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Health Care Reform in Greece: Progress and Reform Priorities
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Year: 2021 Publisher: Washington, D.C. : International Monetary Fund,

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We review Greek public sector healthcare policies and health-related outcomes since 2010.We find that excess spending was successfully curtailed, elements of the institutional framework were modernized, and health outcomes have been relatively favorable. However, especially prior to Covid-19, public healthcare spending had been compressed to potentially unsustainable levels, with widening inequalities and large unmet needs, especially among the poor. Higher public spending and advancing structural healthcare reforms are needed to improve the efficiency and equity of the Greek healthcare system, including strengthening primary healthcare, reducing out-of-pocket payments, and eliminating remaining insurance gaps.


Book
Health Care Reform in Greece: Progress and Reform Priorities
Authors: ---
ISBN: 1513591347 Year: 2021 Publisher: Washington, D.C. : International Monetary Fund,

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Abstract

We review Greek public sector healthcare policies and health-related outcomes since 2010.We find that excess spending was successfully curtailed, elements of the institutional framework were modernized, and health outcomes have been relatively favorable. However, especially prior to Covid-19, public healthcare spending had been compressed to potentially unsustainable levels, with widening inequalities and large unmet needs, especially among the poor. Higher public spending and advancing structural healthcare reforms are needed to improve the efficiency and equity of the Greek healthcare system, including strengthening primary healthcare, reducing out-of-pocket payments, and eliminating remaining insurance gaps.


Book
Avoid a Fall or Fly Again: Turning Points of State Fragility
Authors: --- --- --- --- --- et al.
Year: 2021 Publisher: Washington, D.C. : International Monetary Fund,

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High persistence of state fragility (a fragility trap) suggests the presence of substantial benefits from avoiding a fall into fragility and considerable hurdles to successful exit from fragility. This paper empirically examines the factors that affect the turning points of entering and exiting from state fragility by employing three different approaches: an event study, the synthetic control method, and a logit model. We find that avoiding economic contraction is critical to prevent a country on the brink of fragility from falling into fragility (e.g., among near fragile countries, the probability of entering fragility would rise by 40 percentage points should real GDP per capita growth decline from +2.5 percent to -2.5 percent). Also, strengthening government effectiveness together with increasing political inclusion and maintaining robust economic activity should help make exit from fragility more successful and sustainable. In the current environment (the COVID-19 crisis and its aftermath), the findings suggest the importance of providing well-directed fiscal stimulus with sufficient financing, (subject to appropriate governance safeguards and well-designed policies), and protecting critical socio-economic spending to keep vulnerable countries away from being caught in a fragility trap.


Book
Avoid a Fall or Fly Again: Turning Points of State Fragility
Authors: --- --- --- --- --- et al.
ISBN: 1513590642 Year: 2021 Publisher: Washington, D.C. : International Monetary Fund,

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Abstract

High persistence of state fragility (a fragility trap) suggests the presence of substantial benefits from avoiding a fall into fragility and considerable hurdles to successful exit from fragility. This paper empirically examines the factors that affect the turning points of entering and exiting from state fragility by employing three different approaches: an event study, the synthetic control method, and a logit model. We find that avoiding economic contraction is critical to prevent a country on the brink of fragility from falling into fragility (e.g., among near fragile countries, the probability of entering fragility would rise by 40 percentage points should real GDP per capita growth decline from +2.5 percent to -2.5 percent). Also, strengthening government effectiveness together with increasing political inclusion and maintaining robust economic activity should help make exit from fragility more successful and sustainable. In the current environment (the COVID-19 crisis and its aftermath), the findings suggest the importance of providing well-directed fiscal stimulus with sufficient financing, (subject to appropriate governance safeguards and well-designed policies), and protecting critical socio-economic spending to keep vulnerable countries away from being caught in a fragility trap.


Book
The Short-Term Impact of COVID-19 on Labor Markets, Poverty and Inequality in Brazil.
Authors: ---
Year: 2021 Publisher: Washington, D.C. : International Monetary Fund,

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We document the short-term impact of the COVID-19 pandemic on the Brazilian labor market focusing on employment, wages and hours worked using the nationally representative household surveys PNAD-Continua and PNAD COVID. Sectors most susceptible to the shock because they are more contact-intensive and less teleworkable, such as construction, domestic services and hospitality, suffered large job losses and reductions in hours. Given low income workers experienced the largest decline in earnings, extreme poverty and the Gini coefficient based on labor income increased by around 9.2 and 5 percentage points, respectively, due to the immediate shock. The government’s broad based, temporary Emergency Aid transfer program more than offset the labor income losses for the bottom four deciles, however, such that poverty relative to the pre-COVID baseline fell. At a cost of around 4 percent of GDP in 2020 such support is not fiscally sustainable beyond the short-term and ended in late 2020. The challenge will be to avoid a sharp increase in poverty and inequality if the labor market does not pick up sufficiently fast in 2021.

Keywords

Labor --- Macroeconomics --- Diseases: Contagious --- Personal Income, Wealth, and Their Distributions --- Employment --- Unemployment --- Wages --- Intergenerational Income Distribution --- Aggregate Human Capital --- Aggregate Labor Productivity --- National Government Expenditures and Related Policies: General --- National Government Expenditures and Welfare Programs --- Particular Labor Markets: General --- Health Behavior --- Demand and Supply of Labor: General --- Unemployment: Models, Duration, Incidence, and Job Search --- Aggregate Factor Income Distribution --- Labour --- income economics --- Infectious & contagious diseases --- COVID-19 --- Labor markets --- Income --- Health --- National accounts --- Communicable diseases --- Economic theory --- Labor market --- Brazil --- Poverty. --- Poverty --- Labor. --- Macroeconomics. --- Diseases: Contagious. --- Personal Income, Wealth, and Their Distributions. --- Employment. --- Unemployment. --- Wages. --- Intergenerational Income Distribution. --- Aggregate Human Capital. --- Aggregate Labor Productivity. --- National Government Expenditures and Related Policies: General. --- National Government Expenditures and Welfare Programs. --- Particular Labor Markets: General. --- Health Behavior. --- Demand and Supply of Labor: General. --- Unemployment: Models, Duration, Incidence, and Job Search. --- Aggregate Factor Income Distribution. --- Labour. --- income economics. --- Infectious & contagious diseases. --- COVID-19. --- Labor markets. --- Income. --- Health. --- National accounts. --- Communicable diseases. --- Economic theory. --- Labor market. --- Philosophy. --- Brazil.


Book
The Short-Term Impact of COVID-19 on Labor Markets, Poverty and Inequality in Brazil.
Authors: ---
ISBN: 1513575430 Year: 2021 Publisher: Washington, D.C. : International Monetary Fund,

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Abstract

We document the short-term impact of the COVID-19 pandemic on the Brazilian labor market focusing on employment, wages and hours worked using the nationally representative household surveys PNAD-Continua and PNAD COVID. Sectors most susceptible to the shock because they are more contact-intensive and less teleworkable, such as construction, domestic services and hospitality, suffered large job losses and reductions in hours. Given low income workers experienced the largest decline in earnings, extreme poverty and the Gini coefficient based on labor income increased by around 9.2 and 5 percentage points, respectively, due to the immediate shock. The government’s broad based, temporary Emergency Aid transfer program more than offset the labor income losses for the bottom four deciles, however, such that poverty relative to the pre-COVID baseline fell. At a cost of around 4 percent of GDP in 2020 such support is not fiscally sustainable beyond the short-term and ended in late 2020. The challenge will be to avoid a sharp increase in poverty and inequality if the labor market does not pick up sufficiently fast in 2021.


Book
Recoveries After Pandemics: The Role of Policies and Structural Features
Authors: ---
Year: 2021 Publisher: Washington, D.C. : International Monetary Fund,

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To shed light on the possible scarring effects from Covid-19, this paper studies the economic effects of five past pandemics using local projections on a sample of fifty-five countries over 1990-2019. The findings reveal that pandemics have detrimental medium-term effects on output, unemployment, poverty, and inequality. However, policies can go a long way toward alleviating suffering and fostering an inclusive recovery. The adverse output effects are limited for countries that provided relatively greater fiscal support. The increases in unemployment, poverty, and inequality are likewise lower for countries with relatively greater fiscal support and relatively stronger initial conditions (as defined by higher formality, family benefits, and health spending per capita).

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