A Financial Times Book of the Year
“The strongest documentation I have seen for the many ways in which inequality is harmful to economic growth.”
—Jason Furman
“A timely and very useful guide…Boushey assimilates a great deal of recent economic research and argues that it amounts to a paradigm shift.”
—New Yorker
Do we have to choose between equality and prosperity? Decisions made over the past fifty years have created underlying fragilities in our society that make our economy less effective in good times and less resilient to shocks, such as today’s coronavirus pandemic. Many think tackling inequality would require such heavy-handed interference that it would stifle economic growth. But a careful look at the data suggests nothing could be further from the truth—and that reducing inequality is in fact key to delivering future prosperity.
Presenting cutting-edge economics with verve, Heather Boushey shows how rising inequality is a drain on talent, ideas, and innovation, leading to a concentration of capital and a damaging under-investment in schools, infrastructure, and other public goods. We know inequality is fueling social unrest. Boushey shows persuasively that it is also a serious drag on growth.
“In this outstanding book, Heather Boushey…shows that, beyond a point, inequality damages the economy by limiting the quantity and quality of human capital and skills, blocking access to opportunity, underfunding public services, facilitating predatory rent-seeking, weakening aggregate demand, and increasing reliance on unsustainable credit.”
—Martin Wolf, Financial Times
“Think rising levels of inequality are just an inevitable outcome of our market-driven economy? Then you should read Boushey’s well-argued, well-documented explanation of why you’re wrong.”
—David Rotman, MIT Technology Review
Coming from diverse backgrounds—economics, law, political science, and the health care industry itself—the contributors use Arrow’s article to address a range of present-day health-policy questions. They examine everything from health insurance and technological innovation to the roles of charity, nonprofit institutions, and self-regulation in addressing medical needs. The collection concludes with a new essay by Arrow, in which he reflects on the health care markets of the new millennium. At a time when medical costs continue to rise, the ranks of the uninsured grow, and uncertainty reigns even among those with health insurance, this volume looks back at a seminal work of scholarship to provide critical guidance for the years ahead.
Contributors
Linda H. Aiken
Kenneth J. Arrow
Gloria J. Bazzoli
M. Gregg Bloche
Lawrence Casalino
Michael Chernew
Richard A. Cooper
Victor R. Fuchs
Annetine C. Gelijns
Sherry A. Glied
Deborah Haas-Wilson
Mark A. Hall
Peter J. Hammer
Clark C. Havighurst
Peter D. Jacobson
Richard Kronick
Michael L. Millenson
Jack Needleman
Richard R. Nelson
Mark V. Pauly
Mark A. Peterson
Uwe E. Reinhardt
James C. Robinson
William M. Sage
J. B. Silvers
Frank A. Sloan
Joshua Graff Zivin
The notion that groups form and act in ways that respond to objective, external costs and benefits has long been the key to accounting for social change processes driven by collective action. Yet this same notion seems to fall apart when we try to explain how collectivities emerge out of the choices of individuals. This book overcomes that dilemma by offering an analysis of collective action that, while rooted in individual decision making, also brings out the way in which objective costs and benefits can impede or foster social coordination. The resulting approach enables us to address the causes and consequences of collective action with the help of the tools of modern economic theory. To illustrate this, the book applies the tools it develops to the study of specific collective action problems such as clientelism, focusing on its connections with economic development and political redistribution; and wage bargaining, showing its economic determinants and its relevance for the political economy of the welfare state.
"Medina's study is a great step forward in the analytics of collective action. He shows the inadequacies of currently standard models and shows that straightforward revisions reconcile rational-choice and structural viewpoints. It will influence all future work."
—Kenneth Arrow, Stanford University
"Olson, Schelling, and now Medina. A Unified Theory deepens our understanding of collective action and contributes to the foundations of our field. A major work."
—Robert H. Bates, Harvard University
"Medina thinks that the main problem of social action is not whether or not to cooperate but how to do it. To this end he has produced an imaginative approach to analyzing strategic coordination problems that produces plausible predictions in a range of circumstances."
—John Ferejohn, Stanford University
Luis Fernando Medina is Associate Professor in the Department of Politics at the University of Virginia.
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