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Rethink Roundup

Lots of Rethink-relevant news and announcements lately. Here’s our roundup:

  1. White House issues exciting new open data policy.
     
  2. MCC launches evaluation catalog with metadata (microdata forthcoming) from its independent evaluations. First up: food security.
     
  3. The end of extreme poverty? The question, some data, and why it isn’t enough.
     
  4. Kerry, Shah and Vilsack (the State-USAID-Department of Agriculture triumvirate) urge the United States to get with the times on food aid.
     
  5. Rep. Gerry Connolly (D-VA) gives a foreign assistance act rewrite another go.

A To Do List for Brazil’s Azevedo at the WTO

Congratulations to Ambassador Roberto Azevedo from Brazil, who will be the next Director-General of the WTO. Ambassador Azevedo campaigned for the WTO position as an insider who could hit the ground running and that is exactly what he will need to do. He also said that being an insider would help him in rebuilding trust among the members and he will need to get started on that immediately—even before he takes over on September 1.

The Magically Vanishing Slice of Pie: Shockingly Bad Methods behind the Heritage Foundation’s Estimates of the Fiscal Costs of Unauthorized Immigration

Robert Rector and Jason Richwine of the Heritage Foundation have written a report claiming that regularizing unauthorized immigrants in the United States will cost American taxpayers trillions of dollars. Neither Rector nor Richwine are trained economists and the methods that they use to arrive at this number are not economic analysis.

Experimentation for Better Health: Lessons from the US for Global Health

In recent weeks, the public health world and political pundits alike have been abuzz about results from the “Oregon Experiment,” a study published in the New England Journal of Medicine that finds no statistical link between expanded Medicaid coverage and health outcomes such as high cholesterol or hypertension. Limitations of the study aside, the Oregon Experiment is a good example of the importance of rigorously testing all US health programs, rather than just assuming ‘more care = better health’.  The Innovation Center at the United States Centers for Medicaid and Medicare Services, created under the umbrella of the Affordable Care Act, represents a new and encouraging approach to address this problem, an approach that we think has important lessons for global health.

Is Health Insurance Good for Health?

The New England Journal of Medicine recently published the results of “the Oregon experiment” based on the 2008 US Medicaid program expansion in Oregon. The study is one of very few randomized control trials on publicly-subsidized health insurance that exists to guide health policy, and found what some commentators considered a disappointing result: while health care utilization increased and households were protected from financial hardship, expanding Medicaid coverage had “no significant impact on measured physical health outcomes over a 2-year period.”

Evaluate India’s Direct Benefits Transfers

Earlier this year, Nancy Birdsall and I laid out why India’s new cash transfer program is superior to current in-kind subsidy programs on which the government spends $26 billion a year with no discernible impact on poverty. While not a panacea, the new program has a lot going for it – cash transfers have been shown to work for poverty reduction in many settings, the program uses a biometrics-based system to identify beneficiaries and process payments, and the country has experience in implementing similar programs like the JSY – a cash transfer conditional on a facility birth.

Foreign Assistance Dashboard Tweaks and New Data

If you haven’t looked at the Foreign Assistance Dashboard lately, I’d suggest you do so. The government’s online platform and (eventual) one-stop-shop for storing and visualizing US aid data has some new features. There are new displays of existing data, plus the first set of USAID and MCC quarterly financial data. These tweaks and more timely data are a step in the right direction, but more US federal agencies need to leap onboard and start adding their data to the mix.

From Audits to Results: A Needed Paradigm Shift in Health Aid

The World Bank’s Africa Health Forum: Finance & Capacity for Results during its 2013 Spring Meetings brought together ministers of finance and of health from 30 African countries in a unique opportunity for mutual listening between countries and partners. One recurring theme in forum and in the first panel was that results-based financing (RBF) – where financing is conditioned on achievement of results in health – is a key approach to driving value for money. In short: RBF = more money for more health. (You can watch the recorded ministerial discussion here.)

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