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Fighting the Diseases of Poverty (Hardcover)
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Fighting the Diseases of Poverty (Hardcover)
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Public discussion of global healthcare issues is dominated by those
who believe that top-down, government-driven interventions are the
solution to the myriad health problems suffered by people in less
developed countries. This thinking is responsible for a plethora of
harmful policies, ranging from a drive towards socialized
healthcare systems, to calls for the centralization and
semi-nationalization of pharmaceutical research and development, to
impractical but grandiose UN-sponsored schemes for tackling
HIV/AIDS and malaria. In spite of the abysmal track record of
top-down approaches, non-governmental organizations and UN agencies
continue to promote them, to the detriment of the private sector,
economic development, and human health. The resulting
politicization of diseases such as HIV/AIDS has led to a diversion
of resources away from more easily treatable diseases that affect
more people. Meanwhile, cost-effective and simple interventions
such as vaccination are being subordinated to other more
politically correct diseases. This centralizing mindset has also
resulted in many governments in less developed countries attempting
to plan and control universal healthcare systems, which has
encouraged rationing, inequitable access, and entrenched
corruption. It has also seriously undermined the effectiveness of
overseas development aid. Moreover, the politicization of diseases
such as HIV/AIDS has led to a diversion of resources away from more
easily treatable diseases that affect more people. As a result,
cost-effective and simple interventions are neglected by donors.
There has to date been little public discussion of the role of
markets and their underlying institutions--property rights and the
rule of law--in improving human health. Economic growth and
globalization has led to unprecedented improvements in human
health. The challenge is to enable the poorest countries to take
part more fully in this process. This work demonstrates how current
thinking is flawed and proposes practical ways of improving health
in lower income countries.
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