Vol. 24 No. 4 December 1998

Articles:

The Canadian Experience with Targets for Inflation Control
Gordon G. Thiessen

This article reflects on Canada's experience with inflation targeting in the 1990s. The discussion opens with a synopsis of the evolution of inflation targets against a backdrop of other monetary policy approaches.

The author then proceeds to outline the main advantages of explicit inflation targets - advantages that go beyond the well-known benefits of low inflation. Increased transparency and accountability, and an improvement in the Bank's internal decision making, are highlighted in particular. It is also argued that inflation targets provide a useful mechanism for dealing with demand and supply shocks in a way that reduces disruptive fluctuations. The major criticisms of targeting low rates of inflation (related to wage rigidity, a zero floor on nominal interest rates, and concerns about deflation) are also examined. Although it is too early for definitive conclusions, the author's view is that inflation targets lead to better policy decisions, better economic performance over time, and greater accountability for autonomous central banks.

Reforming Employment Insurance: Transcending the Politics of the Status Quo
Geoffrey E. Hale

Incremental changes to the Unemployment Insurance program during the 1990s have resulted in a substantial retrenchment of the program, along with significant changes in the balancing of its objectives. The EI reforms of 1994-96 in introducing structural change through a strategy of purposeful incrementalism illustrate both the relative autonomy of the federal government and Human Resources Development Canada from major societal interests and the limits on that autonomy imposed by regional interests and the dynamics of federal-provincial relations. Internal competition within the federal bureaucracy, Cabinet, and caucus played a more significant role in sharing the EI reform agenda than external interests.

Economic Analysis of Packaging Waste Reduction
Donald N. Dewees and Michael J. Hare

This paper examines the rationale for regulating packaging waste and finds two goals that survive careful analysis: saving the social costs of waste disposal and reducing pollution from the manufacture of the packaging materials. We find that source reduction has reduced the disposal of soft drink packaging waste more than either mandatory deposit-refund programs or household recycling. The benefits of packaging reduction justify some well-run recycling programs but they do not justify mandatory deposit-refund programs. We suggest two policies that will promote efficient packaging waste reduction.

Medical Service Provision and Costs: Do Walk-In Clinics Differ from Other Primary Care Delivery Settings?
Darrel J. Weinkauf and Boris Kralj

Reductions in health care funding by both the federal and provincial governments in recent years have focused attention on the cost-effectiveness of health care delivery, particularly on the delivery of primary care services. We use data extracted from the Ontario Health Insurance Plan (OHIP) claims database to assess differences between walk-in clinics and other primary care delivery settings in initial visit costs, follow-up visit costs, service duplication, and diagnoses treated. Our analysis indicates that the generally negative reputation of walk-in clinics is largely underserved. Walk-in clinics differ very little from office-based practices in terms of overall costs, the percentage of patients seen again, and follow-up costs. The relatively high costs of primary care provided in emergency departments combined with the fact that a fairly large share of visits to emergency departments are for self-limiting conditions suggest that patient education on the proper use of emergency departments or providing alternatives, such as telephone triage services, should result in health care cost savings.

The Relative Efficiencies of Canadian Universities: A DEA Perspective
Melville L. McMillan and Debasish Datta

The results of using data envelopment analysis (DEA) to assess the relative efficiency of 45 Canadian universities are reported. Outcomes are obtained from nine different specifications of inputs and outputs. The relative efficiencies are quite consistent across the alternative specifications. A subset of universities - including universities from each of three categories (comprehensive with medical school, comprehensive without medical school, and primarily undergraduate) - are regularly found efficient and a subset quite inefficient but, overall and for most universities, the efficiency scores are relatively high. Simulation of the recent 20-percent cut in provincial grants to the Alberta universities illustrates how potential efficiency improvements (as implied and measured by this methodology) might be realized but it also illustrates certain limitations. Regression analysis is used in an effort to identify further determinants of efficiency. While there are limitations to the methodology and the available (especially output) measures which makes the specific efficiency outcomes tentative, this analysis provides insight to university productivity in Canada and its analysis.

What Does Downward Nominal-Wage Rigidity Imply for Monetary Policy?
Seamus Hogan

A recent paper has suggested a reason why there might be a lasting trade-off between inflation and unemployment at low inflation rates. This has led some economists to recommend that Canada increase its inflation rate. The idea underlying this view is that, because firms are reluctant to cut workers' nominal wages, a moderate amount of inflation can be used to facilitate needed reductions in real wages. This paper discusses the link from downward nominal-wage rigidity to unemployment, and considers some of the issues that need to be addressed in order to determine whether a change in Canada's monetary policy is warranted.

 


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