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Third World Health Promotion and Its Dependence on First World Wealth based on 0 ratings. 1 reviews.
Theo has worked in Korea, Vietnam, the South Pacific, Nicaragua, South America and the Caribbean. He begins by setting the scene in which health workers struggle to do their jobs. He shows how the global debt crisis, expressing US domination of the international financial institutions, damages health across the world. US-imposed Structural Adjustment Programs force dis-investment in health and education. He notes how first world banks have made at least three times the amount they originally lent, and how no country has ever paid off its IMF debts. The heart of the book is a superb chapter on the Cuban model of development. 40% of Cuba¿s GNP, the world¿s highest proportion, is spent on health and education. By 1974, its doctor-patient ration was better than the USA¿s or Britain¿s, and in 1996 it could generously send 600 doctors to South Africa. Cuba has adopted the basics of health promotion ¿ personal autonomy and high self-esteem, leading to neighbourhood advocacy and female emancipation, and to collaboration between health and education workers. Cuba is indeed a `worldwide model of how to organise and administer global health promotion¿. Its precondition is a social revolution, based on democratic participation; the old systems of representative democracy simply won¿t do the job. Theo presents a series of brilliant case studies of primary health care in Nepal, the World Bank-imposed user health fees in Uganda, the effect of HIV/AIDS in Zimbabwe, the privatisation of pharmaceutical provision in India, and the IMF¿s `shock treatment¿ of Peru. He details British American Tobacco¿s assault on China, China¿s development of its successful health and education systems after the USA ended all its aid programmes to China in 1949, the USA¿s use of GATT to stop Thailand banning tobacco imports, and the baby milk manufacturing companies¿ attack on breast-feeding. He also refutes Amartya Sen¿s pro-capitalist dogmas about the causes of famine. Paul Walker, Vice President of the Socialist Health Association, sums up the book¿s vital message in his Foreword, ¿capitalism is bad for health; effective health promotion requires a socialist economic and political milieu.¿