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| SOUTH DAKOTA   | UNITED STATES   |\n| --- | --- | --- | --- |\n| General Indicators   | Latest  \u003Cbr>Quarter   | Percent  \u003Cbr>Year  \u003Cbr>Latest  \u003Cbr>Quarter  \u003Cbr>Change  \u003Cbr>Ago   | Year  \u003Cbr>Latest  \u003Cbr>Percent  \u003Cbr>Change  \u003Cbr>Quarter  \u003Cbr>Ago   |\n| Personal Income( Mil.)  \u003Cbr>Farm Prop.Income($Mil.)  \u003Cbr>Non-ag Employment (Thous.)  \u003Cbr>Unemployment Rate(%)  \u003Cbr>Total Employment (Thous.)   | 1991-4  \u003Cbr>1991-4  \u003Cbr>1992-1  \u003Cbr>1992-1  \u003Cbr>1992-1   | 4.1  \u003Cbr>11,506  \u003Cbr>11,974  \u003Cbr>6.9  \u003Cbr>1,474  \u003Cbr>1,373  \u003Cbr>295  \u003Cbr>3.1  \u003Cbr>286  \u003Cbr>3.5  \u003Cbr>3.7  \u003Cbr>1.2  \u003Cbr>345  \u003Cbr>341   | 2.8  \u003Cbr>4,741,509  \u003Cbr>4,875,468  \u003Cbr>43,880  \u003Cbr>-8.1  \u003Cbr>47,724  \u003Cbr>-0.3  \u003Cbr>108.838  \u003Cbr>109.160  \u003Cbr>7.0  \u003Cbr>7.8  \u003Cbr>115,658  \u003Cbr>115,898  \u003Cbr>0.2   |\n| Note:All U.S.data seasonally adjusted except for the unemployment rate and total employment.  \u003Cbr>For South Dakota,only personal income and farm proprietors'income are seasonally adjusted.   |  |  |  |\n\n# DE FACTO SOUTH DAKOTAHEALTHCARE REFORM:AN EMERGING“MANAGED COMPETITION MODEL”\n\nBy Michael J.Myers,J.D.Dennis A.Johnson,Ph.D.  \n“Our country's health care system is the subject of growing publiccriticism.Exploding costs,burdensome administrative processes,and waning healthbenefits plans are threatening South Dakotans'ability to financially accessthe health care they need and deserve.\"  \n一Governor George Mickelson,May 21,1992  \n# INTRODUCTION\n\nWhen healthcare experts gather in Pierre on July 13 and 14 toparticipate in Governor Mickelson's “Summer Healthcare Reform  \n           Continued on page 4  \nAbout the authors:Michael J.Myers,J.D.isthe director of the Department of HealthPersonal income as defined by BEA is income received byServicesAdministrationat the Schoolof Business,withassociate professorappointmentsto the School ofBusiness and to the School ofLaw.Prior to joining the USD faculty hepersons from all sources.It is measured before the deduction ofserved as chief executive officer of Saint Marys Hospital,Rochester,Minnesota and               Continued on page 6Riverside Medical Center,Minneapolis.Dennis Johnson,Ph.D.is Professor and Chairof the Economics Management Science.Management Science,and MIS Division,About the author:Nancy Nelson is an Administrative Assistant at the BusinessSchoolof Business,University of South Dakota,Vermillion,SD.      Research Bureau,School of Business,University of South Dakota.Vermillion,SD.  \nTable of Contents  \nDe Facto South Dakota Healthcare Reform:an Emerging“Managed Competition Model”Michael J.Myers and Dennis A.Johnson……………   …………1  \n# SOUTH DAKOTAPERSONAL INCOME UPDATE\n\nBy Nancy Nelson  \n# INTRODUCTION\n\nPersonal income on the national,state,and local levelserves as one of the key economic indicators for evaluating eco-nomic performance.The Business Research Bureau at the Univer-sity of South Dakota is a designated member of the Bureau ofEconomic Analysis(BEA)User Group of the United States Depart-ment of Commerce.Asamemberof this group,the Business ResearchBureau regularly receives income releases from the BEA.Theinformation in this article includes county data through 1990 whichwas released in April 1992 and income data through 1991 for states.  \n# PERSONAL INCOME AND ITS COMPONENTS\n\nSouth Dakota Personal Income Update  \nNancy Nelson…   …………       …    ………1Trend of Busines……   ………………………………………………2General Economic Tables…………………………………………………10-12  \n\n| SOUTH DAKOTA BUSINESS REVIEW  \u003Cbr>June 1992  \u003Cbr>Vol.L,No.4  \u003Cbr>Business Research Bureau  \u003Cbr>School of Business  \u003Cbr>University of South Dakota  \u003Cbr>605-677-5287  \u003Cbr>Jerry W.Johnson,Dean,School of Business  \u003Cbr>ADVISORY COUNCIL  \u003Cbr>BUSINESS RESEARCH BUREAU  \u003Cbr>Stephen L.Tracy,Director  \u003Cbr>Robert C.Atkins,John Morrell &Co.,Sioux Falls  \u003Cbr>Randall M.Stuefen,Associate Director  \u003Cbr>Al Bowden,SENCORE,Sioux Falls  \u003Cbr>Ruby Plate,Assistant Director,Information Systems  \u003Cbr>Byron By","cbCaiauuSyWuI6KB","https://ap.wps.com/l/cbCaiauuSyWuI6KB","pdf",3512881,13,"English","# De Facto South Dakota Healthcare Reform: An Emerging “Managed Competition Model”\n## Introduction\n## South Dakota Personal Income Update\n## Personal Income and Its Components\n# South Dakota Economy","[{\"question\":\"What problems does the document highlight about the U.S. health care system in 1992?\",\"answer\":\"It points to exploding costs, burdensome administrative processes, and waning health benefits plans that threaten South Dakotans’ ability to access needed health care.\"},{\"question\":\"How does the publication frame the proposed health-care approach?\",\"answer\":\"It presents an emerging “managed competition model” as a reform direction connected to the Governor’s health-care reform initiative.\"},{\"question\":\"What economic indicators are reported alongside the health-care reform content?\",\"answer\":\"The issue reports general indicators such as personal income components, unemployment rate, total employment, and related quarterly/year comparisons, with notes on seasonal adjustment.\"}]","De Facto South Dakota Healthcare Reform: An Emerging “Managed Competition Model” | PDF",1791869849,33]