HEALTH-CARE COSTS
Providing
health care comes at a high cost to the national economy, and that cost has
been rising rapidly in countries like the United States, Germany, and Sweden;
in Britain, the rise has been slower. Both industrialized and developing
countries have expressed serious concern about this development. A large part
of this fear stems from the absence of consistent data to support the idea that
more health care spending will result in better health. Countries in the
developing world are pushing to replace the health-care system that developed
under European colonialism with one that is more affordable and more suited to
their needs.
For both
private and public health-care delivery systems, rising costs have prompted a
review of policies and a search for more cost-effective ways to accomplish
their objectives. Despite the money spent, health services aren't always used
efficiently by those who need them, and the results might vary greatly from
community to community, despite the expenditures. There was a 24% drop in
deaths in Britain's most wealthier areas between 1951 and 1971 compared to a
16% drop in the most impoverished areas of society. More than only the quality
of medical care affects one's ability to stay healthy. Well-being encompasses
all of the above, in addition to adequate living and working conditions and
enough access to social services.
IN THE
DEVELOPING NATIONS:
Culturally,
socially and economically, developing countries differ greatly from developed
countries, but they all have a low average income per person and huge
percentages of their populations living below the poverty line. The majority of
their inhabitants reside in rural areas, despite the fact that most have a
small elite class that lives mostly in the city. During the mid- and late-20th
century, pockets of slums appeared in urban areas in emerging and some
developed countries due to an increase in rural peoples and immigrants. In the
21st century, improved, cheaper construction methods allowed for the production
of inexpensive homes in highly crowded areas like New York City and cities in
India, reducing some of the city's housing woes. Some cities are simply too
congested to keep public health under check, though. Thousands of urban and
rural poor die each year from avoidable and curable diseases, generally linked
to inadequate hygiene and sanitation, contaminated water supplies,
malnutrition, vitamin deficiency, and chronic preventable infections, due to a
lack of even the simplest steps. In the 1980s, life expectancy at birth for men
and women in Africa was roughly one-third lower than in Europe, and infant
mortality in Africa was about eight times higher than in Europe. These and
other deprivations are reflected in the findings. As a result, emerging countries
place a great focus on expanding primary health care.
Lacking
adequate resources, developing countries have often been unable to establish or
implement the plans necessary to offer basic services at the village or urban
poor level. They are. Health care systems that work in one country may not work
in another, and this is becoming increasingly apparent. Research has shown that
a country's unique circumstances, people, culture, philosophy, and economic and
natural resources all have a role in providing high-quality health care.
More and
more developing countries are promoting services that use less highly qualified
primary health care workers who may be deployed more broadly in order to cover
the widest possible range of people. Undernutrition, infection,
gastrointestinal illnesses, and respiratory symptoms are some of the most
pressing medical issues in the developing world, all of which may be traced
back to factors like poverty, ignorance, and poor hygiene. It's not difficult
to recognize and treat them in most cases. Preventive measures, on the other
hand, are usually easy and inexpensive. There is no need for specialized
training in most circumstances; the phrase "primary health worker"
encompasses all nonprofessional members of the healthcare team.
IN
DEVELOPED NATIONS:
Health care
providers in the industrialized world face a distinct set of challenges than
those in developing countries. While many diseases that once ravaged the Third
World have been eliminated or are easily curable, many others remain
unaffected. Environmental and public health threats have been reduced or
eliminated. A wide range of social services, varied in quality, have been made
available. Public monies are available to help pay for medical expenses, and
private insurance policies are also an option. In spite of this, governments
have a finite amount of money to spend on health care, and the rising expense
of modern medicine means that many people will be unable to afford effective
treatment. The growing need for more money for health education and prevention
initiatives targeted at the poor raises the overall cost of modern medical
care.
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