The recent tobacco excise tax increase and economic crisis reduced cigarette affordability in Ukraine dramatically. Using survey data from Stakhanov (n = 1691), eastern Ukraine, we employed logistic regression analysis to examine whether socio-economic status was associated with the continuation of smoking in this environment in 2009. Low education (in women) and ownership of household assets (...

In Brief Uncertainty about federal support for the Affordable Care Act (ACA) continues to threaten enrollment and stability in the nongroup insurance markets. Meanwhile, congressional Republicans are likely to continue their efforts to repeal and replace the law. But targeted policies could fix the ACA’s problems without sacrificing its gains in coverage, affordability, and access to care. Thes...

This paper describes the role of public transport and incidence of transport subsidies in Mumbai, India, where public transport is used for over 75% of all motorized trips. On average, expenditure on public transit constitutes a larger share of income for the poor than for the middle class. However, a larger fraction of transit users are middle class. In terms of incidence, the poorest 27% of t...

While the impacts of the Affordable Care Act will vary across the states given their different circumstances, Massachusetts’ 2006 reform initiative, the template for national reform, provides a preview of the potential gains in insurance coverage, access to and use of care, and health care affordability for the rest of the nation. Under reform, uninsurance in Massachusetts dropped by more than ...