bradford Wilcox, and Kelleen Kaye, Knot Yet: The Benefits and Costs of Delayed Marriage in America (Charlottesville, VA: The National Marriage Project at the University of Virginia, The National Campaign to Prevent Teen and Unplanned Pregnancy, and The Relate Institute, 2013). For an explanation of the central role of family structure in the continuing black-white income gap, see Deirdra Bloome, “Racial Inequality Trends and the Intergenerational Persistence of Income and Family Structure,” American Sociological Review 79 (December 2014): 1196-1225. [iii] Maria Cancian and Ron Haskins, “Changes in Family Composition: Implications for Income, Poverty, and Public Policy,” ANNALS of the American Academy of Political and Social Science 654 (2014): 31-47. [iv] Sara McLanahan, Laura Tach, and Daniel Schneider, “The Causal Effect of Father Absence,” Annual Review of Sociology 29 (2013): 399-427. Downloads Full Testimony Authors Ron Haskins Publication: Subcommittee on Human Resources and Committee on Ways and Means Image Source: © Lucy Nicholson / Reuters Full Article
ual Button laments qualifying mistake By en.espnf1.com Published On :: Sat, 08 May 2010 15:07:28 GMT Jenson Button has admitted that a mistake in qualifying was to blame for him ending up fifth on the grid at the Spanish Grand Prix Full Article
ual Massa admits to qualifying mistake By en.espnf1.com Published On :: Sat, 17 Apr 2010 09:59:55 GMT Felipe Massa blamed traffic and a mistake in the final corner for his below par qualifying performance in Shanghai Full Article
ual 19A: The Brookings Gender Equality Series By webfeeds.brookings.edu Published On :: Thu, 07 May 2020 12:00:25 +0000 “ The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any State on account of sex. Congress shall have power to enforce this article by appropriate legislation. ” August 26, 2020 will mark 100 years since ratification of the 19th Amendment to… Full Article
ual Hamilton amused by Horner's equalisation comments By en.espnf1.com Published On :: Thu, 26 Mar 2015 11:21:13 GMT Lewis Hamilton says he finds Christian Horner's calls for equalisation "funny" considering the success Red Bull enjoyed in recent years Full Article
ual Vettel rues 'messy' qualifying By en.espnf1.com Published On :: Sat, 25 Sep 2010 16:35:57 GMT Sebastian Vettel was left ruing a missed opportunity in Singapore after failing to secure pole position for Sunday's night race Full Article
ual Who said what after Brazilian Grand Prix qualifying By en.espnf1.com Published On :: Sat, 24 Nov 2012 21:12:48 GMT Read what the teams and drivers had to say after qualifying for the Brazilian Grand Prix Full Article
ual Who said what after Qualifying in Brazil By en.espnf1.com Published On :: Sat, 26 Nov 2011 20:12:42 GMT Read what the drivers had to say after qualifying at the Brazilian Grand Prix Full Article
ual How to fix the Paycheck Protection Program: Make sure it actually protects paychecks By webfeeds.brookings.edu Published On :: Mon, 04 May 2020 15:02:25 +0000 Amid the finger-pointing and blame-throwing about the mess that is the Paycheck Protection Program, the U.S. Treasury and Small Business Administration seem to have forgotten why Congress enacted it: so businesses would keep people on payroll instead of laying them off. The PPP idea is simple: rather than have businesses lay off tens of millions… Full Article
ual Rosberg fastest ahead of qualifying By en.espnf1.com Published On :: Sat, 28 Mar 2015 07:34:10 GMT Nico Rosberg set the pace in the final practice session for the Malaysian Grand Prix ahead of qualifying, although Mercedes stranglehold on the top appeared to loosen slightly as six cars managed to lap within a second over the hour Full Article
ual How to fix the Paycheck Protection Program: Make sure it actually protects paychecks By webfeeds.brookings.edu Published On :: Mon, 04 May 2020 15:02:25 +0000 Amid the finger-pointing and blame-throwing about the mess that is the Paycheck Protection Program, the U.S. Treasury and Small Business Administration seem to have forgotten why Congress enacted it: so businesses would keep people on payroll instead of laying them off. The PPP idea is simple: rather than have businesses lay off tens of millions… Full Article
ual How to fix the Paycheck Protection Program: Make sure it actually protects paychecks By webfeeds.brookings.edu Published On :: Mon, 04 May 2020 15:02:25 +0000 Amid the finger-pointing and blame-throwing about the mess that is the Paycheck Protection Program, the U.S. Treasury and Small Business Administration seem to have forgotten why Congress enacted it: so businesses would keep people on payroll instead of laying them off. The PPP idea is simple: rather than have businesses lay off tens of millions… Full Article
ual A conversation with Somali Finance Minister Abdirahman Duale Beileh on economic adjustment in fragile African states By webfeeds.brookings.edu Published On :: Mon, 04 Nov 2019 20:45:42 +0000 Fragile and conflict-affected states in Africa currently account for about one-third of those living in extreme poverty worldwide. These states struggle with tradeoffs between development and stabilization, the need for economic stimulus and debt sustainability, and global financial stewardship and transparency. Addressing fragility requires innovative approaches, the strengthening of public and private sector capacity, and… Full Article
ual Health care market consolidations: Impacts on costs, quality and access By webfeeds.brookings.edu Published On :: Wed, 16 Mar 2016 16:30:00 -0400 Editor's note: On March 16, Paul B. Ginsburg testified before the California Senate Committee on Health on fostering competition in consolidated markets. Download the full testimony here. Mr. Chairman, Madame Vice Chairman and Members of the Committee, I am honored to be invited to testify before this committee on this very important topic. I am a professor of health policy at the University of Southern California and director of public policy at the USC Schaeffer Center for Health Policy and Economics. I am also a Senior Fellow and the Leonard D. Schaeffer Chair in Health Policy Studies at The Brookings Institution, where I direct the Center for Health Policy. Much of my time is now devoted to leading the new Schaeffer Initiative for Innovation in Health Policy, which is a partnership between USC and the Brookings Institution. I am best known in California for the numerous community site visits over many years that I led in the state while I was president of the Center for Studying Health System Change; most of those studies were funded by the California HealthCare Foundation. The key points in my testimony today are: Health care markets are becoming more consolidated, causing price increases for purchasers of health services, and this trend will continue for the foreseeable future despite anti-trust enforcement; Government can still play an effective role in addressing higher prices that come from consolidation by pursuing policies that foster increased competition in health care markets. Many of these policies can be effective even in markets with high degrees of concentration, such as in Northern California. Consolidation in health care has been increasing for some time and is now quite extensive in many markets. Some of this comes from mergers and acquisitions, but an important part also comes from larger organizations gaining market share from smaller competitors. The degree of consolidation varies by market. In California, most observers believe that metropolitan areas in the northern part of the state have provider markets that are far more consolidated than those in the southern part of the state. Insurer markets tend to be statewide and are less consolidated than those in many other states. The research literature on hospital mergers is now substantial and shows that mergers lead to higher prices, although without any measured impact on quality.[1] The trend is accelerating for reasons that are apparent. For providers, it is becoming an increasingly challenging environment to be a small hospital or medical practice. There is more pressure on payment rates. New contracting models, such as Accountable Care Organizations (ACOs), tend to require more scale. The system is going through a challenging transition to electronic medical records, which is expensive and requires specialized expertise to avoid pitfalls. Lifestyle choices by younger physicians lead them to pursue employment in large organizations rather than solo ownerships or partnerships in small practices. The environment is also challenging for small insurers. Multi-state employers prefer to contract with insurers that can serve all of their employees throughout the country. Scale economies are important in building the analytic capabilities that hold so much promise for effectively managing care. Insurer scale is important to make it worthwhile for providers to contract with them under alternative payment models. The implication of these trends is an expectation of increasing consolidation. There is need for both public and private sector initiatives in addition to anti-trust enforcement to foster greater competition on price and quality. How can competition be fostered? For the insurance market, public exchanges created under the Affordable Care Act (ACA) and private insurance exchanges that serve employers can foster competition among insurers in a number of ways. Exchanges reduce entry barriers by reducing the fixed costs of getting an insurer’s products in front of potential customers. Building a brand is less important when your products will be presented to consumers on an exchange along with information on the benefit design, the actuarial value and the provider network. Exchanges make it easier for consumers to make informed choices across plans. This, in turn, makes the insurance market more competitive. Among public exchanges, Covered California has stood out for making this segment of the insurance market more competitive and helping consumers make choices that are better informed. The rest of my statement is devoted to fostering competition among providers. I believe that fostering competition among providers is a higher priority because the consequences of lack of competition are potentially larger. In addition, a significant regulatory tool, minimum medical loss ratios, part of the ACA, is now in place and can limit the degree to which purchasers pay too much for health insurance in markets with insufficient competition. Fostering competition in provider markets involves two prongs—broadened anti-trust policy and other policies to foster market forces. Anti-trust policy, at least at the federal level, to date has not addressed hospital acquisitions of physician practices. These acquisitions lead to higher prices to physicians because hospitals can negotiate higher prices for their employed physicians than the physicians were getting in small practices. Although not yet extensive, a developing research literature is measuring the price impact.[2] Hospital employment of physicians can also be a barrier to physicians steering patients to high-value providers (another hospital or a freestanding provider). To the degree that it reduces the chance of larger physician groups or independent practice associations forming, hospital employment of physicians reduces potential competitors in contracting under alternative payment models. Another area not addressed by anti-trust policy is cross-market mergers. The concern is that a “must have” hospital in a multi-market system could lead to higher rates for system hospitals elsewhere. Anti-trust enforcement agencies have tended to look at markets separately, so this issue tends not to enter their analyses. Many have seen price and quality transparency as a tool to foster competition among providers. Clearly, transparency has become a societal value and people increasingly expect more information about organizations that are important to them in both the public and private sector. But transparency is often oversold as a strategy to foster competition in health care provider markets. For one thing, many benefit designs have few incentives to favor providers with lower prices. Copays are the same for all providers and with coinsurance, the insurer covers most of the price difference. Even high deductibles are limited in their incentives because almost all in-patient stays exceed large deductibles and out-of-pocket maximums also come into play for many who are hospitalized. Another issue is that the complexity of comparing prices is a “heavy lift” for many consumers. Insurers and employers now have excellent web tools designed to make it easier for patients to compare prices, but indications are that the tools do not get a lot of use. Network strategies have the potential to be more effective. The concept behind them is that the insurer is acting as a purchasing agent for enrollees. To the extent that they have the potential to shift volume from high-priced providers to low-priced providers, money can be saved in three distinct ways. The first is the higher proportion of services coming from lower-priced providers. The second is the additional discounts from providers seeking to become part of the limited or preferred network. Finally, if a large enough proportion of patients are enrolled in plans with these incentives, providers will likely increase the priority given to cost containment. In creating networks, insurers are increasingly using broader and more sophisticated measures of price as well as some measures of quality. Cost per patient per year or cost for all services involved in an episode is likely to have more relevance than unit prices. Using such measures to judge providers for networks has strong analytic parallels to reformed payment approaches, such as ACOs and bundled payments for episodes of care. Network strategies also create more opportunities for integration of care. For example, a limited network or a preferred tier in a broader network could be mostly limited to providers affiliated with a large health care system. Indeed, some health systems are developing their own health plan or partnering with an insurer to offer plans that favor their own providers. In this testimony, I discuss two distinct network strategies. One is the limited network, which includes fewer providers than has been the norm in private insurance. The other is the tiered network, where the network is broad but a subset of providers are included in a preferred tier. Patients pay less in cost sharing when they use the preferred providers. Limited networks are a more powerful tool to obtain lower prices because patient incentives are stronger. If patients opt for a provider not in the limited network, they are subject to higher cost sharing and might have to pay the provider the difference between the charge and what the plan allows. Results of these stronger incentives are seen in a number of studies by McKinsey and Co. that have shown that on the public exchanges, limited network plans have premiums about 15 percent lower than plans with broader networks. Public and private exchanges are an ideal environment for limited network plans. The fixed contributions or subsidies to purchase coverage mean that consumers’ incentives to choose a plan with a lower premium are not diluted—they save the full difference in premium. Exchanges do not have the “one size fits all” requirement that constrains many employers in using this strategy. If an employer is offering only one or two plans, it is important that an overwhelming majority of employees find the network acceptable. But a limited network on an exchange could appeal to fewer than half of those purchasing on the exchange and still be very successful. In addition, tools provided by exchanges to support consumers facilitate comparisons of plans by having each plan’s network accessible on a single web site. In contrast, tiered networks have the potential to appeal to a larger consumer audience. Rather than making annual choices of which providers can be accessed in network, tiered networks allow these decisions on a point-of-service basis. So the consumer always has the option to draw on the full network. Considering the greater popularity of PPOs than HMOs and the fact that tiered formularies for prescription drugs are far more popular than closed formularies, the potential market for tiered networks might be much larger. But this has not happened. In many markets, dominant providers have blocked the offering of tiered networks by refusal to contract with insurers that do not place them in the preferred tier. This phenomenon was seen in Massachusetts, where 2010 legislation prohibiting this practice led to rapid growth in insurance products with tiered networks. Some Californians are familiar with a related approach of reference pricing due to the pioneering work that CalPERS has done in this area for state and local employees. Reference pricing is really an “extra strength” version of the tiered network approach. An insurer sets a reference price and patients using providers that charge more are responsible for the difference (although providers sometimes do not charge patients in such plans any more than the reference price). So the incentive to avoid providers whose price exceeds the reference price is quite strong. While CalPERS has had success with joint replacements and some other procedures, a key question is what proportion of medical spending might be suitable to this approach. For reference pricing to be suitable, the services must be “shoppable,” meaning that they must be discretionary with the patient and can be planned in advance. One analysis estimates that only one third of health spending is “shoppable.”[3] While network approaches have a lot of potential for fostering competition in health care markets, including those that are consolidated, they face a number of challenges that must be addressed. First, transparency about networks must be improved. Consumers need accurate information on which providers are in a network when they choose plans and when they choose providers for care. Accommodation is needed for patients under treatment if their provider should drop out of a network or be dropped from one. Network adequacy regulations are needed to protect consumers from networks that lack access to some specialties or do not have providers close enough to their residence. They are also important to preclude strategies that create networks unlikely to be attractive to patients with expensive, chronic diseases. But if network adequacy regulation is too aggressive, it risks seriously undermining a very promising tool for cost saving. So regulators must very carefully balance consumer protection with cost containment. Some consider the problem of “surprise” balance bills, charges by out-of-network providers that patients do not choose, to be more significant in limited networks. This may be the case, but the problem is substantial in broader networks as well, and its policy response should apply throughout private insurance. Another approach to foster competition in provider markets involves steps to foster independent medical practices. Medicare has taken steps to ease requirements for medical practices to contract as ACOs. It recently took some steps to limit the circumstances in which hospital-employed physicians get higher Medicare rates than those in office-based practice. Private insurers have provided support to some practices to incorporate electronic medical records into their practices. To the degree that independent practice can be made more attractive relative to hospital employment, competition in provider markets is likely to increase. Additional restrictions on anti-competitive behavior by providers can also foster competition. These behaviors include “all or nothing” contracting requirements in which a hospital system requires insurers to contract with all hospitals in the system and “most favored nation” clauses in which insurers get providers to agree not to establish lower rates for other insurers. Although the focus of discussion about policy in this testimony has been about fostering competition, regulatory alternatives that substitute for competition should not be ignored. At this time, two states—Maryland and West Virginia—regulate hospital rates. Some states, mostly in the Northeast, have been looking at this approach. Although I respect what some states have accomplished with this approach in the past, I need to point out that the current environment poses additional challenges for rate setting. The notion that rates would be the same for all payers, a longstanding component in Maryland, is unlikely to be practical today because rate differences between private insurance, Medicare and Medicaid are so large. So differences would likely have to be “grandfathered.” More practical would be to limit regulation to commercial rates, as West Virginia has done since the 1980s. Another challenge is that with broad enthusiasm about the prospects for reformed payment, those contemplating rate setting need to make sure that the mechanism encourages payment reform rather than blocks it. Maryland has been quite careful about this and its recent initiative to broaden its program seems promising. But with the recent emphasis on multi-provider approaches to payment, such as ACOs and bundled payment, the limitation of regulatory authority to hospital rates could be a problem. So what are my bottom lines for legislative priorities? I have two. States should address restrictions on anti-competitive practices such as anti-tiering restrictions, all-or-none contracting restrictions, and most favored nation clauses. My second is to regulate network adequacy wisely. It is a potent tool for fostering competition, even in consolidated markets. Network strategies do have problems that need to be addressed, but it must be done while preserving much of the potency of the approach. A concluding thought involves acknowledging that provider payment reform approaches are likely to contribute to consolidation. Small hospitals and medical practices are not well positioned to participate, although virtual approaches can often be used in place of mergers, for example as California’s independent practice associations have enabled many small practices to participate. But I see payment reform as having major potential over time to reduce costs and increase quality. So my advice is to proceed with payment reform but also take steps to foster competition. Rate setting is best seen as a “stick in the closet” to use if market approaches should fail to control costs. [1] Gaynor, M., and R. Town, The Impact of Hospital Consolidation – Update, Robert Wood Johnson Foundation Synthesis Report (June 2012). [2] Baker, L. C., M.K Bundorf and D.P. Kessler, “Vertical Integration: Hospital Ownership Of Physician Practices Is Associated With Higher Prices And Spending,” Health Affairs, Vol. 35, No 5 (May 2014). [3] Chapin White and Megan Egouchi, Reference Pricing: A Small Piece of the Health Care Pricing and Quality Puzzle. National Institute for Health Care Reform, Research Brief No. 18, October 2014. Downloads Download the testimonyDownload the slides Authors Paul Ginsburg Full Article
ual Class Notes: Unequal Internet Access, Employment at Older Ages, and More By webfeeds.brookings.edu Published On :: Wed, 22 Apr 2020 17:04:00 +0000 This week in Class Notes: The digital divide—the correlation between income and home internet access —explains much of the inequality we observe in people's ability to self-isolate. The labor force participation rate among older Americans and the age at which they claim Social Security retirement benefits have risen in recent years. Higher minimum wages lead to a greater prevalence… Full Article
ual School closures, government responses, and learning inequality around the world during COVID-19 By webfeeds.brookings.edu Published On :: Tue, 14 Apr 2020 19:27:29 +0000 According to UNESCO, as of April 14, 188 countries around the world have closed schools nationwide, affecting over 1.5 billion learners and representing more than 91 percent of total enrolled learners. The world has never experienced such a dramatic impact on human capital investment, and the consequences of COVID-19 on economic, social, and political indicators… Full Article
ual Adapting approaches to deliver quality education in response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 23 Apr 2020 21:08:11 +0000 The world is adjusting to a new reality that was unimaginable three months ago. COVID-19 has altered every aspect of our lives, introducing abrupt changes to the way governments, businesses, and communities operate. A recent virtual summit of G-20 leaders underscored the changing times. The pandemic has impacted education systems around the world, forcing more… Full Article
ual 21st annual “Wall Street Comes to Washington” roundtable By webfeeds.brookings.edu Published On :: Thu, 20 Oct 2016 15:00:02 +0000 In the U.S., health care is big business—accounting for nearly one-fifth of the overall economy. And federal health policies often move financial markets. Understanding emerging health care market trends and their implications can provide critical context for federal policymakers. On Tuesday, November 15, the Leonard D. Schaeffer Initiative for Innovation in Health Policy, a partnership […] Full Article
ual Hamster in a wheel: Will the U.N. special session on drugs actually change anything? By webfeeds.brookings.edu Published On :: Mon, 30 Nov -0001 00:00:00 +0000 Last week’s U.N. Special Session on the world drug problem is unlikely to overturn the existing international drug policy paradigm, argues Arturo Sarukhan, in large part because of the contradictions between U.S. domestic policy on marijuana and its international policy, and because of new drug warriors in Asia and Africa. Full Article Uncategorized
ual After the emergency: What European migration policy will eventually look like By webfeeds.brookings.edu Published On :: Wed, 27 Jul 2016 14:43:00 -0400 For months, Europe has been dealing with the hectic, day-to-day struggles of managing a massive migrant crisis. While those challenges dominate in the short term, European leaders must also start thinking about medium- to long-term reforms to the European Union’s asylum and migration policies. European governments have made clear that they want to reform the Common European Asylum System. The European Commission has proposed reforms of its own, which to become laws would need to be approved by both the Council and the European Parliament. But while these proposals are certainly steps in the right direction, they don’t go far enough in addressing structural weaknesses in Europe’s migration and asylum policies. Positive momentum in a number of key areas There are several areas where the Commission has already proposed good reforms: The Commission is proposing to recast a directive aimed at standardizing the processing of asylum procedures across Europe into a fully-fledged regulation. This is good news. The persistent variation in the implementation of asylum procedures across the EU highlights this necessity. Unlike directives, which need to be transposed into national legislation, regulations are immediately and simultaneously enforceable across all member states. A directive specifying the grounds for granting international protection is to be replaced by a more stringent regulation, which is also a good thing. It’s problematic that asylum seekers from the same country of origin enjoy dramatically different acceptance rates across EU member states. Combined, these changes should force member states to comply with international standards on asylum procedures and increase opportunities for migrants to get asylum (particularly in countries that have applied more restrictive criteria). The Eurodac system, which establishes a pan-European fingerprinting database, is now likely to be expanded as well. It would store data on third-country nationals who are not applicants for international protection. But implementation is again a challenge, since Croatia, Greece, Italy, and Malta already struggle to fingerprint new arrivals (something over which infringement proceedings are still ongoing). To attract highly skilled professionals, the Commission is working to make the EU Blue Card scheme more appealing. While member states will retain the right to set their own annual migrants quota, Blue Card procedures and rights will be harmonized across the EU. The minimum length of an initial contract offer will be lowered to six months, salary thresholds will be reduced, and the Blue Card will be offered to migrants granted asylum. Other measures—including a directive aimed at students and researchers and another facilitating intra-corporate transfers—are also steps in the right direction. Finally, the Commission has proposed making permanent a pan-European resettlement scheme that was launched during last summer’s migrant crisis. That’s also a good thing. The framework would harmonize resettlement procedures and financially incentivizes member states to favor the European framework over national ones. At the same time, it would allow asylum seekers to move to Europe without risking their lives trying to cross the Mediterranean. However, given that member states will still determine how many people to resettle annually, the long-term impact of the scheme remains to be seen. German Interior Minister Thomas de Maiziere watches as a migrant from Babel in Iraq has his fingerprints taken, during a visit to Patrick-Henry Village refugee centerin Heidelberg, Germany. Photo credit: Reuters/Kai Pfaffenbach. Far more needed but little appetite among national capitals There are several policy areas where far more should be done: There is at least one area where the EU is still planning reforms but of a far more limited nature, and that’s on the current directive on basic standards for housing, healthcare, and employment. In private conversations, EU officials stress that the sheer numbers of migrants make it hard for even the best-performing countries to implement this directive. Put simply, member states do not have the political will to do more than what they are already doing. The EU is therefore, understandably, proposing a more moderate reform: it aims to improve reception conditions throughout the EU without dictating to member states how to do so. Less privileged migrants must be provided with safe avenues to contribute to Europe’s economy. Legislation allowing seasonal workers into the Union for a maximum of between five and nine months within any twelve-month period already goes in this direction. Forums connecting local industry associations and countries of origin to better match labor demand and supply would also be welcome. Armenia, Azerbaijan, Cape Verde, Georgia, Morocco, Moldova, and Tunisia—which enjoy mobility partnerships with the EU—would benefit from such an approach. More can be done if the political will amongst European capitals is there. Finally, Europeans must ensure that migrants feel welcome to stay. The EU is aware of the need to adequately integrate third-country nationals, but European capitals are in the driver’s seat when it comes to integration. Directives aimed at facilitating family reunifications, integrating long-term residents, and streamlining administrative processes do what they can in this respect. However, the paths to integration and to welcoming foreigners chosen by European countries are exceedingly different, and for the time being likely to remain so. Because of this and until policymakers put integration at the top of their national agendas, foreign nationals will likely continue to struggle. Dublin: Still the elephant in the room The Dublin regulation, which outlines which member state should be responsible for handling asylum applications, still must be radically revised. This is the elephant in the room and the core of the current asylum refugee framework. Member states should consider the Commission’s proposals for a corrective mechanism in case of migrant surges, a new system for allocating applications across the EU based on a distribution key or, ideally, the centralization of competences to the European Asylum Support Office. Informal conversations with top national and European officials suggest that the corrective mechanism is the most likely proposal to be accepted by the member states and therefore adopted. Under such an agreement, Dublin would be maintained, but automatic relocations would start in case of exceptional migrant surges—with hefty fines imposed by the Commission on those member states refusing to play their part. Unfortunately, this is not good enough. Such an approach does not address the underlying structural unfairness and unsustainability of a system that leaves the burden of processing arrivals overwhelmingly on frontline states. The current situation exemplifies a significant failure of governance that harms the interests of migrants and member states alike. At present, the Dublin Convention largely ignores the needs of migrants in terms of family reunification, language skills, and cultural integration. Unfortunately, the corrective mechanism for the Dublin Convention does nothing more than provide some relief in case of acute emergencies. Meanwhile, it leaves frontline states to continue facing on their own a crisis that only Europe as a whole could solve. “European leaders” still think and act through national perspectives. Moving along despite European governments The European Commission faces both legal and political constraints that limit its scope of action. Whenever it can, it is pushing for a significant overhaul of European asylum and migration policies. However, once more, its initiatives are hampered by the so-called “interests” of the member states. For the time being, we are likely to see some degree of integration in the fields of asylum and migration policies. But because of national vetoes, progress is slow and proposals are often watered down. Authors Matteo Garavoglia Full Article
ual David Brooks is correct: Both the quality and quantity of our relationships matter By webfeeds.brookings.edu Published On :: Wed, 12 Feb 2020 18:17:09 +0000 It’s embarrassing to admit, since I work in a Center on Children and Families, but I had never really thought about the word “relative” until I read the new Atlantic essay from David Brooks, “The Nuclear Family Was a Mistake.” In everyday language, relatives are just the people you are related to. But what does… Full Article
ual Middle class marriage is declining, and likely deepening inequality By webfeeds.brookings.edu Published On :: Wed, 11 Mar 2020 13:53:14 +0000 Over the last few decades, family formation patterns have altered significantly in the U.S., with long-run rises in non-marital births, cohabitation, and single parenthood – although in recent years many of these trends have leveled out. Importantly, there are increasing class gaps here. Marriage rates have diverged by education level (a good proxy for both social class and permanent income). People with at least a BA are now more likely to get married and stay married compared… Full Article
ual America’s zip code inequality By webfeeds.brookings.edu Published On :: Mon, 21 Dec 2015 12:47:00 -0500 Inequality remained a prominent theme in public debate during 2015, likely helped by the unexpected rise and resilience of democratic socialist Bernie Sanders' run for the Democratic presidential nomination. Although the labor market continued its slow recovery, wage growth remained fairly weak—especially for middle and low earners. The upper middle class continues to pull away from the middle, not least in terms of income and wealth. But it has also become much clearer that inequality is a geographical issue, as much as a social and economic one. Whether the focus is on the more immediate matter of income inequality or the slower-burning issue of intergenerational mobility, there is huge variation between different places in the United States. Not all cities are created equal… National income trends are important, of course. But they can often disguise deep differences by place. The income required to be ‘rich,’ at least by comparison to those around you, varies significantly between different cities, for example. A household income of $100,000 puts you on almost on the top rung (around the 95th percentile) of the income ladder in Detroit. But to reach the same heights in San Jose, California, you’d need an income three times as great, according to calculations by my colleague Alan Berube. There are also very large differences in the extent of income inequality in different metropolitan areas. Using the inequality measure used in another recent paper by Berube, the ratio between incomes at the 20th percentile and the 95th percentile, shows that while some cities have large gaps between rich and poor, others look almost Scandinavian in their egalitarian distributions. Here are the 20/95 ratios for the three most equal and unequal cities in the U.S.: Intergenerational mobility varies—a lot—by place In a groundbreaking research paper in 2014, Raj Chetty and his team at the Equality of Opportunity Project at Harvard showed that rates of intergenerational income mobility also vary considerably between different cities. It was always a stretch to compare the U.S. to Denmark on this front, given the colossal differences between the countries. But such comparisons became virtually unconscionable once the variations within the U.S. become apparent. This year, Chetty and his co-author Nathaniel Hendren went a step further and a big step closer to showing a causal impact of place on the prospects for children raised in different locations. Again relying on large administrative datasets, the two scholars were able to show the variation in earnings for the folk hailing from, say, Baltimore versus Baton Rouge. Professor Chetty presented his new research at a Brookings event in June (which you can view here), just weeks after the eruption of protest and violence in Baltimore following the death of Freddie Gray. One striking finding was that the worst place in America to grow up, in terms of subsequent earnings, is Baltimore City. Critically, Chetty’s research design allows him to show that these differences do not reflect the characteristics of the people of Baltimore; but the characteristics of Baltimore itself. This downward effect on earnings is particularly bad for boys, as we highlighted in an earlier blog: In related work, Chetty and his colleagues also show that children who move to a better place see an improvement in their own earnings—and that the younger they are when they move, the bigger the impact. The children of families who move as a result of the U.S. Department of Housing and Urban Development’s Moving to Opportunity program showed sizable improvements in their own outcomes, as Jonathan Rothwell highlighted in his blog, 'Sociology’s revenge: Moving to Opportunity (MTO) revisited.' Race, place and opportunity One of the findings from Chetty’s earlier work is that race, place, and opportunity intersect in important ways. Cities with more segregation, and those with larger black populations, tend to show weaker upward mobility patterns. In order to understand the obstacles to upward mobility, policymakers have to adopt both a place-conscious (Margery Turner) and a race-conscious perspective. This policy was the subject of another Brookings event in November, with contributions from the Deputy Prime Minister of Singapore, the Governor of Delaware, and the Mayor of Newton, Mass. (The event can still be viewed here; for my highlights see this piece.) Being poor and black is generally not the same as being poor and white. Being poor in Cleveland is not the same as being poor in Charlotte. On equal opportunity: think local, act local Many states and cities are upping their game on issues of equality and opportunity, for both bad and good reasons. The bad reason is the relative inertia of the federal government. The good reason is a growing recognition that many of the levers for improving opportunity lie in the hands of institutions and agents at the state and metro level. Colorado has adopted a life-cycle opportunity framework and is pioneering efforts to integrate health and social policy. Charlotte has a high-profile taskforce (which I advise) on improving opportunity. Cincinnati has pledged to lift 10,000 children out of poverty within five years. Louisville is leading a push on school desegregation. Kalamazoo is adding greater student supports to its existing promise of free college. Baltimore’s program to reduce infant mortality has shown remarkable success. Durham, N.C. has rolled out a universal home visiting program. Many of these efforts are building on the emerging ideas around 'collective impact,' harnessing local resources of many kinds around a clearly-articulated, shared goal. Given the scholarship showing just how much particular places influences individual and broader outcomes, this is likely to be where much of the most important policy development will take place in coming years. In terms of equality—and especially equality of opportunity—we need to think local, and act local, too. Authors Richard V. Reeves Full Article
ual What China’s sexual revolution means for women By webfeeds.brookings.edu Published On :: Thu, 09 Apr 2015 15:30:00 -0400 Two decades ago, Hillary Clinton delivered a speech in Beijing that inspired feminists around the world, declaring “women’s rights are human rights.” Since that declaration, a lot has changed for women globally. But what has changed for women in China? While Chinese women today have increased freedoms, there is still a long way to go before gender equality is realized. Civil unrest concerning gender inequality recently made headlines in China and abroad when a group of five female protesters in China were arrested and jailed for publicly demonstrating against gender inequities, such as inequality in higher education and domestic violence. This incident underlined much of the commentary at a recent Brookings’s John L. Thornton China Center forum on women’s issues and gender inequality in China, during which the following key messages were conveyed: China is in the midst of a rapid, if quiet, sexual revolution China’s first and leading sexologist, Li Yinhe, delivered a keynote address that emphasized that when it comes to sex, China is in the midst of an “era of important changes.” Li explained that all sexual activities before marriage were illegal in China before 1997 because of a “hooliganism law,” and a woman could be arrested for having sex with more than one man. Thus, premarital sex was forbidden. In surveys in 1989, only 15% of citizens reported having premarital sex—and “most of them were having sex with their permanent partners,” Li said. That law was overturned in 1997, and recent surveys show that 71% of Chinese citizens admit to having sex before marriage. This is a dramatic change in a short period of time, and marks what Li asserts is a sexual revolution for Chinese citizens. Chinese law still lags behind changes in social customs While some sex laws have adapted, others are far behind. Li highlighted some “outdated” sex laws in China that are still “on the book[s],” but that are no longer strictly obeyed by the Chinese people. Li said the indicators are clear that the force of these laws is waning. There are fewer people being punished for these offenses and the punishments are becoming increasingly less severe. Her discussion stressed four areas where public opinion has changed drastically over the last few decades, but Chinese laws haven’t adapted: Pornography: Pornography isn’t considered to be protected as it is in the U.S. In contrast, Chinese law strictly prohibits creating and selling porn. In the 1980s, porn publishers would be sentenced to death. Now the punishment is less severe—for example, a 24-year-old Beijing woman published seven “sex novels” online. Her viewership was 80,000 hits on her novels, but her punishment was only six months in criminal detention. Prostitution: Prostitution is another activity affected by outdated laws in China, where any solicitation of sex is strictly illegal. In the early-1980s through late-1990s the punishment for facilitating prostitution was severe. In 1996, a bathhouse owner was sentenced to death for organizing prostitution. Now, prostitution is widely practiced and the most severe punishment for organized prostitution is that those managing sex workers are ordered to shut down their businesses. Orgies and sex parties: Chinese law used to brutally punish swingers and individuals who planned sex parties. For example, in the early-1980s “the punishment for spousal swapping was death…[and] people would be sentenced to death for organizing sex parties,” Li explained. But this is another area where the punishment for the law has now become less strict. In 2011 in Nanjing, an associate university professor organized a sex party with 72 people, and the “punishment for him was three and a half years in prison.” Also, in 2014 in Shanghai, some citizens recently organized an online sex party, and their punishment was only three months of criminal detention. According to recent private surveys, “many people are [engaging] in sex parties or orgies.” While in theory these are punishable by criminal law, “no one reports [them], so they do not get noticed,” Li said. Homosexuality and same-sex marriage: In regards to homosexuality, Li was quick to note that China’s view of homosexuality is historically very different from Western views. For example, in some U.S. states, laws “criminalized or deemed homosexual activities illegal.” But throughout China’s history, there were not severe repercussions or the death penalty for homosexuality, and it “was never illegal.” However, this is not the case for same-sex marriage. Li thinks it will be “hard to predict” when same-sex marriage might be legalized. Chinese women will have sexual freedom, but when isn’t clear So what does the future hold for these laws? Li explained that sex is a “hot topic” right now in Chinese public debate, and the “general consensus among legal scholars and sociologists is that these [outdated] laws need to be removed.” Those who oppose removing these laws are “in the minority.” While that may be true, she suggested it would be difficult to “form a timetable” when politicians might consider amending these laws. As for the five young women sentenced to jail last month, Li said she usually tries to stay out of politics, but thinks people “should stand up and speak out” when their own rights are being violated. Li argued that jailing these women for expressing their opinions violated the rights of all women—and hopes that other women speak up about their arrest. If you are interested in learning more, watch Li Yinhe’s full keynote and the entire panel event here: Alison Burke contributed to this post. Authors Alexandria Icenhower Full Article
ual Jennifer Vey on economic inequality and poverty in Baltimore By webfeeds.brookings.edu Published On :: Fri, 01 May 2015 13:00:00 -0400 Amid anger and protests in Baltimore following the death of 25-year-old Freddie Gray from a spinal injury sustained after being arrested by police, much of the discussion has focused on the poverty-ridden neighborhood in which Gray grew up (Sandtown-Winchester, on the city’s west side). Conversation has centered around the economic disadvantages that Gray, his peers, and so many young adults are facing in certain neighborhoods throughout Baltimore and in other U.S. metro areas. Metropolitan Policy Program Fellow Jennifer Vey spoke yesterday with CNN’s Maggie Lake on the poverty and economic inequality prevalent in Baltimore—particularly in impoverished neighborhoods like that of Gray’s and throughout the country. In the interview, Vey says that, “it’s important to look at the events of the last few days in Baltimore against a backdrop of poverty, of entrenched joblessness, of social disconnectedness that’s prevalent in many Baltimore neighborhoods…but that isn’t unique to Baltimore, and I think that’s a really important point here, that we really need to put these issues in a much broader national context. “I think what this really indicates is we’ve been operating under an economic model for quite some time that clearly isn’t working for large numbers of people in this country.” Vey also discusses how we can work to break the cycle: “What we’re really focused on at Brookings is trying to understand how cities and metropolitan areas can really be trying to grow the types of advanced industries that create good jobs, that create more jobs, and also focusing on how then, people can connect back to that economy. What can we do to make sure that more people are participating in that economic growth as it happens?” She goes on to say that investment in education, workforce programs, and infrastructure are all key in incorporating everyone into a prosperous economy. To learn more about poverty in Baltimore, read this piece by Karl Alexander. Authors Randi Brown Full Article
ual Class Notes: Unequal Internet Access, Employment at Older Ages, and More By webfeeds.brookings.edu Published On :: Wed, 22 Apr 2020 17:04:00 +0000 This week in Class Notes: The digital divide—the correlation between income and home internet access —explains much of the inequality we observe in people's ability to self-isolate. The labor force participation rate among older Americans and the age at which they claim Social Security retirement benefits have risen in recent years. Higher minimum wages lead to a greater prevalence… Full Article
ual The value of systemwide, high-quality data in early childhood education By webfeeds.brookings.edu Published On :: Thu, 20 Feb 2020 17:38:04 +0000 High-quality early learning experiences—those filled with stimulating and supportive interactions between children and caregivers—can have long-lasting impacts for children, families, and society. Unfortunately, many families, particularly low-income families, struggle to find any affordable early childhood education (ECE) program, much less programs that offer engaging learning opportunities that are likely to foster long-term benefits. This post… Full Article
ual Adapting approaches to deliver quality education in response to COVID-19 By webfeeds.brookings.edu Published On :: Thu, 23 Apr 2020 21:08:11 +0000 The world is adjusting to a new reality that was unimaginable three months ago. COVID-19 has altered every aspect of our lives, introducing abrupt changes to the way governments, businesses, and communities operate. A recent virtual summit of G-20 leaders underscored the changing times. The pandemic has impacted education systems around the world, forcing more… Full Article
ual Class Notes: Virtual college counseling, rainy-day savings accounts, and more By webfeeds.brookings.edu Published On :: Wed, 11 Dec 2019 16:28:18 +0000 This week in Class Notes: Accounting for the consumption value of college increases the rate of return to a college education by 12-14%. Virtual college counseling increases applications to four-year and selective universities, particularly among disadvantaged students, but the effect on acceptance and enrollment is minimal. Automatically enrolling employees into an employer-sponsored savings account is a cost-effective way of helping workers… Full Article
ual Class Notes: Unequal Internet Access, Employment at Older Ages, and More By webfeeds.brookings.edu Published On :: Wed, 22 Apr 2020 17:04:00 +0000 This week in Class Notes: The digital divide—the correlation between income and home internet access —explains much of the inequality we observe in people's ability to self-isolate. The labor force participation rate among older Americans and the age at which they claim Social Security retirement benefits have risen in recent years. Higher minimum wages lead to a greater prevalence… Full Article
ual 2004 CUSE Annual Conference: The United States and Europe One Year After the War in Iraq By webfeeds.brookings.edu Published On :: Wed, 21 Apr 2004 08:30:00 -0400 Event Information April 21, 20048:30 AM - 3:00 PM EDTFalk AuditoriumBrookings Institution1775 Massachusetts Avenue, N.W.Washington, DC 20036 Register for the EventTo build on its longstanding interest in the evolving transatlantic relationship and to address the serious differences that have emerged between America and Europe after the September 11 terrorist attacks and throughout the ongoing war on terrorism, Brookings announces the launch of its new Center on the United States and Europe. The center offers a forum for research, high-level dialogue, and public debate on issues affecting U.S.-Europe relations.At the inaugural conference to launch the new center, experts discussed the theme "The United States and Europe: One Year after the War in Iraq." Panelists at this special event included Javier Solana, Robert Kagan, Charles Grant, Klaus Scharioth, Andrew Moravcsik, Martin Indyk, Ulrike Guerot, Pascale Andreani, Cesare Merlini, Reuel Marc Gerecht, Gilles Andreani and others. Transcript Transcript (.pdf) Event Materials cuse20040421 Full Article
ual 2005 CUSE Annual Conference: Europe's Global Role By webfeeds.brookings.edu Published On :: Wed, 11 May 2005 00:00:00 -0400 Event Information Falk AuditoriumThe Brookings Institution1775 Massachusetts Ave., NWWashington, DC Register for the EventThe crisis over Iraq was the latest in a series of international security crises that demonstrated that the European Union has not yet emerged as unified actor on difficult global security issues. Yet since the Iraq crisis, the member states of Europe have shown a renewed interest in creating EU institutions capable of coherent action on controversial foreign policy issues, in articulating a distinct European strategy for promoting security and stability, and in establishing a European role in issues well beyond the European continent.The Center on the United States and Europe's annual conference brought together renowned experts and policymakers from both sides of the Atlantic to examine Europe's Global Role. The first panel looked at the ongoing efforts by the United Kingdom to steer a course between and "Atlanticist" and "European" foreign policy; the second panel examined the European Union's efforts to manage its relationships with a proliferating number of candidates to the east—at the same time that it sorts out its own political future; and the last panel looked at the integration of a rising China into the international system, an extra-European issue on which the European Union and the United States have already shown signs of discord. Welcome and Introduction: Philip H. Gordon, Director, Center on the United States and Europe Britain Between America and the European Union: Philip H. Gordon Panelists: Anatol Lieven, Carnegie Endowment Gerard Baker, The London Times Charles Grant, Centre for European Reform Where Does Europe End? Strobe Talbott, President, The Brookings Institution Panelists: John Bruton, EU Ambassador to the U.S. Sylvie Goulard, Institut d'Etudes Politiques, Paris Andrew Moravcsik, Princeton University Vladimir Ryzhkov, Russian Duma The Global Agenda: James B. Steinberg, Vice President and Director, Foreign Policy Studies, The Brookings Institution Panelists: R. Nicholas Burns , Undersecretary of State for Political Affairs Jean-David Levitte, French Ambassador to the U.S. Transcript Transcript (.pdf) Event Materials annualconf20050511 Full Article
ual 2006 CUSE Annual Conference: The EU, Russia and the War on Terror By webfeeds.brookings.edu Published On :: Mon, 01 May 2006 00:00:00 -0400 Event Information Falk AuditoriumThe Brookings Institution1775 Massachusetts Ave., NWWashington, DC Register for the Event Welcome and Introduction: Philip H. Gordon , Director, Center on the United States and Europe Is the European Union Failing? Politics and Policy after the Referendums Philip H. Gordon , Director, Center on the United States and Europe Panelists:Gerard Baker, The Times (London)Joschka Fischer, Member of Bundestag and former German Foreign MinisterNoëlle Lenoir, President of the European Institute of HEC, former French Minister for European AffairsAndrew Moravcsik, Princeton University/Brookings Is Russia Lost? The Future of Russian Democracy and Relations with the WestFiona Hill, Senior Fellow, The Brookings Institution Panelists:Daniel Fried, U.S. Assistant Secretary of State for European AffairsAnatol Lieven, New America FoundationStrobe Talbott, President, The Brookings InstitutionDmitri Trenin, Carnegie Moscow Center Is America above the Law? A U.S.-Europe Dialogue about the War on TerrorJeremy Shapiro, Director of Research, Center on the United States and Europe Panelists:Joschka Fischer, Member of Bundestag and former German Foreign MinisterTom Malinowski, Human Rights WatchPauline Neville-Jones, Chair, British Conservative Party National and International Security GroupVictoria Toensing, former U.S. Justice Department OfficialRuth Wedgwood, Johns Hopkins-SAIS Full Article
ual 2007 CUSE Annual Conference: French Elections, Afghanistan and European Demographics By webfeeds.brookings.edu Published On :: Mon, 30 Apr 2007 00:00:00 -0400 Event Information Falk AuditoriumThe Brookings Institution1775 Massachusetts Ave., NWWashington, DC Register for the EventOn April 30, 2007, the Brookings Center on the United States and Europe held its fourth annual conference. As in previous years, the annual conference brought together scholars, officials, and policymakers from both sides of the Atlantic to examine the evolving roles of the United States and Europe in the global arena. Panel discussions covered some critical issues about Europe and the U.S.-Europe relationship: "The French Elections", "NATO and Afghanistan" and "Islam in Europe". Panelists included, among others, Lt. General Karl Eikenberry, Deputy Chairman of the NATO Military Committee; Ashraf Ghani, former Finance Minister of Afghanistan; Tufyal Choudhury of Durham University; Philip Gordon of the Brookings Institution; and Corine Lesnes from Le Monde. 8:30 a.m. Continental breakfast available 8:50 a.m. Welcome and Introduction Strobe Talbott, President, The Brookings Institution 9:00 - 10:30 a.m. "The French Elections"Chair: Jim Hoagland, The Washington PostPanelists: Laurent Cohen-Tanugi, Skadden Arps; Notre EuropeCorine Lesnes, Le MondePhilip Gordon, The Brookings Institution 10:30 - 10:45 p.m. Break 10:45 a.m. - 12:15 p.m. "NATO in Afghanistan" Chair: Carlos Pascual, The Brookings InstitutionPanelists:Lt. General Karl Eikenberry, Deputy Chairman of the NATO Military Committee Ashraf Ghani, former Finance Minister of AfghanistanMarvin Weinbaum, Middle East Institute 12:15 - 1:30 p.m. Buffet Lunch (Saul/Zilkha) 1:30 - 3:00 p.m. "Islam in Europe"Chair: Jeremy Shapiro, The Brookings InstitutionPanelists:Daniel Benjamin, The Brookings InstitutionTufyal Choudhury, Durham UniversityJonathan Laurence, Boston CollegeThe Center on the United States and Europe Annual Conference is made possible by the generous support of the German Marshall Fund of the United States Transcript Transcript (.pdf) Event Materials 20070430 Full Article
ual 2008 CUSE Annual Conference: The Evolving Roles of the United States and Europe By webfeeds.brookings.edu Published On :: Tue, 20 May 2008 09:00:00 -0400 Event Information May 20, 20089:00 AM - 5:00 PM EDTFalk AuditoriumThe Brookings Institution1775 Massachusetts Ave., NWWashington, DC On May 20, 2008, the Center on the United States and Europe held its fifth annual conference. As is in previous years, the Conference brought together leading scholars, officials, and policymakers from both sides of the Atlantic to examine issues shaping the transatlantic relationship and to assess the evolving roles of the United States and Europe in the global arena.Gary Schmitt of the American Enterprise Institute; Sir Lawrence Freedman of King’s College, London; Gideon Rachman of the Financial Times; former Norwegian Foreign Minister Jan Petersen; and Strobe Talbott, President of The Brookings Institution joined other prominent panelists and CUSE scholars for this year’s sessions. The series of panel discussions explored transatlantic relations beyond the Bush presidency, Sarkozy’s plans for France’s EU presidency, and the future of Russia under Medvedev. Transcript Transcript (.pdf) Event Materials 0520_europe Full Article
ual 2009 CUSE Annual Conference: Strategies for Engagement By webfeeds.brookings.edu Published On :: Fri, 29 May 2009 09:00:00 -0400 Event Information May 29, 20099:00 AM - 3:30 PM EDTFalk AuditoriumThe Brookings Institution1775 Massachusetts Ave., NWWashington, DC Register for the EventPresident Barack Obama has established a broad policy of engagement as a central feature of his administration’s foreign policy agenda. From the earliest days of his presidency, the president has reached out to Iran, Russia and other nations around the world, marking not only a turning of the page but possibly a whole new chapter in U.S. foreign policy. While Europeans have advocated for increased bi-lateral and multi-lateral dialogue for some time, several important questions remain. With which nations or groups should the United States and Europe engage and should there be limits to dialogue in some cases? What are the consequences if dialogue fails? Do Europeans and Americans now have the same agenda and goals for engagement?On May 29, the Center on the United States and Europe at Brookings (CUSE) will host experts and officials from both sides of the Atlantic for the 2009 CUSE Annual Conference to address these issues. Panelists will examine the prospect of engagement with Iran and Russia, and how to deal with groups such as Hamas and the Taliban. After each panel, participants will take audience questions. Transcript Uncorrected Transcript (.pdf) Event Materials 20090529_cuse Full Article
ual 2010 CUSE Annual Conference: From the Lisbon Treaty to the Eurozone Crisis By webfeeds.brookings.edu Published On :: Wed, 02 Jun 2010 09:30:00 -0400 Event Information June 2, 20109:30 AM - 3:00 PM EDTFalk AuditoriumThe Brookings Institution1775 Massachusetts Ave., NWWashington, DC Register for the EventWith a U.S. Administration still popular across Europe and a new Lisbon Treaty designed to enhance the diplomatic reach of the European Union, transatlantic relations should now be at their best in years. But this is clearly not the case, with the strategic partners often looking in opposite directions. While the United States channels its foreign policy attention on the war in Afghanistan, counterterrorism and nuclear non-proliferation, Europe is turning inward. Despite its ambitions, the European Union has yet to achieve the great global role to which it aspires, or to be the global partner that Washington seeks. Moreover, the Greek financial crisis has raised questions about the very survival of the European project.On June 2, the Center on the United States and Europe (CUSE) at Brookings and the Heinrich Böll Foundation hosted experts and top officials from both sides of the Atlantic for the 2010 CUSE Annual Conference. Panelists explored critical issues shaping the future of transatlantic relations in the post-Lisbon Treaty era, including Europe’s Eastern neighborhood and the role Russia plays, and the impact of the Eurozone crisis. After each panel, participants took audience questions. Audio From the Lisbon Treaty to the Eurozone Crisis: A New Beginning or the Unraveling of Europe?From the Lisbon Treaty to the Eurozone Crisis: A New Beginning or the Unraveling of Europe?From the Lisbon Treaty to the Eurozone Crisis: A New Beginning or the Unraveling of Europe? Transcript Transcript (.pdf) Event Materials 20100602_eurozone Full Article
ual America’s zip code inequality By webfeeds.brookings.edu Published On :: Mon, 21 Dec 2015 12:47:00 -0500 Inequality remained a prominent theme in public debate during 2015, likely helped by the unexpected rise and resilience of democratic socialist Bernie Sanders' run for the Democratic presidential nomination. Although the labor market continued its slow recovery, wage growth remained fairly weak—especially for middle and low earners. The upper middle class continues to pull away from the middle, not least in terms of income and wealth. But it has also become much clearer that inequality is a geographical issue, as much as a social and economic one. Whether the focus is on the more immediate matter of income inequality or the slower-burning issue of intergenerational mobility, there is huge variation between different places in the United States. Not all cities are created equal… National income trends are important, of course. But they can often disguise deep differences by place. The income required to be ‘rich,’ at least by comparison to those around you, varies significantly between different cities, for example. A household income of $100,000 puts you on almost on the top rung (around the 95th percentile) of the income ladder in Detroit. But to reach the same heights in San Jose, California, you’d need an income three times as great, according to calculations by my colleague Alan Berube. There are also very large differences in the extent of income inequality in different metropolitan areas. Using the inequality measure used in another recent paper by Berube, the ratio between incomes at the 20th percentile and the 95th percentile, shows that while some cities have large gaps between rich and poor, others look almost Scandinavian in their egalitarian distributions. Here are the 20/95 ratios for the three most equal and unequal cities in the U.S.: Intergenerational mobility varies—a lot—by place In a groundbreaking research paper in 2014, Raj Chetty and his team at the Equality of Opportunity Project at Harvard showed that rates of intergenerational income mobility also vary considerably between different cities. It was always a stretch to compare the U.S. to Denmark on this front, given the colossal differences between the countries. But such comparisons became virtually unconscionable once the variations within the U.S. become apparent. This year, Chetty and his co-author Nathaniel Hendren went a step further and a big step closer to showing a causal impact of place on the prospects for children raised in different locations. Again relying on large administrative datasets, the two scholars were able to show the variation in earnings for the folk hailing from, say, Baltimore versus Baton Rouge. Professor Chetty presented his new research at a Brookings event in June (which you can view here), just weeks after the eruption of protest and violence in Baltimore following the death of Freddie Gray. One striking finding was that the worst place in America to grow up, in terms of subsequent earnings, is Baltimore City. Critically, Chetty’s research design allows him to show that these differences do not reflect the characteristics of the people of Baltimore; but the characteristics of Baltimore itself. This downward effect on earnings is particularly bad for boys, as we highlighted in an earlier blog: In related work, Chetty and his colleagues also show that children who move to a better place see an improvement in their own earnings—and that the younger they are when they move, the bigger the impact. The children of families who move as a result of the U.S. Department of Housing and Urban Development’s Moving to Opportunity program showed sizable improvements in their own outcomes, as Jonathan Rothwell highlighted in his blog, 'Sociology’s revenge: Moving to Opportunity (MTO) revisited.' Race, place and opportunity One of the findings from Chetty’s earlier work is that race, place, and opportunity intersect in important ways. Cities with more segregation, and those with larger black populations, tend to show weaker upward mobility patterns. In order to understand the obstacles to upward mobility, policymakers have to adopt both a place-conscious (Margery Turner) and a race-conscious perspective. This policy was the subject of another Brookings event in November, with contributions from the Deputy Prime Minister of Singapore, the Governor of Delaware, and the Mayor of Newton, Mass. (The event can still be viewed here; for my highlights see this piece.) Being poor and black is generally not the same as being poor and white. Being poor in Cleveland is not the same as being poor in Charlotte. On equal opportunity: think local, act local Many states and cities are upping their game on issues of equality and opportunity, for both bad and good reasons. The bad reason is the relative inertia of the federal government. The good reason is a growing recognition that many of the levers for improving opportunity lie in the hands of institutions and agents at the state and metro level. Colorado has adopted a life-cycle opportunity framework and is pioneering efforts to integrate health and social policy. Charlotte has a high-profile taskforce (which I advise) on improving opportunity. Cincinnati has pledged to lift 10,000 children out of poverty within five years. Louisville is leading a push on school desegregation. Kalamazoo is adding greater student supports to its existing promise of free college. Baltimore’s program to reduce infant mortality has shown remarkable success. Durham, N.C. has rolled out a universal home visiting program. Many of these efforts are building on the emerging ideas around 'collective impact,' harnessing local resources of many kinds around a clearly-articulated, shared goal. Given the scholarship showing just how much particular places influences individual and broader outcomes, this is likely to be where much of the most important policy development will take place in coming years. In terms of equality—and especially equality of opportunity—we need to think local, and act local, too. Authors Richard V. Reeves Full Article
ual Income Inequality, Social Mobility, and the Decision to Drop Out Of High School By webfeeds.brookings.edu Published On :: Thu, 10 Mar 2016 13:00:00 -0500 How “economic despair” affects high school graduation rates for America’s poorest students MEDIA RELEASE Low-Income Boys in Higher Inequality Areas Drop Out of School More Often than Low-Income Boys in Lower Inequality Areas, Limiting Social Mobility, New Brookings Paper Finds “Economic despair” may contribute if those at the bottom do not believe they have the ability to achieve middle class status Greater income gaps between those at the bottom and middle of the income distribution lead low-income boys to drop out of high school more often than their counterparts in lower inequality areas, suggesting that there is an important link between income inequality and reduced rates of upward mobility, according to a new paper presented today at the Brookings Panel on Activity. The finding has implications for social policy, implying a need for interventions that focus on bolstering low-income adolescents' perceptions of what they could achieve in life. In “Income Inequality, Social Mobility, and the Decision to Drop Out Of High School,” Brookings Nonresident Senior Fellow and University of Maryland economics professor Melissa S. Kearney and Wellesley economics professor Phillip B. Levine propose a channel through which income inequality might lead to less upward mobility—often assumed to be the case but not yet fully proven. The conventional thinking among economists is that income inequality provides incentives for individuals to invest more in order to achieve the higher income position in society, but Kearney and Levine observe that if low-income youth view middle-class life as out of reach, they might decide to invest less in their own economic future. See an interactive map of inequality by state, plus more findings » The authors focus on income inequality in the lower half of the income distribution, as measured by income gaps between the 10th and 50th percentiles of the income distribution rather than income gaps between the the top and bottom of the income distribution, which has been more of a focus in popular culture. They show this "lower-tail" inequality is more relevant to the lives of poor youth because the middle is a more realistic ambition. Furthermore, their research could reconcile a puzzle: social mobility does not appear to be falling, despite the rise in income inequality. But, as Kearney and Levine point out, U.S. income inequality has been rising because the top of the distribution has been pulling away from the middle, not because the bottom is falling farther behind the middle. The authors look specifically at high school drop-out rates through a geographic lens, noting the link between highly variable rates of high school completion and income inequality across the country. One-quarter or more of those who start high school in the higher inequality states of Louisiana, Mississippi, Georgia, and the District Columbia fail to graduate in a four-year period, as compared to only around 10 percent in Vermont, Wisconsin, North Dakota, and Nebraska—lower inequality states. Their econometric analysis goes on to show that low-income youth—boys in particular—are 4.1 percentage points more likely to drop out of high school by age 20 if they live in a high-inequality location relative to those who live in a low-inequality location. Kearney and Levine examine a number of potential explanations for this link, including differences in educational inputs, poverty rates, demographic composition, and other factors. Ultimately, the evidence suggests that there is something specific about areas with greater income gaps that lead low-income boys there to drop out of school at higher rates than low-income boys elsewhere. The authors' research suggests that adolescents make educational decisions based on their perceived returns to investing in their educational development: a greater distance to climb to get to the middle of the income distribution could lead to a sense that economic success is unlikely—what they term “economic despair.” "Income inequality can negatively affect the perceived returns to investment in education from the perspective of an economically disadvantaged adolescent,” they write. “Perceptions beget perceptions." Digging into reasons students themselves give for dropping out, they find that low-income students from more unequal places are more likely to give up on their educational pursuits. Surprisingly, survey evidence shows that academic performance does not have as large an impact on low-income students in high inequality states: 51 percent of dropouts in the least unequal states reported that they dropped out because they were performing poorly, as compared to only 21 percent of students who dropped out in the most unequal states. The finding suggests that economic despair could play an important role: if a student perceives a lower benefit to remaining in school, then he or she will choose to drop out at a lower threshold of academic difficulty. They also note that while the wage premium of completing high school should reduce the dropout rate, household income inequality has an offsetting negative effect. The choice between staying in school and dropping out may reflect actual or perceived differences from the benefits of graduating. For instance, the authors note their past research showing that youth from low-income households who grow up in high lower-tail inequality states face lifetime incomes that are over 30 percent lower than similar children in lower inequality states. They also highlight other research showing that the overwhelming majority of 9th graders aspire to go to college, but by 11th grade, low-SES students are substantially less likely to expect they will enroll in college, even among those students with high test scores. "There are important policy implications for what types of programs are needed to improve the economic trajectory of children from low-SES backgrounds," they write. "Successful interventions would focus on giving low income youth reasons to believe they have the opportunity to succeed. Such interventions could focus on expanded opportunities that would improve the actual return to staying in school, but they could also focus on improving perceptions by giving low-income students a reason to believe they can be the "college-going type." For example, interventions might take the form of mentoring programs that connect youth with successful adult mentors and school and community programs that focus on establishing high expectations and providing pathways to graduation. They could also take the form of early-childhood parenting programs that work with parents to create more nurturing home environments to build self-esteem and engender positive behaviors." Read the full paper from Kearney and Levine here » Downloads Download the full paper Video How “economic despair” affects high school graduation rates for America’s poorest students Authors Melissa KearneyPhillip Levine Image Source: © Steve Dipaola / Reuters Full Article
ual What genetic information can tell us about economic inequality By webfeeds.brookings.edu Published On :: Wed, 11 May 2016 14:18:00 -0400 Income and wealth inequality in the U.S. is a stark reality. Research from a variety of fields demonstrates that children born into poor families tend to end up less educated, less healthy, more prone to contact with the police, and less likely to accumulate wealth over a lifetime. In contrast, children born into well-off families tend to exhibit better outcomes on all of these dimensions. How should social scientists and policymakers understand and address intergenerational mobility in the U.S.? This question is difficult to answer—and highly politicized. To start with, there are several possible mechanisms driving high intergenerational persistence of economic outcomes. These are often characterized as factors related either to “nurture” or “nature.” The “nurture” hypothesis asserts that poor parents lack critical resources such as wealth or information. Such parents may therefore find it difficult to make the education and time investments that would promote better economic outcomes for their children. If this is true, then children born into poor families never reach their full potential because of a lack of household resources. A second possible mechanism is often referred to as the “nature” hypothesis. Economically successful parents might be more likely to have successful children. Such an account hinges on the idea that there are heritable biological traits or abilities that more successful parents “pass on” to their children. To complicate the matter further, the mechanisms of nature and nurture almost certainly operate at the same time. Moreover, it is likely that abilities and investments interact in complicated ways. For example, a particular investment might do more to improve the outcomes of a lower-ability child than a higher-ability child, or vice versa. Understanding this process, and how it affects intergenerational mobility, is notoriously difficult. However, greater clarity is precisely what is needed to guide effective policy. If a lack of investment is the dominant mechanism explaining intergenerational persistence in economic outcomes, then we as a society may be wasting human potential. Policies correcting under-investments in human capital could therefore be justified as economically efficient. In contrast, if the intergenerational transmission of ability plays a role, then investments in poor children’s human capital may not be enough. To clarify, it is critical to state that the distinction we make here between “high-ability” and “low-ability” individuals should not be interpreted as a claim that some people are naturally or biologically superior to others. We use “ability” as shorthand to describe those traits that are rewarded in the existing labor market. Even if these abilities are linked to heritable biological factors, this does not mean that their impact on life outcomes is immutable or fixed. Modifying environments could substantially affect genetic disparities. The case of vision and eyeglasses offer one classic example. There may well be biological factors that explain variation in eyesight “ability,” but these biological differences will matter more or less for life outcomes depending on the availability of glasses and other medical interventions. In short, it is very possible that the consequences of biological differences can be moderated by appropriate changes in the environment. Until now, researchers have typically used variables such as cognitive test scores to measure ability endowments related to human capital. Yet, these traditional measures are subject to the critique that they are the products of earlier investments in human capital. This makes it difficult to distinguish between the “nature” and “nurture” hypotheses using such data. Two individuals with similar ability endowments but different levels of household resources are likely to exhibit different cognitive test scores, for example. Using genetic information to measure ability endowments can help us better understand the intergenerational transmission of human capital. As a measure, genetic information has a clear advantage over cognitive test scores because it is fixed at conception. Advances in measuring differences in DNA across individuals, together with very recent advances in behavioral genetics research, now make it possible to link genetic differences across people to behavioral traits. These new discoveries have even extended to educational attainment, which was once thought to be too complicated and removed from direct biological processes for genetic analysis. In a recent research paper, we use genetic information to better understand the nature of intergenerational mobility. We follow the cutting edge in behavioral genetics research, which guides us in computing a type of genetic “score” for any individual. We compute this so-called “polygenic score” for each person in a sample of over 8,000 individuals from the Health and Retirement Study (HRS). The score, which appears to be related to cognition, personality, and facility with learning, has some predictive power for educational attainment. In particular, it explains between 3.2 percent and 6.6 percent of the variation across individuals (depending on the specification). Thus, knowing the exact value of an individual’s score will tell you very little about that person (over 90 percent of the variation is explained by other factors). However, the average relationship in the population between the score and human capital outcomes can offer some important lessons. Using the polygenic score, we believe we can gain new insights into how ability endowments interact with an individual’s environment to generate economic outcomes. There is a long-standing debate in the economics literature about how ability and investments interact. One idea is that both ability and investments are needed for success, i.e., that they complement one another. Though our findings show evidence of this type of interaction, the story that emerges from our analysis is somewhat more nuanced. We show that ability and the environment (measured by parents’ socioeconomic status or SES) complement one another for generating higher degrees, such as college completion, but substitute for one another in generating lower levels of educational attainment such as a high school degree. In other words, our findings suggest that ability or being born into a well-off family are enough to get an individual through high school. For college, however, ability and a well-off family are important predictors of success. "In other words, our findings suggest that ability or being born into a well-off family are enough to get an individual through high school. For college, however, ability and a well-off family are important predictors of success." Another set of results concerns the wages of high-ability individuals. We show that individuals who completed college earned substantial returns on their ability starting in the early 2000s. Individuals without a college degree did not. The post-2000 rise in returns may be driven in part by “skill-biased technological change.” As new technologies are adopted in the workplace, the people who benefit most are those with the skills required to adapt to and master new ways of working. It is not difficult to imagine that people with genetic variants associated with higher education may have found it easier to adapt to computers and other new technologies. However, we also find that a higher polygenic score was not helpful for individuals who did not complete college, likely because the lack of a college degree shut them out of careers that would have allowed them to creatively use new technologies. This is a troubling finding given the role of childhood SES in predicting college completion. It means that poor children with high abilities are less likely to attend college and, subsequently, are less likely to benefit from their ability. Again, these findings suggest wasted human potential. Using genetic data to compare individuals from different socioeconomic backgrounds, we also find that children from lower SES backgrounds systematically acquire less education when compared to similarly capable individuals from high SES backgrounds. Among other things, this suggests that access to education may be an important obstacle, even for the highest ability children. Our analysis offers some suggestive evidence regarding which environments are especially harmful. For example, acute negative events like physical abuse in childhood can lead to a dramatic loss of economic potential—reducing financial wealth in late adulthood for the highest ability individuals by over 50 percent. Of course, one must be very cautious when interpreting any genetic association. In particular, it is important to think carefully about correlation versus causality. The same parents that pass along genetic material predicting educational attainment may also be more likely to have the resources to invest in their children. Still, since we base our comparisons on individuals from different socioeconomic backgrounds, but with similar polygenic scores, we offer evidence that economic disparities are not solely due to nature. In summary, recent advances in behavioral genetics have identified specific genetic variants that predict educational attainment. The fact that such genes exist confirms previous work (largely using data on twins) showing that “nature” matters for economic outcomes. Our research demonstrates that “nurture” matters, too. Perhaps more importantly, our research demonstrates that the roles of “nature” and “nurture” are intertwined and that understanding the role of “nurture” (in the form of human capital investments over the life-cycle) is key to understanding how “nature” (in the form of ability endowments) operates. In particular, we show that similarly apt individuals with different childhood SES see very different returns to their ability. This means that policies helping children born into disadvantaged circumstances may be justified not solely for ethical reasons rooted in social justice, but perhaps also as an economically efficient way to mitigate wasted human potential. Finally, we believe that continued progress in understanding the mechanisms underlying how “nature” affects economic outcomes will eventually lead to policies that help people who are born with different abilities. For example, our findings suggest that some individuals had more difficulty than others in adapting to new workplace technologies, such as computers. With a fuller understanding of this process, policymakers may be able to devise better training programs or improved school curricula that help individuals of all levels of ability to better respond to a changing technological environment. In other words we believe that our research shows that learning more about the specifics of “nature” may help us to better “nurture” all individuals in society to help them to reach their full potential. Editor’s note: The authors contributed equally to this posting and to the research upon which the posting is based. They are listed alphabetically by last name. Authors Nicholas PapageorgeKevin Thom Image Source: Kim Kyung Hoon / Reuters Full Article
ual Figure of the week: Might a few outlier economies explain Africa’s abnormally high inequality? By webfeeds.brookings.edu Published On :: Fri, 08 Jul 2016 12:00:00 -0400 On Thursday, July 7, the International Monetary Fund (IMF) revised its economic outlook for South Africa. Despite “considerable economic and social progress” since 1994, the IMF report cited high income inequality, among other factors, in its projection of slow growth and increased unemployment in the medium term. Earlier this year, in the Brookings Africa Growth Initiative’s Foresight Africa 2016, we explored this pressing problem—high income inequality—across the continent. The initial takeaway was that sub-Saharan Africa has greater in-country income inequality than other developing countries around the world. However, after separating seven outlier economies—Angola, the Central African Republic, Botswana, Zambia, Namibia, Comoros, and South Africa—we noted that income inequality, measured by the Gini coefficient, in the rest of the region actually mirrors the rest of the developing world, which currently stands at 0.39. All seven outlier economies have Gini coefficients above 0.55, a level reached by only four other countries worldwide: Suriname, Haiti, Colombia, and Honduras. It is important to explore precisely why this disparity exists. Notably, sub-Saharan Africa is not only an outlier in income inequality, but also in the relationship between economic growth and poverty reduction. Generally, in the developing world, every 1 percent of growth reduces poverty 4 percent. In sub-Saharan Africa, however, every 1 percent of growth only reduces poverty by 3 percent. In Foresight Africa 2016, Brookings Nonresident Senior Fellow Haroon Bhorat suggests that this disparity may be because of the commodity booms that have sustained growth periods in African economies, which bring extraordinary returns to capital but limited job growth. Alternatively, these commodity booms may have accompanied a fall in manufacturing output; growth is thus concentrated in the low-productivity services sector. In any case, this graph forces us to consider exactly what type of structural transformation is necessary for continued economic growth and acknowledge that inequality in sub-Saharan Africa might require different solutions in different countries. For a more in-depth discussion on this issue, see Foresight Africa 2016 and Bhorat’s discussion of African inequality in relation to the Sustainable Development Goals. Omid Abrishamchian contributed to this post. Authors Mariama Sow Full Article
ual Breakthrough therapy designation: Exploring the qualifying criteria By webfeeds.brookings.edu Published On :: Fri, 24 Apr 2015 08:45:00 -0400 Event Information April 24, 20158:45 AM - 4:45 PM EDTBallroomThe Park Hyatt Hotel24th and M Streets, NWWashington, DC Register for the Event Established by the Food and Drug Administration Safety and Innovation Act of 2012, breakthrough therapy designation (BTD) is one of several programs developed by the U.S. Food and Drug Administration (FDA) to speed up the development and review of drugs and biologics that address unmet medical needs. In order to qualify for this designation, the treatment must address a serious or life-threatening illness. In addition, the manufacturer (i.e., sponsor) must provide early clinical evidence that the treatment is a substantial improvement over currently available therapies. The FDA is working to further clarify how it applies the qualifying criteria to breakthrough designation applications. On April 24, under a cooperative agreement with FDA, the Center for Health Policy convened a public meeting to discuss the qualifying criteria for this special designation. Using examples from oncology, neurology, psychiatry, and hematology, the workshop highlighted considerations for the BTD application process, the evaluation process, and factors for acceptance or rejection. The discussion also focused on key strategies for ensuring that the qualifying criteria are understood across a broad range of stakeholder groups. Video Breakthrough therapy designation: Two and a half years inApplying the breakthrough therapy criteria: OncologyApplying the breakthrough therapy criteria: NeurologyApplying the breakthrough therapy criteria: Anti-infective/psychiatry/hematologySummary and discussion of lessons learned Event Materials Breakthrough Therapy Designation_finalBreakthrough therapy slide deck Full Article
ual Facilitating biomarker development and qualification: Strategies for prioritization, data-sharing, and stakeholder collaboration By webfeeds.brookings.edu Published On :: Tue, 27 Oct 2015 09:00:00 -0400 Event Information October 27, 20159:00 AM - 5:00 PM EDTEmbassy Suites Convention Center900 10th St NWWashington, DC 20001 Strategies for facilitating biomarker developmentThe emerging field of precision medicine continues to offer hope for improving patient outcomes and accelerating the development of innovative and effective therapies that are tailored to the unique characteristics of each patient. To date, however, progress in the development of precision medicines has been limited due to a lack of reliable biomarkers for many diseases. Biomarkers include any defined characteristic—ranging from blood pressure to gene mutations—that can be used to measure normal biological processes, disease processes, or responses to an exposure or intervention. They can be extremely powerful tools for guiding decision-making in both drug development and clinical practice, but developing enough scientific evidence to support their use requires substantial time and resources, and there are many scientific, regulatory, and logistical challenges that impede progress in this area. On October 27th, 2015, the Center for Health Policy at The Brookings Institution convened an expert workshop that included leaders from government, industry, academia, and patient advocacy groups to identify and discuss strategies for addressing these challenges. Discussion focused on several key areas: the development of a universal language for biomarker development, strategies for increasing clarity on the various pathways for biomarker development and regulatory acceptance, and approaches to improving collaboration and alignment among the various groups involved in biomarker development, including strategies for increasing data standardization and sharing. The workshop generated numerous policy recommendations for a more cohesive national plan of action to advance precision medicine. Event Materials 1027 Brookings biomarkers workshop agenda1027 Biomarkers workshop backgrounderfinal1027 Biomarkers workshop slide deckfinal1027 Biomarkers workshop participant listfinal Full Article
ual The Power of Circumstance: A New Approach to Measuring Education Inequality By webfeeds.brookings.edu Published On :: Wed, 11 Jan 2012 11:12:00 -0500 INTRODUCTIONIn recent years, there has been a resurgence of interest in the issue of inequality. Part of this resurgence can be traced to new evidence of persistent and widening wealth gaps. Average incomes may be converging globally as a result of high growth in emerging markets, stronger growth in many poor countries, and slow growth in rich countries. However, the evidence also shows that within countries a parallel process of income divergence, marginalization and rising inequality is also taking place. Put differently, the rising tide of global prosperity is not lifting all boats. Much of the international debate on inequality focuses on the distribution of income across and within countries. Other dimensions of inequality have received less attention. This is unfortunate. Amartya Sen has described development as “a process of expanding the real freedoms that people enjoy” by building human capabilities or their capacity to lead the kind of life they value. Income is a means to that end but it is a limited indicator of well-being. Moreover, a person’s income reflects not just personal choice but also their opportunities for improving health, literacy, political participation and other areas. Education is one of the most basic building blocks for the “real freedoms” that Sen describes. People denied the chance to develop their potential through education face diminished prospects and more limited opportunities in areas ranging from health and nutrition, to employment, and participation in political processes. In other words, disparities in education are powerfully connected to wider disparities, including international and intra-country income inequalities. This is why education has been identified as one of the most critical factors in breaking down the disadvantages and social inequalities that are limiting progress toward the United Nations’ Millennium Development Goals (MDGs)—development targets adopted by the international community for 2015. Understanding patterns of educational inequality is critical at many levels. Ethical considerations are of paramount importance. Most people would accept that children’s educational achievements should not be dictated by the wealth of their parents, their gender, their race or their ethnicity. Disparities in educational opportunities are not just inequalities in a technical sense, they are also fundamental in equities—they are unjust and unfair. In an influential paper, John Roemer differentiated between inequalities that reflect factors such as luck, effort and reasonable reward, and those attributable to circumstances that limit opportunity (Roemer 1988).1 While the dividing line may often be blurred, that distinction has an intuitive appeal. Most people have a high level of aversion to the restrictions on what people—especially children—are able to achieve as a result of disparities and inherited disadvantages that limit access to education, nutrition or health care (Wagstaff, 2002). There is a wide body of opinion across political science, philosophy and economics that equal opportunity—as distinct from equality of outcomes—is a benchmark of egalitarian social justice. The theories of distributive justice associated with thinkers such as Amartya Sen, John Rawls, Ronald Dworkin and John Roemer argue, admittedly from very different perspectives, that public policy should aim at equalizing opportunity to counteract disadvantages associated with exogenous circumstances over which individuals or social groups have no control. Given the role of education as a potential leveler of opportunity, it is a national focal point for redistributive social justice. Considerations of economic efficiency reinforce the ethical case for equalizing educational opportunities. Education is a powerful driver of productivity, economic growth, and innovation. Econometric modeling for both rich and poor countries suggests that an increase in learning achievement (as measured by test score data) of one standard deviation is associated on average with an increase in the long-run growth rate of around 2 percent per capita annually (Hanushek and Wößmann, 2010; Hanushek, 2009; Hanushek and Wößmann, 2008). Such evidence points to the critical role of education and learning in developing a skilled workforce. Countries in which large sections of the population are denied a quality education because of factors linked to potential wealth, gender, ethnicity, language and other markers for disadvantage are not just limiting a fundamental human right. They are also wasting a productive resource and undermining or weakening the human capital of the economy. International development commitments provide another rationale for equalizing educational opportunities. This is for two reasons. First, the commitments envisage education for all and achievement of universal primary education by 2015. Second, there is mounting evidence that inequality is acting as a brake on progress toward the 2015 goals. Since around 2005, the rate of decline in the out-of-school population has slowed dramatically. Based on current trends, there may be more children out of school in 2015 than there were in 2009. Caution has to be exercised in interpreting short-run trends, especially given the weakness of data. However, the past three editions of the UNESCO Education for All Global Monitoring Report (GMR) have highlighted the role of inequality in contributing to the slowdown with governments struggling to reach populations that face deeply entrenched disadvantages (UNESCO, 2008, 2010, 2011). Therefore, picking up the pace toward the 2015 goals requires a strengthened focus on equity and strategies that target the most marginalized groups and regions of the world (Sumner and Tiwari, 2010; UN-DESA, 2009; UNESCO, 2010). It should be added that disparities in education relate not just to access, but also to learning achievement levels. Accelerated progress in education would generate wider benefits for the MDGs. Most of the world’s poorest countries are off-track for the 2015 MDG target of halving income poverty and a long way from reaching the targets on child survival, maternal health and nutrition. Changing this picture will require policy interventions at many levels. However, there is overwhelming evidence showing that education—especially of young girls and women—can act as a potent catalyst for change. On one estimate, if all of sub-Saharan Africa’s mothers attained at least some secondary education, there would be 1.8 million fewer child deaths in the region each year. Thus while education may lack the “quick fix” appeal of vaccinations, it can powerfully reinforce health policy interventions. Downloads Download the full report Authors Kevin Watkins Full Article
ual Figure of the week: Annual Nelson Mandela lecture focuses on the potential of Africa’s youth By webfeeds.brookings.edu Published On :: Thu, 21 Jul 2016 15:53:00 -0400 On Monday, July 18, 2016, the world celebrated Nelson Mandela International Day, a day recognizing the former president of South Africa’s commitment to fostering peace and freedom. Every year the Nelson Mandela Foundation hosts a lecture, inviting prominent individuals to discuss significant social issues affecting the African continent. For this year’s lecture, Bill Gates was selected to speak on the theme of “Living Together” in front of a packed stadium in Pretoria. Gates focused on a topic Mandela returned to repeatedly throughout his life—the power of the youth. In the words of Gates, “…young people are better than old at driving innovation because they are not locked in by the limits of the past… we must clear away the obstacles standing in young people’s way so that they can seize all of their potential.” Unfortunately, South Africa, the second-largest economy on the continent, has the highest youth unemployment rate at 54 percent, as seen in the figure below. Surprisingly, according to the figure the highest rates of youth unemployment lie in the upper-middle-income countries as classified by GNI per capita. Additionally, these unemployment rates might be depressed due to the fact that unemployment refers to people looking for jobs, and many of Africa’s youth are forced into the informal sector after giving up on their search for employment. Although youth unemployment in Africa is often seen as a growing challenge, a number of experts interpret the large youth population as an opportunity, as long as the youth have access to the economic opportunities through which they can channel their energy into progress. As Africa’s youth is predicted to grow exponentially, achieving broad-based economic growth and development will rely on breaking down the barriers to economic opportunity, by investing in human capital (through education) and in improving business environments. Figure 2.3. Youth unemployment will continue to be a growing challenge in 2016 Interestingly, GDP and income classification have little correlation with youth unemployment rates. For example, South Africa, which has the second-largest economy on the continent and is considered an upper-middle-income country based on its GNI per capita, has the highest youth unemployment rate at nearly 54 percent. Meanwhile, the Liberian economy, which is nearly 200 times smaller than South Africa’s, has a youth unemployment rate 10 times smaller. Youth unemployment is measured as the share of the labor force (ages 15-24) without work but available for and seeking employment. Estimates may be low in some low-income countries like Liberia because many young people cannot afford not to work to seek employment and as a result, end up in low-paying jobs. Source: Youth unemployment figures from World Development Indicators and GDP data from the World Bank databank. See the Brookings Africa Growth Initiative’s Foresight Africa 2016 report, from which the figure below comes, for more highlights on the growing challenge of youth unemployment in Africa. In addition, earlier this month the Brookings Institution hosted an Africa Policy Dialogue on the Hill on jobs in Africa, alluding to the shortcomings of the educational systems and the importance of infrastructure and electricity to support business and attract investment. For a summary of the conversation, see here. Tor Syvrud contributed to this post. Authors Amy Copley Full Article
ual The rapidly deteriorating quality of democracy in Latin America By webfeeds.brookings.edu Published On :: Fri, 28 Feb 2020 14:36:02 +0000 Democracy is facing deep challenges across Latin America today. On February 16, for instance, municipal elections in the Dominican Republic were suspended due to the failure of electoral ballot machines in more than 80% of polling stations that used them. The failure sparked large protests around the country, where thousands took to the streets to… Full Article
ual David Brooks is correct: Both the quality and quantity of our relationships matter By webfeeds.brookings.edu Published On :: Wed, 12 Feb 2020 18:17:09 +0000 It’s embarrassing to admit, since I work in a Center on Children and Families, but I had never really thought about the word “relative” until I read the new Atlantic essay from David Brooks, “The Nuclear Family Was a Mistake.” In everyday language, relatives are just the people you are related to. But what does… Full Article