Suchergebnisse

The Quebec health care system, founded in 1970 as a public, single payer, state run system had by 2004 reached a turning point. Rising costs, working in silos, difficulty accessing physicians, increased waiting time for diagnostic imaging and surgical intervention led policy makers and politicians to propose a new model for the organisation and delivery of care.

Abstract
In contrast to the 'modernization' model of demographic change, popularized by the publications of the European Fertility Project, this paper sets the revolution in family life in an historical perspective. First, I briefly consider the creation of a distinctly north‐west European system of production and reproduction; second, I discuss how this regime led to the emergence of a revolutionary solution to the population/resources squeeze in early modern England; third, I consider how it came to be severely dis‐equilibrated in the period of industrialization, urbanization and improvements in life‐expectation which became generalized in the age of the Industrial Revolution; and, fourth, I propose that the re‐equilibration that we celebrate within the rubric of the Demographic Transition can perhaps be more effectively understood as both an innovation and an adjustment which occurred in response to the historical ruptures ‐ demographic and economic, cultural and political ‐ engendered by the twin processes of material change and state formation.

L'article examine différentes théories concernant la nature d'une économie monétaire, en insistant sur la différence spécifique associée à la monnaie comme unité de valeur. Les rôles de la monnaie et de la circulation financière sont considérés et l'on évalue la différence spécifique associée à chacune d'elles. On étudie les arguments théoriques présentés par l'économie politique classique, Marx et Schumpeter. On insiste en particulier sur l'importance de la monnaie et de la circulation financière.

In an attempt to direct attention away from measures of central tenden cy, this essay focuses on the dispersion of marriage ages derived from the family reconstitution study of Shepshed, Leicestershire, 1600-1851. The evidence shows that there was no connection between "inheritance" and the timing of mar riage-in fact, most marriages took place well before paternal death. Birth-parity seems to have had little impact on male age at marriage, while for women there was a difference of something over one year between the age at marriage of eldest daughters and other-parity daughters. It is shown that the family had little in the way of a "demonstration effect" and that there is almost no correlation between intra- and inter-generational ages at marriage within specific families. In sum, it is considered that individuals decided to marry for their own reasons.