https://link.springer.com/content/pdf/10.2307%2F3343168.pdf

Development as Freedom

Lincoln, Yvonna, and Egon Guba, "Postpositivism and the Naturalist Paradigm," pp. 14-46 in Yvonna Lincoln and Egon Guba, Naturalistic Inquiry . Beverly Hills, CA: Sage, 1985.*

NUDGE: IMPROVING DECISIONS ABOUT HEALTH, WEALTH, AND HAPPINESS by Richard H. Thaler and Cass R. Sunstein Penguin Books, 2009, 312 pp, ISBN 978-0-14-311526-7This book is best described formally as a general explanation of and advocacy for libertarian paternalism, a term coined by the authors in earlier publications. Informally, it is about how leaders, systems, organizations, and governments can nudge people to do the things the nudgers want and need done for the betterment of the nudgees, or of society. It is paternalism in the sense that "it is legitimate for choice architects to try to influence people's behavior in order to make their lives longer, healthier, and better", (p. 5) It is libertarian in that "people should be free to do what they like - and to opt out of undesirable arrangements if they want to do so", (p. 5) The built-in possibility of opting out or making a different choice preserves freedom of choice even though people's behavior has been influenced by the nature of the presentation of the information or by the structure of the decisionmaking system. I had never heard of libertarian paternalism before reading this book, and I now find it fascinating.Written for a general audience, this book contains mostly social and behavioral science theory and models, but there is considerable discussion of structure and process that has roots in mathematical and quantitative modeling. One of the main applications of this social system is economic choice in investing, selecting and purchasing products and services, systems of taxes, banking (mortgages, borrowing, savings), and retirement systems. Other quantitative social choice systems discussed include environmental effects, health care plans, gambling, and organ donations. Softer issues that are also subject to a nudge-based approach are marriage, education, eating, drinking, smoking, influence, spread of information, and politics. There is something in this book for everyone.The basis for this libertarian paternalism concept is in the social theory called "science of choice", the study of the design and implementation of influence systems on various kinds of people. The terms Econs and Humans, are used to refer to people with either considerable or little rational decision-making talent, respectively. The various libertarian paternalism concepts and systems presented are tested and compared in light of these two types of people. Two foundational issues that this book has in common with another book, Network of Echoes: Imitation, Innovation and Invisible Leaders, that was also reviewed for this issue of the Journal are that 1 ) there are two modes of thinking (or components of the brain) - an automatic (intuitive) process and a reflective (rational) process and 2) the need for conformity and the desire for imitation are powerful forces in human behavior. …

Nudge: Improving Decisions about Health, Wealth, and Happiness

Frantz Fanon’s explosive Black Skin, White Masks is a merciless expose of the psychological damage done by colonial rule across the world. Using Fanon’s incisive analytical abilities to expose the consequences of colonialism on the psyches of colonized peoples, it is both a crucial text in post-colonial theory, and a lesson in the power of analytical skills to reveal the realities that hide beneath the surface of things.  
Fanon was himself part of a colonized nation – Martinique – and grew up with the values and beliefs of French culture imposed upon him, while remaining relegated to an inferior status in society. Qualifying as a psychiatrist in France before working in Algeria (a French colony subject to brutal repression), his own experiences granted him a sharp insight into the psychological problems associated with colonial rule.  
Like any good analytical thinker, Fanon’s particular skill was in breaking things down and joining dots. His analysis of colonial rule exposed its implicit assumptions – and how they were replicated in colonised populations – allowing Fanon to unpick the hidden reasons behind his own conflicted psychological make up, and those of his patients. Unflinchingly clear-sighted in doing so, Black Skin White Masks remains a shocking read today.

An Analysis of Frantz Fanon's Black Skin, White Masks

Citizen and Subject: Contemporary Africa and the legacy of late colonialism

This paper presents an analysis of the interaction of human capital investment and the development of social and political institutions. We find that human capital matters - for growth through its quality dimension; for distributional conflict by raising political aspirations. But human capital does not stand alone either. The level of economic development (output) matters, distributional (instability) confl ict as well as the rights dispensation can come to influence human capital investment decisions in their own right. Social, human capital, political as well as economic dimensions are densely interwoven in webs of association.

https://www.econrsa.org/system/files/publications/working_papers/wp29.pdf

Does Human Generate Social and Institutional Capital? Exploring Evidence From Time Series Data in a Middle Income Country

This research explores the short-term socioeconomic effect of antiretroviral treatment (ART) in HIV positive patients attending the Perinatal HIV Research Unit clinics in Soweto, South Africa. An overall increase in mean personal and household income following commencement of ART was noted. Mean personal income rose 53% over baseline income. A decrease in the number of meals missed in households was noted in 10% of the sample. The leading themes regarding income were change in employment status and social grants. Antiretroviral treatment increased the capacity to seek employment and unemployed individuals were actively searching for work. Patients noted an improvement in well-being, with fewer to no episodes of illness, and improved quality of life from three months after starting ART. The empirical evidence suggests that individuals gain substantial benefits from being on ART despite the socioeconomic challenges in South Africa.

The socioeconomic impact of antiretroviral treatment on individuals in Soweto, South Africa

Understanding how multinationals devolve decision-making within their human resources (HR) function to their subsidiaries in Africa is becoming increasingly important as the continent grows in significance in the global economy. The research examines the extent of HR devolution by South African multinational companies; how it is affected by the availability of capacity, skills and resources and the role that distance plays in this devolution. Qualitative research was conducted involving 13 South African multinationals operating in eight industries and multiple countries. We find that South African multinationals primarily devolve transactional functions to their foreign subsidiaries while retaining control of transformational ones. However, this appears to be in transition, with transactional items increasingly outsourced to third parties or in-sourced to shared service centres or employee self-service. Certain transformational items were gradually being moved to the subsidiaries, subject to skills and re...

The devolution of the human resources function in South African multinational companies

Social security is based on the belief that all citizens should be protected by the state against the main vicissitudes of life: old age, unemployment, disability and sickness. The success of welfare programmes internationally in improving poverty, income distribution and unemployment is appraised. Income maintenance in South Africa, which is discriminatory and ineffective in meeting real human needs, is examined. Although welfare should not promote dependence, neither should it be so hard to come by as to punish the poor.

Welfare policy and the transformation of social security in South Africa

Background. Screening for asymptomatic diseases can reduce the burden of morbidity and mortality in all population groups. There is widespread geographical variation in the quality of care. Few data are available on national screening rates in South Africa and how these vary across the provinces.

Objective. To examine screening rates for chronic diseases of lifestyle (CDL), HIV and cancer in a privately insured population for a single insurer across all nine provinces in South Africa, and to determine whether or not there are any differences between the provinces.

Method. Screening rates were calculated as the proportion of eligible members who had received screening tests during 2011 in each province. Mean screening rates were compared between Gauteng and the other eight provinces.

Results. Nationwide screening rates were 20.5% for CDL, 8.2% for HIV and 31.9% for cancer. Despite similar insurance coverage, screening rates ranged from 0.3% to 0.95% lower in other provinces compared with Gauteng. Of all the provinces, Gauteng had the highest annual screening rates for CDL, breast cancer, prostate cancer and HIV (p<0.001), while the Western Cape had the highest rate for cervical cancer (p<0.001).

Conclusion. There is much variation in preventive care utilisation across the provinces within this health-insured population. Provinces with more abundant healthcare resources have higher screening rates. Further research is required to understand the reasons for the variation, given equal payment access.

/pdf/provincial-screening-rates-for-chronic-diseases-of-lifestyle-2jbt4l77bp.pdf

John M. Luiz

Papers

Does Human Generate Social and Institutional Capital? Exploring Evidence From Time Series Data in a Middle Income Country

The socioeconomic impact of antiretroviral treatment on individuals in Soweto, South Africa

The devolution of the human resources function in South African multinational companies

Welfare policy and the transformation of social security in South Africa

Provincial screening rates for chronic diseases of lifestyle, cancers and HIV in a health-insured population