<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:x="urn:schemas-microsoft-com:office:excel" xmlns:p="urn:schemas-microsoft-com:office:powerpoint" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:s="uuid:BDC6E3F0-6DA3-11d1-A2A3-00AA00C14882" xmlns:b="urn:schemas-microsoft-com:office:publisher" xmlns:oa="urn:schemas-microsoft-com:office:activation" xmlns:html="http://www.w3.org/TR/REC-html40" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns="http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=Content-Type content="text/html; charset=us-ascii">
<meta name=Generator content="Microsoft Word 11 (filtered medium)">
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
 name="State"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
 name="City"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
 name="place"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0in;
        margin-bottom:.0001pt;
        font-size:12.0pt;
        font-family:"Times New Roman";}
a:link, span.MsoHyperlink
        {color:blue;
        text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
        {color:purple;
        text-decoration:underline;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        font-family:Arial;
        color:windowtext;}
@page Section1
        {size:8.5in 11.0in;
        margin:1.0in 1.25in 1.0in 1.25in;}
div.Section1
        {page:Section1;}
-->
</style>

</head>

<body lang=EN-US link=blue vlink=purple>

<div class=Section1>

<p class=MsoNormal style='margin-left:.5in'><b><font size=2 color="#993300"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#993300;
font-weight:bold'>What Should A Country Spend On Health Care?<o:p></o:p></span></font></b></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'>William
D. Savedoff , Senior partner<sup> </sup>at Social Insight, an international
consulting firm with expertise<sup> </sup>in economic and political analysis of
public policy, in <st1:place w:st="on"><st1:City w:st="on">Portland</st1:City>,<sup>
 </sup><st1:State w:st="on">Maine</st1:State></st1:place>. He was formerly
affiliated with the World Health Organization<sup> </sup>and the Inter-American
Development Bank.   <o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><b><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399;
font-weight:bold'>Health Affairs, July/August 2007 - Volume 26, Number 4 Global
Health Financing <o:p></o:p></span></font></b></p>

<p class=MsoNormal style='margin-left:.5in'><b><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399;
font-weight:bold'>doi: 10.1377/hlthaff.26.4.962 - Project HOPE <o:p></o:p></span></font></b></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'>Available
online at: <a href="http://content.healthaffairs.org/cgi/content/full/26/4/962"><font
color="#333399"><span style='color:#333399'>http://content.healthaffairs.org/cgi/content/full/26/4/962</span></font></a>
 <o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'> <o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'>“…..Per
capita health spending across countries ranges by more than 100 to 1, leading
many people to ask, "What should a country spend on health care?"
This paper discusses four approaches to this question and demonstrates how each
approach, in effect, answers a slightly different question, all of which are
important to public policy decisions regarding health care spending. The paper
also addresses a commonly cited World Health Organization statement that
countries should spend 5 percent of national income on health care services…”<o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'>“….It
is difficult to say what a country should spend on maintaining and improving
its population’s health without knowing the challenges it faces. The
appropriate amount of spending in a country with a malnourished population
facing endemic malaria and an epidemic of HIV/AIDS is likely to be different
from one with limited infectious disease and a high incidence of cancer and
chronic conditions. So, to be more complete, the question would have to be
amended as follows: <o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><i><font size=2 color="#333399"
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:#333399;
font-style:italic'>How much should my country spend on health, given our
current epidemiological profile?....”<o:p></o:p></span></font></i></p>

<p class=MsoNormal style='mso-margin-top-alt:auto;margin-bottom:12.0pt;
margin-left:.5in'><b><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399;font-weight:bold'>*     
*      *     * </span></font><font
color="#333399"><span style='color:#333399'> <br>
</span></font></b><b><font size=1 color="#333399" face=Arial><span lang=EN-GB
style='font-size:7.5pt;font-family:Arial;color:#333399;font-weight:bold'>This
message from the Pan American Health Organization, PAHO/WHO, is part of an
effort to disseminate <br>
information Related to: Equity; Health inequality; Socioeconomic inequality in
health; Socioeconomic <br>
health differentials; Gender; Violence; Poverty; Health Economics; Health
Legislation; Ethnicity; Ethics; <br>
Information Technology - Virtual libraries; Research & Science
issues.  [DD/ IKM Area] </span></font></b><b><font color="#333399"><span
lang=EN-GB style='color:#333399;font-weight:bold'> </span></font></b><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>

<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;
margin-left:.5in'><b><font size=1 color="#333399" face=Arial><span lang=EN-GB
style='font-size:7.5pt;font-family:Arial;color:#333399;font-weight:bold'>“Materials
provided in this electronic list are provided "as is". Unless
expressly stated otherwise, the findings <br>
and interpretations included in the Materials are those of the authors and not
necessarily of The Pan American <br>
Health Organization PAHO/WHO or its country members”.</span></font></b><b><font
size=1 color="#333399" face=Arial><span lang=EN-GB style='font-size:8.0pt;
font-family:Arial;color:#333399;font-weight:bold'> <br>
</span></font></b><b><font size=1 color="#333399" face=Arial><span lang=EN-GB
style='font-size:7.5pt;font-family:Arial;color:#333399;font-weight:bold'> ---------------------------------------------------------------------------------------------------</span></font></b><b><font
color="#333399"><span lang=EN-GB style='color:#333399;font-weight:bold'> <br>
</span></font></b><b><font size=1 color="#333399" face=Arial><span lang=EN-GB
style='font-size:7.5pt;font-family:Arial;color:#333399;font-weight:bold'> PAHO/WHO
Website: </span></font></b><font size=1 color="#333399" face=Arial><span
lang=EN-GB style='font-size:7.5pt;font-family:Arial;color:#333399'><a
href="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://www.paho.org/"
target="_blank"
title="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://www.paho.org/ http://www.paho.org/"><b><font
color="#333399"
title="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://www.paho.org/"><span
title="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://www.paho.org/"><span
style='color:#333399;font-weight:bold'>http://www.paho.org/</span></span></font></b></a><b><span
style='font-weight:bold'> <br>
 EQUITY List - Archives - Join/remove: </span></b><a
href="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://listserv.paho.org/Archives/equidad.html"
target="_blank"
title="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://listserv.paho.org/Archives/equidad.html http://listserv.paho.org/Archives/equidad.html"><b><font
color="#333399"
title="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://listserv.paho.org/Archives/equidad.html"><span
title="https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=https://webmail.wdc.paho.org/exchweb/bin/redir.asp?URL=http://listserv.paho.org/Archives/equidad.html"><span
style='color:#333399;font-weight:bold'>http://listserv.paho.org/Archives/equidad.html</span></span></font></b></a><o:p></o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><i><font size=2 color=navy
face=Arial><span lang=EN-GB style='font-size:10.0pt;font-family:Arial;
color:navy;font-style:italic'><o:p> </o:p></span></font></i></p>

<p class=MsoNormal><font size=2 face=Arial><span lang=EN-GB style='font-size:
10.0pt;font-family:Arial'><o:p> </o:p></span></font></p>

<p class=MsoNormal style='margin-left:.5in'><font size=2 color="#333399"
face=Arial><span lang=EN-GB style='font-size:10.0pt;font-family:Arial;
color:#333399'><o:p> </o:p></span></font></p>

<p class=MsoNormal><font size=2 color="#333399" face=Arial><span
style='font-size:10.0pt;font-family:Arial;color:#333399'><o:p> </o:p></span></font></p>

</div>

<pre>



IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this
transmission in error, please notify us immediately by
email to infosec@paho.org, and please dispose of and
delete this transmission. Thank you.

</pre></body>

</html>