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The COVID-19 pandemic has exposed the fragility of health systems and highlights the need for renewed efforts to finance pandemic preparedness, prevention and response (PPR) mechanisms, and universal health coverage (UHC). Two lessons emerge from this global health challenge. First, it has shown that global problems need global solutions, as well as the agency of local and national actors to make them work, so it is recommended that public health be considered a global public good. This requires solidarity between rich and poor countries to attain a globally “highest attainable standard” for managing pandemics and other public health emergencies. The provision of such a global public good requires substantial public resources. Furthermore, the focus should not only be on preventing the spread of diseases but also on detecting and fighting infectious diseases at their source. The second lesson is that prevention is a good investment, as it costs less than remedial interventions at later stages. Health systems can be considered as the means by which health priorities, such as pandemic PPR and UHC, can be operationalised. Studies show that health systems that could effectively leverage both robust health security core capacities (e.g. laboratories) and fundamental UHC interventions (e.g. accessible health facilities) were often in a better position to protect their citizens against the negative impacts of the COVID-19 pandemic. Focusing on the landscape of health financing in low- and middle-income countries (LMICs), it becomes clear that during the COVID-19 pandemic there was a substantial increase in international health financing. However, continued high out-of-pocket expenditure (OOPE) in LMICs points to a structural imbalance in health financing, which is one of the major barriers for achieving SDG3. Further contribution from international development assistance and an increase in domestic government expenditure by LMICs through improved mobilisation of domestic resources is therefore impera-tive. Funding gaps to achieve PPR and UHC in LMICs are small in relation to the projected costs of a pandemic such as COVID-19. However, as global debt levels soar, fiscal spaces to close these funding gaps become smaller. The following policy options for governments and international development partners should be considered to protect and improve spending on health in times of shrinking fiscal spaces: reallocation within budgets towards health, better priority-setting of health financing, and greater use of debt-to-health swaps, health taxes and national health insurance schemes. Importantly, investment in health is critical not just for the health benefits, but also because of the positive socio-economic impacts that result, in excess of the level of investment. Improved well-being and health outcomes translate into higher productivity and income, with a benefit-cost ratio of nine for low-income countries and 20 for lower-middle income countries. Given the high rates of unemployment in many LMICs, investments that create jobs in the healthcare sector are also beneficial for other sectors. Evidence shows that for every healthcare professional job that is created, 3.4 jobs are created on average in other sectors. As a large proportion of healthcare workers is female, these new jobs can be an opportunity for young women, in particular, and can help to promote female empowerment and gender equality. Altogether, these long-term benefits affirm that investment in health can enable large spillover effects on the social and economic dimensions of sustainable development and the implementation of the 2030 Agenda for Sustainable Development.
“We live in paradoxical times. Traditionally, the West has led the world in theory and practice. Yet, recent developments, from COVID-19 to the storming of the US Capitol, show how lost the West has become. This loss of direction has deep roots. In their usual thoughtful and incisive fashion, Lim Mah-Hui and Michael Heng Siam-Heng, draw out the deeper origins of our current crises and show us a new way forward. A must-read for anyone who wants to understand our strange times." -- Kishore Mahbubani, founding Dean of the Lee Kuan Yew School of Public Policy, National University of Singapore, is the author of Has China Won? “A powerful and compelling critique of neoliberal globalization and its potentially devastating, but long underestimated, consequences for financial stability, the environment, social equity and democracy. COVID-19 has laid bare these dysfunctions and stresses. But this is not a pessimistic book. The authors argue, correctly, that we may be on the cusp of another Great Transformation. The choices we make today to make markets more resilient, improve social protection, and preserve our freedoms could lay the foundations for a sustainable globalization that works for future generations.” -- Donald Low, Professor of Practice in Public Policy and Director of the Institute for Emerging Market Studies, Hong Kong University of Science and Technology “This fascinating book highlights the interplay between financial and health crises that the COVID-19 pandemic exposed. Financialized capitalism is bad for the planet, bad for human health, and creates more unequal and insecure societies. The authors make a strong and convincing case for re-embedding markets into society and finance into the real economy.” --Jayati Ghosh, Professor of Economics, University of Massachusetts at Amherst, USA “Lim and Heng’s ambitious volume argues that 2020 was the year of the global ‘perfect storm’ of multiple crises, with the COVID-19 pandemic exacerbating financial, economic, socio-political and environmental breakdowns. They extend Karl Polanyi’s original insights to appeal for a sustainable global New Deal. While the reader may not agree with all their theses, the scope of their coverage and ambition will set the stage for debates over the annus horribilis.” -- Jomo K.S., Founder-chair, IDEAS www.network.ideas; former United Nations Assistant Secretary General "This book provides plenty of food for thought for many pondering if the COVID-19 crisis could lead to a major transformation of the global economic system shaped by unfettered market forces and policies of governments in their service."-- Yilmaz Akyuz, former Director, UNCTAD, Geneva
Rising health care costs are a central fiscal challenge confronting the United States. National spending on health care currently accounts for 18 percent of gross domestic product (GDP), but is anticipated to increase to 25 percent of GDP by 2037. The Bipartisan Policy Center argues that "this rapid growth in health expenditures creates an unsustainable burden on America's economy, with far-reaching consequences". These consequences include crowding out many national priorities, including investments in education, infrastructure, and research; stagnation of employee wages; and decreased international competitiveness.In spite of health care costs that far exceed those of other countries, health outcomes in the United States are not considerably better. With the goal of ensuring that patients have access to high-quality, affordable cancer care, the Institute of Medicine's (IOM's) National Cancer Policy Forum convened a public workshop, Delivering Affordable Cancer Care in the 21st Century, October 8-9, 2012, in Washington, DC. Delivering Affordable Cancer Care in the 21st Century summarizes the workshop.
Economic shocks pose a threat to health and health system performance by increasing people's need for health care and making access to care more difficult - a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:' analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery 'assess the impact of these responses on health systems and population health' identify policies most likely to sustain the performance of health systems facing financial pressure' explore the political economy of implementing reforms in a crisisThe book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.--
The COVID-19 global health pandemic, which started in late December 2019, forced many countries to adopt unusual measures such as social distancing and strict lockdowns. It changed many of our certainties and practices, including the foundations of the market-led version of capitalism, by bringing social and health considerations back to the forefront of firms' considerations, investors' strategies and governments' priorities. Under the effects of this unprecedented crisis, all sectors of finance and real economy have been seriously affected.Health uncertainties and their increasing consequences for human life and activities require stronger and faster actions to shape pathways towards sustainability and better resilience. The COVID-19 health crisis is a visible part of a greater iceberg: the World Health Organization has tracked, over recent years, a large number of epidemic events around the world, suggesting that many other similar diseases could appear and evolve in the future from epidemic to pandemic in a globalized world.Financial Transformations Beyond the COVID-19 Health Crisis was specifically designed to provide the readers with new results, recent findings and future outlook on the impacts of COVID-19 on financial markets, firm behaviors, and finance and investment strategies. It favors multidimensional perspectives and brings together conceptual, empirical and policy-oriented chapters, using quantitative and qualitative methods alike. This is a timely and comprehensive collection of theoretical, empirical and policy contributions from renowned scholars around the world, and provides the thoughts and insights required to rethink the financial sector in the event of new shocks of the same nature.
The Financial Crisis Inquiry Report, published by the U.S. Government and the Financial Crisis Inquiry Commission in early 2011, is the official government report on the United States financial collapse and the review of major financial institutions that bankrupted and failed, or would have without help from the government. The commission and the report were implemented after Congress passed an act in 2009 to review and prevent fraudulent activity. The report details, among other things, the periods before, during, and after the crisis, what led up to it, and analyses of subprime mortgage lending, credit expansion and banking policies, the collapse of companies like Fannie Mae and Freddie Mac, and the federal bailouts of Lehman and AIG. It also discusses the aftermath of the fallout and our current state. This report should be of interest to anyone concerned about the financial situation in the U.S. and around the world.THE FINANCIAL CRISIS INQUIRY COMMISSION is an independent, bi-partisan, government-appointed panel of 10 people that was created to "examine the causes, domestic and global, of the current financial and economic crisis in the United States." It was established as part of the Fraud Enforcement and Recovery Act of 2009. The commission consisted of private citizens with expertise in economics and finance, banking, housing, market regulation, and consumer protection. They examined and reported on "the collapse of major financial institutions that failed or would have failed if not for exceptional assistance from the government."News Dissector DANNY SCHECHTER is a journalist, blogger and filmmaker. He has been reporting on economic crises since the 1980's when he was with ABC News. His film In Debt We Trust warned of the economic meltdown in 2006. He has since written three books on the subject including Plunder: Investigating Our Economic Calamity (Cosimo Books, 2008), and The Crime Of Our Time: Why Wall Street Is Not Too Big to Jail (Disinfo Books, 2011), a companion to his latest film Plunder The Crime Of Our Time. He can be reached online at www.newsdissector.com.
America's health care troubles largely stem from a great success: modern medicine can do much more today than in the past. So what's the trouble? How to pay for it. In easily comprehensible prose, MIT-trained economist Arnold Kling explains better ways of financing health care for the poor, workers, the disabled, and the elderly. Kling predicts relying less on government and more on private savings would improve health outcomes. A must-read for health care reformers.
This volume analyzes Ghana s National Health Insurance Scheme and highlights the range of policy options needed to assure its financially sustainable transition to universal coverage.
While much progress has been made on achieving the Millenium Development Goals over the last decade, the number and complexity of global health challenges has persisted. Growing forces for globalization have increased the interconnectedness of the world and our interdependency on other countries, economies, and cultures. Monumental growth in international travel and trade have brought improved access to goods and services for many, but also carry ongoing and ever-present threats of zoonotic spillover and infectious disease outbreaks that threaten all. Global Health and the Future Role of the United States identifies global health priorities in light of current and emerging world threats. This report assesses the current global health landscape and how challenges, actions, and players have evolved over the last decade across a wide range of issues, and provides recommendations on how to increase responsiveness, coordination, and efficiency â€" both within the U.S. government and across the global health field.
“We live in paradoxical times. Traditionally, the West has led the world in theory and practice. Yet, recent developments, from COVID-19 to the storming of the US Capitol, show how lost the West has become. This loss of direction has deep roots. In their usual thoughtful and incisive fashion, Lim Mah-Hui and Michael Heng Siam-Heng, draw out the deeper origins of our current crises and show us a new way forward. A must-read for anyone who wants to understand our strange times." -- Kishore Mahbubani, founding Dean of the Lee Kuan Yew School of Public Policy, National University of Singapore, is the author of Has China Won? “A powerful and compelling critique of neoliberal globalization and its potentially devastating, but long underestimated, consequences for financial stability, the environment, social equity and democracy. COVID-19 has laid bare these dysfunctions and stresses. But this is not a pessimistic book. The authors argue, correctly, that we may be on the cusp of another Great Transformation. The choices we make today to make markets more resilient, improve social protection, and preserve our freedoms could lay the foundations for a sustainable globalization that works for future generations.” -- Donald Low, Professor of Practice in Public Policy and Director of the Institute for Emerging Market Studies, Hong Kong University of Science and Technology “This fascinating book highlights the interplay between financial and health crises that the COVID-19 pandemic exposed. Financialized capitalism is bad for the planet, bad for human health, and creates more unequal and insecure societies. The authors make a strong and convincing case for re-embedding markets into society and finance into the real economy.” --Jayati Ghosh, Professor of Economics, University of Massachusetts at Amherst, USA “Lim and Heng’s ambitious volume argues that 2020 was the year of the global ‘perfect storm’ of multiple crises, with the COVID-19 pandemic exacerbating financial, economic, socio-political and environmental breakdowns. They extend Karl Polanyi’s original insights to appeal for a sustainable global New Deal. While the reader may not agree with all their theses, the scope of their coverage and ambition will set the stage for debates over the annus horribilis.” -- Jomo K.S., Founder-chair, IDEAS www.network.ideas; former United Nations Assistant Secretary General "This book provides plenty of food for thought for many pondering if the COVID-19 crisis could lead to a major transformation of the global economic system shaped by unfettered market forces and policies of governments in their service."-- Yilmaz Akyuz, former Director, UNCTAD, Geneva