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Family, Health, and Institutional Economics

Paper Session

Friday, Jan. 3, 2025 8:00 AM - 10:00 AM (PST)

The Marker Union Square San Francisco, Spade I
Hosted By: Association for Evolutionary Economics
  • Chair: Valerie Kepner, King's College

Beyond Traditional Boundaries: Same-Sex Couples and the Evolution of Social Security

B. Oakley McCoy
,
University of New England
Liudmila Malyshava
,
Skidmore College

Abstract

his study investigates the intersection of social security policy and its impact on same-sex couples in the United States. Rooted in the theoretical framework of institutional adjustment, this paper explores how the Social Security system has responded to the unique economic vulnerabilities and disparities faced by same-sex couples. Despite significant legal and societal advancements, including the codification of same-sex marriage, discrepancies in economic security and benefit eligibility persist, underscoring the need for continued institutional evolution. This research assesses the extent to which social security has adapted to encompass same-sex couples within its protective measures, identifying areas of progress alongside persistent gaps in coverage and benefits. By examining policy genealogy, legislative amendments, and contemporary challenges, the study highlights the critical role of social security in addressing broader issues of equity and inclusion within the fabric of American social policy. This paper contributes to the discourse on the necessity of institutional adjustments in the face of evolving societal norms and relationships, offering insights into the dynamics of policy reform and the implications for social equity and economic security for same-sex couples.

The ‘Joy of Motherhood’ as an Enabling Myth of Neoliberalism & Patriarchy

Paula Cole
,
University of Denver
Valerie Kepner
,
King's College

Abstract

A core enabling myth of neoliberalism is the ‘joy of motherhood’. This myth reinforces patriarchal and cultural norms pushing women into choosing motherhood (and doing the majority of caring necessary for social reproduction). As women gain economic freedom and gender equity, they challenge this myth and are less likely to choose motherhood. This decision is receiving substantial pushback & retaliation in attempts to maintain the power structures of neoliberalism and patriarchy.

U.S. Health Care Institutions and the Epidemic of Trauma

Alexandra Bernasek
,
Colorado State University
Teresa Perry
,
University of California-San Bernadino

Abstract

Several health outcomes in the US – physical and mental – are well-below those of other OECD countries (for example, life expectancy, maternal mortality and diabetes prevalence are higher than the OECD average) despite spending more than any other country per capita ($12,555 p.c in the US compared with the OECD average of $5,000 p.c.) on health (OECD, 2023). The health care institutions that are specific to US are a product of both financialization and monopoly, that characterize 21st century capitalism. The for-profit health care system including the private health insurance system, in the US prioritizes profits over people’s health. This system is simply not sustainable. The role that these institutions play in undermining people’s health is increasingly being recognized by public health scholars and medical professionals. In this paper we look at how mental health issues are dealt with in the US health care system. In particular, we focus on what many psychiatrists and psychologists are calling “an epidemic of trauma”. They identify trauma – both traumatic events and developmental trauma – as the basis for mental health problems such as depression, anxiety and addiction which can then manifest in physical health problems such as heart disease, cancer, and diabetes. We analyze the role played by health care providers, health insurance companies, and the pharmaceutical drug industry in understanding this “epidemic of trauma” and suggest how specific institutional changes can better meet the mental (and physical) health needs of Americans and create a more sustainable health care system.

The Skateboarding Ethic and the Spirit of Anti-Capitalism

Thomas Kemp
,
University of Wisconsin-Eau Claire

Abstract

Max Weber’s 1905 classic, The Protestant Ethic and the Spirt of Capitalism drew linkages between aspects of protestant religious thought and the rise of capitalism in Northern Europe. Skateboarders are a community of individuals with a well-documented shared set of institutions. As an activity it is skilled, is commonly practiced at time and physical cost, and without monetary compensation. It is an activity that blurs the lines between work, sport, and leisure. Using a combined ethnographic and textual method, we evaluate skateboarders’ spoken and written thoughts about the relationships of wage labor, work, and leisure. We also evaluate community ethics relating to competition and individual success, versus resilience. Finally, we consider the degree to which the community ethic is consistent with economic systems of mutualism and the degree to which we observe these systems in practice within the community. This work contributes to the literature first, by demonstrating the degree to which shared cultural values affect economic organization and particularly, the organization of work. Second, we suggest that the values observed here provide a needed remedy to the documented social malaise of neo-liberal society.
JEL Classifications
  • J0 - General
  • I0 - General