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    <title>The Custom-House</title>
    
    
    <link rel="alternate" type="text/html" href="http://benmuse.typepad.com/custom_house/" />
    <id>tag:typepad.com,2003:weblog-287765</id>
    <updated>2010-06-11T22:29:32-08:00</updated>
    <subtitle>The U.S. in the world economy</subtitle>
    <generator uri="http://www.typepad.com/">TypePad</generator>
    <atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="self" type="application/atom+xml" href="http://feeds.feedburner.com/TheCustom-house" /><feedburner:info uri="thecustom-house" /><atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="hub" href="http://pubsubhubbub.appspot.com/" /><atom10:link xmlns:atom10="http://www.w3.org/2005/Atom" rel="hub" href="http://hubbub.api.typepad.com/" /><entry>
        <title>Costa Rican Colonoscopies</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/wZ6VPjrzE1o/costa-rican-colonoscopies.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2010/06/costa-rican-colonoscopies.html" thr:count="0" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef0134840d0a33970c</id>
        <published>2010-06-11T22:29:32-08:00</published>
        <updated>2010-06-11T22:29:32-08:00</updated>
        <summary>Mark Perry at Carpe Diem: Colonoscopy: $9,000 in the U.S.; $350 in Costa Rica</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>Mark Perry at <em>Carpe Diem</em>: <a href="http://mjperry.blogspot.com/2010/06/colonoscopy-in-us-9000-costa-rica-350.html" target="_blank">Colonoscopy: $9,000 in the U.S.; $350 in Costa 
Rica</a></p><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/wZ6VPjrzE1o" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2010/06/costa-rican-colonoscopies.html</feedburner:origLink></entry>
    <entry>
        <title>Let's permit Medicaid and Medicare payments to authorized hospitals in India...</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/XzxVxPoiwbc/lets-permit-medicaid-and-medicare-payments-to-authorized-hospitals-in-india.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2010/05/lets-permit-medicaid-and-medicare-payments-to-authorized-hospitals-in-india.html" thr:count="4" thr:updated="2011-10-25T23:55:09-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef01348216c263970c</id>
        <published>2010-05-27T06:37:12-08:00</published>
        <updated>2010-05-27T06:43:06-08:00</updated>
        <summary>... and in Mexico, Thailand, and elsewhere abroad: Outsourcing Health Care To Countries That Appreciate Efficiency (Adam Ozimek channeling Tyler Cowen channeling Ragharum Rajan). Rajan argues that this would stimulate competition and innovation in U.S. health care. Ozimek cites a...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Health and Safety" />
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>... and in Mexico, Thailand, and elsewhere abroad: <a href="http://modeledbehavior.com/2010/05/27/outsourcing-health-care/" target="_blank">Outsourcing Health Care To Countries That Appreciate Efficiency</a> (Adam Ozimek channeling <a href="http://www.marginalrevolution.com/marginalrevolution/2010/05/raghuram-rajan-on-health-care-in-india.html">Tyler Cowen</a> channeling Ragharum Rajan).</p><p>Rajan argues that this would stimulate competition and innovation in U.S. health care.  Ozimek cites a <a href="http://lsr.nellco.org/cgi/viewcontent.cgi?article=1154&amp;context=duke_fs">2008 paper from the journal<em> Health Care</em></a> - the abstract reads:</p><blockquote><p>Recent discussions in health reform circles have pinned great hopes on the<br />prospect of innovation as the solution to the high-cost, inadequate-quality U.S. health system. <span style="background-color: #ffff00;"> But U.S. health care institutions—insurers, providers, and specialists—have ceded</span><br /><span style="background-color: #ffff00;">leadership in innovation to Indian hospitals such as Care Hospital in Hyderabad and the</span><br /><span style="background-color: #ffff00;">Fortis Hospitals around New Delhi</span>, which have U.S.-trained doctors and can perform open<br />heart surgery for $6,000 (compared to $100,000 in the United States). The Indian success<br />is a window into America’s stalemate with inflating costs and stagnant innovation.</p></blockquote><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/XzxVxPoiwbc" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2010/05/lets-permit-medicaid-and-medicare-payments-to-authorized-hospitals-in-india.html</feedburner:origLink></entry>
    <entry>
        <title>China's Interest in the Arctic</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/9aRe5toJeGE/chinas-interest-in-the-arctic.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2010/03/chinas-interest-in-the-arctic.html" thr:count="3" thr:updated="2011-05-13T00:48:12-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef01310f660afd970c</id>
        <published>2010-03-04T20:32:47-09:00</published>
        <updated>2010-03-04T20:32:47-09:00</updated>
        <summary>Linda Jakobson of the Stockholm International Peace Research Institute reports that potential Arctic sea routes to New York and Europe have attracted the attention of the Chinese: China prepares for an ice-free Arctic: Because China’s economy is reliant on foreign...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>Linda Jakobson of the Stockholm International Peace Research
Institute reports that potential Arctic sea routes to New York and
Europe have attracted the attention of the Chinese: <a href="http://books.sipri.org/product_info?c_product_id=402" target="_blank">China prepares for an ice-free Arctic</a>:</p><blockquote><p>Because China’s economy is
reliant on foreign trade, there are substantial commercial implications
if shipping routes are shortened during the summer months each year.
Nearly half of China’s gross domestic product (GDP) is thought to be
dependent on shipping. The trip from Shanghai to Hamburg via the
Northern Sea Route—which runs along the north coast of Russia from the
Bering Strait in the east to Novaya Zemlya in the west—is 6400
kilometres shorter than the route via the Strait of Malacca and the
Suez Canal... Moreover, due to piracy, the cost of
insurance for ships travelling via the Gulf of Aden towards the Suez
Canal increased more than tenfold between September 2008 and March 2009.</p></blockquote><p><a href="http://benmuse.typepad.com/.a/6a00d8341d9cb353ef0120a8ff12bb970b-popup" onclick="window.open( this.href, '_blank', 'width=640,height=480,scrollbars=no,resizable=no,toolbar=no,directories=no,location=no,menubar=no,status=no,left=0,top=0' ); return false" style="display: inline;"><img alt="ChinatoNewYork" class="asset asset-image at-xid-6a00d8341d9cb353ef0120a8ff12bb970b " src="http://benmuse.typepad.com/.a/6a00d8341d9cb353ef0120a8ff12bb970b-500wi" /></a> <br /> 
</p>The Chinese reaction:<blockquote><p>
The prospect of the Arctic being navigable during summer months as a
result of climate change has impelled the Chinese Government to
allocate more resources to research in the High North. Several Chinese
academics have encouraged their government to be aware of the
political, economic and military implications of shorter shipping
routes and untapped energy resources. However, Chinese officials
advocate cautious Arctic policies for fear of causing alarm and
provoking countermeasures among the Arctic states.</p><p>
China’s insistence on respect for sovereignty as a guiding principle of
international relations deters it from questioning the territorial
rights of Arctic states. Furthermore, China is aware that its size and
rise to major power status evoke jitters, but at the same time it is
striving to position itself so that it will not be excluded from access
to the Arctic.</p></blockquote><p>There are opportunities for small Arctic states (Norway, Greenland/Denmark, Iceland?):</p><blockquote><p>
Smaller Arctic Council members have an opportunity to lay the
foundation for a unique relationship with China by engaging Chinese
officials and academics on Arctic issues—ranging from climate change
and maritime rescue operations to commercial shipping routes and
resource exploration. </p></blockquote><p>The <em>Financial Times</em> had a story on the report on March 1: <a href="http://www.ft.com/cms/s/0/8360ad4c-2553-11df-9cdb-00144feab49a.html?nclick_check=1" target="_blank">China looks to Arctic shipping route</a>.</p><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/9aRe5toJeGE" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2010/03/chinas-interest-in-the-arctic.html</feedburner:origLink></entry>
    <entry>
        <title>How did Paul Krugman get that way?</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/3ga4YAbfzE0/how-did-paul-krugman-get-that-way-and-what-are-his-secrets-for-doing-laundry-while-traveling.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2010/02/how-did-paul-krugman-get-that-way-and-what-are-his-secrets-for-doing-laundry-while-traveling.html" thr:count="1" thr:updated="2010-12-14T16:31:21-09:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef01310f4819d4970c</id>
        <published>2010-02-28T08:52:01-09:00</published>
        <updated>2010-03-03T18:34:19-09:00</updated>
        <summary>A great profile on Paul Krugman by Larissa Mac Farquhar in the March 1 New Yorker: The Deflationist. How Paul Krugman found politics. Every part of this is interesting. Why economics? And especially international economics? Krugman explained that he’d become...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>A great profile on Paul Krugman by Larissa Mac Farquhar in the March 1<em> New Yorker</em>: <a href="http://www.newyorker.com/reporting/2010/03/01/100301fa_fact_macfarquhar" target="_blank">The Deflationist. How Paul Krugman found politics.</a><span style="text-decoration: underline;" />  Every part of this is interesting.   </p>

<p>Why economics?  And especially international economics?
</p>
<blockquote><p>Krugman explained that he’d become an economist because of science
fiction. When he was a boy, he’d  read Isaac Asimov’s “Foundation”
trilogy and become obsessed with the central character, Hari Seldon.
Seldon was a “psychohistorian”—a scientist with such a precise
understanding of the mechanics of society that he could predict the
course of events thousands of years into the future... He couldn’t predict individual
behavior—that was too hard—but it didn’t matter, because history was
determined not by individuals but by laws and hidden forces. “If you
read other genres of fiction, you can learn about the way people are
and the way society is,” Krugman said to the audience, “but you don’t
get very much thinking about <em>why</em> are things the way they are, or what might make them different. What would happen <em>if</em> ?”</p>

<p>With
Hari Seldon in mind, Krugman went to Yale, in 1970, intending to study
history, but he felt that history was too much about what and not
enough about why, so he ended up in economics. Economics, he found,
examined the same infinitely complicated social reality that history
did but, instead of elucidating its complexity, looked for patterns and
rules that made the complexity seem simple. Why did some societies have
serfs or slaves and others not? You could talk about culture and
national character and climate and changing mores and heroes and
revolts and the history of agriculture and the Romans and the
Christians and the Middle Ages and all the rest of it; or, like
Krugman’s economics teacher Evsey Domar, you could argue that if
peasants are barely surviving there’s no point in enslaving them,
because they have nothing to give you, but if good new land becomes
available it makes sense to enslave them, because you can skim off the
difference between their output and what it takes to keep them alive.
Suddenly, a simple story made sense of a huge and baffling swath of
reality, and Krugman found that enormously satisfying....</p>Krugman went to graduate school at M.I.T. “M.I.T. in the
mid-seventies was a sort of Athens of economics—everybody was there,”
he says. “And it was a golden age for clever little models.” Krugman
took a class with Rudiger Dornbusch and became interested in
international macroeconomics. Bretton Woods—the international system of
monetary control established by the Allies during the Second World
War—had just collapsed a few years earlier, floating exchange rates had
turned out to be much more volatile than anybody expected, and figuring
out why turned out to be a fantastically interesting puzzle.<p>Krugman
wrote his thesis on exchange rates, but another class, on international
trade, inspired him. “There was this kind of platonic beauty to the
whole thing,” he says. “I remember going through the two-by-two-by-two
model—two goods, two countries, two factors of production. The way all
these pieces fitted together into a Swiss-watch-like mechanism was
beautiful. I loved it.”...</p>

</blockquote>

<p>There's lots of other stuff here: biographical and personal details (how he does his laundry on the road), how his political perspective has evolved, the evolution of his major economic contributions, how mathematical models can mislead, reflections on his professional productivity trajectory, and more.  </p>

<p>Read more: <a href="http://www.newyorker.com/reporting/2010/03/01/100301fa_fact_macfarquhar?currentPage=6#ixzz0gqzWy0AW">http://www.newyorker.com/reporting/2010/03/01/100301fa_fact_macfarquhar?currentPage=6#ixzz0gqzWy0AW</a></p>

<p />



<p>Edits, March 3, 2010.</p><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/3ga4YAbfzE0" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2010/02/how-did-paul-krugman-get-that-way-and-what-are-his-secrets-for-doing-laundry-while-traveling.html</feedburner:origLink></entry>
    <entry>
        <title>Militarism and trade</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/LAtQH74wonw/daron-acemoglu-pierre-yared--nber-working-paper-no-15694--issued-in-january-2010--nber-programs---ifm----me.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2010/01/daron-acemoglu-pierre-yared--nber-working-paper-no-15694--issued-in-january-2010--nber-programs---ifm----me.html" thr:count="3" thr:updated="2011-10-03T10:02:55-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef0120a82f91c4970b</id>
        <published>2010-01-29T21:55:43-09:00</published>
        <updated>2010-01-29T21:55:43-09:00</updated>
        <summary>Daron Acemoglu and Pierre Yared argue that militaristic states are less likely to engage in trade (NBER Working Paper 15694): Despite the major advances in information technology that have shaped the recent wave of globalization, openness to trade is still...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>Daron Acemoglu and Pierre Yared argue that militaristic states are less likely to engage in trade (NBER Working Paper 15694): </p><blockquote><p>Despite the major advances in information technology that have shaped the recent wave of globalization, openness to trade is still a political choice, and trade policy can change with shifts in domestic political equilibria. This paper suggests that a particular threat and a limiting factor to globalization and its future developments may be militarist sentiments that appear to be on the rise among many nations around the globe today. </p></blockquote><p>The evidence?</p><blockquote><p>We proxy militarism by spending on the military and the size of the military, and document that over the past 20 years, countries experiencing greater increases in militarism according to these measures have had lower growth in trade. Focusing on bilateral trade flows, we also show that controlling flexibly for country trends, a pair of countries jointly experiencing greater increases in militarism has lower growth in bilateral trade.
</p></blockquote><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/LAtQH74wonw" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2010/01/daron-acemoglu-pierre-yared--nber-working-paper-no-15694--issued-in-january-2010--nber-programs---ifm----me.html</feedburner:origLink></entry>
    <entry>
        <title>Really Good News From China and Brazil</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/to-yjy9Xapg/really-good-news-from-china-and-brazil.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2010/01/really-good-news-from-china-and-brazil.html" thr:count="3" thr:updated="2011-06-01T19:45:16-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef01287712a0a5970c</id>
        <published>2010-01-25T21:19:17-09:00</published>
        <updated>2010-01-25T21:19:17-09:00</updated>
        <summary>Clive Cookson reports that there's been a "64-fold increase in [Chinese] peer-reviewed scientific papers since 1981": China scientists lead world in research growth. Projecting ahead: Jonathan Adams, research evaluation director at Thomson Reuters, said China’s “awe-inspiring” growth had put it...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml">Clive Cookson reports that there's been a "64-fold increase in
[Chinese] peer-reviewed scientific papers since 1981": <a href="http://www.ft.com/cms/s/0/7ef3097e-09da-11df-8b23-00144feabdc0.html" target="_blank">China scientists lead world in research growth</a>.  Projecting ahead:<blockquote><p>Jonathan
Adams, research evaluation director at Thomson Reuters, said China’s
“awe-inspiring” growth had put it in second place to the US – and if it
continues on its trajectory it will be the largest producer of
scientific knowledge by 2020. 
</p></blockquote>


<p>Chinese research in chemistry and materials science is especially strong.</p><blockquote><p>Although
its quality remains mixed, Chinese research has also become more
collaborative, with almost 9 per cent of papers originating in China
having at least one US-based co-author. </p></blockquote><p>Meanwhile the volume of research coming out of India and, especially, Brazil has been growing as well.</p><blockquote><p>Brazil stands out in health, life sciences, agriculture
and environmental research. It is a world leader in using biofuels in
auto and aero engines.</p></blockquote><p>Russia has been a disaster: </p><blockquote><p>...on
the eve of the Soviet Union’s disintegration, Russia
was a scientific superpower, carrying out more research than China,
India and Brazil combined. Since then it has been left behind....
Russia produced fewer research papers than Brazil or India in 2008. </p></blockquote><p>This
means new methods and products.  And what the Chinese and Brazilians
can figure out, we can eventually imitate.  Knowledge capital goods are
non-rival; one person's use of an idea doesn't preclude other persons
from using the same idea at the same time.  Unlike a road grader.  Most
of the the world's growth in per capita income is attributable to
technological change.</p><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/to-yjy9Xapg" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2010/01/really-good-news-from-china-and-brazil.html</feedburner:origLink></entry>
    <entry>
        <title>The Benefits of NAFTA</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/rJc3qP0XlO4/the-benefits-of-nafta.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2010/01/the-benefits-of-nafta.html" thr:count="8" thr:updated="2011-10-03T07:33:24-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef0120a7ab946d970b</id>
        <published>2010-01-05T22:35:49-09:00</published>
        <updated>2010-01-05T22:54:46-09:00</updated>
        <summary>Lorenzo Caliendo and Fernando Parro provide Estimates of the Trade and Welfare Effects of NAFTA: In this paper we build into a Ricardian model the role of trade in intermediate inputs, sectoral linkages and differing productivity levels across sectors. The...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="NAFTA" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="NAFTA" />
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>Lorenzo Caliendo and Fernando Parro provide <a href="http://home.uchicago.edu/%7Elcaliend/Estimates_of_Trade_and_Welfare_Effects_of_NAFTA.pdf" target="_blank">Estimates of the Trade and Welfare Effects of NAFTA</a>:</p>

<blockquote><p>In this paper we build into a Ricardian model the role of trade in intermediate inputs, sectoral linkages and differing productivity levels across sectors. The model can be used for both ex-ante and ex-post trade policy evaluation. We also propose a new method to  estimate sectoral trade elasticities. Estimation requires only trade and tariff data and does not require the assumption of bilaterally symmetric trade costs. With the model and estimates of sectoral trade elasticities for the year 1993, we evaluate the trade and welfare effects of the North American Free Trade Agreement (NAFTA). We do so by incorporating into the model the change in tariffs from 1993 to 2005 to calculate the implied changes in exports and imports. We compare these calculated changes to their observed counterparts and find that the model matches the observed outcomes well. <span style="background-color: #ffff00;">We find that as a consequence of the tariff reductions, real wages increased in all NAFTA countries.</span> Mexico had the largest gains, while Canada and the United States gained relatively more from trade liberalization against the rest of the world than from trade liberalization within NAFTA over the sample period.</p></blockquote><p>A little more detail:</p><blockquote><p>What were the welfare effects of NAFTA? Real wages increased in all NAFTA countries and Mexico had the largest gains. Almost 90% of the welfare gains and half of the increase in real wages for Mexico can be attributed to having access to cheaper intermediate goods. Canada and the United States gained relatively more than Mexico from liberalizing against the rest of the world.</p></blockquote>

<p>Thanks to Jonathan Dingel (<a href="http://www.tradediversion.net/archives/2010/01/job-market-papers-in-international-trade.html" target="_blank">Job market papers in international trade)</a> for the pointer.</p><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/rJc3qP0XlO4" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2010/01/the-benefits-of-nafta.html</feedburner:origLink></entry>
    <entry>
        <title>Blog "Health Tourism"</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/8O409qovIrA/blog-health-tourism.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2009/12/blog-health-tourism.html" thr:count="3" thr:updated="2011-04-06T22:18:12-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef0120a773cf84970b</id>
        <published>2009-12-22T15:51:04-09:00</published>
        <updated>2009-12-22T15:51:04-09:00</updated>
        <summary>Keith Pollard (of Intuition Communications, Ltd - "The company owns and operates a network of web sites that provide advice and information for patients in the UK and overseas who are seeking treatment and healthcare services.") provides policy oriented medical...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Health and Safety" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="medical tourism" />
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>Keith Pollard (of Intuition Communications, Ltd - "The company owns and operates a network of web sites that provide
advice and information for patients in the UK and overseas who are
seeking treatment and healthcare services.")<span> provides policy oriented medical tourism discussion on his weblog <a href="http://treatmentabroad.blogspot.com/" target="_blank">Health Tourism</a>.</span></p><p>Recent posts discuss Korea's potential as a destination, dental tourism in Budapest, and transparency and fraud in health tourism.  Infrequent posts since 2006.  Does look like a helpful resource.</p><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/8O409qovIrA" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2009/12/blog-health-tourism.html</feedburner:origLink></entry>
    <entry>
        <title>The "local-market bias" in consumption of health care</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/hb6Rntxz4no/the-localmarket-bias-in-consumption-of-health-care.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2009/12/the-localmarket-bias-in-consumption-of-health-care.html" thr:count="1" thr:updated="2010-09-26T08:33:57-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef01287669124b970c</id>
        <published>2009-12-18T19:51:19-09:00</published>
        <updated>2009-12-18T19:51:19-09:00</updated>
        <summary>Aaditya Mattoo and Randeep Rathindran explain How Health Insurance Inhibits Trade In Health Care (Health Affairs, 2006). Many medical treatments can be obtained abroad for a lot less than they cost in the U.S. "Medical tourism" could be a big...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        <category scheme="http://www.sixapart.com/ns/types#category" term="Health and Safety" />
        
        <category scheme="http://sixapart.com/ns/types#tag" term="medical tourism" />
        <category scheme="http://sixapart.com/ns/types#tag" term="trade in services" />
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>Aaditya Mattoo and Randeep Rathindran explain <a href="http://content.healthaffairs.org/cgi/content/full/25/2/358" target="_blank">How Health Insurance Inhibits Trade In Health Care</a> (<em>Health Affairs</em>, 2006).   Many medical treatments can be obtained abroad for a lot less than they cost in the U.S.  "Medical tourism" could be a big money-saver for Americans.  But there are obstacles:</p>

<blockquote><p>Most travel is for procedures not adequately covered by home-country health insurance; this suggests that a key impediment to trade is the nature of existing health insurance plans. We find that most plans do not cover treatment abroad; if they do, the consumer must bear the full costs of travel and obtains only a fraction of any cost savings. Since the costs of travel are usually greater than any out-of-pocket savings, the adequately insured have little incentive to travel, which results in a strong “local-market bias” in the consumption of health care.</p><p>There is a simple solution: The terms of insurance coverage should be neutral to the location of the provider, and reimbursement should be based on the costs of treatment inclusive of travel costs. This would be sufficient to ensure that the consumer has an incentive to travel if, and only if, there were any gains from trade.  </p></blockquote><p>There are two other things to think about:</p><blockquote><p>First, the scope for trade will be greatly increased if providers in destination countries improve the quality of care and are able to credibly signal these improvements by obtaining accreditation from source-country health regulators. Second, destination countries will need to use at least part of the revenues from increased inflows of foreign patients to ensure improved health care access for their own poorer citizens.</p></blockquote><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/hb6Rntxz4no" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2009/12/the-localmarket-bias-in-consumption-of-health-care.html</feedburner:origLink></entry>
    <entry>
        <title>"Santa Claus's Trade Infractions"</title>
        <link rel="alternate" type="text/html" href="http://feedproxy.google.com/~r/TheCustom-house/~3/Hl_wFckxOMY/santa-clauss-trade-infractions.html" />
        <link rel="replies" type="text/html" href="http://benmuse.typepad.com/custom_house/2009/12/santa-clauss-trade-infractions.html" thr:count="1" thr:updated="2010-08-11T06:07:01-08:00" />
        <id>tag:typepad.com,2003:post-6a00d8341d9cb353ef01287664a912970c</id>
        <published>2009-12-17T18:14:22-09:00</published>
        <updated>2009-12-17T20:45:35-09:00</updated>
        <summary>Patrick Thomas and Tom Barry point out that Santa's Polar operations may violate international trade law: Santa Claus’s Trade Infractions. Oliver Griffiths explains why many of the presents Santa delivers were actually "Made in the U.S." or "Made in China,"...</summary>
        <author>
            <name>Ben Muse</name>
        </author>
        
        
<content type="xhtml" xml:lang="en-US" xml:base="http://benmuse.typepad.com/custom_house/"><div xmlns="http://www.w3.org/1999/xhtml"><p>Patrick Thomas and Tom Barry point out that Santa's Polar operations may violate international trade law: <a href="http://blogs.wsj.com/economics/2009/12/17/guest-contribution-santa-clauss-trade-infractions/">Santa Claus’s Trade Infractions</a>.  </p><p>Oliver Griffiths explains why many of the presents Santa delivers were actually "Made in the U.S." or "Made in China,"  <a href="http://blogs.fco.gov.uk/roller/griffiths/entry/santa_elves_and_comparative_advantage">Santa, Elves and Comparative Advantage</a>.  Griffiths is rehearsing answers to questions he expects from his children.  My guess is his kids won't ask.</p>

<p>Jonathan Dingel's post from last Christmas suggests the benefits American consumers receive from low taxes on imports: <a href="http://www.tradediversion.net/archives/2008/12/christmas-tariffs.html" target="_blank">Christmas Tariffs</a>.</p><xhtml:img xmlns:xhtml="http://www.w3.org/1999/xhtml" src="http://feeds.feedburner.com/~r/TheCustom-house/~4/Hl_wFckxOMY" height="1" width="1" /></div></content>



    <feedburner:origLink>http://benmuse.typepad.com/custom_house/2009/12/santa-clauss-trade-infractions.html</feedburner:origLink></entry>
 
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