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Drawing on liability insurance trends and litigation patterns, Viscusi shows that the products liability crisis is has been developing for decades. He argues that the principal causes have been the expansion of the doctrine of design defect, the emergence of mass toxic torts, and an increase in lawsuits involving hazard warnings.
This paper explores insurance as a source of financial system vulnerability. It provides a brief overview of the insurance industry and reviews the risks it faces, as well as several recent failures of insurance companies that had systemic implications. Assimilation of banking-type activities by life insurers appears to be the key systemic vulnerability. Building on this experience and the experience gained under the FSAP, the paper proposes key indicators that should be compiled and used for surveillance of financial soundness of insurance companies and the insurance sector as a whole.
This report reviews the key features and public policy issues regarding the property & casualty insurance industry in Canada. It begins with an overview of the business and structure of the industry: the nature and composition of the property and casualty business, the industry in the context of the Canadian financial services sector, financial structure, and regulation of the industry. It then discusses the following issues: the financial capacity of the industry to handle claims resulting from a major earthquake; the likelihood of major industry consolidation; potential changes in the industry's distribution system in the near future; and the impact of technology in general.
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
"Drawing on an unusually rich trove of data, the authors have refuted more politically convenient myths in one book than most academics do in a lifetime." —Nicholas Bagley, professor of law, University of Michigan Law School "Synthesizing decades of their own and others’ research on medical liability, the authors unravel what we know and don’t know about our medical malpractice system, why neither patients nor doctors are being rightly served, and what economics can teach us about the path forward." —Anupam B. Jena, Harvard Medical School Over the past 50 years, the United States experienced three major medical malpractice crises, each marked by dramatic increases in the cost of malpractice liability insurance. These crises fostered a vigorous politicized debate about the causes of the premium spikes, and the impact on access to care and defensive medicine. State legislatures responded to the premium spikes by enacting damages caps on non-economic, punitive, or total damages and Congress has periodically debated the merits of a federal cap on damages. However, the intense political debate has been marked by a shortage of evidence, as well as misstatements and overclaiming. The public is confused about answers to some basic questions. What caused the premium spikes? What effect did tort reform actually have? Did tort reform reduce frivolous litigation? Did tort reform actually improve access to health care or reduce defensive medicine? Both sides in the debate have strong opinions about these matters, but their positions are mostly talking points or are based on anecdotes. Medical Malpractice Litigation provides factual answers to these and other questions about the performance of the med mal system. The authors, all experts in the field and from across the political spectrum, provide an accessible, fact-based response to the questions ordinary Americans and policymakers have about the performance of the med mal litigation system.
Over the last decade, stress testing has become a central aspect of the Fund’s bilateral and multilateral surveillance work. Recently, more emphasis has also been placed on the role of insurance for financial stability analysis. This paper reviews the current state of system-wide solvency stress tests for insurance based on a comparative review of national practices and the experiences from Fund’s FSAP program with the aim of providing practical guidelines for the coherent and consistent implementation of such exercises. The paper also offers recommendations on improving the current insurance stress testing approaches and presentation of results.
Especially during the last decade, the systems approach gained wide spread attention and increased influence in the world of academics and business. The holistic view of how individual elements interact with ea~h other to form an entity -not a collection of isolated parts -becomes more and more important. Whether it is called "integration" as in Computer Integrated Manufacturing, "organism" in ecological studies, or "network" like the communication network, it is the system's idea which opens neVI' dimensions for insights, applications and development. System Dynamics -or Industrial Dynamics as it was called during its early years by its founder and mentor, M.I.T.'s now Professor Emeritus Jay W. Forrester, -pioneered the use of system concepts and computer simulation for the analysis of complex problems in business and management. It was applied to study the dynamics of corporations, cities, national economies and, finally, the global problems of man and in his limited and fragile environment. The field has reached a stage of self sustained development and momentum. A few years ago the System Dynamics Society was founded, a high quality academic journal is now published in its fifth volume, and the annual International Conferences of the Society were institutionalized and took place in America, Europe and Asia. The organization of international meet· ings for this scientific community, however, is older than the System Dynamics Society itself. The first conventions were held as special sections of conferences devoted to simulation or cybernetics.