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Begin New Search Political Geography Global Focus Content Type Special Report Publication Year within 5 Years Publication Year within 10 Years

201. Enforcement of Drug Laws: Refocusing on Organized Crime Elite

Author:
Global Commission On Drug Policy
Publication Date:
05-2020
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
In this first report of this decade, the Global Commission on Drug Policy outlines how the current international drug control regime works for the benefit of transnational organized crime. It highlights how years of repressive policies targeted at nonviolent drug offenders have resulted in mass incarceration and produced countless adverse impacts on public health, the rule of law, and social cohesion, whilst at the same time reinforcing criminal elites. The report argues that the top layers of criminal organizations must be disempowered, through policy responses and political will. It provides implementable recommendations for the replacement of the current policy of targeting non-violent drug offenders and resorting to mass incarceration. Law enforcement must focus on the most dangerous and protected actors and primary drivers of the corruption, violence, and chaos around illegal drug markets. The control of psychoactive substances in a rational and efficient way must be centered on people and their needs, and on a repressive approach against criminal elites who benefit from the illegal drug markets’ proceeds, and have access to high-level networks, financial and legal support as needed. Only responsible legal regulation of currently prohibited drugs, with careful implementation, has the potential to disrupt criminal organizations and deprive them of their most lucrative sources of income. The report contains research on the prerequisites for a successful transition towards the reform of the outdated ideology-based international drug control regime, and provides cutting-edge recommendations on how to ensure that international criminal organizations are effectively disempowered by the transition towards a legally regulated drug market under the control of governments.
Topic:
Crime, Health, War on Drugs, Drugs, Public Health, and Medicine
Political Geography:
Global Focus

202. Charting a New Course: Women, Peace and Security, and the Maritime Domain

Author:
Sahana Dharmapuri, Pamela Tansey, and Lexie Van Buskirk
Publication Date:
08-2020
Content Type:
Special Report
Institution:
Our Secure Future
Abstract:
The Women, Peace and Security (WPS) agenda is a transformative policy mandate with a global constituency. It provides policymakers with the tools to end cycles of violent conflict, create more equitable peace processes, and promote gender equality on a global, national, and local scale. Passed in October 2000, United Nations Security Council Resolution 1325 on Women, Peace and Security (UNSCR 1325) underscores women’s agency, voice, and capacities as intrinsic to creating more effective international peace and security policies. Since 2000, more than 80 countries have adopted Women, Peace and Security National Action Plans and other policies to robustly implement the WPS agenda. In 2017, the US Congress adopted the Women, Peace, and Security Act to incorporate the principle of gender equality into US foreign policy. The two main objectives of the WPS agenda are to 1) increase the representation of women in decision-making positions, and 2) to apply a gender perspective to matters of international peace and security.
Topic:
International Relations, Security, Gender Issues, Women, and Peace
Political Geography:
United States and Global Focus

203. Do Americans Face Greater Mental Health and Economic Consequences from COVID-19? Comparing the U.S. with Other High-Income Countries

Author:
Michelle M. Doty, Eric C. Schneider, Roosa Tikkanen, Arnav Shah, and Reginald D. Williams II
Publication Date:
08-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
With more than 4 million confirmed cases and 150,000 deaths as of August, the United States is failing to control the COVID-19 pandemic. At a time when many nations are reopening their economies and societies, the U.S. is struggling in its attempts to do the same. To examine the early impact of the pandemic on the well-being of adults in the U.S. and abroad, the Commonwealth Fund joined the survey research firm SSRS to interview 8,259 adults age 18 and older between March and May 2020. It is the latest in the Commonwealth Fund’s series of cross-national comparisons featuring the United States and nine other high-income countries that participate in the Fund’s annual International Health Policy Survey. The following exhibits illustrate COVID-19’s effects on people’s mental health and economic security and compare levels of public trust in national leaders in responding to the pandemic.
Topic:
Health, Health Care Policy, Mental Health, and Public Health
Political Geography:
United States, Europe, and Global Focus

204. Bundled-Payment Models Around the World: How They Work and What Their Impact Has Been

Author:
Meredith B. Rosenthal, Paul F. van Gils, Caroline A. Baan, Eline F. de Vries, and Jeroen Struijs
Publication Date:
04-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
We identified 23 initiatives in eight countries that have implemented bundled-payment models, focusing on procedures such as total joint replacements and cardiac surgery, as well as chronic conditions like diabetes and breast cancer. Of the 35 studies retrieved, 32 reported effects on quality of care and 32 reported effects on medical spending. Twenty of 32 studies reported modest savings or a modest reduction in spending growth, while two studies (both based on the same initiative) demonstrated increased spending in the early years of the bundled-payment model’s implementation. Eighteen of 32 studies reported quality improvements for most evaluated measures, while other studies showed no difference in measured quality. Our study provides evidence that bundled-payment models have the potential to reduce medical spending growth while having either a positive impact or no impact on quality of care.
Topic:
Economics, Health, Health Care Policy, Income Inequality, Macroeconomics, Coronavirus, and COVID-19
Political Geography:
United States and Global Focus

205. U.S. Health Care from a Global Perspective, 2019: Higher Spending, Worse Outcomes?

Author:
Roosa Tikkanen and Melinda K. Abrams
Publication Date:
01-2020
Content Type:
Special Report
Institution:
Commonwealth Fund
Abstract:
A 2015 Commonwealth Fund brief showed that — before the major provisions of the Affordable Care Act were introduced — the United States had worse outcomes and spent more on health care, largely because of greater use of medical technology and higher prices, compared to other high-income countries. By benchmarking the performance of the U.S. health care system against other countries — and updating with new data as they become available — we can gain important insights into our strengths and weaknesses and help policymakers and delivery system leaders identify areas for improvement. This analysis is the latest in a series of Commonwealth Fund cross-national comparisons that uses health data from the Organisation for Economic Co-operation and Development (OECD) to assess U.S. health care system spending, outcomes, risk factors and prevention, utilization, and quality, relative to 10 other high-income countries: Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United Kingdom. We also compare U.S. performance to that of the OECD average, comprising 36 high-income member countries.
Topic:
Health and Health Care Policy
Political Geography:
United States, Europe, and Global Focus

206. 5G Technological Leadership

Author:
Hudson Institute
Publication Date:
12-2020
Content Type:
Special Report
Institution:
Hudson Institute
Abstract:
As the promise of the next-generation mobile communications technology becomes clearer, policymakers are increasingly focusing on the technological and policy foundations of 5G leadership. The mobile revolution has already delivered unimagined benefits the world over from innovative apps delivering healthcare services to remote villages in developing countries to the equally innovative development of the “sharing economy” with Uber and Airbnb. 5G promises to go even further. It will not be merely a marginal improvement over the previous generations of cellular standards but will instead bring what many have called the “next industrial revolution.”1 5G will make everything more interconnected and efficient—from financial services to national defense to power grids to basic utilities provided in smart cities. Estimates predict that by 2035 5G will contribute over $13.2 trillion to the global economy.2 Given the importance that 5G will have for the US innovation economy, policymakers have focused on promoting and securing 5G leadership. They have also become concerned about the national security implications of 5G leadership for at least two reasons. First, they are concerned about economic and other vulnerabilities being exploited by potential adversaries via foreign entities manufacturing or owning the underlying physical infrastructure.3 Second, they are concerned about the national security implications of simply falling behind in technological leadership as such.4 In sum, 5G technological leadership matters both for economic growth and for national security. The policy discussion about 5G leadership, though, has been mired in confusion. 5G represents a complex technological and commercial ecosystem, and commentary about 5G leadership has been misdirected by mistaken assumptions. In the interest of promoting policy discussions grounded in the proper technological and economic evidence, this Statement highlights two essential facts that must inform all discussions about 5G leadership: (1) 5G hardware and infrastructure is only one of the many layers of a much larger 5G ecosystem, and (2) patent counting is an unreliable methodology to identify the leading 5G technological innovators.
Topic:
Science and Technology, Communications, Leadership, Global Political Economy, and 5G
Political Geography:
Global Focus

207. Maritime Challenges: Decarbonization and Geopolitical Tensions

Author:
Clarissa Lins and Guilherme Ferreira
Publication Date:
11-2020
Content Type:
Special Report
Institution:
Brazilian Center for International Relations (CEBRI)
Abstract:
The maritime sector is key to the international economy and trade, accounting for almost ¾ of total freight activity. Shipping is also the most energy-efficient way to transport cargo. “In the coming years, structural changes are expected in the global economy and maritime scenario”, pointed out the speakers during the event “Maritime challenges: decarbonization and geopolitical tensions” held in partnership between CEBRI and the Norwegian Consulate General in Rio de Janeiro.
Topic:
Geopolitics, Economy, Maritime, Trade, Shipping, and Decarbonization
Political Geography:
Brazil and Global Focus

208. Lockdown Preventive Measure against COVID-19 Pandemic: Livelihoods Implications in Cameroon

Author:
Dr. Tata E. Sunjo, Adeline Kaptue Wuyt, and Dr. Yauba Saidu
Publication Date:
06-2020
Content Type:
Special Report
Institution:
The Nkafu Policy Institute
Abstract:
The entire world today is, in one way or another, affected by the spread of the novel coronavirus infection which the World Health Organization (WHO) declared to be a pandemic on the 11th of March 2020. This outbreak which has spread to all continents (Figure 1) has been characterized by exponential increase in infected cases, attributed deaths and socio-economic hardship. There are already more than 3.8 million confirmed cases globally with over 265 862 deaths (WHO Situation Report, 9 May 2020). The quality of the health system in a given country appears to not be an influential factor in preventing the installation or propagation of the pandemic as the nations with relatively robust health systems like in Europe and the USA have also been hit hard.
Topic:
Health, Public Health, Pandemic, COVID-19, Socioeconomics, and Global Health
Political Geography:
Cameroon and Global Focus

209. Blueprint for a Market-Driven Value-Based Advance Commitment for Tuberculosis

Author:
Kalipso Chalkidou, Martina Garau, Rachel Silverman, and Adrian Towse
Publication Date:
02-2020
Content Type:
Special Report
Institution:
Center for Global Development
Abstract:
Innovation—delivering new drugs, diagnostics, and devices—is a critical tool in the global fight against disease and premature death. Yet despite the potential for innovation to improve health around the world, the pharmaceutical industry’s investments in research and development (R&D) generally neglect diseases of the poor in favour of more lucrative high-income markets. Responding to this R&D gap, donor “push” investments have helped advance an innovation agenda to serve low- and middle-income countries. Though these investments have helped accelerate market entry of several important innovations, other donor-push products have fizzled upon market entry due to unaffordable or non-cost-effective pricing, disappointing efficacy, lack of political will, or lower-than-anticipated country demand. And with many large middle-income countries (MICs) poised to soon transition from donor aid, the sustainability of the current donor-led model is in question. Tuberculosis (TB), an infectious disease primarily affecting the poor and vulnerable, ranks among the top 10 global causes of death. Current TB treatment cycles are long and toxic, causing some patients to discontinue treatment, develop acquired drug resistance, and risk spreading a drug-resistant pathogen to others. Drug-resistant strains are more difficult to treat, traditionally requiring long-duration toxic regimens and high-cost hospitalization (though recent innovations offer a shorter, more tolerable, and more affordable treatment). Despite years of global investment in TB control, modelling suggests that global goals for TB cannot be achieved without major technological breakthroughs. One particularly desirable innovation would be a short-course universal drug regimen (UDR)—equally capable of treating drug-sensitive and drug-resistant strains, with a two-month or shorter treatment duration. Donors, particularly the Bill & Melinda Gates Foundation (BMGF), have funded substantial early-stage R&D to source new treatment compounds that could contribute to a UDR, but substantial additional investments in late-stage trials would be required to bring such a UDR to market.
Topic:
Health Care Policy, Drugs, Medicine, and Pharmaceuticals
Political Geography:
Global Focus

210. Input to the Review of The UN Defense Sector Reform Policy

Author:
Vincenza Scherrer and Alba Bescos Pou
Publication Date:
10-2020
Content Type:
Special Report
Institution:
Geneva Centre for Security Sector Governance (DCAF)
Abstract:
This report has been developed by DCAF, the Geneva Centre for Security Sector Governance, at the request of the Security Sector Reform Unit (SSRU) of the United Nations Department of Peace Operations. The report presents the findings of a multi-year research project aimed at mapping and analysing Security Council mandates on defence sector reform and the Secretary-General Reports reporting on their implementation. This research project has been developed as part of the broader formal review of the UN Policy on Defence Sector Reform (2011) that the SSR Unit is leading in coordination with the UN Inter-Agency SSR Task Force. Based on the findings of the review, the report has issued a set of recommendations for members of the UN Security Council, staff of the UN Secretariat, and for the Policy review process more specifically.
Topic:
Defense Policy, International Cooperation, United Nations, Military Strategy, and Reform
Political Geography:
Global Focus