EBookClubs

Read Books & Download eBooks Full Online

EBookClubs

Read Books & Download eBooks Full Online

Book The Politics of Healthcare Reform in Turkey

Download or read book The Politics of Healthcare Reform in Turkey written by Volkan Yilmaz and published by Springer. This book was released on 2017-06-21 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the transformation in the healthcare system in Turkey since 2003, which has been portrayed as a benchmark for building universal healthcare systems in emerging market economies. Focussing on healthcare politics in an under-researched developing country context, it fills a significant lacuna in existing scholarship. This study answers these questions: What were the political dynamics that enabled the introduction of healthcare reform in Turkey? What political conflicts did the reform generate? How and to whose benefit have these conflicts been resolved? Drawing on qualitative interviews with a diverse set of actors, Yılmaz explores the actors’ subjective interpretations of the reform, the discourses and strategies they used to influence the reform, and the changing healthcare politics scene. He demonstrates that the reform has been a complex political process within which actors negotiated whether and to what extent healthcare remains a citizenship right or a commodity. This book will appeal to students and scholars of social policy, politics, health policy, public health and sociology.

Book The Oxford Handbook of Turkish Politics

Download or read book The Oxford Handbook of Turkish Politics written by Günes Murat Tezcür and published by Oxford University Press. This book was released on 2022 with total page 865 pages. Available in PDF, EPUB and Kindle. Book excerpt: The study of politics in Turkey : new horizons and perennial pitfalls / Güneş Murat Tezcür -- Democratization theories and Turkey / Ekrem Karakoç -- Ruling ideologies in modern Turkey / Kerem Öktem -- Constitutionalism in Turkey / Aslı Ü. Bâli -- Civil-military relations and the demise of Turkish democracy / Nil S. Satana and Burak Bilgehan Özpek -- Capturing secularism in Turkey : the ease of comparison / Murat Akan -- The political economy of Turkey since the end of World War II / Şevket Pamuk -- Neoliberal politics in Turkey / Sinan Erensü and Yahya M. Madra -- The politics of welfare in Turkey / Erdem Yörük -- The political economy of environmental policymaking in Turkey : a vicious cycle / Fikret Adaman, Bengi Akbulut, and Murat Arsel -- The politics of energy in Turkey : running engines on geopolitical, discursive, and coercive power / Begüm Özkaynak, Ethemcan Turhan, and Cem İskender Aydın -- The contemporary politics of health in Turkey : diverse actors, competing frames, and uneven policies / Volkan Yılmaz -- Populism in Turkey : historical and contemporary patterns / Yüksel Taşkın -- Old and new polarizations and failed democratizations in Turkey / Murat Somer -- Economic voting during the AKP era in Turkey / S. Erdem Aytaç -- Party organizations in Turkey and their consequences for democracy / Melis G. Laebens -- The evolution of conventional political participation in Turkey / Ersin Kalaycıoğlu -- Symbolic politics and contention in the Turkish Republic / Senem Aslan -- Islamist activism in Turkey / Menderes Çınar -- The Kurdish movement in Turkey : understanding everyday perceptions and experiences / Dilan Okcuoglu -- The Transnational Mobilization of the Alevis of Turkey : from invisibility to the struggle for equality / Ceren Lord -- Politics of asylum seekers and refugees in Turkey : limits and prospects of populism / Fatih Resul Kılınç and Şule Toktaş -- A theoretical account of Turkish foreign policy under the AKP / Tarık Oğuzlu -- US-Turkey relations since WWII : from alliance to transactionalism / Serhat Güvenç and Soli Özel -- Turkey and Europe : historical asynchronicities and perceptual asymmetries / Hakan Yılmaz -- Turkey's foreign policy in the Middle East : an identity perspective / Lisel Hintz -- Turkey and Russia : historical patterns and contemporary trends in bilateral relations / Evren Balta and Mitat Çelikpala -- Citizenship and protest behavior in Turkey / Ayhan Kaya -- Gender politics and the struggle for equality in Turkey / Zehra F. Kabasakal Arat -- Human rights organizations in Turkey / Başak Çalı -- Truth, justice, and commemoration initiatives in Turkey / Onur Bakiner -- The politics of media in Turkey : chronicle of a stillborn media system / Sarphan Uzunoğlu -- The AKP's rhetoric of rule in Turkey : political melodramas of conspiracy from "ergenekon" to "mastermind" / Erdağ Göknar -- The transformation of political cinema in Turkey since the 1960s : a change of discourse / Zeynep Çetin-Erus and M. Elif Demoğlu -- Political music in Turkey : the birth and diversification of dissident and conformist music (1920-2000) / Mustafa Avcı.

Book Research Anthology on Public Health Services  Policies  and Education

Download or read book Research Anthology on Public Health Services Policies and Education written by Management Association, Information Resources and published by IGI Global. This book was released on 2021-04-16 with total page 840 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public health has become an essential area of focus in terms of the way it operates, the services offered, policies, and more. Maintaining an effective public health system and infrastructure, updated and useful policies, and health literacy are primary concerns. A critical analysis of public healthcare policy and services is critical to accommodate the changing health demands of the global population. Through a deeper understanding of the way public health services are offered, a look into policymaking and current policies in healthcare, and the way health literacy and health education are promoted, the current state and future of public health are acknowledged. The Research Anthology on Public Health Services, Policies, and Education presents a view of public health through an analysis of healthcare services and delivery; policies in terms of policymaking, ethics, and governance; as well as the way society is educated on public health affairs. The chapters will cover a wide range of issues such as healthcare policy, health literacy, healthcare reform, accessibility, public welfare, and more. This book is essential for public health officials, government officials, policymakers, teachers, medical professionals, health agencies and organizations, professionals, researchers, academics, practitioners, and students interested in the current state of public health and the improvement of public health services and policies for the future.

Book Healthcare Policy and Reform

    Book Details:
  • Author : Information Reso Management Association
  • Publisher :
  • Release : 2018-03-23
  • ISBN : 9781668430224
  • Pages : 580 pages

Download or read book Healthcare Policy and Reform written by Information Reso Management Association and published by . This book was released on 2018-03-23 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Crossing the Global Quality Chasm

    Book Details:
  • Author : National Academies of Sciences, Engineering, and Medicine
  • Publisher : National Academies Press
  • Release : 2019-01-27
  • ISBN : 0309477891
  • Pages : 399 pages

Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Book Shooting a Revolution

Download or read book Shooting a Revolution written by Donatella Della Ratta and published by Digital Barricades. This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: What has been the impact of visual media on the Syrian conflict?

Book Health Systems Improvement Across the Globe

Download or read book Health Systems Improvement Across the Globe written by Jeffrey Braithwaite and published by CRC Press. This book was released on 2017-08-07 with total page 621 pages. Available in PDF, EPUB and Kindle. Book excerpt: Following on from 2015’s Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries, this book encompasses a global perspective on healthcare while shifting the focus from reform to showcasing success stories of healthcare systems worldwide. It provides explanations of why various facets of healthcare systems work well in different contexts and offers the reader alternative models for consideration. The book features contributions from 60 countries, going much further than the common practice of focusing on affluent Western nations, to provide a comprehensive exploration of the success of healthcare systems globally. The majority of literature on health-sector improvement attempts to address the problems within systems, relating the errors that can and do occur, for example, and offering solutions and preventative strategies. This book of country case studies will approach the enhancement of health systems, patient safety and the quality of care in a new and innovative way, comprehensively surveying and synthesizing the success stories of healthcare systems around the world, utilizing Hollnagel’s Safety-II approach to acknowledge the importance of exploring what goes right, what works well, and why it works. These success stories may include reference to macro, meso or micro levels of healthcare systems, various sectors (e.g., aged care, acute care or primary care), or specific programs or projects. Health System Improvement Across the Globe: Success Stories from 60 Countries is unprecedented in terms of both reach and positive emphasis, and as such will be instrumental in changing ways of thinking about and guiding health-sector improvement.

Book World Health Statistics 2015

    Book Details:
  • Author : World Health Organization
  • Publisher : World Health Organization
  • Release : 2015-05-14
  • ISBN : 9241564881
  • Pages : 162 pages

Download or read book World Health Statistics 2015 written by World Health Organization and published by World Health Organization. This book was released on 2015-05-14 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: World Health Statistics 2015 contains WHO's annual compilation of health-related data for its 194 Member States and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets. This year it also includes highlight summaries on the topics of reducing the gaps between the world's most-advantaged and least-advantaged countries and on current trends in official development assistance (ODA) for health. As in previous years World Health Statistics 2015 has been compiled using publications and databases produced and maintained by WHO technical programmes and regional offices. A number of demographic and socioeconomic statistics have also been derived from databases maintained by a range of other organizations.

Book Health Care Financing and Insurance

Download or read book Health Care Financing and Insurance written by Francesco Paolucci and published by Springer Science & Business Media. This book was released on 2010-10-28 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a contribution to the search for suitable and sustainable solutions to finance rising medical care expenditures, the book proposes a typology of healthcare financing and insurance schemes, based on the dimensions of basic vs. supplementary services and mandatory vs. voluntary coverage, to analyse the design and the complex interactions between various financing and insurance arrangements in several OECD countries. This study provides a better understanding of the strengths and weaknesses of the financial and organisational structures of different countries’ healthcare financing and insurance schemes. Its main contributions are the development of a novel and rigorous theoretical framework analysing the economic rationales for the optimal design of healthcare financing and insurance schemes, and an empirical and institutional analysis investigating the consequences for efficiency and affordability of the complex interactions between basic and supplementary sources of financing.

Book Insight Turkey 2020 03   Transformation of Turkey s Defense Industry

Download or read book Insight Turkey 2020 03 Transformation of Turkey s Defense Industry written by and published by SET Vakfı İktisadi İşletmesi. This book was released on 2020-10-01 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Turkey’s contemporary defense and military strategy can be best understood as a result of the historical process the country has experienced. This historical process has significantly altered the security environment surrounding Turkey while transforming her alliance relations, ultimately producing a new political vision for the country and a defense and military strategy that serves this vision. Firstly, although the end of the Cold War and the ensuing dissolution of the Soviet Union has ameliorated international security, Turkey was faced with both conventional and asymmetric threats on multiple fronts. This situation kept defense spending of the country at record levels despite military expenditures within NATO showing a rapid decline. On the other hand, the emerging political geography led to a series of new conflicts erupting in several hotspots, from the Balkans through to the Caucasus and the Middle East. Emerging conflicts were thought to require a common response which precipitated NATO’s evolution from a collective defense organization to a collective security organization. Concurrently, it meant that Turkey would actively join NATO’s new missions ranging from the peaceful resolution of disputes to stability operations with expeditionary forces featured by mobility, jointness, and readiness. Secondly, the 9/11 terrorist attacks against the U.S. created profound ramifications for Turkey’s regional security and her alliance relations. In particular, the American military occupation of Iraq jeopardized Turkey’s national security by effectively removing the political authority of that country and dismantling the Iraqi army. While the emerging political vacuum was filled by sectarian politics, the scarcity of security was exploited by the PKK, consolidating its presence in northern Iraqi territories. Divided Iraq has also transformed into a breeding ground for international terrorism which resulted in the rise of various extremist armed organizations, including ISIS. Thirdly, since the so-called Arab spring started in the early 2010s, the political and security landscape of the Middle East and North Africa has undergone significant changes. While the overthrow of dictators led to intra-state conflicts in several places, it was particularly the civil war in Syria that alarmed Turkish decision-makers due to its transformation into a safe haven for various terrorist groups operating at Turkey’s southern frontiers. Bereft of concrete ally support, Turkey unilaterally launched military operations into northern Syria in order to eliminate ISIS elements as well as curbing the long-term territorial ambitions of the PKK. The Arab spring has also aggravated previous tensions and engendered various factions that facilitated new alignments which is the case for today’s Eastern Mediterranean and Arab-Israeli relations. Against the backdrop of these considerations, Turkey’s contemporary defense and military strategy has been formed. In general, this strategy lays down the principles of using military force to support the political aims of the country. It operates as a “bridge” between policy and operation, in a classical sense. And that strategy is now not just informed by protecting the territorial integrity of the nation but has wider objectives, including enhancing the country’s international standing as well as achieving strategic autonomy. This in turn has necessitated new tools that extend beyond a sole deterrent force, namely military activism, and defense industry investments, along with the contribution to international security and commitments to the NATO alliance. The summer issue of Insight Turkey aims to explain the changing dynamics of Turkey’s military and defense strategy by taking into consideration current foreign and security policy practices of Turkey in the Middle East and North Africa region. More specifically, this issue is an attempt to develop a new framework to understand Turkey’s revolution in its military and defense strategies. Hulusi Akar, the Minister of National Defense of Turkey, in his commentary sheds light on the global and regional developments that threaten Turkey’s peace and stability and which contributed to shaping its defense strategy. A strategy that targets finding common solutions to international problems in a collaborative way. Akar gives special attention to the contribution of the distinguished, deterrent, efficient, motivated, well-trained, and disciplined Armed Forces that are equipped with high-level weaponry produced domestically using national resources. Within the context of the Turkish Defense Industry’s strong historical background, İsmail Demir highlights the transformation and rationality of the Turkish Defense Industry. He emphasizes the necessity of addressing the recent rise of the Turkish Defense Industry in two different but interrelated periods. The first provided the defense industry with strong support with an extremely decisive and long-term projection. The second represents the transformation of the expectations from the defense industry, in coordination with the changing position and function of the defense industry in bureaucratic mechanisms. Michaël Tanchum’s commentary is a coherent and rigorous analysis of the logical result of Turkey’s post-Cold War strategic reorientation, presented in its new expeditionary capability of enhanced naval capacity and new forward bases. Michaël examines Ankara’s challenge of calibrating the use of its hard power instruments to serve its post-Lausanne strategic orientation toward establishing Turkey-centered, inter-regional connectivity. In the middle of the COVID-19 global pandemic, Minister of Health of the Republic of Turkey, Fahrettin Koca, underscores the role of Turkey in the management of COVID-19. His commentary asserts that Turkey has successfully contained the COVID-19 pandemic and prevented devastating consequences due to its idiosyncratic approach to the crisis and the robustness of its healthcare system. After 85 years as a museum, Hagia Sophia welcomes Muslim worshippers’, a decision that has drawn intense criticism in Turkey and worldwide. However, Deputy Minister of Foreign Affairs of the Republic of Turkey, Yavuz Selim Kıran, argues that the functional change of Hagia Sophia will not affect Turkey’s centuries-old tradition of promoting tolerance, harmony, and diversity. The final off-topic commentary of this issue underlines the challenges to Pakistan’s nuclear threshold. Muhammad Haris Bilal Malik and Muhammad Abbas Hassan explain why Pakistan has been further threatened by India’s aggressive policies and provocative military modernization. The commentary concludes that Pakistan may be compelled to further revisit its nuclear threshold level to overcome India’s aggression. Besides the commentaries, this issue comprises five articles that focus on the Turkish Defense Industry past, present, and future and underline the factors that led to its remarkable evolution. The first article by Murat Yeşiltaş presents a general framework of Turkey’s Military and Defense Strategy. By taking into account the main drivers, primary objectives, and essential pillars, as well as its tangible repercussions on the military mindset, the author explains how the change in Turkey’s defense and military strategy stems both from Turkey’s changing security landscape and its quest to be an assertive regional player. Can Kasapoğlu’s research article covers two interrelated strategic topics regarding Turkey’s national military capacity in the 21st century: its defense technological and industrial base and its military policy, both currently characterized by a burgeoning assertiveness. In light of the rapid advances in technology that are continually shaping developments in the aerospace and defense sector, notably the evolution of airpower, Arda Mevlütoğlu, provides us with an understanding of the features of the next generation of air warfare, while presenting the status of the Turkish Air Force and offering suggestions on several challenges and opportunities. As a reply to the critics that Turkey is caught between a rock and a hard place due to the adamant opposition of its NATO allies, Mustafa Kibaroğlu tries to make sense of Turkey’s S-400 choice by assessing the impact of the S-400 deal on Turkey’s defense industries. On one hand, he presents his conception of the current “international political non-order” as an underlying factor behind the deal. On the other, he suggests that the deal must be approached from a wider perspective to grasp the extent of the service it has done in bolstering Turkey’s military-industrial complex. The last article related to the main theme of this issue focuses on Turkey’s defense spending. Merve Seren attempts to show that prioritization of defense spending during the AK Party era is specifically the outcome of a political preference. In other words, the shift in the political landscape from idealism to realism, associated with pragmatism. Our initial off-topic article highlights how Trump’s peace plan optimistically called the “Deal of the Century” adopts the Zionist discourse regarding al-Aqsa and its effects on undermining the Muslim sovereignty over the mosque, which will be a clear violation of the International law and status quo. Khalid el-Awaisi and Cuma Yavuz investigate the results of the implementation of Trump’s plan which they assert will lead to three main changes that would undo the centuries-old status quo of Masjid al-Aqsa completely and give Israel full control over this important historic and religious site. Ahmad AlShwawra and Ahmad Almuhtady’s off-topic article completes the dossier of this issue. The authors examine the potential implications of Jordan’s decision to import Mediterranean gas through Israel on Jordanian energy security, with special attention to how this decision will impact Jordanian foreign policy regarding the Palestinian cause. Through a wide range of articles and commentaries, this issue aims to bring to its readers a comprehensive framework on the transformation of Turkey’s Defense Industry and changing patterns of its military strategy.

Book Health Care Reform in Greece  Progress and Reform Priorities

Download or read book Health Care Reform in Greece Progress and Reform Priorities written by Niki Kalavrezou and published by International Monetary Fund. This book was released on 2021-07-16 with total page 39 pages. Available in PDF, EPUB and Kindle. Book excerpt: We review Greek public sector healthcare policies and health-related outcomes since 2010.We find that excess spending was successfully curtailed, elements of the institutional framework were modernized, and health outcomes have been relatively favorable. However, especially prior to Covid-19, public healthcare spending had been compressed to potentially unsustainable levels, with widening inequalities and large unmet needs, especially among the poor. Higher public spending and advancing structural healthcare reforms are needed to improve the efficiency and equity of the Greek healthcare system, including strengthening primary healthcare, reducing out-of-pocket payments, and eliminating remaining insurance gaps.

Book China s Healthcare System and Reform

Download or read book China s Healthcare System and Reform written by Lawton Robert Burns and published by Cambridge University Press. This book was released on 2017-01-26 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.

Book A Sultan in Autumn

Download or read book A Sultan in Autumn written by Soner Cagaptay and published by Bloomsbury Publishing. This book was released on 2021-09-09 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Informative." - Foreign Affairs Recep Tayyip Erdogan has ruled Turkey for nearly two decades. Here, Soner Cagaptay, a leading authority on the country, offers insights on the next phase of Erdogan's rule. His dwindling support base at home, coupled with rising opposition, the impact of the Covid-19 pandemic, and Turkey's weak economy, would appear to threaten his grip on power. How will he react? In this astute analysis, Cagaptay casts Erdogan as an inventor of nativist populist politics in the twenty-first century. The Turkish president knows how to polarize the electorate to boost his base, and how to wield oppressive tactics when polarization alone cannot win elections. Cagaptay contends that Erdogan will cling to power-with severe costs for Turkey's citizens, institutions, and allies. The associated dynamics, which carry implications far beyond Turkey's borders-and what they portend for the United States-make A Sultan in Autumn a must-read for all those interested in Turkey and the geopolitics of the next decade.

Book Building Primary Care in a Changing Europe

Download or read book Building Primary Care in a Changing Europe written by Dionne S. Kringos and published by World Health Organization. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.

Book Turkey

    Book Details:
  • Author : Andrew Finkel
  • Publisher : OUP USA
  • Release : 2012-03-02
  • ISBN : 019973304X
  • Pages : 226 pages

Download or read book Turkey written by Andrew Finkel and published by OUP USA. This book was released on 2012-03-02 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: A concise and illuminating account of the politics, history, economics, and culture of Turkey, this book is essential for anyone who wants to know more about the country with roots in both Europe and the Middle East.

Book Turkish Politics in a Changing World

Download or read book Turkish Politics in a Changing World written by Emin Fuat Keyman and published by Arion Publishing. This book was released on 2007 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Politics of the Welfare State in Turkey

Download or read book The Politics of the Welfare State in Turkey written by Erdem Yoruk and published by University of Michigan Press. This book was released on 2022-05-23 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: In The Politics of the Welfare State in Turkey, author Erdem Yörük provides a politics-based explanation for the post-1980 transformation of the Turkish welfare system, in which poor relief policies have replaced employment-based social security. This book is one of the results of Yörük’s European Research Council-funded project, which compares the political dynamics in several emerging markets in order to develop a new political theory of welfare in the global south. As such, this book is an ambitious analytical and empirical contribution to understanding the causes of a sweeping shift in the nature of state welfare provision in Turkey during the recent decades—part of a global trend that extends far beyond Turkey. Most scholarship about Turkey and similar countries has explained this shift toward poor relief as a response to demographic and structural changes including aging populations, the decline in the economic weight of industry, and the informalization of labor, while ignoring the effect of grassroots politics. In order to overcome these theoretical shortages in the literature, the book revisits concepts of political containment and political mobilization from the earlier literature on the mid-twentieth-century welfare state development and incorporates the effects of grassroots politics in order to understand the recent welfare system shift as it materialized in Turkey, where a new matrix of political dynamics has produced new large-scale social assistance programs.