On The Health and Wealth of Nations
Abstract
From the Human Development Report of 2014, we calculated the product of infant mortality rate, under-five mortality rate, female adult mortality rate, and male adult mortality rate as a new measure of national health, the total mortality rate or TMR, and the ratio of per capita health spending in purchasing power parity to inequality in life expectancy as a new measure of national health, the health spending per health inequality or Health/c/IneqLE. Of the 172 nations reporting sufficient data to evaluate these parameters, 52 were healthy (TMR < 1 billion). All healthy nations were rich (Health/c/IneqLE> 101). Of the 120 sick nations (TMR > 1 billion), 108 were poor (Health/c/IneqLE< 102). We conclude that Health/c/IneqLE> 101 is a necessary condition for national health. Twelve nations were rich but sick. None of these twelve had Health/c/IneqLE> 186. All nations with Health/c/IneqLE> 194 were healthy. We conclude that Health/c/IneqLE> 194 is a sufficient condition for national health. We recommend that efforts to improve human development be directed at increasing Health/c or decreasing IneqLE. Efforts to increase Health/c should increase per capita health spending and/or diminish population growth. Efforts to decrease IneqLE should enhance primary health care for the poor.
Full Text: PDF DOI: 10.15640/ijhs.v6n3a1
Abstract
From the Human Development Report of 2014, we calculated the product of infant mortality rate, under-five mortality rate, female adult mortality rate, and male adult mortality rate as a new measure of national health, the total mortality rate or TMR, and the ratio of per capita health spending in purchasing power parity to inequality in life expectancy as a new measure of national health, the health spending per health inequality or Health/c/IneqLE. Of the 172 nations reporting sufficient data to evaluate these parameters, 52 were healthy (TMR < 1 billion). All healthy nations were rich (Health/c/IneqLE> 101). Of the 120 sick nations (TMR > 1 billion), 108 were poor (Health/c/IneqLE< 102). We conclude that Health/c/IneqLE> 101 is a necessary condition for national health. Twelve nations were rich but sick. None of these twelve had Health/c/IneqLE> 186. All nations with Health/c/IneqLE> 194 were healthy. We conclude that Health/c/IneqLE> 194 is a sufficient condition for national health. We recommend that efforts to improve human development be directed at increasing Health/c or decreasing IneqLE. Efforts to increase Health/c should increase per capita health spending and/or diminish population growth. Efforts to decrease IneqLE should enhance primary health care for the poor.
Full Text: PDF DOI: 10.15640/ijhs.v6n3a1
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