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中东人视角下的美国医疗卫生

论文作者:英语论文论文属性:学期论文 termpaper登出时间:2015-06-12编辑:g790726705点击率:5882

论文字数:1999论文编号:org201506091617234746语种:英语 English地区:美国价格:免费论文

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摘要:一个中东人对美国大众的医疗保健的分析与见解

我做的海外项目主要关注于我们访问过的国家的医疗保健体系。至于为何选择这个项目,完全是出于我个人的原因,因为我想要去分析大众医疗保健系统在美国施行的可行性。为了去探究这样的可能性,我不得不首先弄明白其中包含的相关东西:经济和政治

这个项目的本质使我理解了过去出现这些问题的政治和历史背景,但是要想理解背后的经济背景,还需要下一番功夫。我主要的信息来源是互联网,尤其是从诸如世界银行、国际货币基金组织、世界卫生组织、美国国际开发署以及其他金融论坛的网站;我从这些网站上获得了很多有用的信息,但其中最主要的还是:当提及和医疗保健一样昂贵、一样复杂、一样敏感的问题时,没有什么是一成不变的。当提及人们的生活的质量与持续性时,就如医疗保健问题一样,解决这一类问题的人与方法就会出现。但是,很大范围里,医疗保健体现出的前景却让人沮丧,不论是在发达国家(尤其是美国),还是在发展中国家(如土耳其、墨西哥、埃及)。


My project over the course of the program abroad was a focus on the health care systems of the countries we visited. This project was chosen for personal reasons, as I aimed to analyze the feasibility of a universal health care system in America. In order to understand the practicality of such an issue, I had to first understand the encompassing components: economy and politics. 

The intrinsic nature of the program itself helped me to understand the politics and the history that set the precedent for contemporary issues, but exploring the economy took a bit more work. My main source of information came from the internet, especially from web sites for such organizations as the World Bank, the International Monetary Fund (IMF), the World Health Organization (WHO), USAID, and various other economic forums. I learned a lot from these web sites, but the main thing I learned is that when it comes to an issue that is as expensive, convoluted and touchy as health care, nothing is cut-and-dry. When it comes to the quality and sustainability of people's lives, as the issue of health care does, people and programs abound to address the problems at hand. But the colossal scope of the issue that 'universal health care' implies is daunting, not only in the richest country in the world (America), and especially in poorer countries (Turkey, Morocco, Egypt). 

I learned that health care is an issue that many governments cannot afford to touch. This is why organizations like the World Bank and WHO focus huge amounts of cash and manpower to addressing the issues of people that do not have a voice, like the rural poor in Morocco. If the World Bank did not report on the conditions of such people, how would the world ever know that '84% of the world's poor shoulder 93% of the global burden of disease while only 11% of the $2.8 trillion spent on health care reaches low and middle income countries (Preker & Carrin).'? How would we know that the underlying reasons of the poverty-stricken health care deficit is the result of such simple matters as lack of government accountability for the health care system, and the haphazard and intermittent redistribution of funds set aside strictly for health concerns? 

This issue of money spent on health care is not only one for the poor countries. Since my original focus was to find out why America cannot or will not support a universal health policy, I decided to concentrate on how poorer countries can. The best example is Egypt, which provides at least a modicum of health care to 100% of its rural and urban citizens, despite the fact that it spends only 3.8% of it's GDP on health care (well below the MENA average)(www.who.int/en). Egypt cannot afford to give specialist health care and medicines to all of its citizens. Worldwide, 'As much as 80% of total health care expenditure in low-income countries comes from direct out-of-pocket payment by patients. Studies in several countries found th论文英语论文网提供整理,提供论文代写英语论文代写代写论文代写英语论文代写留学生论文代写英文论文留学生论文代写相关核心关键词搜索。

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