Health Policy

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By Peter Baldwin

A super piece of comparative heritage. Written with panache and wit, you will not manage to placed down this ebook. educated through a prepared experience of background, it reads like a primary piece of journalism. A must-read.

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Extra resources for Disease and Democracy: The Industrialized World Faces AIDS

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Words were not minced on this Manichaean dichotomy. 171 Whose liberty, was one obvious issue: that of the unfortunates who were stricken or the vast majority who were, as yet, only threatened by disease? The extreme argument was that, faced with a lethal epidemic, sacrificing the civil rights of a minority was a small price to pay for sparing many pain and death. Ronald Bolton, a prominent British physician, put this most starkly. Screening all individuals and quarantining seropositives would halt the epidemic.

158 In 36 / Disease and Democracy Mongolia, HIV screening was compulsory for all citizens, enforced if necessary by direct police action. 159 At the other extreme, there was the voluntaristic tactic of seeking to convince the healthy to shun risky behavior and seropositives to avoid transmissive conduct, aiming to educate citizens on potential pitfalls and providing what treatment was possible but otherwise enforcing few injunctions on the ill. This was the consensual strategy that was adopted most clearly in nations such as the Netherlands, Britain, and Germany.

150 In 1993, French spending (in a nation one-fifth the size of the United States) was only 3 percent of the American expenditure (and it dropped to 2 percent in 1997), but even this modest sum was a third more than the British, its nearest competitor, and three times that of Germany. 152 Insofar as Europeans studied the disease, Americans often provided the money. 154 The British worried that the trans-Atlantic brain drain would worsen if gross disparities in research opportunities on this topic continued.

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