From: <b class="gmail_sendername">Matt Anderson</b> <span dir="ltr"><<a href="mailto:bronxdoc@gmail.com">bronxdoc@gmail.com</a>></span><br><div class="gmail_quote"><br>
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I wanted to share with you an article recently published in Social<br>
Medicine (<a href="http://www.socialmedicine.info" target="_blank">www.socialmedicine.info</a>) on the health care system in Syria.<br>
It argues that some of the discontent in Syria may be driven by<br>
neo-liberal health care reforms fostered by the international<br>
community and specifically by the European Union. This is not a<br>
perspective one will see in the mainstream media.<br>
<br>
Matt Anderson, Editor, Social Medicine<br>
<br>
Syria Neoliberal Reforms in Health Sector Financing: Embedding Unequal<br>
Access? by Kasturi Sen and Waleed al Faisal<br>
Available at: <a href="http://socialmedicine.info/index.php/socialmedicine/article/view/572/1207" target="_blank">http://socialmedicine.info/index.php/socialmedicine/article/view/572/1207</a><br>
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Abstract<br>
The recent volatility and uprisings in several countries of the Arab<br>
world have been interpreted by the West solely as a popular demand for<br>
political voice. However, in all the countries of the region,<br>
including those in which there is ongoing violent opposition, the<br>
underlying economic dysfunction speaks for itself. The legacy of<br>
joblessness, food riots, and hunger is commonplace and is most often<br>
related to structural reforms and austerity measures promoted by the<br>
IMF and World Bank. These have played a significant role in<br>
reinforcing the rich-poor divide over the past three decades,<br>
fostering inequality, suffering, social divisions, and discontent,<br>
which are often overlooked by Western observers. In Syria, the state<br>
introduced policies for the liberalization of the economy as early as<br>
2000; these were formalized into the 10th Five-Year Plan (2006-2010).<br>
Economic liberalization has been supported by the European Union with<br>
technical support from the German Technical Cooperation agency (GTZ).<br>
Changes made to the health sector and the labor market include: the<br>
piloting of health insurance schemes to replace universal coverage,<br>
the charging of fees for health services in public hospitals, and job<br>
losses across the board. While the West views discontent in Syria<br>
largely as political, its own role in promoting economic reforms and<br>
social hardship has been largely missed. In large part, discontent in<br>
Syria and in the region as a whole are a part of a phenomenon that has<br>
repeatedly highlighted the failure of policies that aim at rapid<br>
commercialization with little consideration for pre-existing<br>
disparities in wealth and resources. This paper traces some of the<br>
proposed changes to the financing of health care and examines the<br>
implications for access and equity.<br>
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