Kritee Gujral, 10 June 2020

A quarter of all rural US hospitals, most of which are highly essential to their communities, are at high risk of closing.Hospital closures may increase transport time and delay treatment. This column examines hospital closures in California from 1995 to 2011 to assess the effects of rural and urban hospital closures on inpatient mortality. Mortality increases after a rural hospital closure not only in the local rural area but in the neighbouring urban areas as well. This adverse effect is larger for Medicaid patients and racial minorities.

Panle Jia Barwick, Shanjun Li, Liguo Lin, Eric Zou, 12 February 2020

During 2013–2014, China launched a nationwide, real-time air quality monitoring and disclosure programme which substantially expanded public access to pollution information. This column analyses the impact of the programme and finds that it triggered a cascade of changes in household behaviour, prompting people to find out more online about pollution-related topics, adjust their day-to-day consumption to avoid exposure to pollution, and exhibit a higher willingness to pay for housing in less-polluted areas. The programme’s estimated annual health benefits far outweigh the combined costs of the programme and associated pollution-avoidance behaviours.

Theresa Kuchler, Johannes Stroebel, 09 August 2019

The mixing of people and ideas in cities is at the heart of the ‘agglomeration externalities’ that drive the high productivity of cities. While public transit infrastructure is thought to help different people living in different parts of the same city to interact with one another, the lack of large-scale data has made it difficult to study. This column explores the link between public transit and social connectedness in New York City. It finds the first suggestive evidence that New York City’s public transit system plays an important role in enabling social ties to be formed and maintained across geographic distances.

David Autor, 19 March 2019

Labour markets in US cities today are vastly more educated and skill-intensive than they were 50 years ago, but urban non-college workers now perform much less skilled work than they did. This column shows that automation and international trade have eliminated many of the mid-skilled non-college jobs that were disproportionately based in cities. This has contributed to a secular fall in real non-college wages.

James J Feigenbaum, Christopher Muller, Elizabeth Wrigley-Field, 18 February 2019

The mortality rate of non-Hispanic white Americans in midlife has been rising since the beginning of the 21st century, in contrast to the national decline in deaths from infectious disease witnessed during the previous century. This column reviews the fall in infectious mortality in US cities across regions and racial groups. It finds that southern cities had the highest rate of death from infectious disease in every year from 1900 to 1948, primarily because southern cities were populated by greater proportions of black residents, who suffered extreme risks from infectious disease in cities in all regions. 

Panle Jia Barwick, Shanjun Li, Deyu Rao, Nahim Bin Zahur, 04 September 2018

Air pollution is a serious concern for China. National levels of fine particular matter are well above recommended standards, and the average concentration across China’s thirteen largest cities is 30% higher than the national average. This column examines the relationship between health spending in China and air pollution, showing that health spending increases significantly during the two months following exposure to air pollution. A reduction of fine particular matter by about 20% from the current level could result in annual savings of 60 billion yuan in healthcare expenditure.

Masayuki Morikawa, 10 July 2016

The service sector accounts for much of the output of many advanced economies, and maximising the sector’s output while also minimising regional disparities is an important policy challenge. This column analyses productivity in service sectors in Japan, focusing on economies of urban density. The higher the employment density of the cities in which service firms are located, the higher their productivity, but firms relocating to such cities negatively impacts regional disparity. Further, considerable differences in productivity improvements among sectors indicate there certain industries should be promoted in large cities, and others in smaller cities with lower employment density.


CEPR Policy Research