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Equity and health sector reforms: can low-income countries escape the medical poverty trap?

2001; Elsevier BV; Volume: 358; Issue: 9284 Linguagem: Inglês

10.1016/s0140-6736(01)05975-x

1474-547X

Margaret Whitehead, Göran Dahlgren, Timothy Evans,

Global Healthcare and Medical Tourism

In the past two decades, powerful international trends in market-oriented health-sector reforms have been sweeping around the world, generally spreading from the northern to the southern, and from the western to the eastern hemispheres. Global blueprints have been advocated by agencies such as the World Bank to promote privatisation of health-service providers, and to increase private financing—via user fees—of public providers. Furthermore, commercial interests are increasingly promoted by the World Trade Organisation, which has striven to open up public services to foreign investors and markets. 1 Price D Pollock AM Shaoul J How the World Trade Organisation is shaping domestic policies in health care. Lancet. 1999; 354: 1889-1892 Summary Full Text Full Text PDF PubMed Scopus (100) Google Scholar , 2 Pollock A Price D Rewriting the regulations: how the World Trade Organisation could accelerate privatisation in health-care systems. Lancet. 2000; 356: 1995-2000 Summary Full Text Full Text PDF PubMed Scopus (94) Google Scholar , 3 AnonTrading public health for private wealth. Lancet. 2000; 356: 1941 Summary Full Text Full Text PDF PubMed Scopus (6) Google Scholar This policy could pave the way for public funding of private operators in health and education sectors, 2 Pollock A Price D Rewriting the regulations: how the World Trade Organisation could accelerate privatisation in health-care systems. Lancet. 2000; 356: 1995-2000 Summary Full Text Full Text PDF PubMed Scopus (94) Google Scholar especially in wealthy, industrial countries in the northern hemisphere.