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如果让我防治SARS(打死我也不当官) -- 非文人 - (1032 Byte) 2003-5-03 周六, 上午11:05 (513 reads) |
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作者:Anonymous 在 罕见奇谈 发贴, 来自 http://www.hjclub.org
哪位知道中国政府每年花在公共卫生上的经费预算?
"The World Health Organization's Commission on Macroeconomics and Health says every country should spend at least $34 per person each year for basic health care. "
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NYTimes.com > Opinion
The Cost of SARS
SARS is not just a health problem. As fear and shutdowns curtail travel, it is devastating the Asian economy. It may seem heartless to look at a terrifying disease, for which there is neither a vaccine nor a cure, through the lens of cash. But as widespread suffering has failed to persuade leaders in both poor and rich countries to finance public health, perhaps an economic argument will carry more weight.
SARS raged out of control in China not only because officials suppressed the bad news, but also because China's public health system is in ruins. Sanitation in food stalls — where the virus might have first jumped to humans — is atrocious, and hospitals failed to practice basic infection control. China also needs a better disease surveillance system. Cheap, rudimentary measures would have paid for themselves many times over.
So far, SARS is costly because it discourages commerce. The Asian Development Bank says SARS could end up costing $16 billion in Asia. Other diseases take a more varied toll. Malaria can do lasting cognitive damage. Many sufferers cannot work productively, and often die with their fruitful years ahead of them. AIDS, which strikes many of the most skilled in society in their prime, is now contributing to shortages of doctors, nurses and teachers in Africa. Businesses shy away from investing in nations, like South Africa, where more than a quarter of the work force is HIV-positive. By reducing the productivity of farmers, AIDS contributes to hunger. AIDS orphans are unlikely to stay in school and will be unprepared for the work force.
Improving health is one of the few things we know how to do well and cheaply. Tuberculosis can be cured with drugs costing $15. The vaccines protecting children against measles or polio cost pennies. Yet vaccine coverage is dropping in Africa. In some nations, only a quarter of children are immunized.
The World Health Organization's Commission on Macroeconomics and Health says every country should spend at least $34 per person each year for basic health care. This is paltry compared with the $2,000 annual average spent per person in wealthy nations, but the average in poor countries is $13. These nations could finance some of the increase, but about $27 billion a year would have to come from rich donors. Such investment would directly increase world income by at least $186 billion per year, not counting hundreds of billions of dollars in accumulated economic growth. Purely on the numbers, you cannot beat that rate of return — and oh yes, it would also save lives.
http://www.nytimes.com/2003/05/01/opinion/01THU3.html >http://www.nytimes.com/2003/05/01/opinion/01THU3.html
作者:Anonymous 在 罕见奇谈 发贴, 来自 http://www.hjclub.org |
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