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Indonesia no.....92. Dibawah Bangladesh, Macedonia, Bosnia-Herzegovina, Lebanon... --- In proletar@yahoogroups.com, "sunny" <am...@...> wrote: > > Refleksi : Kira-kira berapa banyak dari penduduk Indonesia yang tidak mampu > mendapat pelayanan kesehatan sepatutnya? > > > http://arabnews.com/world/article197997.ece > > One billion people cannot afford healthcare - WHO > By KATE KELLAND | HEALTH > > > > Published: Nov 22, 2010 12:52 Updated: Nov 22, 2010 12:52 > > LONDON: Around a billion people cannot afford any health services, and paying > for healthcare pushes about 100 million people a year into poverty, the World > Health Organization said on Monday. > > In a global report on financing health systems, the United Nations health > body said all countries, rich and poor, could do more toward getting > universal coverage and urged them to think about ways to increase efficiency > and use new taxes and innovative fund-raising measures to boost access to > healthcare. > > "For many, health services just don't exist, for others they are not > affordable. When they're not affordable it means you either choose not to use > them or you suffer severe financial hardship," David Evans, the WHO's > director of health systems financing, said in a briefing on the report's > findings. > > The World Health Report 2010 lays out steps countries could take to raise > more funds and reduce financial barriers to obtaining healthcare, and to make > health services more efficient. > > It found that to stop payment for healthcare impoverishing people, direct, > out-of-pocket payments should make up less than 15 to 20 percent of a > country's total health spending. > > Yet currently, in 33 mainly low- and middle-income countries, direct payments > from individuals receiving healthcare still account for more than 50 percent > of total health spending. > > It suggested governments should look at diversifying sources of revenue from > levies such as "sin" taxes on products like tobacco and alcohol, currency > transaction taxes, and national "solidarity" taxes on certain sectors. > > If India were to implement a levy of 0.005 percent on foreign exchange > transactions, it could raise $370 million per year, the report said. Gabon > raised $30 million for health in 2009 by imposing a 1.5 percent levy on > companies handling remittances and a 10 percent tax on mobile phone operators. > > > > Health of financial ruin? > > WHO director general Margaret Chan wrote in a foreword to the report that "no > one in need of healthcare, whether curative or preventive, should risk > financial ruin as a result." > > "As the world grapples with economic slowdown, globalization of diseases ... > and growing demands for chronic care ... the need for universal health > coverage, and a strategy for financing it, has never been greater," the > report said. > > "There is no magic bullet to achieving universal access. Nevertheless, a wide > range of experiences from around the world suggests that countries can move > forward faster." > > The WHO said that typically, 20 to 40 percent of health spending is wasted, > often through spending on expensive but unnecessary drugs, hospital-related > inefficiency and poor use of skilled professionals' time. > > More than half all medicines globally are prescribed, dispensed, or sold > inappropriately and half of all patients fail to take their medication as > prescribed. Better use of medicines could save nations up to 5.0 percent of > health spending, it said. > > To improve efficiency, it suggested 10 areas where changes could be made, > including reducing unnecessary spending on drugs, targeting medicines > properly and adopting a generics policy whereby any branded medicine for > which there is an equally effective generic version is substituted. > > The report found some countries pay far more for medicines than others - in > some places prices are up to 67 times the international average. France's > strategy of generic substitution led to savings equivalent to $1.94 billion > in 2008, it said. > > > [Non-text portions of this message have been removed] > ------------------------------------ Post message: prole...@egroups.com Subscribe : proletar-subscr...@egroups.com Unsubscribe : proletar-unsubscr...@egroups.com List owner : proletar-ow...@egroups.com Homepage : http://proletar.8m.com/Yahoo! Groups Links <*> To visit your group on the web, go to: http://groups.yahoo.com/group/proletar/ <*> Your email settings: Individual Email | Traditional <*> To change settings online go to: http://groups.yahoo.com/group/proletar/join (Yahoo! ID required) <*> To change settings via email: proletar-dig...@yahoogroups.com proletar-fullfeatu...@yahoogroups.com <*> To unsubscribe from this group, send an email to: proletar-unsubscr...@yahoogroups.com <*> Your use of Yahoo! Groups is subject to: http://docs.yahoo.com/info/terms/