Global Health HAS 4320

Statistics 5 billion people, 200 countries $1,702 billion in health care expenditures U.S. = 5% of population U.S. = 40% of spending China = 1.2 billion (more than 20%) China < 1% of spending

Western Medicine Penetrated all corners of the globe Western models not always accepted Modern medicine in the Third World Traditional Medicine vs Western Medicine Socioeconomic status

Economist categorization High income = $10,000 per capita Medium income = $1,000 - $7,500 per capita Low income < $1,000 per capita

More money = more spending Nations spend more money on health care because they have the money to spend, not because they have greater medical needs.

Income vs Spending

Low Income Countries Rural Government tastes = misallocations Fewer physicians Lack of food

Middle Income Countries Agriculture to industry Health insurance ??? Urban ghettos Large disparities Lifestyle illnesses

High Income Countries Little variation in health outcomes Lack many primary care resources

Trade Only fraction of world trade Products versus services People and ideas

War and Public Health War = technology War leads to problems War leads to better health