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11. U.S. and Global Approaches to Financing Long-Term Care: Understanding the Patchwork

Author:
Celli Horstman, Evan D. Gumas, and Gretchen Jacobson
Publication Date:
02-2023
Content Type:
Policy Brief
Institution:
Commonwealth Fund
Abstract:
Most United States adults age 65 and older will need long-term care toward the end of their lives.1 Long-term care, provided in the home, community, or in institutional settings like a nursing home, includes medical care as well as personal, nonmedical care for people who are unable to perform activities of daily living, like cooking or bathing. Some services also may support social needs for those unable to perform what are known as instrumental activities of daily living, such as shopping or medication management. In 2018, more than 5 million people in the United States used home health care, including adult day care or home health agency services, and nearly 4 million people resided in nursing homes or residential care communities.2 Despite the widespread need for long-term care, the U.S. has no national program to cover the costs of long-term care. While certain states have implemented their own programs, the resulting patchwork of funding has left many Americans with no sustainable way to pay for the services they require. Other developed countries have comprehensive, national long-term care financing systems featuring broad eligibility and high levels of financial support. In this brief, we analyze data from multiple sources on long-term care costs in the U.S., as well as spending data from the Organisation for Economic Co-operation and Development (OECD), to better understand long-term care financing strategies in 12 high-income countries. In addition to these data, we synthesized initiatives to long-term care funding in these 12 countries. (For details, see “How We Conducted This Study.”) Since the U.S. does not have a national funding strategy, we also focused on individual state approaches. International and U.S. state approaches may provide insights to policymakers seeking to advance comprehensive long-term care funding.
Topic:
Health, Health Care Policy, Inequality, and Social Services
Political Geography:
Global Focus

12. The Future of Neutrality

Author:
Pascal Lottaz
Publication Date:
03-2023
Content Type:
Policy Brief
Institution:
The Geneva Centre for Security Policy
Abstract:
Neutrality is a naturally occurring phenomenon. There have always been actors on the world stage that have remained outside the conflicts of others, be they countries, religious institutions or international organisations (IOs). Even during the two world wars and the first Cold War (i.e. the US and its allies versus the USSR and its allies), some actors managed to avoid the battlefields or claimed a position separate from the various alliance systems. Despite the beliefs of some commentators that neutrality is coming to an end, there is no indication that world politics is actually about to change dramatically enough to eradicate the reasons and logic for neutrality. In fact, the least conductive international environment for neutrality – unipolarity – seems to be ending. What could be called the “New Cold War” (the West-aligned countries versus Russia in Europe and versus China in Asia) and the emerging multipolar world will likely produce the dynamics leading to more neutrality as a counter-reaction to the new great power rivalry. We should expect neutrality and neutralism – i.e. political movements demanding the adoption of neutrality policies – to strengthen. Nevertheless, neutrality is shifting. It is moving from Europe to other regions of the world, and, in the process, will likely also change conceptually. This Policy Brief will first describe the nature of neutrality and the three basic motivations for actors to opt for its policies. It then discusses the challenges any neutrality policy faces and will conclude by providing concrete recommendations for policymakers seeking to maintain neutrality vis-à-vis either hot or cold conflicts.
Topic:
International Cooperation, Hegemony, Rivalry, and Neutrality
Political Geography:
Global Focus

13. Using Targeted Sanctions to Help Prevent Mass Atrocities: Results from Interviews with Experienced Practitioners

Author:
Tallan Donine, Kyra Fox, Daniel Solomon, Alex Vandermaas-Peeler, and Lawerence Woocher
Publication Date:
01-2023
Content Type:
Special Report
Institution:
Simon-Skjodt Center for the Prevention of Genocide, United States Holocaust Memorial Museum
Abstract:
The Simon-Skjodt Center’s “lessons learned” project aims to understand better how policy makers, across all levels of government, can take effective action to prevent mass atrocity crimes and protect civilian populations in situations where they face serious threats of group-targeted, systematic violence. We have sought to identify, distill, and organize insights on a range of policy tools—ranging from “naming and shaming” to sanctions to prosecutions—which are sometimes used to help prevent or respond to mass atrocities. To complement our review of the empirical research literature on the use of targeted sanctions, we conducted interviews with people who had substantial policy or operational experience working in the US government on targeted sanctions prior to 2021. The premise for the interviews is that experienced practitioners have important insights about when and how targeted sanctions can be most effective in helping prevent mass atrocities.3 While one can find many ideas about how to use targeted sanctions most effectively, none that we are aware of are: (1) focused specifically on the use of targeted sanctions for mass atrocity prevention and (2) based on the collective perspectives of a set of experienced practitioners. This report summarizes the results of the interviews with experienced targeted sanctions practitioners. Details on the methods employed and the interview respondents are presented in appendices.
Topic:
Foreign Policy, Economics, Sanctions, and Atrocity Prevention
Political Geography:
Global Focus

14. Social Media Platforms, the Risks of Mass Atrocities, and Opportunities for Atrocity Prevention: 2023 Sudikoff Interdisciplinary Seminar on Genocide Prevention

Author:
Tallan Donine
Publication Date:
04-2023
Content Type:
Special Report
Institution:
Simon-Skjodt Center for the Prevention of Genocide, United States Holocaust Memorial Museum
Abstract:
On January 19 and 24, the Simon-Skjodt Center for the Prevention of Genocide at the United States Holocaust Memorial Museum brought together a diverse group of scholars, representatives of social media companies, practitioners, and policy makers for two 90-minute virtual convenings to discuss social media platforms, the risks of mass atrocities, and opportunities for atrocity prevention. Motivations for this seminar included (1) taking stock of knowledge about the relationship between social media, mass atrocities, and atrocity prevention; (2) generating new ideas for future research or practice on this topic; and (3) exploring how the Simon-Skjodt Center can play a constructive role in this area. This rapporteur’s report summarizes key observations raised during both discussions under the Chatham House rule of non-attribution and does not necessarily represent the views of all participants. The first session focused on exploring the interaction between social media platforms and risks of mass atrocities. Guiding questions included: • How might social media platforms contribute to risk factors associated with mass atrocities? • How might perpetrators use social media platforms to enact mass atrocities? • How might the relationship between social media platforms and mass atrocities change in the future? The second session focused on social media platforms and the prevention of mass atrocities. Guiding questions included: • How do technology firms and others understand the risks that social media platforms may inadvertently contribute to the commission of mass atrocities? • What steps have firms taken to date to address these risks? • What new or different actions can social media companies take to design and manage their platforms in ways that would help reduce risks of mass atrocities? • What type of regulation of social media platforms would most effectively balance interests in civil liberties and violence prevention?
Topic:
Genocide, Social Media, Atrocity Prevention, and Risk Assessment
Political Geography:
Global Focus

15. Social Media, Mass Atrocities, and Atrocity Prevention: 2023 Sudikoff Interdisciplinary Seminar on Genocide Prevention

Author:
Daniel Solomon and Tallan Donine
Publication Date:
04-2023
Content Type:
Working Paper
Institution:
Simon-Skjodt Center for the Prevention of Genocide, United States Holocaust Memorial Museum
Abstract:
In 2018, anti-Muslim extremists in Sri Lanka organized a series of attacks against Muslim civilians throughout the country (Taub and Fisher 2018). Extremist leaders used a misleading viral video to stoke fears that the country’s Muslim minority was organizing a campaign to sterilize the majority Sinhalese population en masse. The video circulated widely on Facebook, and participants in the violence also set up private WhatsApp groups to coordinate the violence. This is just one example of a disturbing pattern that is increasingly under the spotlight: social media seeming to fuel violence, including large-scale and deliberate attacks on civilians based on their identity. These examples have become widespread in recent years, with attacks on the Rohingya community in Burma, the Muslim community in India, and multiple marginalized groups in Ethiopia and elsewhere following a similar trajectory. Influential users appeared to use social media in these cases to dehumanize their targets, recruit participants, and coordinate violence. Amid public outcry social media firms have begun to develop or revise some policies to limit the spread of harmful content. In the Sri Lanka case, Meta—which operates both Facebook and WhatsApp— acknowledged and apologized for the platforms’ role in the violence (Facebook 2020), issued a series of human rights impact assessments of its role, and stated it would implement policies to address associated human rights concerns from its products, with applications to other high-risk contexts (Sissons 2020). Across social media companies, responses to concerns about “offline harm” have largely focused on content moderation, modifying algorithms that promote different kinds of content, and restricting access to certain users. Many advocates argue that actions to date have not gone far enough, asserting that stronger action—including government regulation—is necessary to prevent social media from contributing to violence, including mass atrocities. Social media use will only continue to rise, especially in countries at high risk of new mass atrocities. Beyond select cases, however, there is insufficient research about the specific relationship between social media platforms and the onset and escalation of mass atrocities—or how social media companies and government actors might limit these platforms’ potential negative effects. The goal of this paper is to stimulate and frame discussion during the Sudikoff Interdisciplinary Seminar on Genocide Prevention about the relationship between social media technologies and the risk and prevention of mass atrocities. Based on a review of relevant research, policy documents, and public statements by social media companies, the paper surveys current knowledge and identifies important gaps in understanding about (1) how social media platforms have contributed to the risk and occurrence of mass atrocities in the past and how they might do so in the future;1 and (2) strategies to help prevent social media from fueling mass atrocities.
Topic:
Social Media, Facebook, Atrocity Prevention, and Risk Assessment
Political Geography:
India, Sri Lanka, and Global Focus

16. Catch-up and Leapfrog Strategies for Developing Countries: Making a Case for a Social Spring

Author:
Leonardo Paz Neves
Publication Date:
03-2023
Content Type:
Policy Brief
Institution:
Korea Institute for International Economic Policy (KIEP)
Abstract:
There is an ongoing consensus that we are on the brink, if not already started, of a major technological revolution. The Fourth Industrial Revolution has a wider and deeper transformative power. It could be considered a major paradigm shift of our time. Its importance is characterized by a wave of innovation in many fields, yet it is not compartmentalized in silos of technological advancements and product innovation. Each of those breakthroughs ripples in many other spheres as productive, labor, social, economic, health, etc. And in every transition, every transformation, new opportunity arrives. In paradigm shifts like these, ‘Windows of Opportunity’ are opened. Perez and Soete (1988) studied the entry phase, which developing countries should use in their development strategies to catch-up with industrialized countries, arguing that from time to time, the entry barriers recede, creating a window of opportunity for those developing countries. Taking advantage of these windows of opportunity is fundamentally conditioned to the ‘social capability’ of these lagging countries (Abramovitz 1995). There is because, in the moments in which the edge based in tech experience is not a determinant factor and the entry barriers recede, latecomers have a better chance in catching-up. But, they will only be able to compete with the leading economies if certain social conditions are met. With fewer development pol-icy options, these countries will have to go be-yond the classic developmental approach to succeed in leapfrogging and take the lead. Thus, while forging their path towards devel-opment, developing countries should try to take their own past experience and reassess it from a different perspective.
Topic:
Science and Technology, Economic Development, and Opportunity
Political Geography:
Global Focus

17. Covid-19 Crisis and Shifts in the Corporate Competitive Landscape: Comparisons with Previous Economic Crises

Author:
Sang-Ha Yoon, Yaein Baek, Wontae Han, Yoonsoo Lee, and Daisoon Kim
Publication Date:
04-2023
Content Type:
Policy Brief
Institution:
Korea Institute for International Economic Policy (KIEP)
Abstract:
In terms of economic fluctuations, it is well recognized that the effects of an economic crisis have a detrimental impact on the entry, growth, decline, and exit of firms. In addition, the magnitude of the impact varies both within and between industries depending on the size and other characteristics of the firm. The economy is going through significant changes due to the emergence of new industries and the decline or disappearance of current ones. This study looks at how big economic events like the COVID-19 pandemic and the global financial crisis have affected businesses and industries. After completing a study at several levels of top international corporations, larger domestic enterprises, and domestic small and medium-sized businesses, it attempts to draw policy implications. First, it is necessary to foster and support top-tier companies to defend against global economic fluctuations and strengthen international competitiveness. In particular, the institution in charge of competition policies domestically and the institution that helps companies improve their competitiveness are different and the focus of policies is distinctive, so comprehensive attention and perspective of policymakers are needed. Second, it is urgent to respond to new issues related to competition policy in the domestic market. The behavior of emerging big tech and platform companies is different from monopoly companies in the past, so consumer welfare is not impaired, but it burdens nearby and other market participants. Therefore, a view that deviates from the focus on monopoly pricing is also essential for competition policy. Third, measures to support global corporate growth and countermeasures against changes in the industrial landscape should be prepared. Investment and R&D expansion at the corporate level is essential for corporate growth, and measures are needed to boost investment in recently emerging intangible assets. In addition, it is important to revitalize the movement of economic resources to cope with changes in the inter-industry landscape accompanied by the crisis. Fourth, policies to revitalize start-ups and closures are required. The decline in new companies' market entry and exit rates is a symtom of an aging economy contributing to the overall decrease in productivity. Therefore, enhancing the revitalization of the corporate ecosystem and expanding the size of enterprises are essential to enhance the dynamics of the economy. Fifth, it is necessary to find an appropriate combination of government roles in times of crisis. In particular, it is important to grasp the detailed status of economic stabilization policies in relation to SMEs, and at the same time, clear judgments on the appropriate size of support measures, the period of support, and the timing of collection are urgently needed.
Topic:
Economics, COVID-19, Corporations, Economic Crisis, and Competition
Political Geography:
Global Focus

18. Analysis on the Determinants of Labor Share and Its Policy Implications

Author:
Yaein Baek, Minsoo Han, Wongi Kim, and Hyunsuk Kim
Publication Date:
02-2023
Content Type:
Policy Brief
Institution:
Korea Institute for International Economic Policy (KIEP)
Abstract:
There has been a significant decline in the global labor share, leading to numerous studies about the cause of this drop. The labor share is used as one of the main indicators of inequality because a decrease in the labor share can lead to aggravation of income inequality. This is because low-skilled workers can be greatly affected by such a decline in the labor share and the main source of in-come for the low-income class, including the self-employed, is labor income. Among various indicators of inequality, this study analyzes the determinants of the change in labor share. Technological changes such as adoption of robots, advancements in information and communications technology (ICT) and the Fourth Industrial Revolution (4IR) are expected to change the labor market. Hence, this study analyzes the impact of technological changes on labor share and suggests policy responses.
Topic:
Economics, Science and Technology, Labor Issues, and Inequality
Political Geography:
Global Focus

19. Using Risk Analysis to Shape Border Management: A Review of Approaches during the COVID-19 Pandemic

Author:
Kelley Lee, Julianne Piper, and Jennifer Fang
Publication Date:
01-2023
Content Type:
Special Report
Institution:
Migration Policy Institute (MPI)
Abstract:
The near universal adoption of travel measures by governments to control the spread of COVID-19 has proved controversial during the pandemic. National responses have been highly varied and frequently changing, and the use of travel measures—ranging from advisories and screening to quarantine, testing, immunity certification, and restrictions on entry—has been poorly coordinated across jurisdictions. Particularly in the early stages of the crisis, this created chaos for travelers and the travel sector, and caused significant economic and social harms. Many governments also failed to clearly communicate the rationale for using travel measures, the evidence underpinning them, and the measures’ role within overall pandemic response strategies. There is now substantial evidence that these measures’ early and stringent use by some governments during the initial stages of the pandemic slowed the importation of the virus and reduced its onward transmission. Yet, there is also growing recognition of weaknesses in the quality of evidence available to inform policy decisions. Evaluating the appropriateness of travel measures and applying them effectively during future public-health emergencies will depend on international consensus on methodologies that lead to a more harmonized and coordinated approach and to greater public trust in policy decisions. This report presents a comparative analysis of 11 publicly available methodologies used to assess travel-related risks during the pandemic—those of Hong Kong, New Zealand, South Korea, Taiwan, United Kingdom, United States, International Civil Aviation Organization, International Air Transport Association, World Health Organization, Organization for Economic Cooperation and Development, and European Union. It offers a set of lessons learned and recommendations, including a proposed decision instrument that could improve the use of risk analysis for border management during future public-health emergencies.
Topic:
Security, International Cooperation, International Organization, Governance, Border Control, and COVID-19
Political Geography:
United Kingdom, Taiwan, South Korea, New Zealand, Hong Kong, Global Focus, and United States of America

20. External Processing: A Tool to Expand Protection or Further Restrict Territorial Asylum?

Author:
Pauline de Oliveira and Nicholas Feith Tan
Publication Date:
02-2023
Content Type:
Special Report
Institution:
Migration Policy Institute (MPI)
Abstract:
Access to territorial asylum is under significant pressure in many corners of the world. Pushbacks at borders as well as pandemic-era mobility restrictions have prevented many asylum seekers from reaching their destinations. And new and ongoing crises, including those in Afghanistan and Ukraine, have highlighted the need to offer protection closer to where vulnerable populations live, and for high-income countries to find ways to share responsibilities with the low- and middle-income countries that host the overwhelming majority of people in need of international protection. This has led to renewed interest in external processing, which involves conducting part or all of the asylum procedure outside a destination country’s territory. Notably, even as countries such as Australia and the United Kingdom have adopted policies to offshore asylum processing to countries such as Papua New Guinea and Rwanda in hopes of deterring spontaneous arrivals, there is growing interest in using external processing in ways that complement existing territorial asylum and expand, rather than restrict, protection opportunities. This report—part of the Beyond Territorial Asylum: Making Protection Work in a Bordered World initiative led by MPI and the Robert Bosch Stiftung—highlights the opportunities that external processing offers as well as the challenges to its implementation and the risks it could pose to territorial asylum. It explores three categories of external processing policies implemented or proposed to date: humanitarian visas, emergency evacuations, and external processing centers. The report also identifies key conditions that must be present for external processing to occur in a protection-sensitive manner.
Topic:
International Cooperation, Governance, Refugees, Asylum, Visa, and Immigration Policy
Political Geography:
United Kingdom, Australia, Rwanda, Papua New Guinea, and Global Focus