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[Global health 2035: a world converging within a generation]
Dean T Jamison1, Lawrence H Summers2, George Alleyne3
1Department of Global Health, University of Washington, Seattle, Washington, Estados Unidos de América.
Investing in health offers significant economic returns and enables a "grand convergence" in global health by 2035. This requires increased domestic and international funding, new health tools, and progressive universalism for health coverage.
Area of Science:
- Global Health
- Health Economics
- Public Health Policy
Background:
- A Lancet Commission reviewed the 1993 World Development Report's recommendations on health investment.
- The Commission developed a new framework to guide health investments for substantial health gains by 2035.
Purpose of the Study:
- To present key messages and actionable opportunities for national governments and the international community regarding health investment.
- To advocate for increased financing and strategic policy interventions to improve global health outcomes.
Main Methods:
- The study involved a Lancet Commission revisiting the case for health investment.
- Economic modeling was used to project the feasibility of a "grand convergence" in health by 2035.
- Analysis of fiscal policies and progressive universalism as strategies for health improvement and universal health coverage.
Main Results:
- Investing in health yields substantial economic returns, justifying increased domestic financing and official development assistance.
- A "grand convergence" in reducing infectious, maternal, and child mortality is achievable by 2035 through scaled-up interventions and new technologies.
- Fiscal policies (e.g., tobacco/alcohol taxes) and progressive universalism are effective strategies for curbing non-communicable diseases and achieving universal health coverage.
Conclusions:
- Increased investment in health is economically beneficial and essential for achieving global health equity.
- Strategic interventions, including new technologies and fiscal policies, can drive significant health improvements.
- Progressive universalism offers an efficient pathway to universal health coverage, ensuring health and financial risk protection for all populations.
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