Category Archives: Education

Unlocking Access to Health Care: A Federalist Approach to Reforming Occupational Licensing

Source: Gabriel Scheffler, Health Matrix: Journal of Law-Medicine, Vol. 29, No. 1, 2019

From the abstract:
Several features of the existing occupational licensing system impede access to health care without providing appreciable protections for patients. Licensing restrictions prevent health care providers from offering services to the full extent of their competency, obstruct the adoption of telehealth, and deter foreign-trained providers from practicing in the United States. Scholars and policymakers have proposed a number of reforms to this system over the years, but these proposals have had a limited impact for political and institutional reasons.

Still, there are grounds for optimism. In recent years, the federal government has taken a range of initial steps to reform licensing requirements for health care providers, and these steps have the potential to improve access to health care. Together, they illustrate a federalist approach to licensing reform, in which the federal government encourages the states to reform their licensing regimes, while largely preserving states’ control over the system. These steps include: (1) easing federal licensing restrictions for health care providers in certain areas where the federal government possesses regulatory authority; (2) creating incentives for states and professional bodies to experiment with reforms; (3) intensifying the Federal Trade Commission’s focus on licensing boards’ anti-competitive conduct; and (4) generating additional pressure for state-level reforms through expanding health insurance and promoting delivery system reforms under the Affordable Care Act.

This article argues that a federalist approach represents the most promising path toward reforming occupational licensing in health care. Federal intervention in licensing is necessary, due to states’ lack of incentives to experiment with licensing reforms, the externalities of their licensing regimes, and their inability to resolve their own collective action problems. Nevertheless, large-scale federal preemption of state licensing laws is unlikely, due to a combination of interest group politics, Congress’s tendency toward incrementalism, and its reliance on the states to administer federal policies. A federalist approach also has functional advantages over outright federal preemption: it allows for more experimentation in constructing new licensing regimes, and it enables the federal government to take advantage of states’ institutional expertise in regulating occupations. Finally, this approach presents a model for how the federal government can play a constructive role in occupational licensing in other fields besides health care, and in other areas of state regulatory policy.

The Great Recession’s Lingering Impact

Source: Rick Seltzer, inside Higher Ed, June 5, 2019

States and the public colleges they fund continue to feel the economic downturn’s effects, even after a decade of recovery, according to a new report that gives a sobering look at state funding.

Related:
‘Lost Decade’ Casts a Post-Recession Shadow on State Finances
Source: Pew Charitable Trusts, Issue Brief, June 4, 2019

Despite almost 10 years of national economic recovery, strains from the 2007-09 downturn still linger in many states

State of the Union: Millennial Dilemma

Source: Stanford Center on Poverty and Inequality, May 2019

The annual Poverty and Inequality Report provides a unified analysis that brings together evidence across such issues as poverty, employment, income inequality, health inequality, economic mobility, and educational access to allow for a comprehensive assessment of where the country stands. In this year’s issue, the country’s leading experts provide the latest evidence on how millennials are faring.

Contents include:

Executive Summary
David B. Grusky, Marybeth Mattingly, Charles Varner, and Stephanie Garlow
With each new generation, there’s inevitably much angst and hand-wringing, but never have we worried as much as we worry about millennials. We review the evidence on whether all that worrying is warranted.

Racial and Gender Identities
Sasha Shen Johfre and Aliya Saperstein
The usual stereotypes have it that millennials are embracing a more diverse and unconventional set of racial and gender identities. Are those stereotypes on the mark?

Student Debt
Susan Dynarski
Often tagged the “student debt generation,” millennials took out more student loans, took out larger student loans, and defaulted more frequently. Here’s a step-by-step accounting of how we let this happen.

Employment
Harry J. Holzer
Labor force activity has declined especially rapidly among young workers. The good news: We know how to take on this problem.

Criminal Justice
Bruce Western and Jessica Simes
The imprisonment rate has fallen especially rapidly among black men. Does this much-vaunted trend conceal as much as it reveals?

Education
Florencia Torche and Amy L. Johnson
The payoff to a college degree is as high for millennials as it’s ever been. But it’s partly because millennials who don’t go to college are getting hammered in the labor market.

Income and Earnings
Christine Percheski
When millennials entered the labor market during the Great Recession and its aftermath, there were uniformly gloomy predictions about their fate. Does the evidence bear out such gloomy predictions?

Social Mobility
Michael Hout
Millennials have a mobility problem. And it’s partly because the economy is no longer delivering a steady increase in high-status jobs.

Occupational Segregation
Kim A. Weeden
Are millennial women and men working side by side in the new economy? Or are their occupations just as gender-segregated as ever?

Poverty and the Safety Net
Marybeth Mattingly, Christopher Wimer, Sophie Collyer and Luke Aylward
Millennial poverty rates at age 30 are no higher than those of Gen Xers at the same age. But this stability hides a problem: Millennials are replacing a falloff in earnings with large increases in government assistance programs.

Housing
Darrick Hamilton and Christopher Famighetti
Housing reforms during the civil rights era helped to narrow the white-black homeownership gap. But those gains have now been completely lost … and the racial gap in young-adult homeownership is larger for millennials than for any generation in the past century.

Social Networks
Mario L. Small and Maleah Fekete
Millennials are not replacing face-to-face networks with online ones. Rather, they’re a generation that’s found a way to do it all, forging new online ties while also maintaining the usual face-to-face ones.

Health
Mark Duggan and Jackie Li
It might be thought that, for all their labor market woes, at least millennials now have health care and better health. How does this story fall short?

Policy
Sheldon Danziger
A comprehensive policy agenda that could help millennials … and other generations too.

Rethinking police education in the United States

Source: Gary Cordner, Police Practice and Research: An International Journal, Volume 20 no. 3, 2019
(subscription required)

From the abstract:
Higher education for police in the United States began as police science and police administration in the early-to-middle 1900s but morphed into criminal justice starting in the 1960s, continuing in that mold to the present. This paper examines curricula at a handful of universities to provide a snapshot of U.S. police education today, illustrating that modern criminal justice programs do not focus very much on police at either the undergraduate or graduate level. The paper then considers alternative models that could provide students a more in-depth encounter with the now-robust policing body of knowledge, something that barely existed 50 years ago but could, at this point, serve as the foundation for a respectable and relevant academic and professional education.

Work of the Past, Work of the Future

Source: David Autor, NBER Working Paper No. 25588, February 2019
(subscription required)

From the abstract:
Labor markets in U.S. cities today are vastly more educated and skill-intensive than they were five decades ago. Yet, urban non-college workers perform substantially less skilled work than decades earlier. This deskilling reflects the joint effects of automation and international trade, which have eliminated the bulk of non-college production, administrative support, and clerical jobs, yielding a disproportionate polarization of urban labor markets. The unwinding of the urban non-college occupational skill gradient has, I argue, abetted a secular fall in real non-college wages by: (1) shunting non-college workers out of specialized middle-skill occupations into low-wage occupations that require only generic skills; (2) diminishing the set of non-college workers that hold middle-skill jobs in high-wage cities; and (3) attenuating, to a startling degree, the steep urban wage premium for non-college workers that prevailed in earlier decades. Changes in the nature of work—many of which are technological in origin—have been more disruptive and less beneficial for non-college than college workers.

The radical plan to change how Harvard teaches economics

Source: Dylan Matthews, Vox, May 22, 2019

Raj Chetty has an idea for introducing students to econ that could transform the field — and society…..

….Chetty has made his name as an empirical economist, working with a small army of colleagues and research assistants to try to get real-world findings with relevance to major political questions. And he’s focused on the roots and consequences of economic and racial inequality. He used huge amounts of IRS tax data to map inequality of opportunity in the US down to the neighborhood, and to show that black boys in particular enjoy less upward mobility than white boys.

Ec 1152 is an introduction to that kind of economics. There’s little discussion of supply and demand curves, of producer or consumer surplus, or other elementary concepts introduced in classes like Ec 10. There is no textbook, only a set of empirical papers. The material is relatively cutting-edge. Of the 12 papers students are required to read, 11 were released in 2010 or after. Half of the assigned papers were released in 2017 or 2018. Chetty co-authored a third of them.

And while most economics courses at Harvard require Ec 10 as a prerequisite, Ec 1152 does not. Freshmen can take it as their first economics course…..

….If this were just a pedagogical shift at Harvard, that would be one thing. But Chetty is aiming to make the course a model for other schools. After the financial crisis, many economists have concluded that Econ 101 is broken across the university system and is not preparing students for a world where markets frequently fail. Chetty’s class offers a new way to teach an introductory course, yet at the same time is more closely aligned with what contemporary economic research looks like. The course’s lecture videos are already available online, for students at other institutions to use…..

Oregon: Legislation increases school funding via new corporate tax, credit positive for state and school districts

Source: Patrick Liberatore, Baye Larsen, Eva Bogaty, Nicholas Samuels, Emily Raimes, Timothy Blake, Leonard Jones, Moody’s, Sector Comment, State government and public K-12 schools districts, May 23, 2019
(subscription required)

On May 16, Oregon Governor Kate Brown signed legislation that increases preK-12 education spending by a projected $1.2 billion for the state’s 2019-21 biennium starting July 1, 2019. Growth in state support is credit positive for Oregon school districts because it will increase resources as education costs continue to rise. The added funding comes from a dedicated state corporate activity tax established by the legislation. Besides generating more school funding, the tax is credit positive for the state because it will diversify its revenue sources, which are heavily reliant on volatile personal income taxes….

California: Revised budget increases funding for school districts and community colleges, a credit positive

Source: Helen Cregger, Eric Hoffmann, Leonard Jones, Moody’s, Sector Comment, Public K-12 school districts and community colleges, May 22, 2019
(subscription required)

On May 9, California Governor Gavin Newsom released a revised version of the state’s fiscal 2020 budget, which includes a substantial increase in minimum funding levels for K-12 public schools and community college districts, a credit positive. The new budget also benefits K-12 schools with the state agreeing to kick in added funds to help school districts with pension payments to the California State Teachers’ Retirement System….

Annual Report on the Economic Status of the Profession, 2018–19

Source: American Association of University Professors, May 2019

From the summary:
For our annual Faculty Compensation Survey, the AAUP collected data from more than 950 colleges and universities across the US, including community colleges, small liberal arts colleges, and major research universities. The 2018-19 data cover more than 380,000 full-time faculty members, and also include salaries for senior administrators and pay for part-time faculty members.

On average, salaries for full-time faculty members at US colleges and universities are 2 percent higher in 2018-19 than they were in the preceding academic year. But with prices in the economy as a whole growing by 1.9 percent during the year, faculty salaries barely budged when adjusted for inflation. This is the third successive year that increases in average full-time faculty salaries have barely outpaced inflation….