[{"id":92,"title":"International Law Challenges of Liability Regulation for Space Elevator Tourism ","sha":"711826afae9025361fab74142ebe7fc3","user_id":391,"state":"published","body":"A Space Elevator raises a number of issues from the legal perspective. Below an altitude of 100km  national law and international air law apply. Above, international space law would govern the elevator. Choosing a base station on land or at sea adds an other level of complexity to this issue. Is the elevator one structure to which different legal rules apply in different parts of the structure? Or is the transport unit which rides along the elevator line a spacefaring vessel and to simple to be treated no different from the way international law treated the Space Shuttle? \r\nFor passengers, this will raise a number of questions. In 2014 the Athens Convention, which regulates insurance requirements for passenger ships on international trips. What will be necessary from the perspective of passengers will be similar liability rules. But while passenger shipping has been around for centuries prior to the introduction to such rules, strict liability rules and insurance obligations are likely to make it even more difficult for start ups to enter the market. This problem might be relatively small given the overall costs and efforts associated with building and operating a space elevator but it needs further investigation.","created_at":"2015-02-24T10:29:58.961Z","updated_at":"2015-02-25T06:00:25.402Z","zenodo_id":23412,"doi":"http://dx.doi.org/10.5281/zenodo.15633","subject":null,"tags":["space","space elevator","space tourism","tourism","law","international law","liability","start up","insurance"],"vote_count":0,"view_count":1,"score":0.1,"deleted":false,"muted":false,"tweeted":false,"attachment_file_name":null,"attachment_content_type":null,"attachment_file_size":null,"attachment_updated_at":null},{"id":110,"title":"The relationship between healthcare administrative costs and physician-reported efficiency measures: an international comparison.","sha":"6b43c9200b95df0866acd474e0c5db05","user_id":431,"state":"published","body":"Comparative analysis of international health systems has increased in recent years, serving to inform systemic transformations undertaken (Singapore) or explored (Vermont). Much of this analysis has focused on comparisons of various healthcare financing schemes. \r\n\r\nThis analysis explores the relationship between healthcare administrative costs and physician-reported efficiency measures across ten industrialized countries, using OECD data to determine the percentage of national health expenditures spent on health administration and insurance (PHEHA) – a measure that allows a par comparison of administrative efficiency across countries with various health financing arrangements – and Commonwealth Fund surveys of physicians in the same countries.\r\n\r\nPHEHA was compared to two physician-reported measures of administrative inefficiency: (1) “Doctors report time spent on administrative issues related to insurance or claims is a major problem” and (2) “Doctors report time spent getting patients needed medications or treatment because of coverage restrictions is a major problem”. The correlation (Pearson’s r) between PHEHA and (1) was 0.67, and between PHEHA and (2) was 0.73.\r\n\r\nThe relationship between PHEA and indicators of administrative inefficiency provides context for a number of additional subjects of investigation, including the relationship between health system administrative structure and physician workforce planning, job satisfaction, and opportunities for labor savings associated with administrative simplification.","created_at":"2015-03-04T19:24:00.547Z","updated_at":"2015-03-12T11:06:36.630Z","zenodo_id":23950,"doi":"http://dx.doi.org/10.5281/zenodo.15842","subject":null,"tags":["healthcare","international","insurance","administration"],"vote_count":2,"view_count":1,"score":2.1,"deleted":false,"muted":false,"tweeted":true,"attachment_file_name":null,"attachment_content_type":null,"attachment_file_size":null,"attachment_updated_at":null}]