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By David W. Dunlop, Jo. M. Martins

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Example text

By the early 1990s, many policy analysts had begun to entertain the idea that health insurance implemented on a national basis, as in some of the more affluent countries of the Organisation for Economic Co-operation and Development, might be one means of resolving the health financing problem. This mechanismif appropriately configured in terms of subsidy targeting, the design of the benefit package, and reimbursement policiesmight also make it possible to maintain private initiatives in the health sector and at the same time reduce the inequity of access.

World Bank Staff Working Paper 407. C. Wolfe, Barbara. 1985. "Health Status and Medical Expenditures: Is There a Link? IRP Discussion Paper DP 794-85. University of Wisconsin-Madison. Wolfe, Barbara, and Jere Behrman. 1987. " Journal of Health Economics 6:23954. World Bank 1984. World Development Report, 1984. New York: Oxford University Press. 1986. Population Growth and Policies in Sub-Saharan Africa. C. 1987. Financing Health Services in Developing Countries: An Agenda for Reform. C. 1990.

Dunlop and Jo. M. Martins During the 1980s the global economy suffered serious disruptions in its long-term growth as a result of significant energy price changes and the buildup of unsustainable levels of debt. To adjust to these changes, many countries undertook policy initiatives aimed at restructuring their economies. One question that aroused considerable debate in this process was whether country governments needed to provide and finance all types of health care, despite the increase in both the numbers of health care personnel and expenditures on health since the 1960s (table 1-1).

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