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Article
Publication date: 6 February 2023

Elefherios Giovanis

The effects of disability are well recognised by the social security systems worldwide. This study aims to examine the disability and health-related costs of Syrian migrants in…

Abstract

Purpose

The effects of disability are well recognised by the social security systems worldwide. This study aims to examine the disability and health-related costs of Syrian migrants in Turkey using the standard of living (SoL) approach.

Design/methodology/approach

The empirical analysis relies on primary data collected from 1,067 Syrian migrants in Turkey, and the author applies the ordered Probit model. The SoL is operationalized by frequency of attendance to a Turkish theatrical play or movie, inviting Turkish friends for food and attending a theatrical play or movie with Turkish friends.

Findings

The findings show that health problems and disability are negatively related to the frequency of participation in socio-cultural activities. Moreover, employed, wealthier and educated Syrian migrants participate more frequently in the social and cultural activities explored.

Practical implications

The results show that the costs range between 9% and 38%, which translates in monetary values between 3,700 and 10,700 Turkish Liras (TL) per annum or between US$530 and US$1,530 expressed in 2020 values. These findings highlight the significant cost and burden that disability and health problems may put in migrant households.

Social implications

Policies encouraging immigrants to participate in socio-cultural events, particularly those with disabilities and health issues, may promote their integration into the host society’s social and cultural values. Furthermore, policies improving employment opportunities, income and educational attainment of Syrian migrants may enhance their participation in socio-cultural activities.

Originality/value

To the best of the author’s knowledge, this is the first study exploring the disability and health costs of migrants related to integration and participation in cultural activities.

Details

International Journal of Migration, Health and Social Care, vol. 19 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 24 December 2020

Oznur Ozdamar, Eleftherios Giovanis and Sahizer Samuk

In this study, we attempt to estimate the disability costs of households employing the Standard of Livings (SoL) approach and evaluate the impact of the Universal health system…

Abstract

Purpose

In this study, we attempt to estimate the disability costs of households employing the Standard of Livings (SoL) approach and evaluate the impact of the Universal health system reform implemented in Turkey in 2008.

Design/methodology/approach

We apply a Structural Equation Modelling (SEM), which simultaneously estimates the disability and living standard equations, including unobserved latent variables. Moreover, we apply a difference-in-differences (DiD) framework to investigate the impact of the universal health insurance (UHI) system and the Green Card programme on living standards. The empirical analysis relies on data derived from the cross-sectional Household Budget Surveys (HBS) during the period 2002–2013.

Findings

Our findings suggest a negative and significant impact of disability on SoL, where disability costs reach the 23% of the household income, which is equivalent almost to $2,600 (USD). Furthermore, the disability costs are reduced from $4,450 to $2,260 due to the UHI and the Green Card programme.

Research limitations/implications

A major limitation of the study is the data structure, which is based on repeated cross-sectional surveys. By using panel data, it is possible to follow the same individual across time and to implement panel data models to control for unobserved heterogeneity and omitted-variable bias.

Social implications

Disability has adverse effects on living standards. The estimation of the disability-related costs may provide a useful guide on policy planning and the design of social benefits.

Originality/value

The contribution of this paper is that it is the first study estimating the disability-related costs in Turkey. Furthermore, the contribution lies in the investigation of the 2008 health reform and the Green Card programme and its impact on disability costs.

Details

International Journal of Social Economics, vol. 48 no. 2
Type: Research Article
ISSN: 0306-8293

Keywords

Open Access
Article
Publication date: 17 May 2021

Emile Tompa, Amirabbas Mofidi, Arif Jetha, Pamela Lahey and Alexis Buettgen

To develop a framework for estimating the economic benefits of an accessible and inclusive society and implement it for the Canadian context. The framework measures the gap…

3128

Abstract

Purpose

To develop a framework for estimating the economic benefits of an accessible and inclusive society and implement it for the Canadian context. The framework measures the gap between the current situation in terms of accessibility and inclusiveness, and a counterfactual scenario of a fully accessible and inclusive society.

Design/methodology/approach

The method consists of three steps. First, the conceptual framework was developed based on a literature review and expert knowledge. Second, the magnitudes for each domain of the framework was estimated for the reference year 2017 using data from various sources. Third, several sensitivity analyses were run using different assumptions and scenarios.

Findings

It was estimated that moving to a fully accessible and inclusive society would create a value of $337.7bn (with a range of $252.8–$422.7bn) for Canadian society in the reference year of 2017. This is a sizeable proportion of gross domestic product (17.6%, with a range of 13.1–22.0%) and is likely a conservative estimate of the potential benefits.

Originality/value

Understanding the magnitude of the economic benefits of an accessible and inclusive society can be extremely useful for governments, disability advocates and industry leaders as it provides invaluable information on the benefits of efforts, such as legislation, policies, programs and practices, to improve accessibility and inclusion of persons with disabilities. Furthermore, the total economic benefits and the benefits per person with a disability can serve as inputs in economic evaluations and impact assessments.

Details

Equality, Diversity and Inclusion: An International Journal, vol. 41 no. 3
Type: Research Article
ISSN: 2040-7149

Keywords

Book part
Publication date: 4 November 2003

Amanda A Honeycutt, Scott D Grosse, Laura J Dunlap, Diana E Schendel, Hong Chen, Edward Brann and Ghada al Homsi

The purpose of this study was to assess lifetime economic costs for people with four developmental disabilities (DDs): mental retardation, cerebral palsy, hearing loss, and vision…

Abstract

The purpose of this study was to assess lifetime economic costs for people with four developmental disabilities (DDs): mental retardation, cerebral palsy, hearing loss, and vision impairment. Estimates were generated for direct medical costs, direct non-medical costs, and productivity losses resulting from increased morbidity and premature mortality. Findings suggest that lifetime costs, in excess of costs for individuals without DDs, are approximately $870,000 per person for mental retardation and $800,000 per person for cerebral palsy (in 2000 dollars). Analogous cost estimates for hearing loss and vision impairment are approximately $330,000 and $470,000, respectively. Roughly four-fifths of total costs reflect productivity losses.

Details

Using Survey Data to Study Disability: Results from the National Health Survey on Disability
Type: Book
ISBN: 978-0-76231-007-4

Book part
Publication date: 2 September 2019

Eva Nadai and Alan Canonica

As a “fictitious commodity” (Polanyi), that cannot be separated from the human being who is its owner, labor has a special moral significance. However, this moral quality is not a…

Abstract

As a “fictitious commodity” (Polanyi), that cannot be separated from the human being who is its owner, labor has a special moral significance. However, this moral quality is not a given but must be asserted in struggles over the value of labor. With the example of disabled workers in Switzerland, this chapter examines the moralization of labor as a means to revalue a category of workers who range far down the labor queue. Moralization mediates the tension between the normative societal goal of inclusion for disabled people and the freedom of employers to select the most “productive” workers. Drawing on the theoretical approach of the Economics of Convention the chapter analyzes the valuation frames proposed by economic and welfare state actors in political debates over the establishment of the Swiss disability insurance and the role of employers regarding occupational integration. A core concept used in negotiations of the value of disabled labor in the public arena and within individual businesses is the “social responsibility” of employers. Historically, employers’ associations successfully promoted the liberal principle of voluntary responsibility to prevent state interference in the labor market. In contrast, disability insurance argues predominantly within the market and the industrial convention to “sell” its clientele in the context of employer campaigns and case-related interactions with employers. Only recently, both sides started to reframe the employment of disabled people as a win–win affair, which would reconcile economic self-interest and the common good.

Article
Publication date: 1 April 1997

Stephen Beyer and Mark Kilsby

This paper describes supported employment, its growth as an alternative to traditional day services and research which indicates potentially beneficial outcomes in the areas of

Abstract

This paper describes supported employment, its growth as an alternative to traditional day services and research which indicates potentially beneficial outcomes in the areas of increased employee income, social integration, satisfaction, engagement in activity, employer satisfaction, and in the relationship between financial costs and savings. Outcomes may be reduced due to welfare benefit restrictions that hamper transition into employment, and more part‐time jobs are found as a result in the UK compared to the USA. Providers face problems with low expectations among carers, lack of knowledge of disability among employers, and their funding is precarious. If people with severe disabilities are not to be excluded from supported employment, commissioners need to consider the outcomes they require and the priority needs of clients when setting day service contracts.

Details

Tizard Learning Disability Review, vol. 2 no. 2
Type: Research Article
ISSN: 1359-5474

Article
Publication date: 6 October 2023

Mona Nikidehaghani and Sanja Pupovac

This paper aims to investigate how embedding accounting techniques of cost and budgeting within the Australian National Disability Insurance Scheme (NDIS) potentially perpetuates…

Abstract

Purpose

This paper aims to investigate how embedding accounting techniques of cost and budgeting within the Australian National Disability Insurance Scheme (NDIS) potentially perpetuates colonial practices for Australian First Nations people living in remote areas. Further, the paper aims to explore how accounting might help to integrate the unique modes of accountability First Nations people have over disability care into the NDIS funding system. Ultimately, the aim is to discern whether accounting practices can be mobilised as a means to decolonising the NDIS framework.

Design/methodology/approach

This study uses a qualitative methodology to analyse public hearings from the Australian Disability Royal Commission. Drawing on Bhabha's (1994) concept of the “third space”, this study investigates how accounting techniques can be used to potentially decolonise the NDIS. This study also borrows Bhabha's (1994) concept of the third space to explore the potential for decolonising the NDIS through accounting techniques.

Findings

Findings show that the accounting techniques pertaining to funding and costs embedded within the NDIS contribute to displacing and disconnecting First Nations people from their cultural practices and ways of life. Further, the analysis reveals that the NDIS funding system could help to decolonise the NDIS space if it were modified to incorporate First Nations' perspectives on accountability for disability care.

Originality/value

The case of the NDIS exposes glimpses of colonisation in contemporary Australia, where Western institutional and economic systems dominate over the structure and authority of the practice. In this paper, this study demonstrates that the accounting system used by the NDIS plays a role in marginalising First Nations people. However, accounting, as a technology of negotiation, could also be mobilised to enhance accountability for disability care outcomes and pave the way for decolonising public policies.

Details

Accounting, Auditing & Accountability Journal, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0951-3574

Keywords

Book part
Publication date: 21 August 2017

Rachel E. Friedensen and Ezekiel Kimball

Disability is a multivalent, fluid concept that encompasses a broad set of phenomena that shape the experiences of individuals as they interact with others; social systems and…

Abstract

Disability is a multivalent, fluid concept that encompasses a broad set of phenomena that shape the experiences of individuals as they interact with others; social systems and processes; and legal structures. A disability identity also encompasses a range of different diagnoses and levels of visibility, which serve to influence whether others perceive a person to have a disability. Recognizing the multivalent nature of disability-as-identity makes it possible to understand more fully the experiences of students with disabilities in higher education institutions. Since there is no single theoretical framework that can account for the multivalent nature of disability identity, we utilize the concept of theoretical borderlands (Anzaldúa, 1987) – spaces where ideas come into conflict with one another – to bring crip theory (Kafer, 2013; McRuer, 2006) and critical queer theory (Muñoz, 1999; Wilchins, 2014) into conversation with each other to explore disability identity. We explore the medical, legal, diagnostic, environmental, social, and cultural dimensions of disability identity, concluding with a call to consider the intersectional nature of disability. We also consider the implications for higher education research and practice.

Details

Theory and Method in Higher Education Research
Type: Book
ISBN: 978-1-78743-222-2

Keywords

Article
Publication date: 15 March 2011

D.P. Doessel and Ruth F.G. Williams

Government policy can alleviate inequities in living standards. Disabled people often qualify for government assistance which is one way that their living standard can improve…

Abstract

Purpose

Government policy can alleviate inequities in living standards. Disabled people often qualify for government assistance which is one way that their living standard can improve, although arbitrary systems for distributing assistance are not likely to serve equity objectives. The purpose of this paper is to indicate the key variables to which government should direct attention, in order to alleviate both horizontal and vertical inequity in grants to disabled people.

Design/methodology/approach

There is no literature, either theoretical or empirical, that specifically addresses this problem. This paper invokes important economic concepts associated with the nineteenth century English philosopher/economist, John Stuart Mill, as well as the 1998 Nobel Laureate in Economics, Amartya Sen. Mill's general conception of how government should behave in treating citizens was elaborated subsequently in the public finance literature on principles of taxation. These notions are about “the equal treatment of equals” and “the unequal treatment of unequals”. Sen's recent discussion of the “conversion handicap” from his general framework of capabilities is highly relevant to the question addressed here.

Findings

These concepts, applied with some analytical tools of algebra and geometry, show that Mill's principles can combine with Sen's into a relevant conceptual framework. The central principles and concepts for policy formation on the standard of living for disabled people are not random; they can be specified with clarity.

Originality/value

This paper contributes the relevant conceptual “yardsticks” by which policy for distributing assistance to disabled people can be evaluated. Steps, towards devising better approaches to the distribution of assistance to disabled people can now be taken.

Details

International Journal of Social Economics, vol. 38 no. 4
Type: Research Article
ISSN: 0306-8293

Keywords

Book part
Publication date: 1 January 2014

Sagit Mor

This article examines the dialectics of wrongful life and wrongful birth claims in Israel from 1986 until 2012. In May 2012 Israeli Supreme Court declared that while wrongful…

Abstract

This article examines the dialectics of wrongful life and wrongful birth claims in Israel from 1986 until 2012. In May 2012 Israeli Supreme Court declared that while wrongful birth claims were still permitted, wrongful life claims were no longer accepted in a court of law. The article examines the conditions that allowed for and supported the expansion of wrongful life/birth claims until 2012. The article identifies two parallel dynamics of expansion: a broadening of the scope of negligent conduct and a view of milder forms of disabilities as damage that merits compensation. The article further suggests four explanations for such doctrinal evolution, two of which emanate from doctrinal ambiguities and the other two are rooted in social factors that have shaped the meaning of disability as a tragedy and state of inferiority. While recent developments seem promising, the article concludes with a word of caution. Such changes may reproduce past injustices mainly because the compensation mechanism has remained an individual-torts based one, which may run counter to the broader struggle for social change for disabled people.

Details

Studies in Law, Politics, and Society
Type: Book
ISBN: 978-1-78350-785-6

Keywords

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