front cover of Health Services Privatization in Industrial Societies
Health Services Privatization in Industrial Societies
Scarpaci, Joseph L
Rutgers University Press, 1989
As governments in industrialized nations around the world face fiscal crises, they are increasingly turning over the functions of the welfare state to the private sector. Health care systems are particularly tempting targets for privatization. The costs of health care have risen faster than many other services. Health care systems fail to reward efficiency, and liberal welfare policies have enlarged the number of people who benefit from public health care services, and have done so in ways that often seem inequitable. The particular forms that privatized health care take are closely intertwined with local and political and economic circumstances, but the popularity of the idea in all kinds of governments, in all parts of the world, is very striking. This book looks at the theory and practice of privatization of health services internationally. The contributors argue that the restructuring of health care systems affects local communities in markedly uneven ways. Ultimately, they conclude, conflicts arising from economic and geographic inequities implicit in privatization will limit the degree to which any government can dismantle its health care services.
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front cover of Pittsburgh and the Appalachians
Pittsburgh and the Appalachians
Cultural and Natural Resources in a Postindustrial Age
Scarpaci
University of Pittsburgh Press, 2006

Few American cities reflect the challenges and promise of a twenty-first-century economy better than Pittsburgh and its surrounding region. Once a titan of the industrial age, Pittsburgh flourished from the benefits of its waterways, central location, and natural resources-bituminous coal to fire steel furnaces; salt and sand for glass making; gas, oil, and just enough ore to spark an early iron industry. Today, like many cities located in the manufacturing triangle that stretches from Boston to Duluth to St. Louis, Pittsburgh has made the transition to a service-based economy.

Pittsburgh and the Appalachians presents a collection of eighteen essays that explore the advantages and disadvantages that Pittsburgh and its surrounding region face in the new global economy, from the perspectives of technology, natural resources, workforce, and geography.  It offers an extensive examination of the processes and factors that have transformed much of industrial America during the past half-century, and shows how other cities can learn from the steps Pittsburgh has taken through redevelopment, green space acquisition, air and water quality improvement, cultural revival, and public-private partnerships to create a more livable, economically viable region for future populations.

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front cover of Plazas and Barrios
Plazas and Barrios
Heritage Tourism and Globalization in the Latin American Centro Histórico
Joseph L. Scarpaci
University of Arizona Press, 2004
In recent years the travel industry has promoted trips to cultural landscapes that contain great historical and symbolic landmarks, and Latin American towns and cities are anything but isolated from this trend. Many historic city centers in Latin America have been preserved intact from the colonial era and today may serve institutional, commercial, or residential needs. Now economic forces from outside the region have created a demand for the preservation of historically "authentic" districts.

This book explores how heritage tourism and globalization are reshaping the Latin American centro histórico, analyzing the transformation of the urban core from town plaza to historic center in nine cities: Bogotá, Colombia; Buenos Aires, Argentina; Cartagena, Colombia; Cuenca, Ecuador; Havana, Cuba; Montevideo, Uruguay; Puebla, Mexico; Quito, Ecuador; and Trinidad, Cuba. It tells how these pressures, combined with the advantage of a downtown location, have raised the potential of redeveloping these inner city areas but have also created the dilemma of how to restore and conserve them while responding to new economic imperatives.

In an eclectic and interdisciplinary study, Joseph Scarpaci documents changes in far-flung corners of the Latin American metropolis using a broad palette of tools: urban morphology profiles, an original land-use survey of 30,000 doorways in nine historic districts, numerous photographs, and a review of the political, economic, and globalizing forces at work in historic districts. He examines urban change as reflected in architectural styles, neighborhood growth and decline, real estate markets, and local politics in order to show the long reach of globalization and modernity.

Plazas and Barrios spans all of Spanish-speaking America to address the socio-political dimensions of urban change. It offers a means for understanding the tensions between the modern and traditional aspects of the built environment in each city and provides a key resource for geographers, urban planners, architectural historians, and all concerned with the implications of the emerging global economy.
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front cover of Primary Medical Care in Chile
Primary Medical Care in Chile
Accessibility under Military Rule
Joseph L. Scarpaci
University of Pittsburgh Press, 1988
Since Pinochet's regime assumed power in 1973, the Chilean public medical system has been incrementally disassembled in favor of private enterprise, modeled after U.S. HMOs. Scarpaci assembles data ranging from interviews with patients to income statements and balance sheets from the National Health Service System, National Health Fund, and National Statistics Institute to view the financial and cultural impediments imposed by the Pinochet system that have compromised and effectively limited health care accessibility for Chile's adult population.
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