The purpose of this research is to examine how population-and episode-based alternative payment models affect equity in access to and outcomes for a range of surgical procedures.

Electronically published December 16, 2016

If people enjoy giving, then why do they avoid fund-raisers? Partnering with the Salvation Army at Christmastime, we conducted a randomized field experiment placing bell ringers at one or both main entrances to a supermarket, making it easy or difficult to avoid the ask. Additionally, bell ringers either were silent or said “please give.” Making avoidance difficult increased both the rate of giving and donations. Paradoxically, the verbal ask dramatically increased giving but also led to dramatic avoidance. We argue that this illustrates sophisticated awareness of the empathy-altruism link: people avoid empathic stimulation to regulate their giving and guilt.

Pathways to Education is a comprehensive support program developed to improve academic outcomes of high school students from very poor social-economic backgrounds. The program includes proactive mentoring, daily tutoring, and group activities, combined with intermediate and long-term incentives to reinforce a minimum degree of mandatory participation; it began in 2001 for entering grade 9 students living in Regent Park, the largest public housing project in Toronto. It expanded in 2007 to include two additional Toronto projects. Comparing students from other housing projects before and after the introduction of the program, high school graduation and postsecondary enrollment rates rose dramatically for Pathways-eligible students, in some cases by more than 50 percent.