Reflections on the development of health economics in low- and middle-income countries

Health economics is a relatively new discipline, though its antecedents can be traced back to William Petty FRS (1623–1687). In high-income countries, the academic discipline and scientific literature have grown rapidly since the 1960s. In low- and middle-income countries, the growth of health economics has been strongly influenced by trends in health policy, especially among the international and bilateral agencies involved in supporting health sector development. Valuable and influential research has been done in areas such as cost–benefit and cost-effectiveness analysis, financing of healthcare, healthcare provision, and health systems analysis, but there has been insufficient questioning of the relevance of theories and policy recommendations in the rich world literature to the circumstances of poorer countries. Characteristics such as a country''s economic structure, strength of political and social institutions, management capacity, and dependence on external agencies, mean that theories and models cannot necessarily be transferred between settings. Recent innovations in the health economics literature on low- and middle-income countries indicate how health economics can be shaped to provide more relevant advice for policy. For this to be taken further, it is critical that such countries develop stronger capacity for health economics within their universities and research institutes, with greater local commitment of funding.     

Aesthetic surgery economics: lessons from corporate boardrooms to plastic surgery practices

Healthcare traditionally has been described as not conforming to the laws of economics. Consumers pay for aesthetic surgery directly, thus freeing it from the usual confounding factors and making it more likely to comply with the market forces explained by economics. Recent studies have demonstrated the ability of classic economics to analyze, predict, and optimize the financial environment of aesthetic surgery. This article describes economic principles and how they can be applied to aesthetic surgery. Some of the basic instruments of economics include the study of supply and demand, prices, and price elasticity; capital investments; communication and cooperation; and consumer cognitive limitations. Each of these tools offers plastic surgeons the opportunity to gain improved control of their financial environment.     

Combined use of leaf size and economics traits allows direct comparison of hydrophyte and terrestrial herbaceous adaptive strategies

Background and Aims

Hydrophytes generally exhibit highly acquisitive leaf economics. However, a range of growth forms is evident, from small, free-floating and rapidly growing Lemniden to large, broad-leaved Nymphaeiden, denoting variability in adaptive strategies. Traits used to classify adaptive strategies in terrestrial species, such as canopy height, are not applicable to hydrophytes. We hypothesize that hydrophyte leaf size traits and economics exhibit sufficient overlap with terrestrial species to allow a common classification of plant functional types, sensu Grime''s CSR theory.

Methods

Leaf morpho-functional traits were measured for 61 species from 47 water bodies in lowland continental, sub-alpine and alpine bioclimatic zones in southern Europe and compared against the full leaf economics spectrum and leaf size range of terrestrial herbs, and between hydrophyte growth forms.

Key Results

Hydrophytes differed in the ranges and mean values of traits compared with herbs, but principal components analysis (PCA) demonstrated that both groups shared axes of trait variability: PCA1 encompassed size variation (area and mass), and PCA2 ranged from relatively dense, carbon-rich leaves to nitrogen-rich leaves of high specific leaf area (SLA). Most growth forms exhibited trait syndromes directly equivalent to herbs classified as R adapted, although Nymphaeiden ranged between C and SR adaptation.

Conclusions

Our findings support the hypothesis that hydrophyte adaptive strategy variation reflects fundamental trade-offs in economics and size that govern all plants, and that hydrophyte adaptive strategies can be directly compared with terrestrial species by combining leaf economics and size traits.     

The economics of current and future biofuels

This work presents detailed comparative analysis on the production economics of both current and future biofuels, including ethanol, biodiesel, and butanol. Our objectives include demonstrating the impact of key parameters on the overall process economics (e.g., plant capacity, raw material pricing, and yield) and comparing how next-generation technologies and fuels will differ from today’s technologies. The commercialized processes and corresponding economics presented here include corn-based ethanol, sugarcane-based ethanol, and soy-based biodiesel. While actual full-scale economic data are available for these processes, they have also been modeled using detailed process simulation. For future biofuel technologies, detailed techno-economic data exist for cellulosic ethanol from both biochemical and thermochemical conversion. In addition, similar techno-economic models have been created for n-butanol production based on publicly available literature data. Key technical and economic challenges facing all of these biofuels are discussed.     

武夷山49种木本植物叶片与细根经济谱

植物经济谱能够阐述维管植物在资源获取和储存之间的权衡策略, 为理解生态位分化和物种共存机制等提供科学依据。该研究通过对武夷山49种木本植物的单叶面积(ILA)、比叶面积(SLA)、叶碳含量(LCC)、叶氮含量(LNC)和叶磷含量(LPC)等5个叶片性状以及根组织密度(RTD)、比根长(SRL)、比根面积(SRA)、根碳含量(RCC)、根氮含量(RNC)和根磷含量(RPC)等6个细根性状进行测定, 探讨木本植物叶片与细根经济谱是否存在以及常绿和落叶物种间的植物经济谱差异。结果表明: 沿着性状贡献率相对较大的PC1轴, 能够定义出叶经济谱(LES)、根经济谱(RES)和整株植物经济谱(WPES)。大部分常绿物种分布在经济谱保守的一侧, 而大部分落叶物种聚集在获取的一侧。此外, 叶片PC1、细根PC1和整株植物PC1的两两得分之间均存在显著正相关关系, 常绿和落叶物种具有共同的异速指数, 但不存在共同的异速常数。这些结果揭示了亚热带物种叶片与细根的策略遵循着WPES的协调整合, 表明叶片、细根以及整株植物之间是采取协同变化的资源策略, 而分布于经济谱两端的常绿和落叶物种则是通过不同的方式来构建WPES。     

Leaf economics and hydraulic traits are decoupled in five species‐rich tropical‐subtropical forests

Leaf economics and hydraulic traits are critical to leaf photosynthesis, yet it is debated whether these two sets of traits vary in a fully coordinated manner or there is room for independent variation. Here, we tested the relationship between leaf economics traits, including leaf nitrogen concentration and leaf dry mass per area, and leaf hydraulic traits including stomatal density and vein density in five tropical‐subtropical forests. Surprisingly, these two suites of traits were statistically decoupled. This decoupling suggests that independent trait dimensions exist within a leaf, with leaf economics dimension corresponding to light capture and tissue longevity, and the hydraulic dimension to water‐use and leaf temperature maintenance. Clearly, leaf economics and hydraulic traits can vary independently, thus allowing for more possible plant trait combinations. Compared with a single trait dimension, multiple trait dimensions may better enable species adaptations to multifarious niche dimensions, promote diverse plant strategies and facilitate species coexistence.     

Economics,human biology and inequality: A review of “puzzles” and recent contributions from a Deatonian perspective

The Nobel laureate Angus Deaton concentrated his work on puzzling developments and phenomena in economics. Puzzles are exciting elements in economics, because readers feel challenged by the question of how they can be solved. Among the puzzles analyzed by Deaton are: (1) Mortality increase of white, U.S. non-Hispanic men (2000 to today); (2) Why are height and income sometimes closely correlated, but not always?; (3) Height inequality among males and females; and (4) The Indian puzzle of declining consumption of calories during overall expenditure growth.This article reviews these “puzzles” and the main insights that Deaton derived from their discussion insofar as they pertain to the biological aspects of human development. I will focus on the field of this journal, Economics and Human Biology, in which Deaton has been very active over the last two decades. I will also document some of the responses by other scholars and their contributions to these puzzles, as they relate to the field of economics and human biology.     

Transpiration and stomatal control: a cross-species study of leaf traits in 39 evergreen and deciduous broadleaved subtropical tree species

Key message

Using an extensive dataset for 39 subtropical broadleaved tree species, we found traits of the leaf economics spectrum to be linked to mean stomatal conductance but not to stomatal regulation.

Abstract

The aim of our study was to establish links between stomatal control and functional leaf traits. We hypothesized that mean and maximum stomatal conductance (g _s) varies with the traits described by the leaf economics spectrum, such as specific leaf area and leaf dry matter content, and that high g _s values correspond to species with tender leaves and high photosynthetic capacity. In addition, we hypothesized that species with leaves of low stomata density have more limited stomatal closure than those with high stomata density. In order to account for confounding site condition effects, we made use of a common garden situation in which 39 deciduous and evergreen species of the same age were grown in a biodiversity ecosystem functioning experiment in Jiangxi (China). Daily courses of g _s were measured with porometry, and the species-specific g _s~vpd relationships were modeled. Our results show that mean stomatal conductance can be predicted from leaf traits that represent the leaf economics spectrum, with a positive relationship being related to leaf nitrogen content and a negative relationship with the leaf carbon: nitrogen ratio. In contrast, parameters of stomatal control were related to traits unassociated with the leaf economics spectrum. The maximum of the conductance~vpd curve was positively related to leaf carbon content and vein length. The vpd at the point of inflection of the conductance~vpd curve was lower for species with higher stomata density and higher for species with a high leaf carbon content. Overall, stomata size and density as well as vein length were more effective at explaining stomatal regulation than traits used in the leaf economics spectrum.     

Heartbeat and Economic Decisions: Observing Mental Stress among Proposers and Responders in the Ultimatum Bargaining Game

The ultimatum bargaining game (UBG), a widely used method in experimental economics, clearly demonstrates that motives other than pure monetary reward play a role in human economic decision making. In this study, we explore the behaviour and physiological reactions of both responders and proposers in an ultimatum bargaining game using heart rate variability (HRV), a small and nonintrusive technology that allows observation of both sides of an interaction in a normal experimental economics laboratory environment. We find that low offers by a proposer cause signs of mental stress in both the proposer and the responder; that is, both exhibit high ratios of low to high frequency activity in the HRV spectrum.     

Economics and Obesity: Costing the Problem or Evaluating Solutions?

There is no doubt that obesity is a major public health problem. However, what is the contribution of economics to solving it? In this report, we make the case that the role of economics is not in measuring the economic burden of obesity, through so‐called cost‐of‐illness studies. Such studies merely confirm that obesity is a serious societal issue; adding a monetary figure to this does not add much. The economic foundations of such estimates can also be questioned, thus lessening their policy relevance. The real value of economics in the arena of obesity care is in evaluating, through formal economic evaluation, the use of our scarce health care resources in different strategies to prevent and treat obesity.     

Individual variation evades the Prisoner's Dilemma

Background  

The Prisoner's Dilemma (PD) is a widely used paradigm to study cooperation in evolutionary biology, as well as in fields as diverse as moral philosophy, sociology, economics and politics. Players are typically assumed to have fixed payoffs for adopting certain strategies, which depend only on the strategy played by the opponent. However, fixed payoffs are not realistic in nature. Utility functions and the associated payoffs from pursuing certain strategies vary among members of a population with numerous factors. In biology such factors include size, age, social status and expected life span; in economics they include socio-economic status, personal preference and past experience; and in politics they include ideology, political interests and public support. Thus, no outcome is identical for any two different players.     

A common genetic basis to the origin of the leaf economics spectrum and metabolic scaling allometry

Many facets of plant form and function are reflected in general cross‐taxa scaling relationships. Metabolic scaling theory (MST) and the leaf economics spectrum (LES) have each proposed unifying frameworks and organisational principles to understand the origin of botanical diversity. Here, we test the evolutionary assumptions of MST and the LES using a cross of two genetic variants of Arabidopsis thaliana. We show that there is enough genetic variation to generate a large fraction of variation in the LES and MST scaling functions. The progeny sharing the parental, naturally occurring, allelic combinations at two pleiotropic genes exhibited the theorised optimum ¾ allometric scaling of growth rate and intermediate leaf economics. Our findings: (1) imply that a few pleiotropic genes underlie many plant functional traits and life histories; (2) unify MST and LES within a common genetic framework and (3) suggest that observed intermediate size and longevity in natural populations originate from stabilising selection to optimise physiological trade‐offs.     

Mean age of death and longevity for male scientists of different specialties

The article provides information on the mean age of death (MAD) for 54 256 men professionally involved in research work and assigned to one of the six categories, namely, physics, chemistry, medicine and biology, mathematics, economics, and humanities. In addition, the effect of teaching activity on MAD and longevity has been evaluated for scientists of different specialties. Special attention has been paid to the analysis of MAD of the deceased members of the Russian Academy of Sciences, including members of the USSR Academy of Sciences (1724–2013). The minimum MAD has been found for mathematicians (72.1 ± 0.21 years) and the maximum MAD for scientists in economics (74.6 ± 0.26 years). The relative number of surviving ≥90 years and ≥100 years is minimal for mathematicians (7.59 and 0.37%, respectively), whereas those numbers for economists reveal the maximum values (10.26 and 0.96%, respectively). Indicators of MAD and proportion of centenarians among the scientists who received public recognition strongly depend on the specialty. Similarly, the members of the Russian Academy of Sciences and the USSR Academy of Sciences have the highest MAD in economics (74.7 ± 1.05 years) and the lowest in mathematics (70.6 ± 0.74 years). MAD has proven to be 3.5 years higher for scientists involved in teaching at university or college compared to those who were not involved in teaching. In this case, the “gain” is significant, ranging from 3.1 years for economists and humanitarians to 4.9 years for mathematicians. The results of the study lead to the conclusion that intense scientific work contributes to an increase in life expectancy and longevity.     

Embodied economics: how bodily information shapes the social coordination dynamics of decision-making

To date, experiments in economics are restricted to situations in which individuals are not influenced by the physical presence of other people. In such contexts, interactions remain at an abstract level, agents guessing what another person is thinking or is about to decide based on money exchange. Physical presence and bodily signals are therefore left out of the picture. However, in real life, social interactions (involving economic decisions or not) are not solely determined by a person''s inference about someone else''s state-of-mind. In this essay, we argue for embodied economics: an approach to neuroeconomics that takes into account how information provided by the entire body and its coordination dynamics influences the way we make economic decisions. Considering the role of embodiment in economics—movements, posture, sensitivity to mimicry and every kind of information the body conveys—makes sense. This is what we claim in this essay which, to some extent, constitutes a plea to consider bodily interactions between agents in social (neuro)economics.     

Spanish farmers welcome GM maize

Changing economics is weakening European resistance to genetically modified crops but environmental concerns remain. Nigel Williams reports.     

Interdisciplinary modeling: a case study of evolutionary economics

Biologists and economists use models to study complex systems. This similarity between these disciplines has led to an interesting development: the borrowing of various components of model-based theorizing between the two domains. A major recent example of this strategy is economists’ utilization of the resources of evolutionary biology in order to construct models of economic systems. This general strategy has come to be called “evolutionary economics” and has been a source of much debate among economists. Although philosophers have developed literatures on the nature of models and modeling, the unique issues surrounding this kind of interdisciplinary model building have yet to be independently investigated. In this paper, we utilize evolutionary economics as a case study in the investigation of more general issues concerning interdisciplinary modeling. We begin by critiquing the distinctions currently used within the evolutionary economics literature and propose an alternative carving of the conceptual terrain. We then argue that the three types of evolutionary economics we distinguish capture distinctions that will be important whenever resources of model-based theorizing are borrowed across distinct scientific domains. Our analysis of these model-building strategies identifies several of the unique methodological and philosophical issues that confront interdisciplinary modeling.     

生态系统的净化服务及其价值研究

生态系统对环境的净化服务是其向人类提供的重要服务功能之一,了解生态系统的净化机理及其价值,对自然资源的保护及其可持续利用有着十分重要的作用。本文讨论了生态系统的净化服务的机理,提出了生态系统净化类型,在此基础上,运用经济学和环境经济学原理,探讨了生态系统的净化价值评估方法,以我国森林生态系统为例,对生态系统的净化价值进行了估算。     

Factors affecting the economics of polyhydroxyalkanoate production by bacterial fermentation

Polyhydroxyalkanoates (PHA) have been attracting considerable attention as biodegradable substitutes for conventional polymers. To reduce their production cost, a great deal of effort has been devoted to developing better bacterial strains and more efficient fermentation/recovery processes. In this paper, several factors affecting the production cost of PHA, such as PHA productivity, content and yield, the cost of the carbon substrate, and the recovery method were reviewed. A sensitivity analysis was also carried out with respect to these factors and with a view to scale-up. Several production processes were designed on the basis of the reported fermentation and recovery results, and were economically evaluated. PHA productivity only affects equipment-related costs, but PHA content has multiple effects on the process economics. Development of an economical and efficient recovery method is also important to the overall economics of PHA production. Received: 10 August 1998 / Accepted: 26 September 1998     

Collective Action in Action: Prosocial Behavior in and out of the Laboratory

ABSTRACT  Experiments have become a popular method to study altruism and cooperation in laboratory and, more recently, in field settings. However, few studies have examined whether behavior in experiments tells us anything about behavior in the "real world." To investigate the external validity of several common experimental economics games, we compare game behavior with prosocial behavior among Tsimane forager-horticulturalists of lowland Bolivia. We find that food-sharing patterns, social visitation, beer production and consumption, labor participation, and contributions to a feast are not robustly correlated with levels of giving in the economics games. Payoff structure and socioecological context may be more important in predicting prosocial behavior in a wide variety of domains than stable personality traits. We argue that future experimental methods should be tailored to specific research questions, show reduced anonymity, and incorporate repeat measures under a variety of conditions to inform and redirect ethnographic study and build scientific theory. [Keywords: altruism, cooperation, experimental economics, Tsimane]     

The economics of inclusion body processing

Many recombinant proteins are often over-expressed in host cells, such as Escherichia coli, and are found as insoluble and inactive protein aggregates known as inclusion bodies (IBs). Recently, a novel process for IB extraction and solubilisation, based on chemical extraction, has been reported. While this method has the potential to radically intensify traditional IB processing, the process economics of the new technique have yet to be reported. This study focuses on the evaluation of process economics for several IB processing schemes based on chemical extraction and/or traditional techniques. Simulations and economic analysis were conducted at various processing conditions using granulocyte macrophage-colony stimulating factor, expressed as IBs in E. coli, as a model protein. In most cases, IB processing schemes based on chemical extraction having a shorter downstream cascade demonstrated a competitive economic edge over the conventional route, validating the new process as an economically more viable alternative for IB processing.