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Comprehensive Reform to Improve Health System Performance in Mexico
Despite having achieved an average life expectancy of 75 years, much the same as that of more developed countries, Mexico entered the 21st century with a health system marred by its failure to offer financial protection in health to more than half of its citizens; this was both a result and a cause of the social inequalities that have marked the development process in Mexico. Several structural limitations have hampered performance and limited the progress of the health system. Conscious that the lack of financial protection was the major bottleneck, Mexico has embarked on a structural reform to improve health system performance by establishing the System of Social Protection in Health (SSPH...
Jordan
This report reviews Jordan’s public health expenditure and develops options to enhance spending efficiency that support the government’s health and fiscal consolidation efforts. The particular focus of the mission was to provide support on: (1) overall health spending analysis, (2) support country efforts to develop and implement an affordable path to expand health coverage, (3) identify areas where the Ministry of Finance can build capacity and support reform efforts.
What's In, What's Out
Vaccinate children against deadly pneumococcal disease, or pay for cardiac patients to undergo lifesaving surgery? Cover the costs of dialysis for kidney patients, or channel the money toward preventing the conditions that lead to renal failure in the first place? Policymakers dealing with the realities of limited health care budgets face tough decisions like these regularly. And for many individuals, their personal health care choices are equally stark: paying for medical treatment could push them into poverty. Many low- and middle-income countries now aspire to universal health coverage, where governments ensure that all people have access to the quality health services they need without r...
Directory of OECD Intergovernmental Bodies 2007 Mandates, Chairs, Membership
This directory is a guide to country participation in the various committees and working groups of the OECD, the IEA, and the NEA for the year 2007.
Coalitions and Compliance
This book offers systematic comparative analysis of the political economy of pharmaceutical patents in Latin America, and examines the diverse ways that international changes can reconfigure domestic politics.
Chronic Failures
Chronic Failures: Kidneys, Regimes of Care and the Mexican State is about Chronic Kidney Disease (CKD) and the relentless search for renal care lived out in the context of poverty, inequality and uneven welfare arrangements. Based on ethnographic research conducted in the state of Jalisco, this book documents the routes uninsured Mexican patients take in order to access resource intensive biotechnical treatments, that is, different modes of dialysis and organ transplantation. It argues that these routes are normalized, bureaucratically, socially and epidemiologically, and turned into a locus for exploitation and profit. Without a coherent logic of healthcare access, negotiating regimes of renal care has catastrophic consequences for those with the least resources to expend in that effort. In carrying both the costs and the burden of care, the practices of patients without entitlement offer a critical vantage point on the interplay between the state, markets in healthcare and the sick body.
The Culture of Cursilería
Not easily translated, the Spanish terms cursi and cursilería refer to a cultural phenomenon widely prevalent in Spanish society since the nineteenth century. Like "kitsch," cursi evokes the idea of bad taste, but it also suggests one who has pretensions of refinement and elegance without possessing them. In The Culture of Cursilería, Noël Valis examines the social meanings of cursi, viewing it as a window into modern Spanish history and particularly into the development of middle-class culture. Valis finds evidence in literature, cultural objects, and popular customs to argue that cursilería has its roots in a sense of cultural inadequacy felt by the lower middle classes in nineteenth- ...
Beauty without the Breast
Felicia Knaul, an economist who has lived and worked for two decades in Latin America on health and social development, documents the personal and professional sides of her breast cancer experience. Beauty without the Breast contrasts her difficult but inspiring journey with that of the majority of women throughout the world who face not only the disease but stigma, discrimination, and lack of access to health care. This wrenching contrast is the cancer divide—an equity imperative in global health. Knaul exposes barriers affecting women in low and middle-income countries and highlights the role of men, family, and community in responding to the challenge of breast cancer. She shares striki...
Just Health
In this book by the award-winning author of Just Healthcare, Norman Daniels develops a comprehensive theory of justice for health that answers three key questions: what is the special moral importance of health? When are health inequalities unjust? How can we meet health needs fairly when we cannot meet them all? Daniels' theory has implications for national and global health policy: can we meet health needs fairly in ageing societies? Or protect health in the workplace while respecting individual liberty? Or meet professional obligations and obligations of justice without conflict? When is an effort to reduce health disparities, or to set priorities in realising a human right to health, fair? What do richer, healthier societies owe poorer, sicker societies? Just Health: Meeting Health Needs Fairly explores the many ways that social justice is good for the health of populations in developed and developing countries.
