Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
|
pubmed:dateCreated |
1997-1-28
|
pubmed:abstractText |
Investing in Health is the World Bank's blueprint for a new health policy within the context of structural adjustment. While this document includes a broad range of arguments, its implicit premises are neoliberal as can be deduced from its "agenda for action." Health is defined as a private responsibility and health care as a private good. This leads to a health policy based on two complementary principles: the reduction of state intervention and public responsibility, and the promotion of diversity and competition (i.e., privatization). Thus, public institutions should provide only a limited number of public goods and narrowly defined, cost-efficient forms of relief for the poor. All other health-related activities are considered private duties, to be resolved by the market, NGOs, or families. The World Bank policy provides a pragmatic contribution to efforts to achieve fiscal balance. However, it also pushes to recommodify health care and to turn health into a terrain for capital accumulation through the selective privatization of health-related financial and "discretionary" services. The proposal implies large-scale experimentation and dismantling of public institutions which are the only alternative now accessible to the majority. It rejects health as a human need and a social right, and violates basic values by claiming that life and death decisions can be justly made by the market or through a cost-effectiveness formula.
|
pubmed:keyword | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
E
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0020-7314
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
26
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1-18
|
pubmed:dateRevised |
2005-11-16
|
pubmed:meshHeading |
pubmed-meshheading:8932599-Cost-Benefit Analysis,
pubmed-meshheading:8932599-Economic Competition,
pubmed-meshheading:8932599-Health Policy,
pubmed-meshheading:8932599-Humans,
pubmed-meshheading:8932599-Internationality,
pubmed-meshheading:8932599-Medical Indigency,
pubmed-meshheading:8932599-Political Systems,
pubmed-meshheading:8932599-Poverty,
pubmed-meshheading:8932599-Privatization,
pubmed-meshheading:8932599-Public Sector,
pubmed-meshheading:8932599-Resource Allocation,
pubmed-meshheading:8932599-Social Justice,
pubmed-meshheading:8932599-United Nations
|
pubmed:year |
1996
|
pubmed:articleTitle |
Market commodities and poor relief: the world bank proposal for health.
|
pubmed:publicationType |
Journal Article,
Review
|