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This study relies on a linear programming model to estimate welfare ratios in Spain between 1600 and 1800. This method is used to find the food basket that guaranteed the intake of basic nutrients at the lowest cost. The estimates show that working families in Toledo had higher welfare ratios than in those in Barcelona. In addition, the welfare ratios of Spain were always below those of London and Amsterdam. The divergence between Northern Europe and Spain started before the Industrial Revolution and increased over time.
With the introduction of wine to the Cape Colony, it became associated locally with social extremes: with the material trappings of privilege and taste, on the one side, and the stark realities of human bondage, on the other. By examining the history of Cape wine, Paul Nugent offers a detailed history of how, in South Africa, race has shaped patterns of consumption. The book takes us through the Liquor Act of 1928, which restricted access along racial lines, intervention to address overproduction from the 1960s, and then latterly, in the wake of the fall of the Apartheid regime, deregulation in the 1990s and South Africa's re-entry into global markets. We see how the industry struggled to embrace Black Economic Empowerment, environmental diversity and the consumer market. This book is an essential read for those interested in the history of wine, and how it intersects with both South African and global history.
By the year 1000 the Andalusian caliphate constituted a highly urbanized society, where the largest cities in Europe were located, while the economy of the Christian kingdoms of Iberia was characterized by a low level of urbanization and a poor market development. Five hundred years later, the territory of al-Andalus had disappeared and its economy had been absorbed and transformed into the Christian kingdoms. The latter’s territorial expansion was marked by the growth of cities, the impact of trade on the agrarian economy and an increase in rural stratification that, at different levels, made the market important for the satisfaction of needs and peasant consumption. In the Christian kingdoms, a strong increase in noble spending, emulated by urban elites, dedicated to the conspicuous consumption of products partially purchased on the international market, occurred throughout the period. After the Black Death, with the consolidation of a rural elite, important sectors of the population were attracted by the lifestyle of the urban elites. This evolution can also be detectable in the lifestyle of vast sectors of the population, in the cities as well as in the rural areas.
This chapter investigates the degree of pass-through from import prices and tariffs to wholesale prices in interwar Britain using a new high-frequency micro data set. The main results are: (i) Pass-through from import prices and tariffs to wholesale prices was economically and statistically significant. (ii) Despite devaluation, import prices exacerbated deflation in the early 1930s because of the global slump in export prices. (iii) Rising protection, however, was a mild stimulus to prices during the shift to inflation.
Chapter 12 deals with how prices are set within the healthcare sector. Prices do not come from direct interaction between buyers and sellers but are instead arrived at via a complex negotiation process between multiple parties. This chapter covers the lifecycle of a medical bill, the role of chargemasters (master price lists) in billing, how providers negotiate with insurers, and how the uninsured are treated in billing. The chapter then discusses price competition and quality competition between providers, as well as the role of price transparency.
There is evidence of persistent inequalities in household financial protection of health and drugs spending in Latin America. Despite the expansion of coverage, strong inequalities persist in access to health and family spending on drugs in the region. Out-of-pocket spending in medicines is regressive in greater need for affordable medicines.
The impact of product ratings is significant in the experience goods market, whose intangible products are difficult to evaluate before consumption. Product ratings can reduce information asymmetries because they represent a credible signal of quality and thus positively affect product sales. In this study, we shed light on how professional critics behave by focusing on the influence of product characteristics and former reviews on rating behavior and market prices as additional quality signals in wine markets. Using 13,911 observations from professional wine tastings, we analyze 8,444 worldwide-produced wines and their ratings over 20 years. We find clear evidence to suggest that prices and product ratings are significantly related. Finally, the results suggest that review consistency evolves and determines current ratings.
Individual decisions have to be aggregated to make group decisions. Markets aggregate decisions by consumers and producers into prices that might reflect social values. But markets allow and generate inequalities, and many aspects of human well-being and the environment do not have market prices. In large societies, direct voting on some policies is possible but most voting is for representatives who become part of a larger policy system. Deliberation is an ideal that underpins most justifications for democracy. It can be linked effectively to scientific assessments at the local to regional level. Ways to use deliberation at the national or global scales require further experimentation. In the United States, high levels of polarization challenge the idea of public deliberation. New technologies will create further challenges for sustainability decisions. Identifying strategies to move forward requires understanding variation in the public and drawing on strategies for nonviolent social change and conflict resolution.
Multiple strategies can be used to influence individual decisions. A common assumption is that a lack of information, an information deficit, leads to poor decisions. While that is sometimes true, since decisions are shaped by both facts and values, providing information is often insufficient to change decision-making. The rational actor model suggests that changing incentives, and in particular changing prices, will shift decisions. Incentives matter, but they are only one factor in decisions and shifting incentives can be inequitable. Values are difficult to change but have broad and long-lasting influence on decisions. Norms are relatively easy to change and can have substantial influence. Design principles, generalizations from research on decision-making, can help shape effective efforts to influence decisions. Policies and programs should be designed with the consent of and in collaboration with those who may be impacted by the decision.
It is commonly asserted that Chinese diets before the market and production reforms of the 1980s contained little or no meat. Yet this nearly universal assumption remains untested: Unlike other forms of material consumption, the question of meat in Chinese diets has received almost no systematic attention from historians. Focusing on the early twentieth century, this article examines who in China ate meat, and how meat consumption was shaped by regional and household patterns. It combines insights from three sorts of data. First, Japanese price surveys from the 1920s show a high degree of variation in the preference for one type of meat over others, and the price availability of meat versus wages or other food products. Second, production data, including slaughterhouse tallies and industry estimates of animal by-products show the seasonality of animal slaughter and the vast scale and dispersed geography of China’s livestock production. Finally, nutrition and diet studies from the 1920 to the late 1940s examine actual household consumption, emphasizing how social forces and cyclical fortunes shaped individual choices. The composite picture from these three perspectives confirms that China’s meat consumption was hardly inconsequential. But more than simply triangulating a result, the exercise of comparing perspectives of price, production, and nutrition also highlights the collection of survey data as a series of historical moments.
The relationship between costs and health benefits of branded pharmaceuticals remains controversial. This paper examines the incremental costs incurred for incremental health benefits gained from the largest available sample of cost-effectiveness studies of branded drugs in the USA, the 1994–2015 Tufts Registry of Cost-Effectiveness Analyses. Earlier studies used small, specialized samples of drugs. We use linear regression analysis to estimate the association in those studies between additional quality-adjusted life years (QALYs) and incremental pharmaceutical costs. The preferred sample uses 476 studies involving branded pharmaceuticals with both higher costs and increased effectiveness compared to the previous standard of care. Regressions of costs on QALYs imply that an additional QALY is associated, on average, with a $28,561 increase in cost (95 % CI, $18,853–$38,270). This regression explains 20 % of the variation in sample costs. In this analytical sample, a share of the variation in the cost of pharmaceuticals is, therefore, not random but rather associated with variation in QALYs; prices are to some extent “value-based.” Our results are robust to varying sample inclusion criteria and to the funding source. In subgroup analyses, the highest cost per QALY was $44,367 (95 % CI, $35,373–$53,361). Costs of pharmaceuticals in this data set are, on average, lower than common estimates of the monetary value of a QALY to American consumers. As in other studies, we find that sellers of patent-protected beneficial new technology appear to capture only a fraction of the benefits provided.
To provide a cross-country analysis of selection, availability, prices and affordability of essential medicines for mental health conditions, aiming to identify areas for improvement.
Methods
We used the World Health Organization (WHO) online repository of national essential medicines lists (EMLs) to extract information on the inclusion of essential psychotropic medicines within each country's EML. Data on psychotropic medicine availability, price and affordability were obtained from the Health Action International global database. Additional information on country availability, prices and affordability of essential medicines for mental disorders was identified by searching, up to January 2021, PubMed/Medline, CINAHIL, Scopus and the WHO Regional Databases. We summarised and compared the indicators across lowest-price generic and originator brand medicines in the public and private sectors, and by country income groups.
Results
A total of 112 national EMLs were analysed, and data on psychotropic medicine availability, price and affordability were obtained from 87 surveys. While some WHO essential psychotropic medicines, such as chlorpromazine, haloperidol, amitriptyline, carbamazepine and diazepam, were selected by most national lists, irrespective of the country income level, other essential medicines, such as risperidone or clozapine, were included by most national lists in high-income countries, but only by a minority of lists in low-income countries. Up to 40% of low-income countries did not include medicines that have been in the WHO list for decades, such as long-acting fluphenazine, lithium carbonate and clomipramine. The availability of generic and originator psychotropic medicines in the public sector was below 50% for all medicines, with low-income countries showing rates lower than the overall average. Analysis of price data revealed that procurement prices were lower than patient prices in the public sector, and medicines in the private sector were associated with the highest prices. In low-income countries, the average patient price for amitriptyline and fluoxetine was three times the international unit reference price, while the average patient price for diazepam was ten times the international unit reference price. Affordability was higher in the public than the private sector, and in high-income than low-income countries.
Conclusion
Access to medicines for mental health conditions is an ongoing challenge for health systems worldwide, and no countries can claim to be fully aligned with the general principle of providing full access to essential psychotropic medicines. Low availability and high costs are major barriers to the use of and adherence to essential psychotropic medicines, particularly in low-and middle-income countries.
When the Communist Party of China announced a new government on October 1, 1949, the economy that government inherited was in shambles. China had been at war for over twelve years and much of the infrastructure of the country had been destroyed or badly damaged and prices were rising at 51 percent per month or 13,000 percent per year. The Guomindang government fleeing to Taiwan took much of the country’s foreign-exchange and gold reserves with them, along with many of the managers of the banks and industrial firms. Inflation and war left many of the businesses that stayed barely able to function even when their managers and technicians did not flee.
Despite the growth of studies on slavery and slave trade outside the Atlantic world in recent years, especially in the early modern Indian Ocean and Indonesian Archipelago worlds, our knowledge of regional price levels and their development remains surprisingly underdeveloped. This article questions how the price of enslaved people developed in the multi-directional and multi-faceted Indian Ocean and Indonesian Archipelago slave trade, how this compared to the Atlantic world and what this tells us about slave trade and slavery in different parts of the world. Drawing on evidence from a large variety of sources, mainly from the Dutch Indian Ocean and Indonesian Archipelago world, this article expands the body of data significantly and provides for the first time a reconstruction of the level of slave trade prices and their development in several important supplying and demanding slave trade regions in the Indian Ocean and Indonesian Archipelago world and compares these to the development of slave prices in the Atlantic slave trade.
Besides providing a brief illustrated account of Athens’ influential and widely disseminated Athena/owl silver coinage, this chapter surveys the huge silver mining and processing industry of southeast Attika, the role of coinage in the public and private economies of Athens and in international trade, and the minting of a bronze coinage for use at the Eleusinian festival.
Desde hace algunos años se avanza en investigaciones sobre la evolución, causas y consecuencias de la desigualdad. En ese marco, la desigualdad salarial ha recibido gran atención dadas sus implicancias en relación con las políticas económicas, el crecimiento y el desarrollo. En este artículo se presentan nuevas series y análisis acerca de la desigualdad salarial de género en la industria de la ciudad de Buenos Aires entre 1903 y 1942. Se propone cubrir un área vacante en los estudios del mundo laboral femenino, siempre complejo, y aún más en la primera mitad del siglo XX. Esta aproximación es una aportación a los estudios sobre la desigualdad de género en Argentina, que permitirá comparaciones con otros espacios y regiones.
From 1716 to 1718, Sweden experienced a shock of liquidity when the absolutist regime of Charles XII issued large amounts of fiat coins (mynttecken) in order to finance the Great Northern War. After the death of the king in November 1718, the new parliamentary regime decided to partially default on the coins. In international literature, this episode is largely unknown, and in Swedish historiography, scholars have often claimed that the country's currency collapsed in hyperinflation. We assess the performance of the new coins by studying how prices of commodities in various geographic locations developed. We also study bookkeeping practices in order to see how accountants treated the new coins. Our results show that there was a complex relationship between prices and liquidity. Prices of products in high demand by the military increased more than other prices. Accountants did not treat mynttecken and other currencies differently in 1718. It was only after the death of the king that accountants started to differentiate between different types of coins. The value of the fiat coins was linked to the actions and the legitimacy of the royal regime, which is in line with the State theory of money.
In the present work we study the evolution of the prices of the most representative goods of the Buenos Aires market in the decades after independence from the Spanish empire. The paper analyses the evolution of import, export and local prices in Buenos Aires for the first half of the 19th century and intends to contribute to a more accurate estimate of the intense process of price inflation and changes in relative prices that occurred in Buenos Aires during this period. We also aspire to be able to analyse the relationships between the increases in prices and the institutional effects of commercial blockades, the issuance of paper money and changes in the demand for goods that occurred in the commercial interaction of Buenos Aires. An attempt is also made to compare the dynamics of various baskets of goods, allowing us to evaluate the differentiated effects in local, regional and overseas supply and demand. With this in mind we analyse both general price indexes, with their main changes, and also aim to integrate a variety of products in baskets that represent as accurately as possible the diverse demands of the commercial space offered by the Buenos Aires market. Finally, we reexamine the effects of the price variations of the baskets of prices on various social sectors and regions linked to the significant interregional plaza represented by the Buenos Aires market.
This paper deals with the evolution of wages in the construction offices of Segovia, one of the most important Castilian and Spanish manufacturing towns, between 1571 and 1807. Part two deals with the nominal wages earned by the building officials and labourers of the city and part three presents the Segovian prices index between 1571 and 1807. Finally, part four analyses the evolution of the real wages earned in the construction offices of the town. Segovian real wages evolved in line with the local economy; after peaking in the first quarter of the 17th century, they experienced a continuous decline, so in 1807 the real wages of Segovian building officials and labourers were 50 per cent of those of the first quarter of the 17th century.
This paper studies the role of middlemen in open-access fisheries and how the organization of the supply chains affects resource exploitation and the level and distribution of economic rent. Imperfect competition among middlemen can help ensure that fish stocks are not depleted, which is typically the case in open-access fisheries with competitive markets. Middlemen with market power can also induce higher economic rent for the supply chain in total, but these rents mainly benefit the middlemen. The supply chains of inshore anchovy and offshore skipjack tuna fisheries in Vietnam are used as empirical examples. The analysis shows that in the anchovy supply chain, the middlemen have insignificant market power and the stock is being overexploited. In the skipjack tuna supply chain, the middlemen have oligopsony power and the stock is higher than the level that produces maximum sustainable yield.