Safeguarding the Health Sector in Times of Macroeconomic Instability presents the results of an international initiative to document the effects of how health systems in the developing world have responded to macroeconomic austerity and adjustment measures. Are these systems flexible and resilient to changes or are they rigid? In which circumstances and under which conditions do health systems respond favourably or unfavourably? What are the success stories? Country studies from Burkina Faso, Zimbabwe, India, Thailand, Mexico, and Colombia discuss lessons learned and identify policy measures for safeguarding the health sector. This book provides a fresh look at the relationships between. macroeconomic policy and interventions, health sector reform, and the health system in general, presenting new and detailed observations to inform policy choices within the health-care sector worldwide. It is unique in its focus on health systems and services (including financing, quality, accessibility, and utilization), rather than on health status. It will be of interest to academics, researchers, and students studying or active in health sciences and international development studies; professionals and practitioners in donor organizations, development organizations, and NGOs worldwide; and policy advisors and decision-makers in the health-care sector.

Why, despite vast resources being expended on health and health care, is there still so much ill health and premature death? Why do massive inequalities in health, both within and between countries, remain? In this devastating critique, internationally renowned health economist Gavin Mooney places the responsibility for these problems firmly at the door of neoliberalism. Mooney analyses how power is exercised both in health-care systems and in society more generally. In doing so, it reveals how too many vested interests hinder efficient and equitable policies to promote healthy populations, while too little is done to address the social determinants of health. Instead, Mooney argues, health services and health policy more generally should be returned to the communities they serve. Taking in a broad range of international case studies - from the UK to the US, South Africa to Cuba - this provocative book places issues of power and politics in health care systems centre stage, making a compelling case for the need to re-evaluate how we approach health care globally.

This book mounts a critique of current health economics and provides a better way of looking at the economics of health and health care. It argues that health economics has been too dominated by the economics of health care and has largely ignored the impact of poverty, inequality, poor housing, and lack of education on health. It is suggested that some of the structural issues of economies, particularly the individualism of neo liberalism which is becoming more and more pervasive across the globe, need to be addressed in health economics. The author instead proposes a form of collective decision making through communitarianism, placing value on participation in public life and on institutions, such as health care. It is envisaged this form of decision making can be used at the local, national or global levels. For the last, this would mean a major revamp of global institutions like the World Bank and the IMF. Examples of the impact of the new paradigm on health policy in general but also more specifically on priority setting and equity are included.

This volume seeks to unravel and contextualize the so-called dichotomy of ‘old’ and ‘new’ India and what binds them together. To understand this complex process, it attempts to apply a long-term historical perspective, a different conception of the economy and cross-disciplinary approaches. The exceptional feature of this volume is the large historical canvas of essays and its sensitivity to the regional dimension in a country as large and diverse as India. They deal with issues ranging from land and agriculture, entrepreneurship, industry and demographic trends to a critical anatomy of modern Indian economic historiography. Together these essays contribute in providing significantly new and enriching insights into the complex process of transition from colonial to post-colonial economic development. There has been a conscious effort in most cases to capture the influence of the colonial economic structures and processes in shaping the trajectory of growth and development in the post-independence period. Drawing upon a large amount of extremely rich and varied data and information on the socio-economic trends, the book is lucid, well-crafted and reader-friendly.

The COVID-19 pandemic has laid bare the world's vulnerabilities to health and economic ruin from disease outbreaks. But the pandemic merely reveals fundamental weaknesses and contradictions in global health. What are the roots of discontents in global health? How do geo-politics, power dynamics, knowledge gaps, racism, and corruption affect global health? Is foreign aid for health due for a radical overhaul?This book is an incisive guide to the practice of global health in real life. Global health policy is at a crossroads. It is on trial at the interface between the Global North and the Global South. There has been remarkable progress in health outcomes over the past century. Yet, countries face a complex landscape of lofty ambitions in the form of political commitments to Universal Health Coverage, Human Capital, and Global Health Security. These ambitions are tempered by multiple constraints. Investors in global health must navigate a minefield of uneven progress, great expectations, and denials of scientific evidence by entrenched interests. That terrain is further complicated by the hegemonic suppression of innovation that threatens the status quo and by self-perpetuating cycles of dependency of the Global South on the Global North.This book is an unflinching scrutiny of concepts and cases by a veteran of global health policy and practice. It holds a mirror to the world and lays out pathways to a better future. The book is a must-have GPS for policy makers and practitioners as they navigate the maze of global health.

This book presents an in-depth review on the role of health care financing in improving access for low-income populations to needed care, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.

This book builds on the lessons of the most recent global financial crisis, especially in Europe and Central Asia and proposes a more effective role for the health sector as part of a safety net function and as a stabilizer for the population during a crisis.

This paper discusses Samoa’s Request for Disbursement Under the Rapid Credit Facility. Samoa has shown resilience to multiple past economic shocks, underpinned by the authorities’ strong commitment to support the economy, and financial assistance provided by the international community. The global coronavirus disease 2019 pandemic has exacerbated the impact of the measles outbreak of late-2019 on Samoa’s economy. The border closure, combined with a sudden stop of tourist arrivals and decline in remittances, has led to a precipitous fall in two vital sources of foreign earnings and resulted in an urgent balance of payments need. Beyond the immediate response, the authorities will continue to implement structural reforms, with policies appropriately balanced between safeguarding debt sustainability and promoting economic growth. They also need to continue their efforts to enhance spending efficiency, strengthen social protection programs and safety nets, further improve tax administration, strengthen public financial management, and safeguard financial stability. Addressing vulnerability to climate change remains a key medium-term challenge to create a fiscal buffer.