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全民医保(终) | 《经济学人》精读笔记

外刊看世界  · 公众号  ·  · 2018-05-11 07:30

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Small amounts of spending can go a long way. Research led by Dean Jamison, a health economist, has identified over 200 effective interventions, including immunisations and neglected procedures such as basic surgery. In total, these would cost poor countries about an extra $1 per week per person and cut the number of premature deaths there by more than a quarter. Around half that funding would go to primary health centres, not city hospitals, which today receive more than their fair share of the money.

The health of nations

Consider, too, the $37bn spent each year on health aid. Since 2000, this has helped save millions from infectious diseases. But international health organisations can distort domestic institutions, for example by setting up parallel programmes or by diverting health workers into pet projects. A better approach, seen in Rwanda, is when programmes targeting a particular disease bring broader benefits. One example is the way that the Global Fund to Fight AIDS, Tuberculosis and Malaria finances community health workers who treat patients with HIV but also those with other diseases.

Europeans have long wondered why the United States shuns the efficiencies and health gains from universal care, but its potential in developing countries is less understood. So long as half the world goes without essential treatment, the fruits of centuries of medical science will be wasted. Universal basic health care can help realise its promise.

Small amounts of spending can go a long way . Research led by Dean Jamison, a health economist, has identified over 200 effective interventions, including immunisations (要能识记这个单词, immune是免疫,这个是免疫作用 and neglected procedures such as basic surgery. In total, these would cost poor countries about an extra $1 per week per person and cut the number of premature deaths there by (注意介词) more than a quarter. Around half that funding would go to primary health centres, not city hospitals, which today receive more than their fair share of the money.

The health of nations

Consider (等同于昨天的 take,祈使句 , too, the $37bn spent each year on health aid. Since 2000, this has helped save millions from infectious diseases. But international health organisations can distort domestic institutions , for example by (文章读多了会发现的确一个作者有一种行文风格,这个表达结构在这篇文章出现很多次了) setting up parallel programmes or by diverting health workers into pet projects.







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