SOCI 365 Lecture Notes - Lecture 6: Universal Health Care, Global Health, Market Fundamentalism
5 May 2018
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Lecture 6 - SOCI 365
Economy and global health
Resource allocation and priority setting
• Distribution of limited resources among competing programs or people
• Rising costs and budget are pressured by publicly funded systems and by both public and private
components of health systems
• Resources expenses on one disease or group cannot be spend on another disease or group
• Policy makers in developing countries rarely consider using the available priority-setting tools, but
also that the available tools lack credibility for priority setting in low-resource setting. Not easy to
validate the tools or to link their output with concrete follow-up actions and policy development
funding sources
• You have to follow up in the long run do one big vaccination campaign for example
• For the priority setting you need to have this view of a long run see the impact on the
population. But sometimes you do not have the resources to do the follow-up.. problem
• Are people healthy because they are wealthy, or wealthy because they are healthy?
o A little bit of both..
o You might have access.. but probably some surgeries have to wait a few years because
we do not have enough doctors, surgery rooms, operating hours.. so you have to look at
the context
o But health and wealth work together
Universal health coverage (UHC)
• “the desired outcome of health system performance whereby all people who need health services
receive them, without undue financial hardship” (WHO)
• Resources in most countries cannot ensure that everyone obtains every beneficial health service at
an affordable price. Therefore, priority setting is required to provide a comprehensive range of
key services, which are well aligned with other social goals, to which all people should have
access
Pathologizing poverty reading
• Paper talking about the relationship between welfare and mental health and the stigma around it
• Embracing the stigma of mental health to receive the benefit of welfare
• Question: is welfare and masculinity in opposition?
o Getting the welfare service have to admit that they have mental health might
contradict with masculinity
• Does welfare actually help people?
o Some may argue that 600$ per month is not enough
▪ But then again some people earn less doing a minimum wage job..
o Some people might not want to get rid of this stable income
Global health reading
• Remaking global health governance in the context of globalization
• Market fundamentalism (neo-liberalism, globalization, if you are wealthy, than you are healthy),
market foster care (if you are not healthy, than you are going to get into a trap where you wont be
able to get a job, can’t work, continuing cycle of poverty), market failure
• Question: what role does globalization in global health, and could you say it’s a beneficial or
detrimental role on the global health system?
o Technology has been beneficial but doesn’t necessarily help developing countries,
programs that have negative impacts in a different context
o Not all technology and medical knowledge not all made with good intentions
▪ If drug introduced to markets without regulation..
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
The desired outcome of health system performance whereby all people who need health services receive them, without undue financial hardship (who: resources in most countries cannot ensure that everyone obtains every beneficial health service at an affordable price. Therefore, priority setting is required to provide a comprehensive range of key services, which are well aligned with other social goals, to which all people should have access. Privatization chinese healthcare system reading: until 1980 centralization in chinese governance. 35 million people affected and died from aids. 37 million people infected with hiv: currently only 60% of people with hiv know their status. The remaining 40% (over 14 million people) still need to access hiv testing services: as of july 2017, 20. 9 million people living with hiv were accessing antiretroviral theraby (art) globally copy. If you think about priorities: need education about the side effects of the medication.
