chapter  9
16 Pages

‘Willingness to pay’

How health care user fees spread around the world, 1965–2015
WithAaron Shakow, Salmaan Keshavjee

Worldwide, one of the hottest topics in public life is health care and who should pay for it. United States health care costs were rising sharply in the postwar period. Between 1950 and 1965, prices for hospital-based care in the United States grew at 7% annually, 5% points the general rate of price inflation. The precedent of World Health Organization’s primary health care campaign should make people wary about the ease with which the resource needs of egalitarian liberalism can give its neoliberal counterpart a lever with which to undermine it. In the first Bamako Initiative annual report, United Nations Children's Fund described no fewer than 24 action plans, with four countries already in the implementation stage, all within a few hundred miles of Bamako – Benin, Guinea, Nigeria, and Sierra Leone. Health committees which are supposed to represent the people should be composed in such a way that they are representative and competent.’