PLCY 110 Week 4: Heath
PLCY 110 Week 4: Heath 110
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This 4 page Class Notes was uploaded by Victoria Snow on Saturday October 8, 2016. The Class Notes belongs to 110 at University of North Carolina at Chapel Hill taught by Dr. Zimmerman in Fall 2016. Since its upload, it has received 10 views. For similar materials see Global Policy Issues in PLCY at University of North Carolina at Chapel Hill.
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Date Created: 10/08/16
PLCY 110 Week 4 Health Lecture 1 9/13/16 Shift in this class from macro to micro Macro: 1 sizefits all polict More aid, guidebehavior, free provision of services Micro:context-specific policy Less aid,individualfreedom,freemarket Base what worksin given context on evidenceand testing causalmechanisms Health-PovertyCycle Health Poverty Healthcare is expensive,soifyou’re poor, you cantafford meds If you’re sick,less timeworking, lower income Can’t buy nutritious food, so ittakes longer to recover In poverty, poor living conditions, more likelyto getsick Public health-scienceofprotecting and improving health of families andcommunities through promotion of healthy lifestyles,researchfor disease/injury prevention and detection, and control of infectious disease(CDC) Public health issue-a problem that is often to an entire community or population Healthcare-combination of resources,organization, financing,and management that culminate in the delivery of health services Typology -Chronic- public health issuethat is relativelystableand pervasive Ex: ringworm, malaria,cholera, diarrhea, obesity, etc. -Crisis-Issuethatoccurs suddenly ina specific population Ex: HIV,Ebola Watch CGP Grey’s Anatomy Actorsin GlobalPublic Health -Beneficiaries -International - International organizations -Government -Militaries -Volunteers -Media -Domestic - Government officials -Ministry of health/Health depts. -Community leaders -Health clinics (theirleadership and staff) RootCausesof Poor PublicHealth -International Lackof global standards Slow decisionmaking and reaction Supply and demand (Incr #of disease,decrease supplyof vaccines,crops, certain drugs are more focused on in production) Limited manufacturing and procurement capacity -Domestic Limited resources to invest in healthcare systems No trash pickup, etc. Poor facilities,labs,carefacilities Poor transparency and accountability Poor transportation Limited data and computer power Low education Health: Lecture 2 9/15/2016 Malaria -24 million cases peryear 438.000 deaths - <1% mortality -90% cases inSSA (sub-saharanAfrica) -Symptoms: chills,sweating,fever, and fatigue -Transmitted through mosquitos Prevention- $ -Spraying - Bednets - Meds Treatment- $$ -Meds -Also:hospitalization, missedwork, find childcare, transport, etc. -Millennial development goal achieved? -Incidence and death rates have both gone down - Oftenoutsourced to governments sothey givethe data, and across difcountries, the measure techniques may be different -“Decrease” bya measure of worldwide, but does not account for eachindividual country Sweden - Candy Saturday: Policy that you can eatcandy on Saturday. Swedish people love it. They think USA is fatso they need it.And they think it is sucha good idea. - In the US, we love personal freedom, economic consequences RootCausesof UnhealthyChoices - *always acombo,never just one thing* - Cost - Barriers to healthcare (lackof trust inhealthcare) - Culture (“faith”) - Time inconsistency - Placebo effect(“drive to hope”) Should health things (bednets) be free? YES-economic barriers to use NO-sunk costs Recitation 9/16/16 7billion people in the world- 3billion have access tointernet Opportunity cost-value/costof a decisionthat economic agents have let go~FOMO~ Ex: going to school cost of not working and getting work Privategoods Excludable-consumption of one agents prevents consumption of another Rivalrous-consumption of one agentreduces the amount availablefor all others Public goods-arenon-excludable and nonrivalrous Ex: roads, schools,treated water, etc. Externalities-when a transaction has animpact on an agent(individual) who did not participate in the transaction Ex: negative-motorcycle noise,smoking, CO2emisions Positive-vaccines (herd immunity) Moralhazard-the riska party to a transaction takes on after the transaction happened because of lackof info Ex: not telling someone about sideeffects of medicine Adverseselection-when one party has more info than the other and uses itto their benefit Ex: caresalesman,free food at event Ex: refusing to insure an entire citybecauseof a highrate HIV Time inconsistency-whenaneconomic agent’s decisionis not the sameover time even ifthe conditions and factors are the same